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Wednesday, October 4th, 2017
8:30 AM - 10:00 AM: Breakfast - Pre-Function Space (across from Registration)
Breakfast - Pre-Function Space (across from Registration)
10:00 AM - 10:50 AM: Breakout Sessions
This session will provide a review of the two-midnight rule and the compliance and revenue implications for your organization. Essential components for a two-midnight rule compliance program and an overview of OIG metrics and key performance indicators will be provided.
Learn how new technologies & best practices are being applied to turbocharge A/R management at leading providers. Technologies based on robotic automation are changing the game for streamlining revenue cycle management. Automating low balance recovery & minimizing staff hold time are two examples to be explored. Learn to apply these approaches to collect more cash, at less cost, in less time.
This session will focus on the development of actionable performance measurement tools to help position system leaders to effectively drive change across their ambulatory network. By discussing best practices for key performance indicators and interactive discussions around case study dashboards, the presentation will give tools to understand physician enterprise performance at a deeper level.
During this presentation, lessons learned and strategies will be discussed for the Bundled Payments for Care Improvement (BPCI) initiatives and the Comprehensive Care for Joint Replacement (CJR) bundled payment model. Items to be discussed include developing post-acute networks, physician engagement, transition care management, continuum care protocols, gain sharing models, and data analytics.
Participants will learn how to Identify the coder's role in clinical validation and what to do when the clinical criteria components conflict with the clinical findings and diagnostic statement. An examination of real life clinical validation situations and how to respond will be provided.
10:50 AM - 11:00 AM: Transition break
Transition break
11:00 AM - 11:50 AM: Breakout Sessions
This presentation will discuss the top risks related to physician contracting, including those related to medical directorships, physician lease agreements, guaranteed compensation, supporting fair market value surveys, and documented business need. In addition, best practices for auditing physician agreements and resulting payments to physicians and referral sources will also be reviewed.
This session will provide attendees with a solid understanding of the new payment methodologies under MACRA, their potential financial impact (with illustrative modeling), and the strategic decisions they will likely drive. Participants will learn how MACRA will affect physician alignment decisions, the context and rationale for MIPS and Advanced APMs and how they will work.
This presentation is the Annual Update of recent accounting and auditing pronouncements issued by the FASB and AICPA.
This session will provide an understanding of current regulatory trends and how they will impact the reliance on third parties used for outsourcing with respect to compliance issues and liability. The steps financial managers can take to meet their objectives, ensure compliance and allow users to understand the risks involved with the use of modern day technology will be discussed.
The focus of this presentation will be to discuss the three approaches to fair market value ("FMV") valuation, how the approaches are modified specifically for compensation valuation and the relevant health care laws that are the reason for having compensation valuation work performed (Stark, Federal Anti-Kickback Statute, relevant state specific laws).
11:50 AM - 1:00 PM: Lunch in Vendor Hall
Lunch in Vendor Hall
12:00 PM - 12:30 PM: Vendor Demo - Boardroom 1
Vendor Demo - Boardroom 1
12:00 PM - 12:50 PM: Lunch and Learn - Wednesday
This presentation will help professionals improve written business communication in all forms - letters, memos, emails, and reports. Attendees should leave with an understanding of how to construct writing that conveys the point clearly, succinctly, and professionally.
12:35 PM - 1:05 PM: Vendor Demo - Boardroom 1
Vendor Demo - MD Buyline/MediTract
1:10 PM - 1:15 PM: Welcome Address
Welcome address - NJ HFMA President Scott Mariani and 2017 Annual Institute Chair Michael McKeever.
1:15 PM - 2:30 PM: Keynote Address - Ilise Zimmerman
This presentation will provide a context for understanding the intent of the regulations requiring non-profit hospitals to demonstrate Community Benefit. Specific examples will be provided to illustrate frequently overlooked opportunities to capture hospital services that support population health and well-being.
2:30 PM - 3:00 PM: Break with Vendors
Break with Vendors
3:00 PM - 3:50 PM: Breakout Sessions
Topics to be addressed include: Medicare regulations impacting compliance, government audits and their affect on hospital finances, challenges managing external auditors and risks associated with the implementation and use of the electronic medical record.
Each day hospital case management staff work with patients and payers adhering to an ever-growing set of Medicare regulations such as the Two-Midnight Rule and the MOON notification requirement. In this lecture, Dr. Hirsch will review the most important regulations that case managers want their revenue cycle teams to know and understand.
