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DOUBLETREE ORLANDO AT SEAWORLDORLANDO, FL
VOL. 60NO. 5FALL 2015
SUNSPOTS
JANUARY 20-22, 2016
What is the Best
Part of Winter in
Florida?AnnuAl Midwinter
ConferenCe
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SUNSPOTSHFMA Florida Chapter Newsletter
OCTOBER 2015
When What WhereOctober 25-27 MAP Event: HFMA's Revenue Cycle Conference Fort LauderdaleOctober 27-28 HERe: Women's Leadership Conference Fort LauderdaleOctober 27th Webinar: Changing the Denials Management Paradigm with
Advanced Analytics www.hfma.org/webinars
November 3rd Webinar: Choosing the Right Value-Based Reimbursement Model in an Era of Population Health Management www.hfma.org/webinars
November 4th IntegraTe2015 - South Florida HIMSS & HFMA FL Fort LauderdaleNovember 4th Regional Educational Event Gainesville - UFHealthNovember 9th Webinar: Cash Recovery – Improving Accounts Receivable
Management www.hfma.org/webinars
November 10th Webinar: The Power of One – Implementing a Single Source for Claim Status, Denial Management, and Workflow Integration www.hfma.org/webinars
November 11th Regional Educational Event Tampa - BayCareNovember 12th Webinar: An Overview of the Office of Inspector General’s 2015
Work Plan www.hfma.org/webinars
November 19th Webinar: An Update on the Latest Healthcare Legislative and Regulatory Issues www.hfma.org/webinars
November 19th Regional Educational Event OrlandoNovember 19th Regional Educational Event JacksonvilleDecember 10th Regional Educational Event BrowardDecember 10th ACHE/HFMA Holiday Dinner and Panel JacksonvilleJanuary 20-22nd FL HFMA Mid-Winter Conference OrlandoFebruary 26-29th FL HFMA 2nd Annual Cruise BahamasMarch 20-23rd 2016 Dixie Institute Nashville TNJune 26-29th 2016 ANI Las Vegas NV
UPCOMING EVENTS
editor’s note 3
Board report ��������������������������������������������������������������������������� 3
President’s Message ������������������������������������������������������������ 4
Bill’s Board �������������������������������������������������������������������������������� 5
Bethesda’s Commitment to Care initiative improves every Metric that Matters ������������������������������� 8
Volunteer Spotlight – debbie Vaidya ���������������������������� 14
Members on the Move ������������������������������������������������������ 16
Membership Survey – Your Voice Matters ����������������� 17
welcome new Members �������������������������������������������������� 18
Could Price transparency improve Your Market Share? ������������������������������������������������������������ 22
How to Mitigate the risk of unclaimed Property ����� 26
on the Horizon – Conference news ������������������������������ 30
tampa Bay Heart walk – Join in! ������������������������������������� 32
which forums are right for You? ����������������������������������� 34
HfMA is Coming to You – How to Host an event ������ 36
Southern update ���������������������������������������������������������������� 37
TABLE OF CONTENTS
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MEAGEN LANEVP of the Southeastern Region at Choice Recovery – HFMA FL Chapter Newsletter Chair
MIkE BICkErS Senior VP of Sales & Marketing, DaVincian Healthcare Inc. – HFMA FL Chapter Secretary
A NOTE FROM THE EDITOr:welcome to the fall issue of Sunspots! i hope you have your costumes picked out and ready for a few Halloween shenanigans (but don’t get too crazy out there)�
Although i was missing in action for delray, i recently had the pleasure of attending the regional event at Shriner’s in tampa� in addition to the valuable education i always receive at HfMA events, i love getting to visit and explore the many wonderful facilities throughout our state� Janet wagner was gracious enough to lead a few of us on an informative and historic tour of the Shriner’s Headquarters�
if you would like to show off your own facility, please JOIN IN by turning to Page 36 for an invite from our regional directors�
Hope to see you all soon!
on thursday July 30 – Saturday August 1, 2015, over 20 Senior Healthcare finance executives in florida, along with the HfMA florida Chapter Board Members, gathered to engage in strategic discussions and presentations around the most critical healthcare finance and leadership topics that face our industry today� this event offered the executives in attendance the opportunity to network and interact with notable keynote speakers, a healthcare strategist, and the HfMA florida Chapter Board of directors� the speakers included Jeffrey Bowers, lisa Goldstein, John owens, Jane Shannon, and tom Mackin�
the retreat provided a relaxed environment for discussions with peers about crucial healthcare finance topics, as well as an opportunity to participate in coordinated social activities to build essential relationships with other healthcare leaders in the State�
Held at the Boca Beach Club, part of the Boca raton resort & Club, we hope this is the first of many such retreats to come� Many thanks to Chris durkin, fred wilson, Victor Munoz, darcy davis, lisa Mathews and the team from deMarse Meetings for putting together such a wonderful event.
BOARD
rEPOrT: Senior Healthcare Finance Executive and Board Retreat
Hopefully we will see YOU at the next event!
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A LETTER FROM OUR PRESIDENTHFMA Florida Chapter Members and Friends,
the first four months of the fY 2016 Chapter year has been very active, with educational events such as the Ani in orlando, the Senior financial leadership and Board retreat in Boca raton, the fall Conference in delray, as well as a number of regional events held at local hospitals� we have completed approximately 14,000 (54%) of the expected educational hours for the year�
our next statewide event is the Mid-winter Payer Summit at the doubletree by Hilton orlando at Seaworld on January 20 – 22, 2016� this meeting will include a line-up of reimbursement topics and representatives from the major Healthcare insurers and Governmental Payers in florida�
As we continue to innovate our education delivery and to engage members in “Joining in” we will be introducing a new session at the Mid-winter conference� Provider forums will be holding “interactive discussion & idea Sharing” sessions in which forum members will submit ideas in advance for discussion and 2 to 3 topics will be selected based on the responses received� during the sessions, members will discuss, share ideas, and potentially problem solve solutions for issues and challenges facing organizations and individuals today� we are excited to offer these interactive sessions and look forward to high energy information sharing in a true workshop learning environment�
All of the 13 Board Members, 39 Committees and 250+ volunteers are actively working on a variety of goals and objectives to keep florida one of the most exciting Chapters in the nation�
You are welcome and encouraged to “Join in, enhance Your opportunities to learn” by visiting the florida Chapter website, www�floridahfma�org, and contacting one of the Committee Chairs� You will be glad you did�
CHRiS duRkiNVP Controller at Baptist Health, Pavilion Health Services Inc
HFMA Florida Chapter President
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Director at Matheny Stees & Associates PC – HFMA Region 5 ExecutiveBiLL'S BOARDBy WILLIAM MATHENy
Well here we are at the time of year l love most, fall. Pumpkin spice everything is back� the leaves start to turn beautiful hues� there is a little bit of a nip in the air� And, of course, there is SeC football�
this means that the favorite schools of our region will beat the “tarnation” out of each other and help the weaker conferences get their teams to the playoffs� early in the season, i saw my beloved Vols “give” oklahoma a win in double overtime after having a death grip on them� then the following week i saw Alabama and Auburn fall to SeC west rivals lSu and ole Miss respectively on the same weekend� what’s up with that? these two teams are not supposed to lose on the same weekend� Meanwhile, florida dodged a bullet to beat Kentucky, Georgia started off to look strong, and South Carolina, “bless their pea-picking hearts,” racked up its second loss�
in another fall tradition, your chapter presidents and president-elects gathered in Chicago, rather than our beloved Caribbean, for the fall Presidents meeting� we accomplished a lot but it is just not the same� i remember when i was president and the memories and bonds we made during the week of the cruise� But we engaged in lively and beneficial discussions on topics such as the way we will engage Young Careerists and Chapters 2�0� we discussed the status of each chapter and what each is doing to ensure a successful chapter year� we had a national board member and two members of the national staff captive and gave them lots to take back to management and the board at the national level� At the end of our discussions with them they were somewhat frayed, much like a non-SeC opponent feels after a good ole Southern butt whooping from Georgia, Alabama, Auburn, South Carolina, florida or tennessee� we did include them in our social activities to make up for the “brow beating” and they seem genuinely affectionate for our chapters�
Speaking of social activities, kudos to our regional executive elect renee Jordan for the wonderful activities she planned for us� we had dinner at rosebud Prime on Sunday evening where we continued some of the ice-breaker activity of the musical beach ball� the ice-breaker got off to a little bit of a shaky start until we determined a way to move the ball around without spilling sodas, water and food all over the place� At dinner the question “what is your most embarrassing moment?” was answered by all� Monday evening renee had us planned for the Chopping Block where we separated into two groups, Presidents Group and President elects Group, and cooked our own meal� each participant was honored with a gift bag as a souvenir to take home for being a good sport� Again our national board member and two national staffers joined us for the festivities�
if you miss seeing either your chapter’s president or president-elect, you can assume they succumbed to their own cooking�
we all headed back to our respective chapters on tuesday with plans in hand to make you proud� thanks to all the presidents and president elects who so generously gave of their time so that you would have a better chapter� their commitment to serving you as the members is beyond reproach� thank them at your next chapter meeting� Special thanks to Martin Arrick, Jinna davis and Jan Palfenier for putting up with our group and to renee Jordan for her exceptional social events� She took a load off my shoulders in an area that is not my strength�
Best wishes to each chapter and i will give you a progress report in the next newsletter.
