TAHFA Dallas Roadshow

Dallas Road Show Agenda  to Print and Share!

The Parkland Health Auditorium is located on the 1st floor of Old Parkland Hospital.

5201 Harry Hines Blvd.

Dallas, TX 75235

Parking Details:

Valet parking is available on campus near the auditorium, or you can park across the street at the new hospital in the Tower Garage.

July 28, 2017

7:30am – 8:00am      Breakfast, Registration and

Opening Remarks


8:00am – 8:50am      Medicare DRG Payments, Cost Reports and Your Bottom Line

Course: 170701 | CPE: 1.0 | Level: Intermediate | Prerequisite: None

Presentation -170701 – Tom Johansen

Medicare DRG payment overview and the impact of DRG payments on the
providers cost report as well as the related impact on the provider’s bottom line. The presentation will include a comparison of Medicare DRG payment rates for Federal Fiscal Years 2017 and (proposed) 2018.

After attending this session, attendees will be familiar with the Medicare DRG payments their hospital receives for inpatient services and the related impact on the hospital’s bottom line.

Target Audience: The DRC payment and impact on the providers financials is relevant to all providers paid under the Inpatient Prospective Prospective System. This topic is geared towards all those attendees in hospital finance, reimbursement, business office and decision support as well as those in administration and clinical areas of the hospital.

 

Tom Johansen, CPA, Principal – Reimbursement Consultant, Discovery Healthcare Consulting Group

Tom joined Discovery Health Care Consulting Group (DHCG) in 2016 to concentrate on helping providers with Medicare/Medicaid reimbursement challenges.  Prior to joining DHCG, Tom spent the previous 20 years serving as reimbursement manager for both profit and non-profit healthcare corporations.  Tom’s first exposure to Medicare reimbursement came while he was a Medicare auditor for 4 years.  His longest tenure was as Reimbursement Manager with Baylor Scott & White Health and Baylor Health Care System in Dallas, TX for over 17 years.

 


8:50am  –  9:40am  Navigating the Pit Falls of “MACRA”

Course: 170702 | CPE: 1.0 | Level: Intermediate | Prerequisite: None

Presentation 170702 – Debra Johnson-Phythian

This course will offer insight regarding HCC or Risk Adjustment coding and MACRA updates.

Target Audience: Administrators and Chief Financial Officers

Presented by: Debra Johnson-Phythian, HIM CDI and Coding Educator, Parkland Health & Hospital System

Debra Johnson is a Coding and Documentation Educator at Parkland Health & Hospital System. Debi provides training and education for outpatient care coders, clinical documentation specialists, and providers. In the past 20 years, Debi has worked with various hospitals, provider groups, and healthcare plans in outpatient care & HCC coding.  2010 Debi added auditing; 2013 started providing ICD-10 CM/PCS coding and education; and 2015 added HCC coding and education through several organizations, including AHIMA and AAPC.  Debi is a Certified Coder for ICD-10 and Risk Adjustment, and an AHIMA approved ICD-10-CM/PCS trainer who will be providing education on HCC coding.

 


9:40am – 9:55am     Break

 


9:55am – 11:25am     Eligibility and Point of Service Collection Practices that Work

Course: 170703 | CPE: 1.0 | Level: Intermediate | Prerequisites: None

Presentation – 170703 – Douglas Turek

This presentation will cover the element of successful Eligibility and Point of Service programs and they are needed. This presentation should be attended by anyone in patient financial services and revenue cycle positions in a hospital.

Objectives: 

This course provides an analysis of the need for and benefits of Eligibility and Point of Service Collections Program, as well as a discussion of the practices that work to achieve those benefits.

Attendees:

All healthcare financial professionals that work in any way with patients that are either uninsured or have a patient pay responsibility.

Presented by: Douglas Turek, Senior VP of Regulatory and Governmental Affairs, MedData

Doug Turek has worked in Healthcare Revenue Cycle Management since 2001 and is currently the Senior VP of Regulatory and Governmental Affairs for MedData. MedData provides a broad range of revenue cycle services to hospitals and physicians including coding, billing, eligibility, reimbursement and first party collection efforts. Doug is an attorney that has been licensed in Texas for 22 years and is also licensed in 9 other states.  His law firm, The Turek Law Firm, PC, handles a broad range of healthcare consulting and litigation matters including third party liability, denials and other types of reimbursement litigation for healthcare clients across the country.

 


11:25am – 12:15pm     Fraud and Abuse is Alive and Well – and Coming to a Hospital Near You.

Course: 170704 | CPE: 1.0 | Level: Intermediate | Prerequisite: None

Health care fraud and abuse continues to plague our system and the dollar amounts
often are significant. The recent indictments of physicians and others related to the Texas physician-owned Forest Park health system provide an opportunity to look at the enticements and federal health law risks of referrals, even for organizations that do not accept federal payments.

