Hospital Reimbursement

Every year there are shifts in reimbursement at the state and federal levels. Hospitals know this and plan accordingly. But this year is exceptional—sweeping changes are on the horizon that may impact the financial stability of our hospitals and the health care delivery system as a whole.

Knowing what to expect will help hospitals meet the challenges in government reimbursement. CHA’s expert faculty will analyze the state and federal proposals and explain how this will impact your operations. And, reimbursement trends will be reviewed to help hospitals proactively plan for the coming year.

Program highlights include:

Medi-Cal budget cuts, effective July 1—forecast of industry impact and reimbursement coping strategies
Roger’s Amendment update on new rate and reconciliation process
Proposed Medicare cuts in the President’s Budget—market basket freeze, cuts to “add ons” for DSH and medical education, elimination of crossover bad debt
Transitioning to cost-based DRGs—operational implications, calculating financial impact and preparation of new cost-based reports
Post-implementation view of Charity Care—tools to analyze, monitor and improve hospital performance
The Office of Inspector General’s enforcement priorities
Recovery audit contractors—a year in review, what lies ahead
CHA’s new DataSuite—using this powerful tool to analyze and plan

Join with other health care reimbursement professionals to hear the latest updates, exchange ideas and pose questions to our faculty of experts. Plan now to attend this once-a-year program.

Seminar Recommended For

Chief executive officers
Chief financial officers
Chief operating officers
Patient financial services directors
Reimbursement directors
Financial consultants
Revenue managers
Controllers
Managed care directors
In-house legal counsel
Compliance officers

Agenda

8:30 –Noon

Medi-Cal Update

New budget cuts effective July 1
Health care reform—what now?
Roger’s Amendment update—new rate, reconciliation process
Litigation and legislation updates

Medicare Update

Proposed Inpatient Prospective Payment System rule

Market basket update
Transition to cost-based DRG weights

New Medicare Administrative Contractor
Quality and value-based purchasing
Provider Reimbursement Review Board—case updates

Improving Accuracy of Cost-based DRG Weights

Ensuring the accuracy of revenue code mapping
Examining Medicare cost-report filing methods
Classifying cost and charges for billable medical supplies

Using CHA DataSuite to Plan for Changes in Federal Reimbursement

Analyzing your data
CHA DataSuite review of President’s Budget, HURT analysis, Medicare margins

Noon – 1:00 p.m. Hosted Luncheon

1:00 – 4:00 p.m.

Charity Care Implementation—Tools to Evaluate and Monitor Progress

Demonstrating compliance through accurate reporting
Performance improvement—how to measure, monitor and track
Policy advancement—new IRS forms, public policy discussion

Fraud and Abuse Issues

Recent developments
OIG’s work plan—enforcement focus for 2008
False Claims Act
Deficit Reduction Act—state and federal standards comparison

Pricing Transparency

Beyond mandatory reporting requirements
Current trends, what the future holds

Recovery Audit Contractors

A year in review—successes, challenges
Current RAC activity, what to expect in 2008

Faculty

Lloyd A. Bookman is a founding partner in the Los Angeles law office of Hooper, Lundy & Bookman, Inc. (HLB). He has specialized in Medicare and Medicaid reimbursement since 1979 and represents health care providers in fraud and abuse matters involving false claims and anti-kickback issues, in self-referral matters and as special counsel in criminal matters.

Patric Hooper is also a founding partner in the Los Angeles office of HLB and is a former Deputy Attorney General with the California Department of Justice. Since 1976, he has specialized in litigation against the federal and state governments involving health care issues.

John R. Hellow is a partner with HLB and has specialized in Medicare and Medicaid reimbursement issues since 1982 and
emphasizes Medicare reimbursement implications of debt financings in his practice.

Byron J. Gross is a partner with HLB. He has practiced health
care law since 1990, focusing on Medicare and Medicaid reimbursement, fraud and abuse, administrative litigation and other regulatory matters.

Mark Hardiman is a partner with HLB. A former federal prosecutor, he specializes in the defense of health care fraud, abuse and compliance issues.

Hope Levy-Biehl is a partner with HLB. Her practice includes health care reimbursement, as well as regulatory compliance, licensure and certification, payment and operational issues.

Stephen C. Clark is owner and director of Clark, Koortbojian &
Associates. He provides financial, management, planning and
reimbursement consultation services to health care providers.

George Koortbojian is owner and director of Clark, Koortbojian & Associates. He has extensive experience in hospital operations and specializes in the development and implementation of charity care policies and practices.

Anne McLeod is vice president of reimbursement and economic analysis for the California Hospital Association. Ms. McLeod represents members’ interests before state legislature and regulatory agencies, federal agencies and national committees.

Tuition
$325 Member
$450 Nonmember

Tuition includes CEUs, lunch, and seminar matierals.
To avoid potential late fees, payment is required prior to the start of the program.

Seminar Locations

June 3
Oakland Marriott City Center
1001 Broadway
Oakland, CA 94607
(510) 451-4000
driving directions

June 17
Hyatt Regency Newport Beach
1107 Jamboree Road
Newport Beach, CA 92660
(949) 729-1234
driving directions

June 18
Hilton Pasadena
168 S. Los Robles Avenue
Pasadena, CA 91101
(626) 577-1000
driving directions

Register Online, by Mail or Fax
Register online at www.calhospital.org under “Education.”

Mail your registration to:
California Hospital Association
Education Department
1215 K Street, Suite 800
Sacramento, CA 95814

Faxed registrations are acceptable with VISA, MasterCard, American Express or a signed purchase order.
FAX: (916) 552-7506
Questions: (916) 552-7637

Continuing Education Credit
Full attendance at the educational session is a prerequisite
for receiving professional continuing education credit.
Attendees must sign in at the seminar and include their state bar or professional license number.
Accountants—This organization follows the CE guidelines specified in the California Board of Accountancy Regulations. Seven CE hours may be available.
Compliance—Application has been made to the Health Care Compliance Certification Board for approval to award Health Care Compliance Association continuing education credit for this seminar.
Legal—CHA is a State Bar of California approved MCLE provider. This activity has been approved for 6 hours of MCLE credit.

Confirmations
A confirmation will be sent to all registrants who register at least one week in advance. Directions and parking information will be included.

Cancellation Policy/Late Payment
A $50 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing five or more business days prior to the scheduled session and faxed to (916) 552-7506. No refunds will be made after these dates. Substitutions are encouraged. To avoid potential late fees, payment is required prior to the start of the program. Payments not received by the seminar date will be subject to a 10 percent late fee.

Americans with Disabilities Act—If you require special accommodations pursuant to the Americans with Disabilities Act, please call (916) 552-7637.

For More Information

Contact the Education department, (916) 552-7637.

Co-sponsored by:
Healthcare Financial Management Association, Southern California Chapter
Healthcare Financial Management Association San Diego Chapter

Approved by:
Healthcare Financial Management Association of Northern California
Hospital Council of Northern and Central California
Hospital Association of Southern California
Hospital Association of San Diego and Imperial Counties
United Hospital Association