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7 http://floridahfma.org SUNSPOTS / FALL 2015
Audit | Tax | Advisory | Risk | Performance crowehorwath.com/hc
When Precision Counts The Crowe Horwath LLP healthcare services group:
& Crowe is ranked as one of the largest healthcare management consulting firms in the United States†
Affects net revenue in more than 700
hospitals* $$$$$$
Provides services to the
5 largest not-for-profit healthcare systems
Boasts 3 patented software solutions
* Based on consulting work performed for Crowe performance consulting clients 2013-2014. † According to a 2014 Modern Healthcare survey.
Crowe Horwath LLP is an independent member of Crowe Horwath International, a Swiss verein. Each member firm of Crowe Horwath International is a separate and independent legal entity. Crowe Horwath LLP and its affiliates are not responsible or liable for any acts or omissions of Crowe Horwath International or any other member of Crowe Horwath International and specifically disclaim any and all responsibility or liability for acts or omissions of Crowe Horwath International or any other Crowe Horwath International member. Accountancy services in Kansas and North Carolina are rendered by Crowe Chizek LLP, which is not a member of Crowe Horwath International. © 2015 Crowe Horwath LLP HC-16000-100
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CFO and VP of Finance, Bethesda Health Inc.
BethesDA DRives FinAnciAl PeRFORmAnce with A
“Production Model” for care Delivery: Patient-First, Zero-Defect
“Commitment to Care” Initiative Improves Every Metric That Matters
By Joanne Aquilina
So how did planes, packages and production plants help improve compassionate patient care and financial performance at Bethesda Health, inc�?
to answer, let’s step back a couple of years to 2013� Bethesda Health, which operates two not-for-profit hospitals in Boynton Beach, had always enjoyed a strong reputation in the community for providing quality healthcare services� However, challenges lurked for us, with negative margins and throughput inefficiencies that made it difficult to keep costs down�
the new reimbursement structure under healthcare reform promised rewards—and penalties—based on the quality of patient care and experience� Bethesda Health knew that it had to create an infrastructure for efficient, reliable, predictable care delivery, to sustain exceptional operational performance� that, in turn, would be the key to increasing volumes and revenue while controlling costs—and moving margins back into the black�
As the Cfo for Bethesda, i track the big financial measures that keep hospital leaders up at night —operating margin, net margin, days cash on hand, days in A/r, Medicare margin and expenses� But those are lagging performance indicators� we sought to identify the leading operational measures that will ultimately drive superior financial performance� we also recognized that cost cutting only gets us so far� exceptional
financial performance requires fundamental efficiency across the entire organization in delivering quality care�
for Bethesda to achieve its targets for key financial measures, we had to sustain and monitor several critical clinical care efficiency and productivity metrics that predict financial performance, including:
• Averageacutelengthofstay• Casemixindex(CMI)• Observed-to-expectedratiosforthrough put based on drG• EDthroughput,includingpatientwaittimes• Utilization
this represents a bit of a shift in healthcare from the focus on purely financial levers that affect costs and revenue� we believed that if we locked
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in an operational infrastructure to achieve our mission of continuously delivering exceptional quality care to all patients efficiently, the financial successes would follow� And that they would last, even as the landscape shifts to value-based reimbursements�
Bethesda Health committed to this transition to value-based care with a bold transformation initiative called “Commitment to Care,” or “C2C,” which we launched in May of 2014�
the C2C initiative aimed to continuously improve, measure and monitor success in Bethesda’s key efficiency and productivity indicators� As the foundation for C2C, Bethesda Health established a new hub-and-spoke “production model” for care� it borrows many proven logistical processes and tools used in other industries to ensure that planes fly safely, packages arrive on time, and plants deliver expected volumes of quality products exactly when they are needed� the same principles apply and succeed robustly in hospital care coordination� Although each patient’s response to care varies, hospitals can make all of the processes involved in delivering that care efficient, predictable and reliable�
Bethesda partnered with a company called Care logistics to establish this production system for patient care, which comprises three transformational components:
(1) A program to establish a unified hospital culture of “patient first, zero defects”
Bethesda’s executive leaders completely embraced the C2C transformation initiative� they also recognized that transformative change requires the enthusiastic participation of everyone in the organization�“this isn’t just a single project or software system,” says roger l� Kirk, fACHe, President and Ceo, Bethesda Health� “this represents a completely new operating model and way of thinking� everyone jumped on board, from doctors to nurses to service area technicians and coordinators� it’s been an amazing experience�”
we took several key actions to forge a strong, unified patient-first culture throughout Bethesda:• Establishedasimple,compellingsystemaim — a core concept in production methodology — that rallies everyone in Bethesda Health by stating “i commit to exceptional care for every patient every day�”• Hostedexecutive,physicianandcaregiverleadership sessions that communicated the hospital transformation mission, benefits and spirit of collaboration from the very beginning� • EmbracedaLEANcultureformaximum efficiency�• Adoptedstreamlinedcaremanagement and patient flow processes to ensure safe, efficient care�• Developedscorecardsthatmeasureandtrack successful performance�
(2) A hub-and-spoke care coordination model that ensures the highest quality care and best patient flow
Bethesda adopted a central care model that connects and coordinates all the right people and care activities, moving to care that focuses on the patient and goals of the entire hospital� A central “hub” continuously connects to ed, or, nursing units, and service areas� we adopted new processes, tools and roles with the hub-and-spoke model to drive clinical and financial performance success:
• Assuredthatclearstandardoperating procedures were in place, and established throughout patient care milestones�• HelddailySNAP(statusnow,actionplanning)and escalation huddles on all units that ensure quality patient care progression�• Implementedpurposefulweeklyoperationalrounding with active participation by executive leaders�• Establishedkeyrolesofhub,unitandEDclinical care coordinators (C3s), order organizers and staffing managers to ensure optimum care orchestration and promote clear, continuous communication across the hospital�
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• Monitoredpatientcareanddischargetargetswith the help of comprehensive, drG-based length-of-stay guides�
(3) Logistics software built for caregivers to do and see everything they need to provide exceptional care efficiently, all the time
for Bethesda, this wasn’t a case of bringing in new technology that defined its care processes; it was just the opposite� Bethesda Health defined standard operating procedures for reliable, predictable delivery of high-quality care and outstanding patient experience� then we adopted software built specifically to give doctors and caregivers all the tools and visibility necessary to provide that exceptional care for all patients, all the time� the software supports our care mission in several ways:
• Ensuresthatpatients,rooms,bedsand transport are always ready and timely, both for swift, efficient admissions, placement and discharge�• Enablesustocorrectlyprioritize,coordinateand complete patient services (diagnostics, procedures, scans) on time across multiple people and departments�• Givesnursesandstaffingteamsthetoolstoeasily place patients in the right, appropriately staffed units and beds, staffing precisely across all units�• Makesiteasytocompareactualto expected performance with live and historical reports and dashboards provide the visual controls that spotlight when care delivery doesn’t perform as expected, and enable immediate correction�
our Ceo expands on how the system works:
“The idea of a ‘production system’ for inpatient care is different for many hospital operators. Patients aren’t widgets. They’re our families, friends and neighbors in need of compassionate care. We have teams of dedicated doctors, nurses and other care-givers committed to providing that care to every patient who walks through the door. We owe it to those caregivers to provide the infrastructure, processes and tools that let them make sure every patient receives the right care at the right time in the right setting.”
