9th Annual Critical Access Hospital and Rural Health Clinic ... - Wipfli
9th Annual Critical Access Hospital and Rural Health Clinic ... - Wipfli
9th Annual Critical Access Hospital and Rural Health Clinic ... - Wipfli
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<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong><br />
<strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
Although Michael R. Bell <strong>and</strong> Company PLLC is now <strong>Wipfli</strong> LLP, the firm is continuing the tradition of offering excellent education!<br />
September 20-22, 2011<br />
Red Lion Inn Hotel at the Park | Spokane, Washington 99201<br />
Our sessions are structured for RHC <strong>and</strong> CAH<br />
professionals. Our goal is to help you succeed by<br />
continuing to provide quality education. This event<br />
is perfect for:<br />
Administrators, CEOs, CFOs, directors of finance,<br />
reimbursement analysts, <strong>and</strong> office managers.<br />
Visit our web site:<br />
www.wipfli.com/CAH2011<br />
Follow us on Twitter<br />
www.twitter.com/#WIPCAH
<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong> <strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
“I have attended four of Mike Bell’s cost reimbursement seminars. Over the<br />
years I have attended none better than this one. The focus is on the lifeblood<br />
of cost-reimbursed organizations <strong>and</strong> how to legally get the best possible<br />
reimbursement through clarification of information <strong>and</strong> latest developments.<br />
I always bring back multiples of the cost of these three days in improved<br />
reimbursement for organizations I manage. Mike <strong>and</strong> his staff are friendly<br />
as well as being expertly informed. This is the only financial seminar I attend<br />
annually because it is useful <strong>and</strong> cost-effective.”<br />
Jim Ferguson, President/CEO, Intervention Associates.<br />
Hotel Information<br />
Red Lion Inn Hotel at the Park<br />
West 303 North River Drive | Spokane, Washington 99201<br />
Reservation phone: 1.800.733.5466<br />
Special group rate: $95 single/double; $105 triple/quad rate.<br />
Hotel provides a complimentary shuttle from the Spokane airport.<br />
Questions? Please e-mail Sylvia Weise at sweise@wipfli.com,<br />
or visit www.wipfli.com/CAH2011 for conference information <strong>and</strong> full speaker bios.<br />
<strong>Wipfli</strong> Federal ID #39-0758449<br />
Cancellations before August 19, 2011, will receive full refund. Those persons who cancel after<br />
August 19, 2011, or who register, but neither attend nor cancel, are liable for their full registration fee.<br />
CPE for day one, 7.0 hours; CPE for day two <strong>and</strong> three only, 11.5 hours; for full event, 18.5. (Prerequisites: None; Advanced Preparation:<br />
None; Instructional Delivery: Group-Live; Course Level: Basic; Field of Study: Specialized Knowledge <strong>and</strong> Applications) In<br />
accordance with the st<strong>and</strong>ards of the National Registry of CPE Sponsors, CPE credits are based on a 50-minute hour. <strong>Wipfli</strong> LLP is registered with the<br />
National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE<br />
Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered<br />
sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. Website: www.nasba.org.<br />
For more information regarding administrative policies, such as complaint <strong>and</strong> refund policies, please contact Sylvia Weise at 715.858.6631.
<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong> <strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
September 20, 2011: Day One | Session Descriptions<br />
7:30 – 8:30 a.m.<br />
Registration <strong>and</strong> breakfast (provided)<br />
8:30 – 10:00 a.m.<br />
General session<br />
NEW!<br />
2010 Cost Report Training: Beginning, Intermediate <strong>and</strong> Advanced<br />
For the first time in 15 years, CMS has significantly updated the <strong>Hospital</strong> Medicare cost report forms by deleting unused sections, adding new<br />
data requirements, combining the Form 339 into the actual cost report, <strong>and</strong> reorganizing the forms to be more uniform for all hospitals. We will<br />
try to ease your concerns about the new forms, since most of the changes involve the same data being reported in different locations, expose<br />
some of the myths about the new forms, provide a crosswalk that will link the old forms to the new forms, <strong>and</strong> review information that should be<br />
reclassified by hospitals from an optional category to a critically important category.<br />
In order to gain a full underst<strong>and</strong>ing of the new 2010 cost report, our presentation will go over the following three categories<br />
Beginning:<br />
• Underst<strong>and</strong>ing cost reports basics – how does the cost report work<br />
• The importance of accurate hospital source data - most critical part of any cost report filing<br />
• Where to find departmental cost to charge ratios, per diem costs, RHC productivity calculations, <strong>and</strong> other useful information<br />
• How to read a Medicare processed claims summary (PS&R) – solve the mystery<br />
Intermediate:<br />
• Detailed h<strong>and</strong>out (crosswalk) identifying departmental line changes form old to new cost report forms<br />
• List of new cost report departments<br />
• Identifying the differences between the old <strong>and</strong> new forms<br />
• New cost report myths <strong>and</strong> misunderst<strong>and</strong>ings<br />
