Education event

Hospital Finance and Reimbursement Seminar Resources Page

Welcome to CHA ’s 2019 Hospital Finance and Reimbursement Seminar resources page. Click on the tabs below to view the agenda, presentations, and speaker biographies.

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  

  • 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?

Presentations for Mobile Devices

Important: To ensure access to the presentations during the seminar, we recommend that you download the presentations to your device in advance.

You must have Adobe Reader installed on your device to view and print the presentations.You can download this free software from the Adobe website at http://get.adobe.com/reader/.

Decisions Impacting Provider Reimbursement
Lloyd Bookman

Hospital Fee Program and Medi-Cal Update
Ryan Witz

State Legislative and Regulatory Updates Impacting Providers​
Amber Ott

FFY 2020 Inpatient Prospective Payment System Overview
Katrina Pagonis

Federal Regulatory Updates​​
Alyssa Keefe

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

Presentations for Print

Decisions Impacting Provider Reimbursement
Lloyd Bookman

Hospital Fee Program and Medi-Cal Update
Ryan Witz

State Legislative and Regulatory Updates Impacting Providers​
Amber Ott

FFY 2020 Inpatient Prospective Payment System Overview
Katrina Pagonis

Federal Regulatory Updates​​
Alyssa Keefe

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

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

Evaluation

Thank you for attending CHA’s Hospital Finance & Reimbursement Seminar. We truly value your feedback and request that you complete our online program evaluation. 

Sacramento Evaluation

Click here to complete the online evaluation for the July 23 Sacramento seminar.

Live Stream Evaluation

Click here to complete the online evaluation for the July 23 Live Stream seminar.

Glendale Evaluation

Click here to complete the online evaluation for the July 25 Glendale seminar.

Commands