“Our Commitment to Care initiative, with the Hospital Operating System and LEAN daily management discipline, established that infrastructure. These production principles apply extremely effectively in freeing our caregivers to always focus first on quality patient care and progression.”
So is it working? Absolutely� Bethesda’s C2C transformation initiative has already delivered some outstanding results in throughput efficiency, clinical quality, and financial performance:
• Bethesdahasreducedacutelength-of-staymore than half a day, dropping from around 4�7 days before launching C2C to a low of 4�2 days in the first half of 2015�
• LOSforobservationpatients,aspecificareaof focus for improvement, has plummeted in the first half of 2015, from 1�45 days to 1�15 days, and now trends well below the averages from the previous two years� • CaseMixIndex(CMI)hasincreased,withthemost recent 2015 period reporting CMi of 1�41, up from 1�30�
“i commit to exceptional care for every patient every day�”Roger L. Kirk, FACHE, President and CEO, Bethesda Health
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• TheCMI-adjustedacutelength-of-stay,akeyefficiency measure that represented loS/CMi, has decreased to 2�87 from an annual average of 3�63 before launching C2C� this indicates that Bethesda is providing much more efficient care to patients with greater clinical demands, which means higher reimbursements at a lower cost of delivery�
we have also seen gains in patient satisfaction and quality scores� And as we expected, these clinical and operational performance improvements are paying off at our bottom line�
in reflecting on Bethesda’s performance results, it’s worth revisiting a message our Ceo roger Kirk sent to all employees when we launched Commitment to Care:
“This transformation will begin the moment a patient arrives and assures a predictable hospital stay that is safe, reliable and coordinated, resulting in optimal patient throughput from admission to discharge. We will design a hospital operating system that ensures three key priorities:
1. Flawless Care: Highest quality, consistently safe.2. Reliable Care: On time, efficient, respectful of our patients’ time. 3. Coordinated Care: Seamless communication, outstanding experience.”
note that the Ceo did not specifically list financial objectives� the transformational focus shines squarely on the patient� i believe that’s the most important takeaway for hospital financial and other leaders seeking to sustain exceptional performance in all areas�
Put the patient first, and all good things will follow.
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capiopartners.com/PatientRespect Get your revenue cycle back in gear.
14 SUNSPOTS / FALL 2015 http://floridahfma.org
debbie Vaidya Controller, Corporate finance, Memorial Healthcare System
What is your current volunteer role within HFMA?I am currently serving as Chair of the History Committee.
Where did you grow up?I grew up in suburban Maryland, in the Washington DC Area.
Where did you attend college?I attended Florida International University, but always was a CANES Fan!
Where do you currently call home?I live in South Florida.
Can you tell us about your family?My aunt was one of the first licensed Pulmonologists in California, and three siblings are currently in healthcare, including a NICU Nurse, a Nurse Practitioner, and a Lab Tech. I feel the healthcare industry is in my blood.
How do you prefer to spend your free time? As a Miami Dolphin’s season ticket holder and longtime University of Miami Hurricanes fan, I totally enjoy a good football game. I also enjoy photography, which is what landed me the position in the chapter as Historian.
How did you become involved with HFMA?When George Guilder was elected president of the Florida Chapter, he recruited me to be chapter Treasurer. Since then I have held officer positions including Treasurer and Secretary and chaired the DCMS and History committees.
What do you enjoy about it?I enjoy serving the community with an outstanding team of volunteers that are committed to growth and leader-ship with the Florida Chapter of HFMA.
Tell us a about your path to healthcare finance.When looking for growth industries in the South Florida area, I came across a Federal Reserve Report that predicted a sharp growth in the Healthcare industry. Subsequently, I was offered a position as Assistant Controller for a South Florida hospital. The rest is history.
What are the greatest strengths of the organization you work for, Memorial Healthcare System?Since its inception in 1953, Memorial Healthcare System has been a leader in providing high-quality health care services to South Florida residents. Today, it is the third-largest public health care system in the nation and highly regarded for its exceptional patient and family-centered care. Memorial's patient, physician, and employee satisfaction rates are some of the most admired in the country, and the system is recognized as a national leader in quality health care.
What are some of the challenges that Memorial Healthcare has faced in recent years? What are some changes or challenges that you’ve had to navigate in your leadership role?Frank V. Sacco, who has dedicated 41 years of service to Memorial Healthcare System and 28 years as President and CEO, has recently announced his retirement, effective February 29, 2016. The organization is in
VOLuNTEER sPOtliGht DeBBie vAiDYA
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superior condition and in good hands with our Board of Commissioners and our outstanding teams of executives, physicians, and staff. My challenge is to continue to support leadership through this transition.
How has healthcare reform shaped or affected operations and finance at Memorial Healthcare?Today, Memorial’s growth continues through new ventures, and developing a clinical integrated network with physicians and other hospitals within the region. We are also looking into tele health and other strategic areas of growth in programs such as graduate medical education.
What are the leaders of Memorial Healthcare doing to create a great team?Memorial is one of only a handful of public hospitals in the nation to achieve an AA- and AA3 financial rating by Standard and Poor’s and Moody’s. A remarkable executive team is in place, which has been instrumental in Memorial’s successes.
Using your crystal ball, how do you envision Memorial Healthcare will look in ten years?Memorial Healthcare System is the third-largest public healthcare system in the country and is a national leader in quality care and patient satisfaction. We expect this successful trend to continue.
If I am a healthcare professional looking for a great place to work, what would you say to me about Memorial Healthcare?Our system received the following recognition: Modern Healthcare magazine’s “Best Place to Work in Health-care,” Florida Trend’s “Florida’s Best Companies to Work For,” and Becker’s Hospital Review’s “150 Great Places to Work in Healthcare.”
What would you like the HFMA Florida Chapter to accomplish or provide for its members? I would like to see more pictures from around the state to include in my archives. We need to continue to document the Florida Chapter of HFMA’s successes.