How Can Providers Thrive Under the New MIPS and APS Payment System Imposed by MACRA?

Payment for value rather than volume has been is the goal of federal and private payers
for years. With the passage of MACRA the MIPS and APM payment structures have been
put in place. 2017 is a critical year for providers and reports made this year will affect
payments made in 2019. A variety of facets of the MIPS andAPS structures are particularly
important for providers, payers, and those who work with them to consider. This
presentation will discuss several of those factors.

Course Objectives:

  • Provide a better understanding of the financial pressures that often skew
    providers’ decisions about referrals.
  • Discuss factors important to providers in the new system designed to pay for
    value instead of volume and the reasons all providers should be informed
    notwithstanding the fact that the MACRA imposed payment system is applicable
    primarily to physicians.

Presented by Barrett Richards, Attorney at Law, Frost Brown Todd LLC

Barrett Richards has more than 30 years of experience representing providers in the business, financial, and regulatory aspects of the delivery of health care. His clients range from sole practitioners to multi-hospital organizations, and include direct providers as well as indirect, such as pharmacies, durable medical equipment manufacturers and suppliers, and health care staffing and employee leasing companies. He advises clients regarding taxation and exemptions; hospital-physician joint ventures; contracting; and health care real estate transactions.
Mr. Richards is the only lawyer in Texas who is board certified in both Health and Tax Law by the Texas Board of Legal Specialization.


12:15pm – 1:10pm     Lunch and Networking

 


1:10pm – 2:00pm     Please, Please, Please – just say NO!

Course: 170705 | CPE: 1.0 | Level: Intermediate | Prerequisite: None 

A legislative update about changes in laws and regulations in Washington and Austin impacting Texas Hospitals.

 

Presented by Ted Shaw, President/CEO, Texas Hospital Association

Walter “Ted” Shaw joined the Texas Hospital Association as the organization’s fourth president and chief executive officer in February 2014. Shaw brings expertise forged from a 40-year career in health care leadership to his role as key strategist and spokesperson on behalf of more than 430 THA member hospitals.

Prior to joining THA, Shaw served as interim executive vice president and chief financial officer for Parkland Health and Hospital System in Dallas, where he led the development of the Medicaid Transformation Waiver in North Texas and the construction of an 864-bed replacement hospital. From 2004-2011, he was a partner with the Dallas-based Financial Resource Group LLC, a health care consulting firm where he specialized in interim operational turnarounds with facilities across the U.S. Prior to joining FRG, Shaw was president of the health care consulting firm W.T. Shaw Company from 1998-2003.

His legacy for leading impressive turnarounds includes assignments at Jackson Memorial Hospital in Miami, the third largest public health system in the U.S.; East Jefferson General Hospital in Metairie, La., both before and after Hurricane Katrina; Fletcher Allen Health Care in Vermont; and Maricopa Integrated Healthcare System in Phoenix.  In addition, he has a strong background in health care technology and insurance, having served as chief operating officer of Health2Health.com, an Internet-based HIPAA solutions company; and with Dallas-based CareSystems Corporation, a workers’ compensation technology support firm.

He began his career with Ernst & Young in San Antonio, Cleveland and Dallas, achieving the role of partner with responsibility for the Southwest Region Healthcare Practice from 1973-1992. Shaw holds a bachelor’s degree in business administration in accounting from The University of Texas at Austin, and is a certified public accountant and a fellow in the Healthcare Financial Management Association.

 

 


2:00pm – 3:30pm      Reimbursement Hot Topics Panel

Course: 170706 | CPE: 1.5 | Level: Entry | Prerequisites: None

Presentation 170706 – Panel

Moderator: Tod Beasley, SVP Hospital Financial Operations, Community Hospital Corporation

Tod Beasley has been the Senior Vice President of Hospital Financial Operations at Community Hospital Corporation for the last five years.  He provides expertise in financial reporting, budgeting, revenue cycle performance metrics, forecasting and analysis, and productivity system implementation to help hospitals achieve and maintain the best financial performance possible.

With over 25 years of healthcare leadership, Tod brings an extensive background in hospital financial operations leadership and consulting to the CHC team. Prior to joining CHC, he provided financial analysis, project management and performance improvement leadership for Mother Frances Health System in Tyler, Texas. Tod also spent a decade as Vice President of Finance for two hospitals within the Baylor Health Care System where he helped guide facility growth and financial performance. His experience spans hospitals of various sizes – from small community hospitals to large urban health care systems – and roles including Chief Financial Officer, Vice President of Financial Services, and Director of Finance.

