Fall Issue

October 2013


whatever it takes logoThe Maine Chapter of HFMA is continuing its newsletter contest!   
Congratulations to Jamie Boyd from Acadia Hospital on winning the July newsletter contest! 
 
(For contest details, check out the right panel below) 
 

Message from the President,

  

Greetings Maine Chapter of HFMA Members: 
 

 

Anne Cloutier

While the healthcare industry continues to change, so does the MaineChapter of HFMA.  In September the Chapter moved away from its traditional coastal setting and held the 2013 Annual Meeting at Hollywood Casino in Bangor.  In celebration of our Chapter's 55th anniversary we took the opportunity to welcome and recognize many Past Presidents who have continued to contribute to and support our chapter over the years.  As our key note speaker, we were very pleased to welcome Steve Rose, FHFMA, CPA and 2013-2014 HFMA National Chair.  Steve installed the current year Chapter officers and shared his vision on doing "Whatever It Takes" to meet our goals and address the challenges of our changing healthcare environment.  The event also included several local and national speakers providing insight on the latest trends in healthcare.  To cap off the session we heard the humor and motivational words of Dr. Steve Sobel who was able to get us to laugh at ourselves, our situations in a final moment of entertainment, to bring all of us all together in song.

 

The education events throughout the upcoming year will also feature many new ideas. The Medicare Cost Report & Reimbursement Symposium in December will be a joint session with the NH/VT Chapter.  This will provide increased networking opportunities and insight from fellow HFMA members.   January 2014 will bring ethics as you have never experienced them before as the Chapter invites Dr. Christopher Bauer to share his often humorous approach to avoiding ethical disasters.  Also, in March 2014 we will be featuring a new Revenue Cycle education session.  The Chapter will host members of the Healthcare Excellence Institute as they share their perspective on Lean and Six Sigma Methods to improve the Revenue Cycle.  Be sure to check the education calendar on our website for the details and a complete list of all of our education programs throughout the year.  http://www.mainehfma.org/site/epage/95574_263.htm

 

In September, President-Elect Denis Houle and I had the opportunity to attend the Regional Fall President's Meeting in Woodstock, VT.  This two day event provided a forum for leadership from each chapter and representatives from HFMA National to work together; sharing our successes and struggles and learning from the ideas and experiences of each other.  We also discussed the Region 1 Annual Conference which will feature a new track this year.  In additional to the traditional Revenue Cycle and Payment & Reimbursement tracks, the third track, Healthcare at the Crossroads, will focus on Leadership, Innovation and Managing Change.  Make sure to mark your calendars for May 14th and 15th for what is sure to be another great event at Mohegan Sun.

 

You should have recently received the Chapter Membership Satisfaction Survey.  The survey is conducted by the National HFMA office but is very important to our local Chapter leadership.    It is my hope that some of the changes implemented have addressed feedback received in prior surveys, whether it be new event locations, speakers or topics.  While our goal is that you are all very or extremely satisfied, as chapter leaders we want to know what works and what doesn't.  I encourage you to take a moment to provide feedback on the operation of our Chapter.  It is your input and suggestions that make our Chapter successful and ensure you that you receive the most value from your HFMA membership.

 

 

Sincerely,

     

Anne Cloutier  

President Maine Chapter HFMA  

Maine Chapter of HFMA Past Presidents in attendance at the Annual Meeting. From left to right: Joseph Wood, Vaughn Clark, Mary Griswold, Marjorie DeSanctis, Tamara Butts, Dayton Benway, Melanie Meader

 

Featured Article
Evaluating Your Organization's Operational Readiness for Health Exchange Marketplaces
  
By Jason C. Lee, Ken R. Steele,  Katie C. Fellin, ECG Management Constultants, Inc. 
  

As the first new major federal healthcare program implemented since the introduction of Medicare and Medicaid in 1965, health exchange marketplaces promise to bring numerous strategic and operational challenges for even the savviest providers. Although some providers have modeled the potential implications of health exchange product contracts, few organizations have thought through the operational realities of accepting new health exchange patients and payment rates. While initial enrollment has proceeded at a slow pace, beginning on January 1, 2014, providers across the country will be faced with an array of issues as patients with new coverage seek care. Proactively addressing these challenges head-on will help any provider achieve success as marketplaces become the norm in the new health reform era.

 

 

Click here for full article

Critical Access Hospitals Soon to Undergo CMS Reassessments

  
By Brett Seekins, Senior Manager, Baker Newman Noyes
  

The Department of Health and Human Services Office of Inspector General (OIG) has issued a report, Most Critical Access Hospitals (CAH) Would Not Meet The Location Requirements if Required to Re-Enroll in Medicare (August 2013). The basis for the report was to determine whether certified CAHs could meet the variety of regulatory requirements under re-certification today.