By: Craig Fainstein Area Vice President, Arthur J. Gallagher & Co.HFMA Florida Chapter Committee Member
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fall is in the air and “football season” is once again upon us� whether it be Pro, College or fantasy football you enjoy, it is definitely time for tailgating and cookouts� As we look towards our fall conference in September and all of the exciting things we have planned, we would like to take a moment and highlight some career changes and chapter commitments that have taken place since the last edition of “PeoPle on the MoVe”.
We are pleased to share the following announcements taking place within our HFMA Florida Chapter family;
VItO AuguStA
Vito Augusta has accepted the position of Client Account executive with optum� optum is a health services and innovation company that combines data and analytics with technology and expertise to power modern healthcare� Vito is involved with multiple HfMA chapters across the country� Vito has more than eighteen years of experience with-in the healthcare industry and brings a wealth of knowledge to providers across multiple platforms�
NAtAlIe BIllO
natalie Billo recently joined the Managed Care department at lakeland regional Health as a Contract Manager� natalie brings eighteen years of healthcare finance experience to lakeland regional� natalie previously held positions at both BayCare Healthcare System and winter Haven Hospital�in addition, natalie currently holds the position of director of Administration within the florida HfMA Chapter� natalie has held various committee chair positions, including Communications, Volunteer outreach, founders, website, and Government
reimbursement and regulations (aka reimbursement forum)� She is also a florida HfMA Chapter recipient of both the folmer’s Bronze and Silver Merit Awards�
ReNee BuRgeR
renee Burger has accepted the position of Senior Client Account Manager with optum� optum is a health services and innovation company that combines data and analytics with technology and expertise to power modern healthcare� renee has also joined our Membership Committee as the chair person for this year� renee has been a long time, ac-tive member within our florida HfMA family and we are immensely pleased that she has agreed to take on the responsibility of yet another leadership role�
lyNN WIlSON
lynn wilson has accepted the position of Product Marketing Specialist with ProfitStars� ProfitStars is the Healthcare division of Jack Henry & Associ-ates inc� which support financial institutions of all sizes, healthcare providers and other technology providers� lynn has been a member of florida HfMA Chapter for six years� Currently lynn holds the chair position for florida HfMA Chapter’s women in Healthcare leadership forum�
By Lynn WilsonProduct Marketing Specialist’, ProfitStars – HfMA fl Chapter Chair of the women’s leadership forumMOVE:
the HfMA florida Chapter would like to invite our members to share announcements regarding future "People on the Move" by sending information to lynn wilson at 82autiger@gmail�com subject line: HFMA Florida Newsletter Committee Member� Please forgive us for any omissions, as we rely on you, our Members, to keep us informed and up to date�
MEMBERS ON THE
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By Billie Jean Mounts Chief reimbursement officer, Providence Health – HfMA fl immediate Past President
By Dan Phippen Principal, triage Consulting Group – HfMA fl Chapter director of Member Services
Please take a moment to JOIN IN! Voice your opinion through the 2015 Membership Survey.
keep your eyes on your in-box! if you haven’t received it already, you should soon be receiving the oh-so-important Membership Survey� this is your opportunity to let the Chapter leaders know exactly what You would like to get out of your florida HfMA experience�
is there something you loved this year? tell us, so we can make sure we keep doing it�
is there something you didn’t love so much? tell us, so we can consider redirecting our efforts�
Here are a few examples of how last year’s survey made a direct impact to this year’s member experience:
OuR MEMBERS SAid OuR CHAPTER dELiVEREd
that you have been trying to get more involved as volunteers of our chapter�
we provided volunteer recruitment sessions at our statewide meetings and set aside time to train new volunteers at a mini-leadership training conference� our chapter now has almost 300 active volunteers!
that we need more networking opportunities for members to get to know each other in a comfortable settings
we offered exciting activities over the last year including a shark encounter at Sea world, deep sea fishing, and golf!
that your budgets are tight, making it hard to attend conferences�
thanks to the support of our corporate sponsors, we are able to offer many conference scholarships to provider members, defraying the cost to attend our meetings!
MEMBERSHIP SURVEy:
YOuR VOiCE MATTERS
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WELCOME OUR NEWEST MEMBERS TO THE FLORIDA CHAPTER
First Name Last Name Company Title CityJavier Alvarado TransUnion Sr. Director, Product
Management & DevelopmentBoca Raton
Zachary Anthony Bill Arneson Moffitt Cancer Center Manager PFS Support Land O LakesAmy Baker Florida Legislatures Office of
Economic & Demographic Research
Coordinator Tallahassee
Gayle Ballard North Highland Worldwide Consulting
Healthcare Executive Saint Johns
Laurel Black Protiviti Management Consultant TampaBelinda Bradeen University of Florida Jackson-
ville Healthcare Inc.Budget Manager Jacksonville
James Bray FRSecure Cyber Security Sales Consultant PlantationMichelle Britnell Laser Spine Institute FP&A Manager TampaMark Brousseau Direct Insite Marketing Fort LauderdaleMickael Cohen Promise Healthcare Senior Financial Analyst HollywoodJose Fernandez Memorial Healthcare System Director, Financial Planning and
BudgetingPlantation
Michele Ford Southeastern Center for Infec-tious Diseases, PA
Practice Administrator Tallahassee
Travis Frosch GE Healthcare Senior Product Manager OrlandoVictoria Gabriel Moorings Park Director of Accounting NaplesDawn Gabriele Ethicon US, LLC Director Health Policy & Eco-
nomicsApollo Beach
Maria Griffiths Memorial Hospital of Tampa Assistant Director TampaJodi Halpine Broward Health Medical Center Regional Manager of Revenue
ManagementFort Lauderdale
Angela Hammonds All Children's Hospital Physician Practice Administrator Saint PetersburgKevin Hoey Sentry Data Systems Regional Vice President Deerfield BeachHolly Houghton Cardiology Consultants Finance Manager PensacolaKyle Johnson Alan M. Fisher P.A. Paralegal / HIPPA Compliance
OfficerPonte Vedra Beach
Michele Johnson Florida Hospital Director of Clinical & Strategic Resources
Deltona
Mary Jones Targeted Quality Solutions, Inc. President JacksonvilleTimothy Lantz Sentry Data Systems Senior Vice President Deerfield BeachThomas Lund Lund Capital Group LLC NaplesTelisa Lyons-Wash-
ingtonJackson Health System Director, Eligibility & Patient
AccessMiami Gardens
Charlene Masse Pershing yoakley & Associates, P.C.