This session will provide an update and overview of current Federal and state tax law changes and issues applicable to integrated healthcare delivery systems, hospitals, healthcare physicians/providers, businesses, individuals and an update of President Trump's 2017 Tax Reform.
This session will reveal ways to take complicated data and make it into something that allows decisions to be made with ease. Analytics for the Medicare Shared Savings Plan Model 1, commercial ACO arrangements and the Medicare Comprehensive Joint Replacement Program will be discussed. The lessons learned from these examples will allow for duplication to other initiatives within any organization.
This presentation will focus on the recent changes to the wage index as well as opportunities that hospitals can take advantage of during their own review process .Attendees will learn how to improve their cost report submission and the necessary steps needed to enhance their wage index process.
3:50 PM - 4:00 PM: Transition break
Transition break
4:00 PM - 4:50 PM: Breakout Sessions
Given the Government's continued focus on healthcare enforcement actions, healthcare financial executives must remain current on both Federal and State-level anti-fraud and compliance initiatives.This session will cover recent regulatory activity, including enforcement developments and the Government's focus on individual healthcare executive liability under the Department of Justice memo.
This presentation will address hospital tracking and reporting community benefit activities in relation to the guidance provided by the Internal Revenue Service (IRS) for Form 990, Schedule H reporting and for identification of community health needs under the section 501(r) regulations.
A case study demostration from Novant Health to teach attendees how consumer trends impact healthcare, various ways and methods that can be used to engage patients and how to determine the internal workflow challenges and changes necessary to achieve consumer-related goals.
It takes a village to truly transform, but some of the critical elements include: data analytics, coding care coordination, provider choice (eliminating variation), patient education and culture. This presentation will provide real lessons learned from Regional Cancer Care Associates on how to focus on these areas to provide high quality care at a lower overall cost.
This session will provide an overview on how providers can effectively utilize available data to define and execute post-acute care strategy. The presenters will provide a unique perspective on the type of data that can be useful in aligning provider goals with post-acute strategy, specifically cost and outcomes data by clinical condition category.
5:30 PM - 8:00 PM: Charity Event
Charity event in vendor hall.
Thursday, October 5th, 2017
7:30 AM - 8:45 AM: Breakfast - Exhibit Hall
Breakfast - Exhibit Hall
8:45 AM - 9:00 AM: NJ HFMA Chapter Awards Ceremony
Join your NJ HFMA colleagues for a presentation of the awards for chapter year 2016/2017.
9:00 AM - 9:50 AM: General Session - 2017 Healthcare Regulatory Update
This presentation will be an overview of key regulatory changes. Selected topics to be covered include: market consolidation, new payment methodologies, MACRA, ACA and new administration policies.
9:50 AM - 11:05 AM: Keynote Address - Captain Al Fuentes, FDNY
Captain Al Fuentes, FDNY, is a 9/11 First Responder and survivor. Hear his story as he details the events of September 11, 2001, the emergency response and his determination to survive.
11:05 AM - 11:30 AM: Break with Vendors
Break with Vendors. Networking and book signing with Captain Al.
11:30 AM - 12:20 PM: General Session - Health Care Reform: Where Do We Go From Here?
John Dalton will provide the latest on healthcare reform, how we can prepare and what the future may hold.
12:20 PM - 1:40 PM: Lunch in Vendor Hall
Lunch in Vendor Hall
12:30 PM - 1:00 PM: Vendor Demo - Boardroom 1
Vendor Demo - WithumSmith+Brown
12:30 PM - 1:00 PM: Vendor Demo - Boardroom 2
Vendor Demo - Boardroom 2
12:30 PM - 1:20 PM: Lunch and Learn - Thursday
Twitter. Facebook. LinkedIn. Instagram. Keeping up with social media platforms and trends can seem like a daunting task. In this session, you will learn with a little planning and the right tools, you can easily accomplish your professional development objectives by creating the right digital identity and taking advantage of the cutting edge and exciting world of social media!
1:05 PM - 1:35 PM: Vendor Demo - Boardroom 1
Vendor Demo - Colburn Hill Group
1:05 PM - 1:35 PM: Vendor Demo - Boardroom 2
Vendor Demo - Boardroom 2
1:40 PM - 2:30 PM: Breakout Sessions
Exchanging information across the healthcare ecosystem and achieving interoperability is a goal and challenge all healthcare organizations share. Attend this session to hear about the healthcare industry's challenges managing patient identities, the complexity of protecting those patient identities and the consequences of not protecting them.