Advanced:<br />
• Reporting EHR cost <strong>and</strong> interim payments in order to arrive at a final settlement<br />
• Completing the newly required charity care worksheet S-10<br />
• Matching billed revenue codes with the correct departments on the cost report<br />
Presenters: Mike Bell, Gail Sarchet <strong>and</strong> Eric Volk<br />
10:00 – 10:15 a.m.<br />
Break<br />
10:15 a.m. – Noon<br />
General session<br />
2010 Cost Report Training: Beginning, Intermediate <strong>and</strong> Advanced (continued)<br />
Noon – 1:00 p.m.<br />
Lunch (provided)<br />
1:00 – 2:45 p.m.<br />
General session<br />
2010 Cost Report Training: Beginning, Intermediate <strong>and</strong> Advanced (continued)
<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong> <strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
September 20, 2011: Day One | Session Descriptions (Continued)<br />
2:45 – 3:00 p.m.<br />
Break<br />
3:00 – 4:30 p.m.<br />
General session<br />
Preserving Independence Through <strong>Hospital</strong>-Physician Alignment<br />
In the wake of health care reform <strong>and</strong> the growing pressure on providers to be connected with health systems through mechanisms such<br />
as health information exchange, electronic health records, PACS, <strong>and</strong> billing systems, there will also be increasing accountability for the<br />
coordination <strong>and</strong> efficiency of care. This can present awkward <strong>and</strong>, at times, frustrating circumstances for those physicians wishing to<br />
retain their independence while recognizing the need for an alignment strategy. Such circumstances can be exacerbated if their local<br />
hospital is also pursuing an upstream affiliation with a regional health system. The decisions of how to align, with what organization, <strong>and</strong><br />
under what conditions not only have considerable impact on the clinical care model, but also can greatly influence the future hospitalphysician<br />
relationship. In this session we will review the process by which an alignment strategy is built <strong>and</strong> alternative alignment models<br />
<strong>and</strong> mechanisms that can be deployed.<br />
Presenters: Davis Fansler <strong>and</strong> James Garvey
<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong> <strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
September 21, 2011: Day Two | Session Descriptions<br />
7:30 – 8:30 a.m.<br />
Registration <strong>and</strong> breakfast (provided)<br />
8:30 – 10:00 a.m.<br />
General session<br />
Improving Operational Performance<br />
Reform, economics, <strong>and</strong> competition are all dem<strong>and</strong>ing a different approach to care delivery–an integrated, patient-centered, lower-cost model<br />
with improved clinical outcomes. How do we get there? This session will review the anticipated changes to care delivery models <strong>and</strong> the<br />
implications on operations. We will discuss the importance of linking operational priorities with organization strategy, highlight potential areas<br />
for operational improvement, <strong>and</strong> discuss the role of the various stakeholders in achieving the desired improvement. In addition, we will review<br />
proven methodologies for driving clinical <strong>and</strong> financial improvements <strong>and</strong> discuss the role of performance management tools to sustain the<br />
improvements.<br />
Presenter: James Garvey<br />
10:00 – 10:15 a.m.<br />
Break<br />
10:15 a.m. – Noon<br />
General session<br />
Meaningful Use – How to Get There<br />
Organizations pursuing meaningful use must first select <strong>and</strong> implement an EHR. Then you ask, “What should we do when implementing that EHR<br />
to help us meet meaningful use?” This session will explore practical things you can do to help your organization meet meaningful use. So much<br />
of meeting these requirements is about process, people, <strong>and</strong> how we do our work with technology acting as a support mechanism.<br />
Presenter: Janice Ahlstrom<br />
Noon – 1:00 p.m.<br />
Lunch (provided)<br />
1:00 – 3:00 p.m.<br />
General session<br />
Preparing for the Future of Strategic Financial Reporting<br />
The health care industry is entering an unprecedented period when current delivery <strong>and</strong> payment models will be transformed to produce<br />
improved quality of care. <strong>Rural</strong> hospitals will not be exempt from some aspects of public quality reporting, which incorporates financial <strong>and</strong><br />
outcome measures. This session will provide insight into financial reporting strategies to motivate <strong>and</strong> encourage efficient, quality care, <strong>and</strong> thus,<br />
ensure the ongoing viability of your organization.<br />
Presenter: Kelly Arduino<br />
3:00 – 3:15 p.m.<br />
Break<br />
3:15 – 4:30 p.m.<br />
General session<br />
Common Findings Revealed: CAH Documentation <strong>and</strong> Billing Reviews<br />
We will present common findings that are uncovered when we perform documentation <strong>and</strong> billing reviews for CAHs. Often there are<br />
misunderst<strong>and</strong>ings regarding whether or not rules <strong>and</strong> regulations are applicable to CAHs (often they are!). We will present real examples,<br />
discuss the relevant regulations, <strong>and</strong> identify where they can be found.<br />
Presenter: Jeanne Chapdelaine<br />
5:00 – 6:30 p.m.<br />
Evening social<br />
Join your peers <strong>and</strong> speakers for heavy hors d’ oeuvres <strong>and</strong> drinks!
