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Palmetto State News Serving healthcare financial south carolina chapter management professionals statewide since 1953 www.schfma.org Summer 2011 HFMA Healthcare Financial Management Association New Leadership at SCHFMA! Eileen Crow of HFMA Chapter Relations conducts swearing-in of the 2011-2012 Class of Chapter Officers and Board Members at the 2011 SCHFMA Annual Institute in Myrtle Beach, SC. Palmetto Officers, Board & Committee Chairs ’10-11’ State President Brian Walker Ronnie Hyatt Lexington Medical Center News Bon Secours St. Francis Hlth Systems [email protected] Editor: Jay Rickman, Jr. Estelle Welte 111 Lancewood Road President-Elect MDS [email protected] Columbia, South Carolina 29210 Diane Story 803-217-3831 • Fax 803-798-4966 Roper St. Francis Tommy Cockrell [email protected] Email: [email protected] SC Hospital Association Secretary [email protected] Please contact Jay with any updates to Jude Crowell Committee Chairs data contained within this publication. Washington and West [email protected] Advisory Committee Ken Scheller, Chair Palmetto State News is the official Treasurer Budget/Finance publication of the South Carolina Greg Taylor Barney Osborne, Chair Chapter of the Healthcare Financial Dixon Hughes, PLLC Communications Management Association. [email protected] Jay Rickman, Jr., Chair Immediate Past President Corporate Sponsorship Opinions expressed here are those of Ray High, Chair Ken Scheller the author and do not reflect the Palmetto Health CRCA views of the HFMA or the South [email protected] Brian Walker, Chair Carolina chapter. Dixie 2015 Greg Taylor, Chair © 2010-2011 South Carolina Chapter Board of Directors Education/Programs Alice Childs, Chair Chapter, Healthcare Financial Jimmy Joye Management Association. All rights Datatrac Receivables Recovery Group Founders Contact reserved. [email protected] Jude Crowell, Chair Information Systems For a copy of the publications policy Jeff White Michael Bowe, Chair and guidelines, send a letter or email Beaufort Memorial Hospital Membership [email protected] to the Editor at the address above. Christy Powers, Chair Debra Wolfe Membership Directory Contract Callers, Inc. Diane Story, Chair [email protected] Nominating Ray High, Chair Ray High Professional Excellence/Certification MedAssets Steve Lutfy, Chair [email protected] Special Awards New Advertising Prices! Barney Osborne Debbie Hunt, Chair SC Hospital Association Strategic Planning 1/4 page 3 7/8 x 5 3/8 $250 per issue [email protected] Ken Scheller, Chair Half page 7 1/2 x 5 $450 per issue Woody Turner Whole 7 1/2 x 10 $800 per issue Lexington Medical Center [email protected] Include links to company websites and e-mail addresses Christy Powers NBSC [email protected] [email protected] 2 A Message from the Chapter President….. Just about a month and a half ago, I was inducted as President of HFMA-SC Chapter for 2011- 2012. It’s been a long and great journey for me to get to this important part of my HFMA career. I consider it such an honor - and a privilege - to serve as your President, and I certainly pledge to uphold this role and office to the highest degree! This year’s theme for National HFMA and all Chapters is “Believe to Achieve”. With a great list of Ronnie Hyatt Officers to work side-by-side with me, and an outstanding roster of Board and Committee Chars and volunteers, I do Believe we will Achieve much during this Chapter year. We have a strong challenge ahead of us, with lofty goals set forth in our Chapter Balanced Scorecard, but I know we and our Membership will meet those challenges. After coming off a great AI in Myrtle Beach recently, and with Committee Meetings in Columbia on July 28th, we are able to continue our planning for this Chapter year – one of growth in education and education hours, maintaining and growing our Membership count, continued excellence in Certification, and achieving other CBSC Goals. Additionally, we are planning an outstanding Fall Institute in Greenville, SC (my hometown!) on October 19th-21st, and you do not want to Table of Contents miss this event! Chapter Officers . 2 President’s Message . 3 Again, I am very proud to serve as your President for this 2011 ANI Keynote Speaker Shares 5 Principles Chapter Year. Time is already flying since the Officers’ for Managing Change . 5 Induction at AI, and I will cherish every single day in Medicare’s Future by HFMA’s Richard Clarke . 6 working for the overall good of our Chapter! Chapter Awards at the 2011 HFMA Annual National Institute . 8 ICD-10 Preparedness . 9-11 Ronnie Hyatt The 2012 SC HFMA Fall Instuitute . 12 Can External Call Centers Benefit Hospital’s Access Departments? . 15-16 Medicare Occupational Mix Adjustment Survey Impact to Acute Care Hospitals . 17-19 HFMA Monthly Membership Activity Statistic Report . 21 HFMA Region V Update . 22 Upcoming SCHFMA Events . 16 Membership Update . 23 2010-2011 Corporate Sponsors . 