Tod is a Board Member of the Texas Association for Healthcare Financial Administration. He holds a Bachelor of Accounting and a Master of Healthcare Administration from Texas Wesleyan University in Fort Worth

 

Panelist: Keri Disney-Story, Director, Charge and Reimbursement Integrity

With over 30 years in healthcare reimbursement, Ms. Disney has seen industry payment practices change often and dramatically. While she has worked in both for-profit and non-profit environments, her sixteen year tenure at Parkland has offered the best view of Texas Medicaid reimbursement. From cost-based reimbursement, through transition to prospective payments, Keri has analyzed payment methodologies and offered practical advice on how to accurately procure monies due to the hospital provider. Most recently, Medicaid supplemental payments, including Disproportionate Share Hospital (DSH), Uncompensated Care (UC), and Delivery System Reform Incentive Pool (DSRIP) have been a primary focus.

 

 

Panelist: William (Bill) Galinsky, CPA, FHFMA, Vice President for Government Finance, Baylor Scott & White Health

Bill’s current role is Vice President for Government Finance at Baylor Scott & White Health, where he has been for the last 15 years.  Bill is an Advanced Member and Fellow of HFMA, and a past president Lone Star Chapter.  Bill has been an HFMA member since 1990 with most of those years as part of the Lone Star Chapter.  He is also a member of AHLA.  Bill has 30 years of experience in healthcare finance and reimbursement.  He began his career with Blue Cross and Blue Shield of Texas on the provider audit team.  Since then Bill spent time as part of the national healthcare consulting practice of Ernst & Young and has spent the last 20+ years on the staffs of major healthcare systems in the Carolinas and Texas.  His positions have included Reimbursement Manager/Director, Director of Financial Planning, and Controller.  He is also deeply involved with the Medicaid program in Texas, currently serving as chair of the Hospital Payment Advisory Committee.  Bill is married and has 3 daughters.

 

E. Renae Thomas, FACHE, Principal Consultant, Thomas & Thomas Financial Consultants

Renae Thomas, a native Texan, is a graduate of Stephen F. Austin State University with an MBA from Texas A&M University-Commerce.  She has a broad base of experience having served in the hospital industry as well as the physician realm.

Renae began her healthcare career at East Texas Memorial Hospital is Lufkin, Texas as a financial analyst preparing Medicare/Medicaid cost reports for the system and all its facilities.  When her family relocated to Northeast Texas for her husband’s job, she served in various financial roles in the CHRISTUS St. Joseph’s Health System in Paris, Texas.  She then moved into the Controller role at Hopkins County Memorial Hospital in Sulphur Springs, Texas.  Renae was also the CFO of Texas Health Presbyterian Hospital Winnsboro where she was later promoted to Administrator.  Upon the sale of the facility, she entered the consulting realm and served as an interim CFO throughout Texas.  She later served as the Executive Director of Employed Physician Services for Titus Regional Medical Center.  The facility asked her to join them and build an employed physician model to help prepare them for the transition to having employed physicians on staff.

Renae is a Past President of Texas Association for Healthcare Financial Administration (TAHFA) and served on the board of directors for 7 years.  She chaired the education committee for 4 years and served on the committee for 9 years.  She is also a member of the Medical Group Management Association (MGMA) and is a Fellow in the American College of Healthcare Executives (ACHE).

 


3:30pm – 3:45pm    Break


3:45pm – 4:35pm     FQHC 101: Who Knew?

Course: 170707 | CPE: 1.0 | Level: Entry | Prerequisite: None

Presentation 170707 – Erich Koch

The topic will be about FQHC’s and in particular explaining what they are, why they exist, advantages of being an FQHC, and some potential ideas on how they can partner with other healthcare providers in the community they serve.  People who should attend this will be primarily financial folks who do not know what FQHC’s are, and people who may not know of possible collaboration opportunities that FQHC’s present.  The benefit of this presentation is understanding what an FQHC is, and learning about potential collaboration opportunities that exist.

Course Objectives: 

To offer guidance and assistance on hospital best practices as well as failed practices.

Presented by: Erich Koch, CFO, Tyler Family Circle of Care

Erich is the CFO of Tyler Family Circle of Care (TFCC) located in Tyler, TX.  TFCC is a 5 location FQHC situated in Eastern Texas with revenues of over $15 Million.
Erich has 18 years of healthcare management and accounting experience as he has served as a CFO or Controller for a Critical Access Hospital, Psychiatric Hospital, Acute Care Hospital, FQHC, and FQHC look-a-like.  Erich specializes in FQHC’s and FQHC look-a-likes.

Erich is involved with the Health Financial Management Association (HFMA), the American College of Healthcare Executives (ACHE), and The Texas Association for Healthcare Financial Administration (TAHFA).

Erich is a graduate of Heriot-Watt University (MBA, November 2005), and Lakehead University (BA Administration, May 1998).


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