Senior Manager Clearwater
19 http://floridahfma.org SUNSPOTS / FALL 2015
For information on the benefits of membership, please contact Dan Phippen, Director of Member Services, at [email protected], or visit the HFMA FL Website at http://www.floridahfma.org/member.htm
First Name Last Name Company Title CityBarbara McCann Interim HealthCare Inc. Chief Industry Officer Sunriseyulissa Medina MaitlandElias Mualin Brickell Financial Chief Executive Officer MiamiChris Naum Orthopaedic Surgery
AssociatesChief Executive Officer Boynton Beach
Michael Neuman GE Healthcare Sales Executive TampaMatthew Oakes Direct Insite Fort LauderdaleGuy Perry PwC TampaCarmen Pla Accretive Health Vice President Regional Opera-
tionsMiami Lakes
Rob Purinton Florida Hospital Administrative Director, Quality/PI
Orlando
Kelly Rodopoulos Vizant National Advisory Consultant Atlanta GAJoanne Rosa Vitas Healthcare Mgr, Managed Care Coordinator Pembroke PinesReinhard Rott Abigail Saba Professional Healthcare of
PinellasSeminole
Kenya Seard Adventist Health Systems Patient Financial Services Res-ident
Orlando
Donald Smith Baptist Health Director - Decision Support JacksonvilleJason Stanckiewitz Crowe Horwath Manager PlantationJames Staska Sentry Data Systems Regional Vice President Deerfield BeachHolly Taylor Zirmed Area Vice President-Enterprise
SalesSarasota
Sandra Tenorio Accretive Health Operations Lead JacksonvilleWesley Thompson BayCare Health System Manager, Training & Support ClearwaterManuel Valido Palm Springs Hospital VP of Finance & CFO HialeahTim Vertz Huntington Technology Finance Vice President of Development,
HealthcarePonte Vedra Beach
20 SUNSPOTS / FALL 2015 http://floridahfma.org
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22 SUNSPOTS / FALL 2015 http://floridahfma.org
could PRiCiNG TRANSPARENCY improve Your market share?
legISlAtIVe ChANgeS
the healthcare industry is undergoing a dynamic transformation in this era of healthcare reform, with hospital pricing practices being no exception� the media and federal and state agencies are taking direct aim at the issue and are demanding hospital prices be more reasonable and transparent�
on January 1, 2015, Massachusetts implemented a consumer price transparency law� under the new law, providers must respond to patient queries about costs by providing patients either direct cost estimates or information about specific services, such as procedure codes, that patients can supply to their insurers in order to obtain a cost estimate� other states have or are in the process of implementing similar legislation� the time for providers to implement price transparency measures is now�
WHAT iS PRiCE TRANSPARENCY?
PAtIeNtS
As the industry works through reform and we enter the new health economy, price transparency is taking on various meanings� from the patient’s perspective, price transparency can be summed
up with one question: “How much am i going to pay?” to meet the patient’s expectation, providers and payors must provide self-pay estimates for those with and without insurance before care is rendered� this is a complicated process for providers since the patient’s balance after insurance is based on the provider’s negotiated rate as well as the patient’s current status of their deductible and coverage limits�
PROVIdeRS
Providers have complex issues to overcome to implement price transparency� they may contract with multiple payers with potentially hundreds of insurance plans with varying benefits structures and negotiated rates� to quickly meet price transparency requirements, some providers are listing the charge description master (CdM) on their provider website� the CdM, however, means little or nothing to patients in helping them determine their eventual out-of-pocket spend� this is particularly true for patients with insurance� line item services may provide some information for self-pay services such as plain film x-rays, but most facilities are offering thousands of procedures requiring a variety of charges� Most patient bills represent a compilation of facility, professional, pharmacy, etc estimates�
By Cheri S. Kane, MSA, FHFMA, FACMPE
23 http://floridahfma.org SUNSPOTS / FALL 2015
could PRiCiNG TRANSPARENCY improve Your market share?
Next StePS
Could these payers be negatively affecting your patient volume? if your facility is not offering patient price estimates, patients may be seeking information from other sources� it is apparent price transparency is becoming an integral part of the new health economy landscape� further, providers are proactively embracing pricing transparency and some believe they are improving market share while preserving their bottom line�
today, patients want to know their out-of-pocket costs to better manage their health savings and flexible spending accounts, as well as control personal spending� More and more patients are concerned about their health care costs and want to know their expected out-of-pocket costs before they receive their healthcare services�
what should your organization do to provide patients price transparency and solidify patient service volumes? Here are some considerations and actions your organization should consider when developing a price transparency strategy�
• determine if your organization has developed a comprehensive pre-processing center for
patient scheduling, insurance verification, authorization, patient estimation and financial clearance� if not, consider establishing one to ease patient scheduling and provide patients pricing information�
• evaluate the provider’s market share both historically and quarterly going forward for key pricing change opportunities�
• identify “commodity-type” outpatient services (i�e� radiology, laboratory, emergency room) that are easily estimated�
• Perform an analysis of common surgical procedures by physician to document the average charge levels, including low-end and high-end parameters with articulated reasons for this variation�
• Compare competitor rates using publically available data, including free-standing and retail facilities; specifically focus on ancillaries or services viewed as commodities� research available public price estimation tools to gain a consumers perspective, review your facility’s quality reputation and position, and identify potential service areas where prices are considerably above average levels thereby risking loss in patient volume�
• Based on the above findings, develop an action plan for improvement which may include:
24 SUNSPOTS / FALL 2015 http://floridahfma.org
• reducing negotiated rates or charge description master for services at a high risk for patient loss in areas with high rate competition�
• negotiating bundled prices for hospital services with non-participating physicians to reduce the opportunity for patients to choose participating providers,
• renegotiating payer rates to reduce reimbursement on “commodity-type” services (i�e� radiology, laboratory, high volume ambulatory surgeries), subsequently increasing prices on other services to stabilize payer reimbursement,
• implementing a pre-processing department for ease of patient scheduling,
• implementing price estimation software,• Creating pre-processing score card to track
metrics such as number of completed calls, number of abandoned calls, number of completed estimates, number of scheduled procedures post estimate,
• training staff to facilitate discussions with patients on point of service collections, utilizing a variety of payment
options to gain patient confidence and streamline the procedure scheduling process�
As the need for price transparency increases through changes in the regulatory and competitive environment, it will be increasingly important to be an early adopter and implement customer friendly processes and tools to meet and exceed the pa-tient’s pricing expectations� Patients are increas-ing their knowledge of health care purchasing and will choose options that are quick, easy and at a price point they can afford� Be pre-pared for the change, and place your facility at the forefront of price transparency by developing operational processes and implementing price estimation tools to meet the patient’s expectations for the long-term!