 

The findings within the report are shocking. If CAHs were to undergo a re-certification examination today, nearly two-thirds would not meet the location requirement and 846 out of 1,329 would not meet the rural requirement.

 

Click Here for Full Article

 

Save The Date - 2014 Region 1 Annual Conference
 
 
  
  Three Tracks to Choose from:
  • Revenue Management
  • Payment & Reimbursement
  • Healthcare at the Crossroads

 

Keynote address by Donald Berwick, MD, Former Administrator, CMS; Founding CEO, Institute for Healthcare Improvement

 

Capstone address by Fred Lee, Author of "If Disney ran your hospital: 9 1/2 things you would do differently"

 

Register by February 28th to receive last year's early registration rate!

 

Maine Chapter of HMFA Recognizes Members for Their Contribution

  

HFMA recognizes that its strength lies in volunteers, who contribute their time, ideas and energy to serve the healthcare industry and their profession. In 1960, HFMA established the Founders Merit Award program which acknowledges the contributions made by HFMA members. Awards are part of a merit-rating plan in which specific activities are assigned a range of point values for a variety of activities such as volunteering in a local chapter, writing an article, speaking at an educational event, mentoring a new member, etc.

  

The Awards are as follows:

  

The William G. Follmer Bronze Award - awarded to an individual who earns 25 member points. This award is named after William G. Follmer, who is credited with the creation of the American Association of Hospital Accountants (AAHA), now HFMA.

 

The Robert H. Reeves Silver Award - awarded to an individual with 50 total member points. Reeves, an organizing member of the AAHA, was elected president of AAHA in 1956 and was instrumental in creating the structure of AAHA.

 

The Frederick T. Muncie Gold Award  presented to an individual with 75 member points. This award honors Frederick T. Muncie, an organizing member of the AAHA, and the first president of the association (1947-1949).

 

During the annual meeting, Maine Chapter of HMFA recognized several members for their dedication and contribution to chapter's success.  

  • Raye Porter, CPA
    Anne Cloutier presenting Raye Porter with Follmer Bronze Award

Recipient of The Robert H. Reeves Silver Award:

  • Anne Cloutier, CPA
  • Aimee Plowman, CPA
  • Denis Houle
  • Natasha Erb, FHFMA, CPA

Recipient of the Frederick T. Muncie Gold Award:

  • Kathleen Carmichael, FHFMA, CPA
  • Michael Koziol, FHFMA, CPA
  • Melanie Meader, FHFMA, CPA

 

 

Maine Chapter of HFMA congratulates this year award recipients for this outstanding achievement and applauds their continuous active participation in HFMA.     

 

Anne Cloutier with Melanie Meader and Kathleen Carmichael, recipients of the Muncie Gold Award

Long Awaited Disproportionate Share Instructions in the 2014 IPPS Final Rule

 

By Bill Clark and Michael Thomas, BKD

 

The Centers for Medicare and Medicaid Services (CMS) released the 2014 IPPS Final Rule on August 2, 2013, outlining several payment revisions as a result of the Patient Protection and Affordable Care Act (PPACA). Perhaps the most highly anticipated issue within the final rule is the revision to the Disproportion Share Hospital (DSH) calculation. PPACA required an adjustment to DSH payments as a result of the anticipated reduction in uninsured as well as distribution of payments based on hospital comparison of uncompensated care costs. The final rule discusses these changes in detail - and provides a curve ball along the way.

 
 

Maine Chapter of HMFA Installs New Board of Directors and Officers for 2013-2014 Year at the Annual Meeting

 

From left to right: Natasha Erb, Denis Houle, Jim Pacheco, Amy Atherton, Raye Porter, Kathleen Carmichael, Kathy Constantine, Anne Cloutier, Chrissi Harding, Melanie Meader, Vickie Heath, Andrea Duquette, David Kennedy. Absent: Michael Hendrix, Linda Osterman, Aimee Plowman 

   

 To view full directory of board members and officers click here

A Summary of the Schedule H Benchmark Report for Tax Years 2009 and 2010

by Scott J. Mariani, JD and Allison S. Kimowitz, CPA
  
This spring the American Hospital Association with the assistance of the public accounting firm Ernst & Young released a report entitled "Ernst & Young Schedule H Benchmark Report ("Benchmark Report") for the American Hospital Association Tax Years 2009 & 2010". This is the second consecutive year AHA collected community benefit information from tax-exempt hospitals and asked Ernst & Young to analyze and report on the information collected. The Benchmark Report was based upon information reported by tax-exempt hospitals on their annual Federal Form 990, Supplemental Schedule H, Hospitals, for the 2009 and 2010 tax years; respectively.The 2013 Benchmark Report provides comparative data for Federal Form 990, Schedule H filers for both the 2010 and 2009 years.
  

