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Wave of Change
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Co-sponsored by the Educational & Memorial Foundation of the Tennessee Society of Certified Public Accountants and the Tennessee Chapter of the Healthcare Financial Management Association.
Healthcare Conference
Monday - Tuesday,
Nov. 30 - Dec. 1,
2009
Cool Springs Marriott
Franklin, Tenn.
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This two-day conference is a must-attend event for the financial professional who works with healthcare providers. There are general sessions on matters of interest to all healthcare financial professionals and concurrent sessions on more specific issues of interest. There are topics of interest for those working with physicians, hospitals and other providers. This conference provides the latest information about the changes affecting the healthcare industry. |
| Exhibitors |
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ADP |
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Advanced Network Solutions |
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Cost Segregation Services, Inc. |
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ePartners |
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Fifth Third Bank |
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Gallagher Benefit Services, Inc. |
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Genworth |
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Kraft Healthcare
Consulting, LLC |
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Lattimore Black Morgan & Cain, PC |
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Robert Half Management Resources |
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| Lunch Sponsor |
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| Lanyard Sponsor |
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| Conference Co-sponsor |
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Course Level: Update
TSBA Subject Code: M/T/A/E
CPE Credit: 16 hours
| Registration Fees: |
by Nov. 15 |
after Nov. 15 |
| Member Discount Fee |
$335 |
$375 |
| Conference Fee |
$410 |
$450 |
Course Schedule:
| Monday, Nov. 30 |
| 7:30 - 8 a.m. |
Registration/Continental Breakfast |
| 8 - 8:05 a.m. |
Opening Remarks |
| 8:05 - 8:55 a.m. |
1. Where are We Going with Quality-based Compensation?
Carol Carden, CPA, Principal and Mark Browne, Principal, Pershing Yoakley & Associates, P.C., Knoxville, Tenn.
This session will discuss the latest collaboration models for hospitals and physicians centered around
quality improvement. In this difficult conomic environment, physicians are seeking additional revenues,
while hospitals are seeking clinical input to assist them in preparing and meeting their quality improvement
goals as the transparency movement continues. Leading-edge organizations are learning how to
accomplish both. During this session:
• Learn how to design an agreement that meets both the clinical and financial needs of your hospital
organization,
• Understand how to develop quality metrics that are impactful and
• Learn how quality based compensation is determined. |
| 8:55 - 10:10 a.m. |
2. Healthcare Law Headaches
Denise Burke, Attorney, Butler Snow, Memphis, Tenn.
With or without the passage of a comprehensive healthcare reform bill by Congress this year, the delivery
of health care in America will undergo fundamental change. Healthcare providers will be faced with
regulatory changes at a startling pace that will impact their financial success and future viability. This
session will address reform driven developments in fraud and abuse enforcement, onerous new reporting
requirements regarding disclosure of financial relationships and new privacy and identity theft regulations
that impact both healthcare providers and their CPAs. |
| 10:10 - 10:25 a.m. |
Networking Break & Exhibit Viewing |
| 10:25 - 11:30 a.m. |
3. Washington Update
Senator Bob Corker is invited
An invitation has been extended to Senator Bob Corker to present and provide attendees with a
Washington Update. |
| 11:30 a.m. - 12 p.m. |
Lunch |
| 12 - 12:40 p.m. |
4. Healthcare Financing and M&A Update
Thomas C. Wylly II, Senior Partner, Brentwood Capital Advisors, LLC, Nashville, Tenn.
An investment banker’s perspective on the M&A and financing markets. What are the challenges
companies are facing in financing acquisitions or selling in the current market environment? |
| 12:40 - 1:30 p.m. |
(Concurrent Sessions)
5. The Revenue Cycle - A "Reformed" Approach
Melody Turner, Consulting Principal and David McMillan, Shareholder, Pershing Yoakley & Associates, P.C., Atlanta, Ga.
The session is designed to offer a look back into the healthcare policy events that have shaped and led
up to the current Healthcare Reform debate. We will address the issues that surround and impact the
revenue cycle in the changing environment, and offer insight into the challenges that healthcare providers
are facing. The traditional revenue cycle that we have known has new risks, and those risks need to
be managed. We will also offer a crystal ball glimpse into the basics of Healthcare Reform. Is it really
Healthcare Reform? Yes…..and no.