© 2015 PricewaterhouseCoopers llP, a delaware limited liability partnership� All rights reserved�
PwC refers to the u�S� member firm, and may sometimes refer to the PwC network�each member firm is a separate legal entity� Please see www�pwc�com/structure for further details�this content is for general information purposes only, and should not be used as a substitute for consultation with professional advisors�
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25 http://floridahfma.org SUNSPOTS / FALL 2015
Medical Claim Insurance Recovery
26 SUNSPOTS / FALL 2015 http://floridahfma.org
Bridging the FiNANCiAL and REVENuE CYCLE GAP: how to mitigate the Risk From Unclaimed Property
in the search for untapped revenue sources, state governments have become more assertive in enforcing unclaimed property laws� Although these laws have been on the books for decades, they were not applied widely in the healthcare industry until recently�
in 2013, for example, only about 200 hospitals were under an unclaimed property audit; today that number is closer to 500� Hospitals and health systems are frequent targets of such audits because they often carry active, unresolved credit balances within patient accounting systems for years�
this situation creates risk in the realm of unclaimed property� Many finance departments escheat only outstanding checks to the state and do not work with business offices to gather information on the outstanding credit balances�
to mitigate unclaimed property risk, healthcare or ganizations should examine their processes in the following areas:
• Write-off policies� in our experience, many business offices establish small-balance write-off policies with the stipulation that the same approach is followed on debits and credits� interestingly, most finance departments in the same organizations would not accept such a policy� even so, many hospitals have a write-off policy despite the fact that the credit balances should be reviewed as unclaimed property� to address this miscommuni-cation, organizations should change their write-off
policy for credit balances to move the liability from the patient accounting system into an unclaimed property liability account rather than adjusting the credit balance to other income� the liability then can be reviewed each year, and appropriately aged accounts can be turned over to the state�
• Managed care contracts. Contract administration with managed care payers often involves setting a review timeline to examine and resolve aged over-payments and underpayments� the payer and the provider both are given an incentive to maintain a strong relationship and resolve accounts in a timely fashion� the business office should be aware of such guidelines in the contract and appropriately resolve credits owed to such payers�
• divested entities. in today’s healthcare landscape, organizations continue to merge with and acquire both large and small facilities� As part of an acquisition, the purchaser might acquire active credit balances in the patient accounting system� if the purchasing health system’s finance department is looking only at outstanding checks and not outstanding credit balances, the organization risks overlooking liabilities that should be reviewed in accordance with unclaimed property laws� the finance department and the business office integration team should work closely together during an acquisition to identify clearly which assets and liabilities are included in an acquisition�
• unapplied cash. Most finance departments believe that all cash taken in is posted somewhere in the
By Eric J. Boggs and Cory M. Herendeen
27 http://floridahfma.org SUNSPOTS / FALL 2015
system� However, many business offices – again, even in the same organizations – take a different approach� often, insurers provide a single payment for several different claims� if all the payments can’t be matched readily to a patient encounter, the additional funds frequently are applied to a holding account in the patient accounting system, sometimes referred to as a “dummy patient account�” Most finance departments assume that such accounts exist only as temporary holding accounts and that unapplied payments are quickly researched, identified, and posted to the appropriate patient� unfortunately, this often is not the case� the balance in some dummy accounts can grow unchecked for years, with additional dollars posted each month� eventually, the finance department recognizes what might have become several hundred thousand or, in some unfortunate instances, millions of dollars in unapplied cash that unclaimed property auditors would consider a liability owed to another individual or entity� the finance department and business office should maintain consistent communication about dummy patient accounts, regularly review the balances, and confirm that unidentified payments are being quickly researched and resolved�
• Sunsetting patient accounting systems. when a patient accounting system is shut down, the business office can become lost in the shuffle� older credit balances that cannot be refunded are often transferred as a lump sum onto the new balance sheet� once the old system no longer is functioning, the details associated with those old credit balances no longer are in place, which makes unclaimed property reporting difficult, particularly when trying to provide appropriate detail� Before the patient accounting system is closed, credit balances should be researched to determine who is owed the over-payment� that information can be recorded and tracked until the credit balance becomes dormant and then can be escheated to the state�
• debit and credit matching. often, debit and credit balances for the same patient can be identified and matched� for example, if patient John Smith has a $10 debit balance relating to a missed copayment at his last visit but also has a $10 credit balance from a separate encounter relating to his overpayment for other services, those balances can be used to offset each other�
Creating consistent, well-communicated policies with input from both the finance department and the business office will help confirm compliance with unclaimed property laws� the entities should communicate regularly about existing processes and should work together to identify potential sources of unclaimed property in the patient accounting system� only through coordinated efforts can the healthcare organization efficiently achieve unclaimed property law compliance�
Being Proactive: Questions to Ask yourself to Reduce unclaimed Property Risk
1� How quickly is unapplied cash resolved?2� what is our policy for treating outstanding refund
checks?3� what is our process for sunsetting a patient
accounting system?4� what is our policy for treating aged credits in
accounts receivable?5� is a small-balance write-off policy in place in
accounts receivable?6� How do we credit balances acquired during an
acquisition or merger?7� is unclaimed property a topic in our vendor
agreements?
ContACt inforMAtion
eric Boggs is with Crowe Horwath llP and can be reached at 615-360-5522 or eric�boggs@crowehorwath�com�
Cory Herendeen is a principal with Crowe and can be reached at 317-706-2781 or cory�herendeen@crowehorwath�com�
Previously published in the June 16, 2015, Healthcare Connection by Crowe Horwath LLP.
28 SUNSPOTS / FALL 2015 http://floridahfma.org
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29 http://floridahfma.org SUNSPOTS / FALL 2015
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30 SUNSPOTS / FALL 2015 http://floridahfma.org
Mid-winter ConferenCe – Jan 20th thru 22nd
we are kicking off the new Year with our annual Payor/Provider Summit at the doubletree Hilton at orlando Seaworld�
our Keynote Speaker, Mary Mirabelli, an HfMA national leader, will kick-offthe meeting with an update from HfMA national and then present on Global Healthcare Strategies�
this event will be packed with education and opportunities for interactive learning and discussion with payors� including topics such as:
• Payor, Physician and Provider risk Shared Model• Payor updates from florida Blue, Aetna and united • Mini-leadership training Conference – learn more about volunteer and leadership
opportunities with the florida Chapter�
reAdY for THE BEACH?!
our 2016 Annual Meeting and Spring Conference, held in May, is
moving to a new location this year� we are excited to host the event at
the Vinoy renaissance in St� Petersburg florida�
More amazing details to come!!
On the
HORiZONCandice tettamanti Corporate director reimbursement, revenue integrity, Medical Coding and Cdi at Martin Health System – HfMA fl Chapter director of education/Program Chair
Keynote SpeakerMary Mirabelli
Take the next step in your professional development —
check out the new CHFP at hfma.org/chfp.
Health care is changing – and so is the Certified Healthcare Financial Professional (CHFP) designation.
The new CHFP from HFMA prepares finance professionals, clinical and nonclinical leaders, and payers to address the continually evolving healthcare business environment. Multidisciplinary courses focus on providing today’s essential skills: business acumen, strategy, collaboration, and leadership.
Course modules include:
The Business of Healthcare Healthcare finance overview, risk mitigation, evolving payment models, healthcare accounting and cost analysis, strategic finance, and managing financial resources
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THE (NEW) GOLD STANDARD
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32 SUNSPOTS / FALL 2015 http://floridahfma.org
JOIN teAM
HfMA is proud to support the American Heart Association for the 2015 tampa Bay Heart walk at raymond James Stadium, Saturday, november 7th� we have teamed with ACHe (American College of Healthcare executives) to strengthen our efforts in fundraising and awareness� we ask that you join our combined initiative and Heart walk team to raise as much as possible, both in dollars and awareness�
donating is easy! See Jessica Bellman, the Heart walk Chairperson, or a Heart walk Committee Member to donate with your credit/debit today in one simple swipe! Anything helps and every dollar is appreciated�
hFMA heARt WAlK GOALSMember Participation individual dollars raised Corporate Sponsorships 50 walkers $17,000 $10,000
Here is how to join…�Visit http://tampabayheartwalk�kintera�org/hfmaandacheon the right hand panel, just click and you are on your way!
33 http://floridahfma.org SUNSPOTS / FALL 2015
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34 SUNSPOTS / FALL 2015 http://floridahfma.org
A&A FORuMwelcome to the newest HfMA forum, the Accounting and Auditing (A&A) forum� You have asked for more A&A education and we are delivering� the new Accounting and Auditing forum is committed to providing hot topics related to healthcare A&A� As we build our infrastructure we could use your help both as a member of the forum and to volunteer� the education we bring will be based upon the needs of the membership� expect education at each of the statewide conferences, webinars, and a list serve� to get involved please contact nancy rhinelander at: nancy�rhinelander@parrishmed�com�
SeNIOR exeCutIVe FORuM Senior finance Healthcare executives of the future must possess the business savvy and the soft skills to serve in an organization that is fiscally dependent on not only the operational effectiveness and positive clinical outcomes, but also reliant on superior overall patient experience� At the HfMA florida Chapter fall Conference in delray Beach, fl, the Senior finance executive forum will be hosting trudy Jean evans, leadership expert and Author to discuss the importance of the financially focused leader’s need to expand their natural analytical thinking to a more servant centered approach� the key objective of this session includes:
• explore the strengths of your natural tendencies as a financially focused leader
• recognize how misused strengths can hinder your professional development
• discover how the shift from results focused to relationships can drive greater outcomes
ReIMBuRSeMeNt & legISlAtIVe FORuMthe purpose of the reimbursement & legislative forum is to provide members with access to web based and in-person education programs that are timely and relevant to the work that forum members are involved in� this forum will provide at least 4 webinars for it's membership each year in addition to speakers at the fall and Midwinter Conferences� we welcome suggestions from forum members regarding reimbursement and legislative related topics and speakers� Should anyone have a suggestion for a speaker or topic please contact the forum Chair, tom Magri at 561-737-7733 ext 84927 (tmagri@bhinc�org) or one of the forum Co-Chairs rob feldman at 615-932-3601 (rfeldman@emdeon�com) or teresa ott 941-917-7008 (theresa-ott@smh�com)
wHiCH foruMS AreRiGHT FOR YOu?