Maine Chapter of FHMA Honors Reginald Albert, FHFMA with Founders Medal of Honor  

  
At the annual meeting, Maine Chapter of FHMA recognized Reginald Albert, FHFMA for his extensive and continued involvement with the Maine Chapter as well as Regional and National HFMA over the years.  
  

Mr. Albert is the Vice President of Physician Practices at PenBay Physicians & Associates, PenBay Healthcare located in Rockport, Maine.

A member of HFMA since 1995, Mr. Albert served the Maine Chapter as Director, Vice President, President Elect and President. At the Chapter level, Mr. Albert has been an active participant in chapter's  activities including planning, education and leadership. Mr. Albert was actively involved in the chapter mentoring program for several years and proctored certification examination for chapter members. In addition, Mr. Albert made several contributions to local chapter newsletter and natioonal publication during his tenure with the Chapter. He has received the Follmer Bronze, Reeves Silver, and Muncie Gold merit awards for his contribution to the Maine Chapter. 

 

Mr. Albert's involvement with the National Association includes serving as a Regional Executive for the 2010-11 term and currently as a voluntary Director on the National Board of Directors for a three year term ending in 2014.

  

Mr. Albert, a Fellow of HFMA, holds a Bachelor of Science in Business Administration with a major in accounting from Thomas College and a Master of business administration, Master's Certificate in healthcare administration, from Southern New Hampshire University.

4 Ways to Drill Down into Bad Debt

 

By Craig Kappel and Brett McMillan

 

Revenue cycle scorecards typically track high-level bad debt metrics, such as "bad debt write-offs as percentage of gross patient service revenue." While these can help leaders understand recent changes in bad debt performance, they do little to pinpoint specific opportunities for improvement. To develop a sustained and robust understanding of the determinants of bad debt, healthcare providers need to drill down further by conducting four additional analyses.

 

 Click here for full article

 

CFO Spotlight:  

Maine Coast Memorial Hospital Hires New CFO

 

Maine Coast Memorial Hospital has hired Chris Frauenhofer as chief financial officer. Prior to joining Maine Coast Memorial Hospital, Frauenhofer served as CFO for Alice Hyde Medical Center in Malone, N.Y. Frauenhofer also served as CFO at Niagara Falls Memorial Medical Center in Niagara Falls, N.Y.

 

When asked about why he chose to come to Maine, Chris responded, "I have a strong personal and professional commitment to community based healthcare and value the opportunity to work and live in a close knit community located on the coast. I was impressed by the Maine Coast team and look forward to becoming an active member of the organization and the community." Chris will be re-locating to Ellsworth with his partner, Kelly Fitzgerald, who is a registered nurse. They have eight children in their combined family.

 

Frauenhofer earned a master's degree in business administration from Niagara University and a bachelor's degree in business administration from State University of New York at Buffalo.

 

Chris took time out of his busy schedule to answer some questions for the Maine Chapter of HFMA's Beacon NewsletterPlease welcome Chris and his family to our State.

 

Beacon: What's new and exciting happening at your hospital?

 

Frauenhofer: Attesting for Meaningful Use, Expansion of primary care, Improved quality and cost structure

 

Beacon: What is it like to work in your hospital?

 

Frauenhofer: When you work for MCMH you are part of integrated team whose primary focus is the patient and the quality of the care they receive.

 

Beacon: What is your business philosophy?

 

Frauenhofer: Under promise and over deliver, Exceed customer expectations. Do the right thing, for the right patient, at the right time.

 

Beacon: In your mind, what's the best way to keep competitive edge?

 

Frauenhofer: Be a good listener, be a learning organization (always looking to improve), and being responsive to your customer needs

 

Beacon: What has been your toughest business decision in your career?

 

Frauenhofer: Reducing the workforce due solely to reductions in reimbursement and changes in the economic landscape.  Never easy to let good people go just because you cannot afford them.

 

Beacon: What do you like best/worst about your job?

 

Frauenhofer: I really enjoy working with all the different team members that comprise a community hospital including physicians, nurses, and support staff. I do not like the significant amount of regulations that do not contribute to improvements in patient care, business development, or business operation.

 

Beacon: Moving to Maine is a big change from New York, what has been the best part and what has been the most unexpected?

 

Frauenhofer: I have found the Ellsworth Community and the State of Maine to be very welcoming and friendly.   I enjoy living and working here.  It is a privilege and honor to represent Maine Coast Memorial Hospital. The only unexpected part is the significant differences in the State Medicaid systems.