6. The Changing Face of ASCs
Cynthia Y. Reisz, Attorney, Bass, Berry & Sims PLC, Nashville, Tenn.
The rapid growth of the ASC industry since 2000, coupled with countervailing forces, has created a
need for ASC owners to explore other avenues for revenues. Declining reimbursement rates for certain
specialties and efforts by hospitals to serve as a payor’s exclusive provider of outpatient surgery can make
it difficult for ASCs to achieve their operating forecasts. This presentation will review some of the new opportunities ASCs are exploring, along with the roadblocks they encounter as a result.
7. Standards for Tennessee CPAs: Important Ethical Concepts, Principles and the Rules for CPAs in Tennessee
David Haddock, CPA, Director of Training, Lattimore Black Morgan & Cain, PC, Brentwood, Tenn.
CPAs are challenged with ethical issues throughout their professional careers, and often the path one
should take is not apparent. In such situations, it is important to be knowledgeable with regard to the AICPA
Code of Professional Conduct and its interpretations.
NOTE: This session satisfies one hour of general ethics requirement set forth by the Tennessee State
Board of Accountancy for CPAs licensed in Tennessee. |
| 1:55 - 2:45 p.m. |
(Concurrent Sessions)
8. TMA Update
Don Alexander, Chief Executive Officer, Tennessee Medical Association, Nashville, Tenn.
Join Don Alexander as he updates attendees on the activities of the Tennessee Medical Association over
the last 12 months and what is coming down the pike.
9. THA Update
Craig Becker, President and CEO, Tennessee Hospital Association, Nashville, Tenn.
This will be a federal and state update.
10. Current Developments in the Nursing Home Industry
William C. Matheney, FHFMA, CPA, MBA, Shareholder Director, Matheney Stees & Associates PC, Chattanooga, Tenn.
The State of Tennessee’s budget woes have necessitated changes in every department, and TennCare is
no exception. The state is currently studying ways to reform its payment to long-term care providers. The
Long-Term Care Options Act is a little over a year old. The state is transitioning long-term care payment
to the MCOs. The national economy has been in turmoil since last fall. Now, how do we as CPAs help our
nursing home clients survive in this environment?
This session will look at these and other issues facing the industry and discuss how we as advisers can
assist our clients in developing a survival strategy. |
| 2:45 - 3 p.m. |
Networking Break & Exhibit Viewing
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| 3 - 3:50 p.m. |
11. Healthcare Internal Controls & Fraud
Rebecca Busch, RN, MBA, CPC, CCM, CFE, FHFMA, FIALCP, CEO, Medical Business Associates, Inc., Westmont, Ill.
Not a day goes by without some type of news item on issues related to healthcare reform and the impact
of fraud, waste and abuse. This session will bring you up-to-date on the latest issues and internal control
implications. This session will provide insight in evaluating if your organization is ready. |
| 3:50 - 4:45 p.m. |
12. The Eight Slippery Steps to Unethical Behavior
Patrick Kuhse, Ethics fellow for the University of Florida and Suffolk University’s Sawyer School of Management in Boston, Arlington, Va.
Have you ever driven over the speed limit or perhaps downloaded music and not paid for it? If so, then you
know firsthand how hard it is to always stay within the law. This powerful business ethics keynote speech
revolves around the thought processes that lead to unethical behavior. Ethicist and business speaker
Patrick Kuhse uses his compelling life story to illustrate the eight critical thinking errors that lead to his
becoming an international fugitive. Discussing each of these in-depth, he provides insight into common
ethical dilemmas faced in business today. |
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| Tuesday, Dec. 1 |
| 7:30 - 8 a.m. |
Registration/Continental Breakfast |
| 8 - 8:05 a.m. |
Opening Remarks |
| 8:05 - 9:45 a.m. |
13. Technology Update
Randolph P. (Randy) Johnston, MCS, MCP, Executive Vice President, K2 Enterprises, Hutchinson, Kan.