35 http://floridahfma.org SUNSPOTS / FALL 2015
WOMeN IN heAlthCARe leAdeRShIP FORuMAs we embark on another year within an ever changing industry we continue the struggle to balance the stress that arises from change and our personal commitments to both friends and family� Many have stated that “you can’t have it all”� we as women, believe through personal and professional relationships that offer support and encouragement within our daily lives, that we can truly achieve balance� the florida HfMA Chapter’s women in Healthcare leadership forum provides networking and education opportunities that empower and encourage women in healthcare� women have been at the forefront of healthcare for decades; however, they have traditionally not been in leadership positions� Many women are taking the next step to lead in this ever changing industry� women’s experience with compassion, andtransparency provides leverage in fostering teamwork and leading organizations in healthcare delivery�
the women in Healthcare leadership Committee allows women from all areas of healthcare to share their experiences and knowledge� together, we will help one another break through the barriers in women leadership advancement� we can identify strategies to capitalize on eliminating gender disparities in top executive positions throughout the healthcare system� we wish to encourage one another through mentorship and coaching; therefore, providing guidance and support both personally and professionally� the women in Healthcare leadership forum strongly encourages all persons to participate and assist in providing encouragement and support to one another�
It FORuMMission: to provide a forum for the development of increased strategic collaboration between information technology (it) and finance leaders in healthcare organizations�
Purpose: the it forum is responsible for developing educational and networking opportunities necessary to provide its members with information on how it can help solve broad issues that impact a healthcare system� issues and resulting tasks that forum members could face include improving clinical outcomes, implementing new healthcare delivery models, and managing the players / components: population health, revenue cycle, reimbursement, supply chain, financial operations, cost reduction, compliance and specific providers’ innovative initiatives�
one huge example of the education provided by the it forum is the integrate 2015 Conference that will be held in davie, fl on november 4th� integrate 2015 stemmed from the collaboration of South florida HiMSS and HfMA florida it forum� this conference weaves the fibers of healthcare it leadership and healthcare finance leadership, showcasing their best joint practices�
We look forward to seeing you November 4th!
36 SUNSPOTS / FALL 2015 http://floridahfma.org
in today’s environment of consumerism and the explosion of online retail there is one common denominator: Patients and other clients demand convenience, and it’s all about access�
HfMA is meeting this need and continues to innovate through a variety of educational delivery mediums� one of the primary vehicles HfMA is using to deliver quality education is our regional education Meetings� Convenient locations, combined with provider hosted and customized topics make these sessions extremely relevant� how it works:1� local healthcare providers volunteer to host an event� Contact your local regional director or Chair to request an event; select a date�2� Your team will work closely with the regional education Committee, led by the region education Chair and Co-Chair, to put together a program that meets the educational needs of your healthcare system�3� HfMA will take care of the rest, including speaker arrangement for your selected topics, setting up registration, finding a sponsor, preparation of materials, etc� the Best Part: employees of the hosting healthcare provider attend for FRee!
this is the perfect way to provide educational and networking opportunities to your staff in a most affordable way�
to get the most out of HfMA by hosting an event at your facility, please reach out to your regional director:
CeNtRAl RegION Abby Birch – abirch@apallc�com director of Client development, Advanced Patient Advocacy
NORth RegION david wildebrandt – dwildebrandt@brg-expert�comPartner, Berkely research Group
SOuth RegIONdoug wolfe – daw@kttlaw�comPartner, Kozyak tropin & throckmorton
HFMA iS COMiNG to Your CitY!!
37 http://floridahfma.org SUNSPOTS / FALL 2015
By Nathan Oliver, CPA Assurance Manager at McGladrey LLP - HFMA FL Chapter Administration Chair of South Region
As the new South Region Administration Chair I am excited to have the opportunity to work with and learn from an amazing group of people who share my passion for the healthcare industry. There are a lot of great things happening here in the South Region thanks to the tireless work of our membership, registration, sponsorship, social media, marketing, and education committees.
On behalf of all the HFMA members I want to give a special thanks to our East Education Chair Jon Levine and our West Education Chair Sue Slaght for all their hard work. South Florida keeps rolling along with great events; highlighted below are some of those arranged by Jon and Sue .
In September NCH Healthcare System in Naples hosted a panel discussion on strategies for improving the bottom line. Our distinguished
panelists included Chuck Cleaver of Martin Health, Ben Spence of Lee Memorial, and Mike Stephens of Ensemble Health Partners.
In October the University of Miami Health was gracious enough to sponsor an event with a great lineup of presenters, headlined by former HFMA National CEO Dr. Richard Clarke, who spoke about the new paradigms in healthcare.On December 10th we are planning our annual accounting and finance education event at Broward Health. We have a great panel of presenters lined up with topics on revenue cycle and finance, in addition to a fantastic group of CFOs, for an informative and entertaining panel discussion.
Be on the lookout for further details and more events. We would love to see you there.
Southern UPDATEHFMA iS COMiNG
to Your CitY!!
38 SUNSPOTS / FALL 2015 http://floridahfma.org
FLORidA CHAPTER BOARD
REGiONAL DIRECTORS
President Chris Durkin, FHFMAVice President Controller at Baptist Health, Pavilion Health Services, Inc.(904) [email protected]
President - ElectLisa MathewsDirector of Business DevelopmentBerkeley Research Group, LLC(904) [email protected]
Immediate Past President Billie Jean Mounts, FHFMAChief Reimbursement OfficerProvidence Health & Services(239) [email protected]
Secretary Mike BickersSenior Vice President of Sales & MarketingDaVincian Healthcare, Inc.(404) [email protected]
Treasurer Kristy Summers, CHFPCall Center ManagerOrlando Health(321) [email protected]
Director of Education / Program Chair Candice Tettamanti, BS, RHITCorporate Director - Reimbursement, Revenue Integrity, Medical Coding and CDIMartin Health System(772) 781-2754 [email protected]
Director of Policy / Finance Fred Wilson, FHFMACEO, HCA - East Florida DivisionParallon Supply Chain Services(954) [email protected]
Director of Administration Natalie BilloContract Manager/Managed CareLakeland Regional Health (863) 687-1100, 5203 Fax: (863) [email protected]
Director of Member Services Dan Phippen, FHFMAPrincipalTriage Consulting Group(404) [email protected]
Regional Director, North Region David WildebrandtPartnerBerkely Research Group(850) [email protected]
Director of Education, Interactive Learning Victor MunozRegional ManagerMeridian Group International(954) [email protected]
Regional Director, Central Region Abby BirchDirector of Client DevelopmentAdvanced Patient Advocacy(407) [email protected] Regional Director, South Region Douglas A. Wolfe, Esq.Douglas A. Wolfe, Esq.Kozyak Tropin & Throckmorton(305) [email protected]
39 http://floridahfma.org SUNSPOTS / FALL 2015
COMMITTEE ROSTER
Volunteering for an HFMA Florida Chapter committee or event is a great way to get the most out of your HFMA membership!
