Cider, Donuts and Education!
Upper Peninsula Fall Conference and Networking
UP Health Plans Office
Superior Conference Room
228 West Washington Street
Marquette, MI 49855
Tuesday, November 11, 2014
9:00am to 4:00 pm EST
Medicare and Medicaid Update by MHA’s Vickie Kunz
This session will provide an overview of the FY 2015 Medicare inpatient and post-acute care final rules and the latest in
Michigan Medicaid reimbursement.
Healthy Michigan and MI Health Link by Regina Bergh, UPHP
Update on Healthy Michigan (Medicaid Expansion) and the Mi-Health Link (those eligible for Medicare and Medicaid which
will be covered under our UPHP plan in 2015 as a demonstration project).
Creating a 501R Compliant Collection Policy by Shawn Gretz, Americollect
The Affordable Care Act (ACA) added new requirements that hospitals must comply with to keep their tax-exempt status
under 501. Many hospitals have yet to make these policy changes because the final regulations clarifying certain details
have not been published. The presenters will showcase a collection policy.
“Think Different” – An Introduction to Total Cost of Risk by Kelly Reed, LIC, PWCA from
ProAssurance
This session will introduce the concept of total cost of risk, referencing bestselling business books and two case studies –
The Medical University of South Carolina and The Risk Authority (Stanford University). It will also outline risk management
theories of Enterprise Risk Management, ISO 3100, Total Cost of Risk, etc. Evaluate these theories on the basis of
implementation effectiveness. Attendees will explore utilization of processes referenced above by using the specific
example of, “Data Breach | Cyber Liability.” And participants will receive white papers & tools for future use.
Excel Pivot Tables-How they can save you time and money by Jerry Artman, FHFMA
One of the most powerful features in Excel is the pivot table. Without knowing any database programming, one can build
complex reports by just dragging and dropping items from a list or table. We’ll look at how to set up a table and transfer it
into a summary report with no IT or programming experience. We’ll start with the individual lines from the patient billing to
play with. What would you like to know? How many of this charge has happened per week, by month? Oops I forgot, by
provider also? Wait, I also want to include this charge also. This session is designed to be a casual luncheon session with
questions and answers while demonstrating the ease of pivot tables.
Portals, the New Era of Healthcare Collaboration by Danielle Lydon, Framework MI, Inc.
Data exchange is rapidly becoming more important in the healthcare market. Explore the history, current market, and
future of data exchange, and the importance of collaboration through discussion and samples. Learn more about HIPAA
considerations and other security measures. Take back some simple steps to improve your organization’s collaboration
with trading partners.
Schedule
08:15 AM
09:00 AM
09:50 AM
10:35 AM
10:45 AM
11:45 AM
01:00 PM
01:45 PM
02:45 PM
Registration
Session 1 – Medicare and Medicaid Update
Session 2 – Healthy MI and Mi Health Link
Break
Session 3 – Creating a 501R Complaint Collection Policy
Lunch sponsored by UP HealthPlans w/ Excel pivot table presentation
Session 4 – Think Different – An Introduction to Total Cost of Risk
Session 5 – Portals, the New Era of Healthcare Collaboration
Networking, conclude at 4pm
About the presenters:
Vickie Kunz (pronounced “Coons”)
Vickie is the Senior Director, Health Finance in the MHA Policy Division. Since joining the MHA in
August 2001, Vickie’s efforts have been focused on health policy issues for the major payers,
primarily Medicare and Medicaid, including hospital reimbursement, wage index, and the quality
assurance assessment program (QAAP). Prior to joining the MHA, Vickie was a reimbursement
specialist at Sparrow Health System in Lansing. She began her career in the reimbursement
department of Hospital Corporation of America (HCA) in Nashville, TN and worked there for nine
years, prior to relocating to Michigan in 1998. Vickie has a BBA in Accounting from Belmont
University in Nashville.
Regina Bergh, CPA
Regina is the Chief Financial Officer at the Upper Peninsula Health Plan. Before employment at
UPHP, Regina was Controller at Marquette General Hospital, Inc. While at MGH Regina effectively
managed Finance, Decision Support, Scheduling/Registration, HIM, and Business Office. She directly
managed a staff of 10 and indirectly managed staff of 140. Regina has a BS in Accounting/Computer
Information Systems and has since earned her CPA.
Shawn Gretz
Shawn joined Americollect in 2003. Since 2006 Shawn has been in charge of the growth of
Americollect. In that time Americollect has grown from 16 team members to over 200 today.