Are you trying to manage technology in this tight economy? What are the best new technologies to invest
in? How can you stay up with the changes in technology? This session provides a valuable overview of the
changes in technology that affect you today, as well as in the future. In this session, you will learn about
hardware, software and strategic options that provide improved efficiency and productivity. You’ll learn how to
compare those options and examine other strategic technologies that should be considered. |
| 9:45 - 10 a.m. |
Networking Break & Exhibit Viewing |
| 10 - 10:50 a.m. |
(Concurrent Sessions)
14. Hospital and Physician Arrangements - The Dos and Don’ts Under Federal Fraud and Abuse Laws
Julie Kass, Ober Kaler Attorneys at Law, Baltimore, Md.
This presentation will discuss the potential options for hospitals and physicians to work collaboratively
including physician integration models and joint ventures between hospitals and physicians under the Stark
and Anti-Kickback laws. Topics include pros and cons of physician direct employment by hospitals vs. group
practice subsidiaries, compensation of physicians through personal services arrangements, "gainsharing"
arrangements and difficulties for restructuring "under arrangement" deals after Oct. 1, 2009.
15. Standards for Tennessee CPAs: Important Ethical Concepts, Principles and the Rules for CPAs in Tennessee
David Haddock, CPA, Director of Training, Lattimore Black Morgan & Cain, PC, Brentwood, Tenn.
This session will familiarize and update participants with the Tennessee Accountancy Act and the roles and
responsibilities of the Tennessee State Board of Accountancy. You will receive a review of the accountancy
laws and rules, as well as the state laws and regulations regarding licensing, continuing education, peer
review, disciplinary procedures and more. By increasing your knowledge and understanding of these laws
and standards, you will be prepared to legally and ethically address challenges that may arise.
NOTE: This session satisfies one hour of Tennessee state-specific requirement set forth by the Tennessee
State Board of Accountancy for CPAs licensed in Tennessee. |
| 10:55 - 11:45 a.m. |
(Concurrent Sessions)
16. Healthcare Tax Update
Susan P. Clark, CPA, FHFMA, Senior Manager, Healthcare Tax Services and W. Edward Phillips, CPA, Shareholder, Tax Services, Pershing Yoakley & Associates, P.C., Atlanta, Ga.
In this session, we will discuss practical issues on completing Schedule H and Schedule J of the revised
Form 990, including lessons learned during the process. We will also provide updates on other healthcare
tax issues.
17. CMS’s Recovery Audit Control Program (RAC): Illusion vs. Reality
David Whittaker, Director, CHS Central Appeals, Community Health Systems, Franklin, Tenn.
CMS giveth and CMS taketh away; blessed be the name of CMS. The Centers for Medicare and Medicaid
Services (CMS) fund healthcare for the elderly, disabled and economically challenged. CMS has long
believed that payments made to hospitals and other healthcare providers are incorrect and result in the loss
of billions of dollars each year. In an attempt to uncover economic abuse and recover "misappropriated"
funds, Congress passed the Tax Relief and Health Care Act of 2006 (TRHCA), which mandated Recovery
Audit Contractors (RAC). The Contractors are positioned to intensely and retrospectively audit billing, coding
and medical necessity of Medicare claims. The healthcare industry is threatened with the loss of billions of
revenue dollars sorely needed to maintain, repair and advance quality healthcare in this country. Considering
the start-up problems the RACs have experienced, which have already delayed the program for over a year
from its mandated implementation, will CMS be able to successfully comply with Congress’s mandate?
And if it does, will the industry be able to sustain the level of care currently provided? Attendees will gain an
understanding of the dilemma in which healthcare providers find themselves. |
| 11:45 a.m. - 12:15 p.m. |
Lunch |
| 12:15 - 12:45 p.m. |
18. Luncheon Speaker - Home Technology
Randolph P. (Randy) Johnston, MCS, MCP, Executive Vice President, K2 Enterprises, Hutchinson, Kan.
What are the right technologies to consider for your home? Do you have an interest in high definition
video, plus ease of access to video technology? How about photography and digital printing? Computers?