This case study will discuss how the Revenue Cycle and Finance teams from the University of Pennsylvania Health System Physicians (Penn Medicine) worked together with their bank and clearinghouse to leverage technology, change business processes, customize data files from the bank and institute common vocabulary and accounting structures to automate the entire reconciliation process.
One of the main reasons given for hospital mergers is that improved efficiency will result in reduced costs. How have the mergers in New Jersey stood up to this standard? This session will review the cost improvement for the new merged health systems, compare them to their performance in the past and determine whether costs savings have occurred.
This session will review financial and clinical lessons learned through participation of Medicare BPCI Bundle Payment model. Key items to be discussed include: steps to develop care model best practices, cost reduction strategies, metrics selection, continuous process improvement and gainsharing structures.
This presentation will demonstrate how market trends are shaping the need for a holistic, integrated revenue cycle of the future. A deomonstration of how providers can incorporate a technology-enabled concierge service to help patients understand and manage their bills and insurance to elevate patient satisfaction will be provided.
2:30 PM - 3:00 PM: Break with Vendors
Break with Vendors
3:00 PM - 3:50 PM: Breakout Sessions
It is important to routinely undertake a review of your compliance program to identify opportunities for improvement, recognize achievements and demonstrate the value the program has brought to the organization. The discussion will offer practical suggestions for conducting an assessment of your compliance program to ultimately reduce overall organizational compliance risk.
Financial Toxicity is a term that is fairly new to the industry related to the financial hardship many cancer patients face as they go through their treatment regime and start racking up huge out-of-pocket expenses. This presentation will describe Financial Toxicity and provide strategies for management and education of patients.
Attendees will come away from the presentation with: a strong understanding of the Enterprise Risk Management (ERM) framework, ideas about how to leverage existing corporate compliance, risk awareness and strategic and operational activities to build or strengthen an ERM program. Case examples about ways to revisit, revamp or build an ERM program or process will be provided.
This presentation will discuss the performance of Medicare ACOs and commercial HMOs, and will offer marketplace knowledge about providers' ACO experiences. Information will be shared from various operating ACOs in regard to their maturity in the marketplace such as governance, financial strength, provider relations, and care management.
This session will provide numerous examples of successful innovations in primary care delivery and care coordination, such as the blended concierge model, Primary Care Institute, CMS innovations pilots, chronic disease management among uninsured patients and the multi-payer comprehensive primary care initiatives.
4:00 PM - 4:50 PM: General Session - The Alliance Effect
Ballroom.  The Alliance Effect
Through a qualitative study including C-level women in healthcare throughout the United States, Dr. Cortney Baker uncovered the challenges and obstacles women face when climbing the corporate ladder. In Dr. Baker's presentation she will discuss obstacles experienced and give strategies on how innovative organizations can work with high-potential women to achieve amazing results.
6:00 PM - 8:00 PM: President's Reception
President's Reception
10:00 PM - 1:00 AM: Late Night Event
Late Night Event
Friday, October 6th, 2017
7:30 AM - 9:00 AM: Breakfast - Exhibit Hall
Breakfast - Exhibit Hall
9:00 AM - 10:15 AM: Keynote Address - Mastering Your Memory
This fun and highly engaging training program will have you laughing, and surprised - doing things you never thought you could do! Learn techniques, and more importantly, the applications of memory skills to enhance all you do, professionally and personally. Train your memory to recall any information you need to remember.
10:15 AM - 10:25 AM: Transition break
Transition break
10:25 AM - 11:40 AM: C-Suite Panel Discussion
Gui Valladares, MBA, Chief Financial Officer, Princeton HealthCare System / Jeffrey LeBenger MD, Chairman & CEO Summit Medical Group, Summit Health Management / Theresa Larivee, Chief Executive Officer, Pennsylvania Hospital / Anthony J. Mazzarelli, MD, JD, MBE, Chief Physician Executive, Cooper University Health Care / Moderator: John W. Doll, CPA, Chief Financial Officer, RWJBarnabas Health
11:40 AM - 12:30 PM: General Session - The Power of Analytics: Ideas to Improve Performance
Learn how to optimize the use of analytics internally and across your entire healthcare ecosystem to ultimately improve outcomes for the patient and create operational efficiencies for improved quality of care, reduced cost and to monitor profitability.