<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong> <strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
September 22, 2011: Day Three | Session Descriptions<br />
7:30 – 8:30 a.m.<br />
Breakfast<br />
8:30 – 10:00 a.m.<br />
General session<br />
CAH Strategies <strong>and</strong> Opportunities<br />
The economic climate is changing rapidly, <strong>and</strong> resources are becoming scarce. Every CAH has opportunities to improve cost-based<br />
reimbursement. These improvements may be in the form of reporting more accurately, making elections, <strong>and</strong> identifying <strong>and</strong> implementing other<br />
changes that are permitted within the Medicare regulations. Explore the most commonly overlooked opportunities <strong>and</strong> learn how to develop a<br />
tool that will assist with the evaluation of changes.<br />
Presenter: Konrad Capeller<br />
10:00 – 10:15 a.m.<br />
Break<br />
10:15 a.m. – NOON<br />
General session<br />
MOVED FROM DAY ONE!<br />
Everything You Ever Wanted to Know About <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Billing <strong>and</strong> Reimbursement<br />
Both freest<strong>and</strong>ing <strong>and</strong> provider-based RHCs are challenged to bill for their services correctly <strong>and</strong> complete Medicare cost reports annually.<br />
We will review all aspects of RHC <strong>and</strong> non-RHC billing requirements, the proper method for reporting visits, FTEs, <strong>and</strong> other information on<br />
the cost report in an effort to maximize RHC reimbursement. During this session, we will discuss strategies <strong>and</strong> options that are available to<br />
avoid reimbursement pitfalls. In addition, we will discuss Medicare Advantage contracts <strong>and</strong> payment requirements. Medicaid managed-care<br />
supplemental payments from the state will also be addressed from a federally m<strong>and</strong>ated minimum st<strong>and</strong>point. If CMS releases new RHC rules<br />
or HRSA issues new HPSA rules in final or in draft, we will review those rules in detail. Currently, we do not know when such rules will be<br />
issued, if ever.<br />
Presenters: Katie Jo Raebel <strong>and</strong> S<strong>and</strong>ra Foley
<strong>9th</strong> <strong>Annual</strong> <strong>Critical</strong> <strong>Access</strong> <strong>Hospital</strong> <strong>and</strong> <strong>Rural</strong> <strong>Health</strong> <strong>Clinic</strong> Conference<br />
REGISTRATION FORM<br />
Registration must be received by Friday, September 2, 2011.<br />
Complete the registration form below <strong>and</strong> mail with your check or credit card information to:<br />
<strong>Wipfli</strong> LLP<br />
Attention: Sylvia Weise<br />
P.O. Box 690 | Eau Claire, WI 54702-0690<br />
Registration<br />
Paying by check: Make check payable to <strong>Wipfli</strong> LLP<br />
Paying by credit card: Accepted by mail, phone (715.858.6631), or fax (715.832.2345).<br />
Method of Payment: MC Visa DISCOVER AMEX Cardholder: Individual Company<br />
Card Number:<br />
Exp. Date:<br />
MONTH<br />
YEAR<br />
Cardholder Name (please print)<br />
Amount Enclosed:<br />
$<br />
Authorization Signature<br />
Check box for registration<br />
$195 – Day One only $300 – Days Two <strong>and</strong> Three only (CAH)<br />
$400 – Full conference<br />
Attendee Name<br />
Title<br />
Institution<br />
Address City State ZIP<br />
E-mail address<br />
Phone Number<br />
Please check if you have a need or<br />
disability with special requirements<br />
(You will be contacted by phone)<br />
For additional attendees, please copy this form.<br />
For questions, please contact Sylvia Weise at 715.858.6631 or sweise@wipfli.com or visit www.wipfli.com/CAH2011.