Education event

Hospital Finance and Reimbursement Seminar

Register Now
July 23, Sacramento (Location Change)
July 23, New Live Stream Option
July 25, Glendale

Overview

Significant changes to Medi-Cal and Medicare reimbursement are imminent — is your hospital ready? Over the past year, there’s been a lot of activity at federal and state level that will directly impact how hospitals are reimbursed, which can lead to transforming the way care is delivered in the future. Navigating this challenging landscape will require a team approach – CHA is committed to working with you as you prepare for what lies ahead.

Make plans now to attend the Hospital Finance and Reimbursement Seminar.

Recommended for:

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.

Agenda

9:00 a.m. – 12:00 p.m. 

Decisions Impacting Provider Reimbursement

  • Important cases from Medicare, Medicaid & Commercial Payers
  • Status of Major Group Appeal Issues
  • Preserving Appeal Rights
  • Alina Disproportionate Share Hospital (DSH) case
  • New audit issues
  • Medi-Cal post-stabilization out-of-network services

Hospital Fee Program and Medi-Cal Update 

  • Hospital Fee Program 2019-2020 Medi-Cal managed care “network provider” changes
  •  1115 Waiver progress to date and next steps

State Legislative and Regulatory Updates Impacting Providers 

  • 340 B Program update
  • Review of 2019/20 Budget Act and trailer bills
  • Surprise Billing Legislation – state and federal implications

12:00 – 1:00 p.m. | Hosted Luncheon

1:00 – 4:00 p.m. 

FFY 2020 Inpatient Prospective Payment System Overview

  • Area Wage Index and Medicare DSH proposals

Federal Regulatory Updates  

  • Health Care Price Transparency and Costs
  • CY 2020 Outpatient PPS Updates
  • FY 2020 Medicare Post-Acute Care Payment Highlights
  • Changes to the Veterans Affairs Community Access Program

Worksheet S-10 Audits: What did we learn and what’s next?

Faculty

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.

Fred Fisher is a director at Toyon Associates with 15 years of healthcare finance, reimbursement and advocacy experience. He is responsible for identification and delivery of millions of dollars to health care providers across the United States. Mr. Fisher assists providers in adapting to the imminent changes in the health care industry. Mr. Fisher specializes in regulatory compliance and analysis, developing client relationships and exceeding expectations, provider advocacy, costs reporting and presenting meaningful information from large data sets.

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.

Katrina A. Pagonis is a senior counsel in the San Francisco office of HLB. Her practice focuses on the representation of health care providers in matters relating to health care reform, as well as regulatory compliance more generally.  She regularly advises clients related to the Affordable Care Act and Health Insurance Exchanges, including Covered California and the Federally-Facilitated Exchanges.

Ryan Witz is CHA’s vice president of healthcare finance initiatives. Ryan represents members’ financial interests related to Medicare, Medi-Cal, commercial payers and other government entities. He provides support on financial and reimbursement issues affecting California hospitals and health systems, and is involved with the development and implementation of the hospital fee and other financing programs. Ryan joined CHA in December after 8-years of experience with

Sites

July 23
NEW LOCATION: DoubleTree by Hilton Hotel Sacramento
2001 Point West Way
Sacramento, California, 95815
(916) 929-8855

July 23
New! Live Stream Option

Hear and view the seminar from the convenience of your office or conference room

July 25
Hilton Los Angeles North Glendale

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

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 $345
**Nonmembers $545

* 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. (Amount of CE offered subject to change.)

Compliance — The Compliance Certification Board (CCB)® has approved this event for up to 6.6  live CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.

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.

Live Stream Info

Live Stream is here! Why? Because Live Stream allows you to hear and view the seminar from the convenience of your own office or conference room. Plus, multiple people can experience the seminar with a single registration fee. Live Stream attendees can ask questions during the program, just like in-person attendees, and have the same access to presentations as in-person attendees.

Live Stream tuition entitles the registrant to:

  • a single connection to the event (NOTE: don’t risk your connection by sharing with others — only one connection will be allowed in.)
  • CEs (you must attest to participation to receive CE credit)

Additional Participants needing CEs 
Live Stream participants who are not the registered attendee may receive CEs for $35 each. Individuals requesting CE credit must attest to their participation in the Live Stream event and pay by credit card.

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 2019 edition has been updated to reflect changes through Jan. 1, 2018.

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.

Commands