Fixin’ it in 2021!


January 11, 2021
12:30 PM - 4:00 PM
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Zoom Meeting



NJ HFMA Patient Financial Services and Patient Access Forums Present:

Fixin’ it in 2021!

Monday January 11th, 2021, 12:30pm -  5pm
Tuesday, Jannuary 12th, 2021, 12:30pm - 4pm

One Registration Covers Both Days

NJ HFMA Patient Financial Services Forum: Steven Stadtmauer, Esq. Chair; Michael Berger and Ruby Ramos, Co-Chairs
NJ HFMA Patient Access Forum: Daniel Demetrops, Chair; Jacqueline Lilly Co-Chair

Afternoon of Monday, January 11, 2021
Virtual Meeting 12:30 pm to 5:00 pm

NJ HFMA Announcements and NJHA Regulatory Update     (12:30pm – 1:00pm)

Telecommuting                                                                              (1:05pm – 2:20pm)  
A discussion of the benefits and pitfalls of maintaining a remote staff.  Once your IT issues are resolved, how do you best monitor staff, ensure HIPAA compliance and meet key performance indicators?  Tips are exchanged to address challenges and ensure success for your remote staff.
Moderator:      Gerry Blass, President and CEO, Comply Assistant
Speakers:       Kathleen Carroll, CPC, CPB, CHPSE, Director of HIPAA Security and Compliance and Ancillary Services, Aspirion
                        Paul Garrin, CIO, Urban Health Plan

VA and Tricare                                                                                (2:25pm – 3:30pm)
Veterans Administration (VA) is an agency of the federal government which provides a variety of services for United States veterans covering some health insurance and medical needs.  Tricare is a health insurance program for active military members, their dependents, retirees, some survivors and former spouses.  Hospitals struggle to get paid for patients with these payers.  Learn about VA required information for billing, workflow of VA accounts, and how you can ensure your hospital bills the correct VA department.
Speaker:         Lori Lipocky, CPCU, President and GM of Complex Claims, Aspirion

Price Transparency Overview                                                    (3:35pm – 5:00pm)
Moderator:     Lisa Schaaf, Director, Patient Accounting, Children’s Specialized Hospital
Speakers:       Cody Bromley, Vice President Sales, Proxet
                        Jean Sanon, Systems Director of Access, CarePoint Health

Afternoon of Tuesday, January 12, 2021
Virtual Meeting 12:30 pm to 4:00 pm                       

Third-Party Payer Denials and Persuasive Appeal Writing       (12:30pm – 1:40pm)
Healthcare and insurance law attorney explores current trends in claim denials with an emphasis on health plan audits and clinically related denials.  She will identify audit tactics commonly used by health plans to reduce reimbursement and provide guidance on audit defenses that may be deployed to prevent recoupment.  The presentation will reveal the wealth of regulations, contract provisions and legal concepts that, if used strategically, can lead to payment on denied claims.
Speaker:         Tracy Knowles Lutz, Co-President, Specialized Healthcare Partners, an Aspirion Company

COVID Panel                                                                                   (1:45pm – 3:00pm)
PFS professionals share experiences, challenges and success stories:
Moderator:     Sandra Gubbine, AVP, Revenue Cycle, AtlantiCare Regional Medical Center
Speakers:       Doug C. Dyer, Jr., MBA, CPC, MAC JL Contract Manager, Novitas Solutions, Inc.
                        Anne Goodwill Pritchett, MBA, FHFMA, SVP Revenue Cycle Operations, Hackensack Meridian Health           
                        Michelle Merchant, Manager, Network Hospital Relations, Horizon Blue Cross Blue Shield 
                        Colleen Picklo, Deputy Director, Managed Care and Insurance, New Jersey Hospital Association

Occupational Wellness                                                               (3:00pm – 4:00pm)
If you notice lower than average employee morale and low productivity in your workplace, it’s time to weed out the root causes.  Start with:  Personal matters, Job Duties, Communication and Management Style; do not fail to address serious issues, like layoffs in your approach.
Speaker:        Frank Abreu, Regional Operations Director, RWJBH Corporate Care 

AAHAM CEU = 8 credits

The New Jersey Chapter of HFMA is authorized to award 7.5 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement, or recertification in the American College of Healthcare Executives.  Participants in this program wishing to have the continuing education hours applied toward Category II credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

Based on our understanding of the New Jersey State Board of Accountancy’s continuing professional education (CPE) requirements, Sponsor No. 185, this course this course qualifies for 9 CPE credits in Specialized Knowledge, 5 on Monday and 4 on Tuesday.

Based on our understanding of the Supreme Court of New Jersey Board on Continuing Legal Education, mandatory continuing legal education program requirements, this course qualifies for 8.6 CLE credits spread over the two days, 4.5 on Monday Jan 11 and 4.1 on Tuesday Jan 12.  NJ HFMA is an approved service provider (#1098).