Education event

Hospital Finance and Reimbursement Seminar
Medi-Cal and Medicare updates, Quality Assurance Fee, American Health Care Act implications

Register Now
June 20, Glendale
June 21, Costa Mesa

Overview

Significant developments in health care are occurring at a rapid pace under the new administration. Congress recently passed legislation that could restructure hospital finance and reimbursement as we know it. Join us for this year’s seminar and get the most up-to-date information on:

  • Efforts to repeal and replace the Affordable Care Act and the significant financial implications for California health care
  • Medicaid Managed Care Final Rule — network adequacy requirements, other impacts and potential changes
  • What’s involved in county reimbursement for mental health patients, including legal requirements and the division of financial responsibility between the county and Medi-Cal
  • Where Medicare stands now and what to expect in the future
  • Important updates to DRGs and Quality Assurance Fee program
  • And more

Learn from trusted experts in finance and reimbursement to position your hospital for success in an increasingly dynamic health care environment.

Plan now to attend. First program is June 7.

Recommended for:

Chief executive officers, chief financial officers, chief operating officers, reimbursement directors, patient financial services directors, revenue cycle directors, controllers, managed care directors, compliance officers, in-house legal counsel and financial consultants.

Program co-sponsored by:

Healthcare Financial Management Association Northern California Chapter
Healthcare Financial Management Association Southern California Chapter
(Members of the co-sponsoring organizations may register at the CHA member rate.)

Agenda

9:00 a.m. – 12:00 p.m. | Medi-Cal Updates

DRG Updates

  • Significant payment policy changes effective July 1
  • Update on outstanding underpayment issues

Quality Assurance Fee Program Updates

  • Federal rule changes and unprecedented impact on future of QAF
  • How federal changes may financially impact your hospital
  • A deeper dive into the draft QAF model

Medicaid Managed Care Final Rule

  • Network adequacy requirements
  • Other impacts going forward
  • Future changes under consideration

Electronic Health Records and OIG Audits

  • Reporting obligations, lessons learned
  • Current underpayment trends

County Reimbursement for Patients with Mental Health Conditions

  • Legal requirements of the counties
  • Addressing inconsistent statute interpretation
  • Financial relationships between counties and state
  • Division of financial responsibility — county mental health, Medi-Cal managed care plans

12:00 – 1:00 p.m. | Hosted Luncheon

1:00 – 4:00 p.m. | Federal Updates

American Health Care Act Potential Financial Impacts

  • Current proposals under review — block grants, per capita caps
  • Implications for California
  • How the proposed Act may evolve

Current State of Medicare

  • Inpatient Prospective Payment Rule
    • Medicare DSH — S/10 data use and impact on California hospitals
  • 21st Century Cures Act
  • Quality payment programs and proposed changes
  • MACRA and considerations for hospital partnerships

Medicare: Now and Beyond

  • Bundled payment — where it stands now, what to expect going forward
  • MedPAC recommendations — what lies ahead in Medicare payment policy
  • Implementation picks up speed on the IMPACT Act
  • Site-neutral payment policies — what to expect in the CY 2018 OPPS rule

Faculty

From the law offices of Hooper, Lundy & Bookman, PC:

Lloyd A. Bookman is a founding partner in the Los Angeles law office of Hooper, Lundy & Bookman, PC (HLB). He has specialized in Medicare and Medicaid reimbursement and compliance since 1979. Mr. Bookman also represents health care providers in fraud and abuse matters involving false claims and anti-kickback issues, in self-referral matters — serving as counsel in civil and administrative litigation and investigations — and as special counsel in criminal matters.

John R. Hellow is a partner in HLB’s Los Angeles office and has specialized in Medicare and Medicaid payment policy issues since 1982. He represents hospitals in a wide variety of Medicare and Medicaid payment disputes before federal and state administrative agencies, and has extensive experience in advising clients on reimbursement and other regulatory implications of their business transactions. Since 1983, Mr. Hellow represented numerous hospitals in Medicare group appeals.

Robert L. Roth, managing partner in HLB’s Washington, D.C. office, advises clients on matters arising under Medicare and Medicaid with a focus on payment, compliance and licensing issues. A former senior attorney for the Centers for Medicare & Medicaid Services of the U.S. Department of Health and Human Services, and a former assistant attorney general for the state of Maryland, Mr. Roth represents a wide range of clients on federal and state regulatory and business matters.

Felicia Y. Sze is a partner in HLB’s San Francisco office. She is a recognized expert in Medicaid and Medicare reimbursement matters, focusing on both the managed care and fee-for-service programs. She advises health care providers, including hospitals, clinics, post-acute providers, pharmacies, durable medical equipment suppliers and others on a wide array of compliance and reimbursement matters, and in disputes with managed care entities and government payors.

From the California Hospital Association:

Alyssa Keefe is the California Hospital Association’s (CHA) vice president of federal regulatory affairs and is responsible for policy development and analysis of federal regulation impacting California hospitals and health systems. Ms. Keefe serves as a liaison between CHA and federal agencies, including the Centers for Medicare & Medicaid Services.

Amber Ott is CHA’s vice president of strategic financing initiatives. Ms. Ott represents members’ financial interests related to Medicare, Medi-Cal, commercial payers and other government entities. She is responsible for providing advocacy and support on financial and reimbursement issues affecting California hospitals and health systems, and represents CHA with state agencies and other stakeholders.

Sites

June 20
Hilton Los Angeles North/Glendale

100 West Glenoaks Boulevard
Glendale, CA 91202
(818) 956-5466

June 21
Hilton Orange County/Costa Mesa

3050 Bristol Street
Costa Mesa, CA 92626
(714) 540-7000

Tuition/CEs

Presentations will be available online only. You will receive an email before the event with instructions on how to download the presentations to your laptop/tablet for viewing on-site or to print and bring with you. Be sure to download the materials in advance; WiFi access on-site may be limited.

*Members $340
**Nonmembers $540

Members of the co-sponsoring organizations (with the exception of nonmember California hospitals) may register at the CHA member rate.

* Members are CHA member hospitals, CHA associate members and government agencies. ** Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember hospitals.

Tuition includes CEs and lunch.

Cancellation Policy/Late Payment: A $50 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and emailed to education@calhospital.org. No refunds will be made after these dates. Substitutions are encouraged. Please note: payment is due on or before program. Payments not received by the seminar date may be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call
(916) 552-7637.

Continuing Education

Full attendance at the educational session is a prerequisite for receiving professional continuing education. Attendees must sign in at the seminar and, when required, include their professional license number. CE certificates will be emailed.

Compliance — This program has been approved for 6.6 Compliance Certification Board (CCB) Continuing Education Units. Granting of prior approval in no way constitutes endorsement by CCB of the program content or the program sponsor. (Note: CE recipients are solely responsible for retaining a copy for their records and for reporting credits to CCB)

Health Care Executives — CHA is authorized to award 5.5 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

Legal — CHA is a State Bar of California approved MCLE provider. This participatory activity has been approved for 5.5 hours of MCLE credit. Provider #1980.

Resources

The California Hospital Compliance Manual is the only publication written for hospital compliance officers that integrates California law and federal law on high-risk compliance areas. Written by Hooper, Lundy & Bookman, PC, and CHA, the 2017 edition has been updated to reflect changes through Jan. 1, 2017.

The manual focuses on the key topics and laws that must be addressed in an effective compliance program. To learn more or to order, click here.

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