 

Beacon: What is your favorite book/hobby?

 

Frauenhofer: Great Gatsby and enjoying my time with Family

 

Beacon: If you could meet anyone, who would it be?

 

Frauenhofer: Michael J. Fox

 

Interviewed by Chrissi Harding 

 

In This Issue
Featured Article: Are You Ready for the Health Exchanges?
CAHs Soon to Undergo CMS Reassessments
Save the Date - 2014 Region 1 Annual Conference
Maine HFMA Recognizes Members
New DSH Regulations
New Officers and Board of Directors Installed
Summary of Schedule H Findings - How Does Your Hospital Stack Up?
Reginald Albert Received Medal of Honor
4 Ways to Drill Down into Bad Debt
CFO Spotlight
eBeacon Contest
Thanks to Our Sponsors
New Members
Upcoming Events
Free Webinars
Quick Links
Newsletter Contest
The Maine Chapter of HFMA is continuing its newsleter contest!  
  

 

The National HFMA has announced a new theme for the upcoming year -

"Whatever It Takes".

 

 

As you read the newsletter, look for this logo:

 

whatever it takes logo   

 

 It could be ANYWHERE so make sure to click on the full article links as you search for the logo. Once you find it, send an e-mail with your name and the location of the logo to Natasha Erb at nerb@fchn.org.

 

 You could win a $50 gift certificate to L.L. Bean!!

 

 

All entries must be submitted by November 15th. A winner will be drawn on Novermber 18th, 2013.

 

 

Happy reading! 

 

Thanks

To Our

Sponsors

GOLD SPONSORS

 

BNN

 BDM

e-management
maine recovery
Thomas agency
  

 

SILVER SPONSORS

 

DANA
BKD

 

BRONZE SPONSORS

 

Bangor

 

 

Welcome New Members!

 

Michele Staples

Manager

Berry Dunn

 

Susan Wright

Financial Planning Assistant - Reimbursement

 

Maine Medical Center

 

Greg Knight

Baker Newman & Noyes

 

 Mike Sullivan 

Account Executive
Willis of Northern New England, Inc.

 

Wendy Jones

Controller

Blue Hill Memorial Hospital

 

Nadine Bangerter

Budget Accountant

Penbay Healthcare

 

John Russell

Financial Analyst

EMHS

 

Amy Chute

Senior Accountant

Macpage, LLC

 

 

Upcoming Education Events

Save the Date

 

  

November 8, 2013

HFMA/AAHAM MaineCare Update 

Civic Center, Augusta

  

 

December 5 & 6

Medicare Cost Report & Reimbursement Symposium

Marriott at Sable Oaks, Portland

 

  

January 23, 2014

Ethics & Accounting Update

Senator Inn, Augusta

 


January 24, 2014
Hot Topics
Senator Inn, Augusta 
 
 
March 13 & 14th, 2014
Lean & Six Sigma Revenue Cycle Workshop
Senator Inn, Augusta
 
 
May 14 & 15th 
Region 1 Annual Conference
Mohegan Sun Casino, Uncassville, CT

  

 

TAKE ADVANTAGE OF

FREE HFMA WEBINARS

 

 

November 7

Building The Case for Integrating the Surgical Services Suites

2:00 to 3:30 pm, CST 

 

  

November 12

 Preparing Your Organization for the Influx of Insurance Exchange Patients

2:00 to 3:30 pm CST  

 

  

November 13

An Update on Healthcare Reform Legislative and Regulatory Issues

2:00 to 3:30 pm CST

  

 

November 14

Effective Strategies for Achieving Population Health Management 

2:00 to 3:30 pm CST

 

 

November 21

Improve Planning Accuracy and Efficiency with Service-Line-Based Budgeting and Forecasting Techniques

2:00 to 3:30 pm CST

 

 

To access full list of educational webinars click here: http://www.hfma.org/webinars/

 

  
ME HFMA Newsletter Committee 

Natasha Erb, chair, 207-779-2284,  nerb@fchn.org 

 

Laurie Melanson, committee member, 

L.Melanson@fmhospital.com

 

Stephanie Richio, committee member,

SRichio@bnncpa.com

 

David Kennedy, committee member,

dkennedy@berrydunn.com 

 

Chrissi Harding, committee member,

Chrissi.Harding@MDIHOSPITAL.ORG

 

Next e-Beacon
January 2014
  

Did you miss a Beacon publication? Visit Maine Chapter of HFMA website to view past issues:

 

Past Newsletters

 

 

 

We are always looking for new ideas and content to improve our newsletter. If you would like to join the Newsletter Commitee or would like to submit comments or ideas, please contact Natasha Erb at nerb@fchn.org