Contact a committee chair listed above to become more active today or go to http://www.floridahfma.org/committees.
COMMITTEE Chair/Co-Chairs
Bylaw ComplianceStacy GearhartGloriann Sordo
CertificationCarol Tannenbaum Harry Kimball
Communications Greisy Carril
CurriculumDoug WolfeRob Deloach
Data Management Committee Teresa Loomis DCMS Don Stitt Finance Joanne Aquilina Forum, Accounting and Audit Mike Sitowitz
Forum, Senior ExecutiveFred Wilson Darcy J. Davis
Forum, Revenue CycleCarol Plato Phil Mennellle
Forum, ReimbursementTom Magri Theresa Ott
Forum, Technology Janine Pratt
Forum, Women’s Leadership Lynn Wilson Susan Collins
FoundersGloriann SordoStacy Gearhart
History Debbie Vaidya LINK David Wildebrandt Membership Renee Burger Newsletter Meagen Lane Nominating Billie Jean Mounts
PolicyLisa Sasso Jim Grigsby
COMMITTEE Chair/Co-Chairs Past Presidents Advisory Council Renee Jordan
Program Cheryl Spanier Regional Education - Cape Canaveral
Govind Goyal
Regional Education - OrlandoJeremy KraftBrandon Slauter
Regional Education - TampaMcCrae Bennett Kimberly Zeltsar
Regional Education - GainesvilleDion GabbSusannah Cowart
Regional Education - Jacksonville
Robert Howey
Regional Education - Destin Glen Gill
Regional Education - South FLJonathan LevineLaura Stevenson
Registration Charlie Strader Scholarship Mindy Arroyo Social Rhonda Kaliban
SponsorshipCarol PlatoSeth Avery
Strategic AllianceGlenda Thornton Charlie Beale
University Relations Melanie Urbistondo
Volunteer Outreach
Webinar
Website Greisy Carril
40 SUNSPOTS / FALL 2015 http://floridahfma.org
CORPORATE sPOnsORsCORPORATE sPOnsORs
AdreimaContact: Maryann [email protected]
BESLER ConsultingContact: Misty [email protected]
Emdeon/Chamberlin EdmondsContact: Greisy [email protected]
eSolutionsContact: Brittany [email protected]
Experian Health / PassportContact: Adam Lackey / Ben [email protected]@passporthealth.comwww.passporthealth.com
GO-SB - Specialized BillingContact: Brian [email protected]
DIAMOND SPONSORS
SILVER SPONSORS
PLATINuM SPONSORS
GOLD SPONSORS
AppRevContact: Rhonda [email protected]
Crowe Horwath, LLPContact: Cindy [email protected]
Capio PartnersContact: Brad [email protected]
Citi - Money2SM for Health
Contact: Cindy [email protected]/provider/info
Fifth Third BankContact: Michael [email protected]
LexmarkContact: Monique [email protected]
ParrishShawContact: Julie [email protected]
Valence HealthContact: Will [email protected]
American ExpressContact: Bill [email protected]/healthcarepayments
ARMCO PartnersContact: Jeff [email protected]
Availity, LLCContact: Erin [email protected]@availity.com
Bank of America Merrill LynchContact: Ivy [email protected]/healthcare
Gulf Coast Collection Bureau, Inc.Contact: Dick [email protected]
McGladrey, LLPContact: Carlos Hernandezcarlos.hernandez@mcgladrey.comwww.mcgladreyunderstands.com/healthcare
Moore Stephens Lovelace, P.A.Contact: Jeff [email protected]
Parallon Business SolutionsContact: Jennifer [email protected]
The SSI Group, Inc.Contact: Jeremiah [email protected]
Triage Consulting GroupContact: Dan [email protected]
41 http://floridahfma.org SUNSPOTS / FALL 2015
CORPORATE sPOnsORsSILVER SPONSORS CONT.
BRONZE SPONSORS
Health Asset Management, Inc.Contact: Linda [email protected]
Healthcare Payment SpecialistsContact: Karen [email protected]
InstaMed LLCContact: Alicia [email protected]
KPMG LLPContact: Gillie [email protected]
Med-MetrixContact: Jon [email protected]
PatientcoContact: Buddy [email protected]
PatientMatters, LLCContact: Doug [email protected]
The PFM GroupContact: Lee [email protected]
The PNC Financial Services GroupContact: Andrea [email protected]/healthcare
PrecyseContact: Melissa [email protected] www.precyse.com
PwC Contact: Jennifer [email protected]
RevClaimsContact: Jacki [email protected]
Sunbelt Medical InternationalContact: Elliot [email protected]
Trace by TWSGContact: Jerry [email protected]
Xtend HealthcareContact: Doug [email protected]
AccessOne MedCard, Inc.Contact: Gary [email protected]
Advanced Patient AdvocacyContact: Abby [email protected]
Avadyne HealthContact: Chris [email protected]
Avectus Healthcare SolutionsContact: Jim [email protected]
Avery Partners HealthcareContact: Lillian [email protected]
Bacen & Jordan, P.A.Contact: Dwight [email protected] www.bacenjordan.com
BCA Financial Services, Inc.Contact: Jose [email protected] www.bcafs.com
Beacon PartnersContact: Janine [email protected]
Berkeley Research Group, LLCContact: Lisa [email protected]
Cardon OutreachContact: Tim [email protected]
CBCSContact: Dane [email protected]
Cirius Group, Inc.Contact: Doug [email protected]
42 SUNSPOTS / FALL 2015 http://floridahfma.org
CliftonLarsonAllenContact: Gregg [email protected]
Commerce BankContact: Kevin [email protected]
Credit Solutions, LLCContact: Shawn [email protected]
DECO, LLCContact: Pete [email protected]
Deloitte LLPContact: Audrey [email protected]
DHG HealthcareContact: Kathe [email protected]
Diamond Healthcare CommunicationsContact: David [email protected]
Executive Health ResourcesContact: Susan [email protected]
Florida BlueContact: Rachel [email protected]
HCFS, Inc.Contact: Jeff [email protected]
InworksContact: Matt [email protected]
J.P. MorganContact: Charlie [email protected]
MDSContact: Cheryl [email protected]
MedAssistContact: Debbie Youngdebbie.young@medassistsolutions.comwww.medassistsolutions.com
MedeanalyticsContact: Paula [email protected] www.medeanalytics.com
Meridian Group InternationalContact: Victor [email protected]
NAVEOSContact: Charlene [email protected]
NRA Group, LLCContact: Tom [email protected]
OVAG InternationalContact: Darrell [email protected] Credit CorporationContact: Philip [email protected]
RSourceContact: Lane [email protected]
Relay HealthContact: Cathy [email protected] Resource Corporation of AmericaContact: Christine [email protected]
The ROI CompaniesContact: Michael [email protected]
SHERLOQ SolutionsContact: Sherri [email protected]
Smart SourceContact: Barb [email protected]
VisiQuateContact: Keith [email protected]
BRONZE SPONSORS CONT.
Interested in becoming a COrPOrATE SPONSOr? Please contact Carol Plato, FL HFMA Sponsorship Chair, at [email protected]