24 3 Former Big 4 clients lean on Dixon Hughes Goodman 1700+ People CPAs and advisors for deep industry and subject-matter 11 States and District of Columbia experience, plus a hands-on style that beats service 14th Largest Healthcare Management Consulting Firm expectations. 1 Go-To Relationship Partner muscle + efficiency CPAs and Advisors throughout the South and Mid-Atlantic | dhgllp.com/healthcare 4 2011 ANI Keynote Speaker Shares 5 Principles for Managing Change How can healthcare finance professionals help their teams The five principles of managing change, which Thompson reach their greatest potential during a period of great illustrated with videos featuring anecdotes from HFMA change, fear, and stress throughout the industry? Mark board members and leaders, are the following: Thompson, former chief customer experience officer for • Defining reality, defined as facing the brutal truth— Schwab, shared five principles for managing change and making a difference. Debi Kuchka-Craig, 2010- during a keynote presentation Wednesday morning at 11 chair for HFMA, said the first steps to defining HFMA’s ANIANI: The Healthcare Finance Conference in reality are to embrace change, “not to just hope that Orlando. it goes away,” and “to recognize that while we might be doing the same thing for a long time, it may not be the best way.” ANI Keynote Presenter • Build buy-in. “Have we gone back to our Mark Thompson organization’s and found purpose and meaning” in people’s objectives and their mission, Thompson asked ANI attendees. “I think we all have a greater sense of ownership if we’re able to participate (in “Why are all of you here today? Why are you all in this change) in some way,” said Steve Rose, HFMA profession? I think it’s because you’re passionate,” secretary/treasurer. Thompson, author of Success Built to Last and Now. Build a Great Business , told healthcare finance • Mentorship. “All of us here are mentors,” Thompson professionals at the conference. told ANI attendees. “people are looking at us under magnifying glasses, looking for exceptions.” Healthcare finance professionals who attended ANI have the capacity to make a difference in transforming our • Building trust through competency and empathy. nation’s healthcare delivery system because they have Ralph Lawson, chair-elect for HFMA, says the change passion for what they do and are willing to stand for that is taking place throughout the healthcare change, Thompson told the audience. industry is accelerating. Our society has spoken, Lawson said: People do not want to continue to pay He told of the time when he was in high school, his as much as they’ve been expected to pay for parents had divorce, his older brother was having grand- healthcare services; they want greater value. “I think mal seizures and had not yet found the appropriate care, this industry has done a terrible job of defining and and his mother feared the family would lose their home. communicating value,” Lawson says. Communicating Thompson and his sister found part-time jobs to help pay the need for improved value to employees on the the rent at the same time that his brother found a clinic front lines is critical: Healthcare professionals “will that could treat him. Thompson spent the next several begin that process of innovation, but they have to years scrubbing toilets, but “I was so proud, because I understand why it’s important,” Lawson says. could make a difference,” he says. “I could make a change against all odds. • Define value. “Never assume we know somebody else’s definition of success,” Thompson says. The “How many of you feel that conviction?” Thompson asked three fundamentals of success that drive high ANI attendees. achievers are purpose, performance, and passion, he says. 5 Medicare's Future Reprinted with permission from HFM Magazine What will the Medicare program look like in markets. The approach relies on the markets to solve the five or 10 years? problem without the heavy hand of government intervention. But a significant portion of our current The answer to this question will overall healthcare coverage is provided by private health have a profound impact on our insurance, and there has been no evidence that private nation’s seniors, as well as the plans contain costs any better than the government. In fiscal solvency of the federal fact, per capita spending for Medicare’s private insurance government. In the past, Congress alternative, Medicare Advantage, is actually higher than has only tinkered with the per capita spending for Medicare’s fee-for-service plan. program, recognizing the political fallout of a drastic overhaul. Finally, neither approach addresses adequately the issues of administrative costs. Without some provisions to This point may have been Richard L. Clarke, reduce regulatory burden, providers, payers, and evidenced by the election of DHA, FHFMA purchasers will continue to incur significant costs of Democrat Kathy Hochul over compliance with government regulations—a problem that Republican Jane Corwin in a recent New York would not be solved by shifting Medicare to perhaps congressional district election.