Internet access? This session will provide a briefing on the best of the best technology for use in your home. |
| 12:45 - 2 p.m. |
19. Staying Afloat in Medicare
Greg McKinney, MD, MBA, Senior Contractor Medical Director, Cahaba GBA, LLC Birmingham, Ala.
Medicare is now more than ever experiencing tidal waves of change from the implementation of RACs and
the finalization of Medicare Contracting Reform. Attendees will get an overview of the most recent changes
in Medicare Contracting, the operations within a Medicare Administrative Contractor (MAC) and some
recent coverage changes under Medicare. |
| 2:30 - 2:45 p.m. |
Networking Break & Exhibit Viewing |
| 2:45 - 3:35 p.m. |
(Concurrent Sessions)
20. Accounting Update
James D. Arnold, CPA, CFE, CBA, CMA, Audit Shareholder, Pershing Yoakley & Associates, P.C., Knoxville, Tenn.
"You have to know accounting. It’s the language of practical business life." (Charlie Munger)
While Munger is right, it is very difficult for anyone to "know accounting" due to the constantly changing
rules and regulations. The purpose of this session is to provide an overview of recent guidelines issued by
the Financial Accounting Standards Board and others with an emphasis on how they may impact health
care providers.
21. EMR: Tying Patients Closer to Your Practice
Randolph P. (Randy) Johnston, MCS, MCP, Executive Vice President, K2 Enterprises, Hutchinson, Kan.
You understand billing and paperless systems, so what’s the next key to your business? Electronic Medical
Records are what your clients need and want. What are the implications and advantages of offering this
additional service to your clients?
• Learn why you need to get in the EMR business
• Protecting your practice and the client
• Understanding operational considerations
• Learn the level of expertise and integration you need
• Marketing your new offering |
| 3:35 - 4:25 p.m. |
22. An Anatomy of the Recession, 2009
G. Anthony (Tony) Spiva, Ph. D., Professor Emeritus, University of Tennessee, Knoxville, Tenn.
Recessions are difficult to forecast and seeking a single cause is fruitless. Once underway, recessions
unfold in a highly predictable way. We will look at the recession and forecast its path for the next 12
months. |
| 4:25 p.m. |
Evaluations/Conference Adjourns |
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Hotel Information:
Reservations may be made at the Cool Springs Marriott at a rate of $159 by calling 615/ 261-6100. Please indicate that you are with the Tennessee Society of CPAs when making your reservation.
Registration Information
Enroll soon because space is limited. Register by Nov. 15 to pay the discounted registration fee. Registrations must be received seven days prior to the event in order to guarantee a seat and course materials. Allow approximately one week for receipt of confirmation.
Cancellations and Substitutions: Cancellations received by Nov. 22 will be assessed a $30 administrative fee. Cancellations received between Nov. 22 and Nov. 29 will be subject to a cancellation fee of 50 percent of the program fee. No refunds are given on or after the date of the program. A $30 administrative fee will be assessed for all substitutions and transfers. Registrants may substitute another individual up to the day before the conference. TSCPA must be notified in advance to ensure proper CPE credit.
Registration Fee Includes: conference, session highlights, continental breakfast, lunch and refreshment breaks
Suggested Dress: business casual.
TSCPA provides you with a Proof of Attendance that serves as your permanent record of participation. The Proof of Attendance, noting the credits earned, will be e-mailed within two weeks of the program.
If you have special needs under the Americans with Disabilities Act, please attach a written description or call the society office at 615/377-3825.
4 Easy Ways to Register
By Internet
Online registration
By Fax
615/309-8054 or 615/377-3904
By Mail
Mail completed registration form and payment to:
Educational & Memorial Foundation of TSCPA
201 Powell Place, Brentwood, TN 37027
By Phone
1-800/762-0272 or 615/377-3825
This conference is presented by The Educational & Memorial Foundation of the Tennessee Society of Certified Public Accountants, the TSCPA Healthcare Conference Committee and the Tennessee Chapter of the Healthcare Financial Management Association.
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© Tennessee Society of Certified Public Accountants
201 Powell Place • Brentwood, TN 37027
Phone: 615/377-3825 • Fax: 615/377-3904
Toll Free: 1-800/762-0272
Disclaimer | FAQs | Contact TSCPA |
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