Americollect currently works with over 70 Hospitals for bad debt collections and extended business
office services. Shawn is the Immediate Past President for Wisconsin AAHAM and Secretary for
HFMA Wisconsin. In, 2012, Shawn was awarded the President’s award for HFMA Wisconsin and in
October 2006, Shawn was awarded the President’s award for Wisconsin AAHAM. He has co-chaired
the 2008 and 2010 MEGA conference, which drew nearly 600 individuals to Wisconsin Dells for 2
days of learning. Shawn graduated from the University of Wisconsin Oshkosh with a Bachelor’s
degree in Business Administration in 2003. There he had a double major in Marketing and
Operations Management and, graduated in four years.
Kelly Reed, LIC, PWCA
Kelly is a Risk Advisor at VAST, a solutions based insurance and risk management firm. He partners
with healthcare providers to develop innovative leadership strategies to manage business risks. He
is licensed in Property & Casualty and Life & Health insurances and holds designations of Licensed
Insurance Counselor (LIC), and Professional Work Comp Advisor (PWCA). Active memberships
include Professional Liability Underwriting Society and Wisconsin HFMA. Kelly is a distinguished
delegate of ProAssurance Group’s Agent Leadership Circle and NextGen Producer Council.
ProAssurance is a specialty writer of professional liability insurance, workers compensation
insurance, and products liability insurance for medical technology and life sciences companies.
ProAssurance is rated “A+” (Superior) by A.M. Best, recognized by Ward’s 50 as a “Top Performer”
every year since 2005, and is the fourth largest writer of medical professional liability insurance in
America.
Gerald Artman, FHFMA
Gerald has 30+ years of healthcare financial management experience starting with a 350 bed
nursing home as the controller. He has helped manage up to 1,000 nursing home beds in multiple
states for Nexcare, Red Oak and LSSM. His expertise is in cost reporting and data mining with more
than 300 cost reports and been involved in as many audits and reviews along with numerous
appeals thru the ALJ level. Six years ago, he joined the administrative team at Helen Newberry Joy
Hospital as Reimbursement Specialist. He has owned a number of other businesses and written
commercial software for schools. Gerald is a graduate of the University of Detroit with a BS in
Finance and is a Fellow in the HFMA. He has served in the Great Lakes Chapter as UP Director and
Program Chairman. Gerald is a 25+ year Kiwanian and Scout Leader and lives across the street from
Helen Newberry Joy Hospital in the former jail for Luce County.
Danielle Lydon
Danielle is a long time member of HFMA, Southwestern Ohio Chapter. Danielle served 8 years as a
director of her chapter, and worked to bring educational programs to the chapter. She is the CEO of
Framework MI, Inc., a healthcare services and software development firm located in Cincinnati,
Ohio. Danielle has over 25 years in the health care field, including Hospital, Physician Practices,
Pharmacy, IT, and Insurance experience -- across a wide and varied spectrum of
service/performance areas. Framework MI, Inc. provides custom web-based software, including
revenue cycle solutions, “Big Data,” and a host of other products and services to healthcare
organizations/providers across a wide spectrum of the healthcare continuum, (IDN, Hospitals,
Physicians, Pharmacies, Payors, Revenue Cycle Vendors, Drug Manufacturers, etc.) All products and
services are provided in a highly configurable format.
Upper Peninsula Fall Conference and Networking
Tuesday, November 11th, 2014
UP HealthPlans, Marquette, MI
$40 for the first attendee for each organization; free for remaining attendees from same
organization
Please Make Checks Payable to: Great Lakes Chapter HFMA or pay with PayPal using this
link: (control+click to follow link) http://www.greatlakeshfma.org/site/epage/4367_262.htm
Click on the “Buy Now” button.
Registrations must be received by November 7, 2014. No refunds will be issued for
cancellations received after November 7, 2014
Mail, fax or scan & email to:
Attention: Pam Allen
The Rybar Group
3150 Owen Road
Fenton, MI 48430-1757
Fax: 810-750-6733
Email: costrpt@therybargroup.com
In our continuing effort to “go green”, handouts will not be available at the meeting. They will be e-mailed to you one week before
the meeting. You MUST provide an email address below to receive the handouts.
Name
as it will appear on badge
Email Address and
Organization
Cost $40 for
first/$0 for
second or
more
$40.00
$0
Chapter Affiliation
Great Lakes
Western MI
Eastern MI
Other Chapter
Non Member
Great Lakes
Western MI
Eastern MI
Other Chapter
Non Member
Great Lakes
Western MI
Eastern MI
Other Chapter
Non Member
Great Lakes
Western MI
Eastern MI
Other Chapter
Non Member