Healthcare Finance & Revenue Cycle Management Forum – Northeast
September 11-12, 2024 | Boston, MA
Hyatt Regency Cambridge / Boston
Jane Antulov
AVP, Revenue Management & Patient Access
Geisinger Health System
Alain Digon
Managing Director
Clearview Health & Wellness Group
Keisha Downes
Senior Director, Middle Revenue Cycle
Tufts Medicine
Amy Kalinick-Delmonte
Chief Financial Officer
Horizon Healthcare Partners
Dan Storer
Senior Managing Director, Group Head of Corporate Healthcare Banking
Huntington National Bank
Malik Bahar
AVP, Access Center & Loyalty
Virtua Health
Wanda Matthews
Chief Financial Officer
Eastport Health Care
Svetlana Lipyanskaya
Chief Executive Officer
NYC H+H/South Brooklyn Health
Erica Munger-Stigliano
Director, Utilization Management & Auditing Op Services
Penn Medicine Princeton House Behavioral Health
Yta Toribio
Senior Vice President, Revenue Cycle Management
Schweiger Dermatology Group
Henry Chen
Chief Executive Officer
Chinese Community ACO
Sarah Ginnetti
AVP, Revenue Cycle
UConn Health
Crystal Isom
Director, HIM & Coding
NewYork-Presbyterian
Jennifer Rivers
System Director, Utilization Management, Appeals & Denials
Hartford HealthCare
Renato Suntay
Chief Financial Officer
Meadville Medical Center
Tanvir Sahsi
Sr. Director, Business Operations & Revenue Cycle
Mount Sinai Health System
Jennifer Davis
Director, Clinical Denials Management
UMass Memorial Medical Center
Andrew Hawes
Director, Strategy & Business Development
Boston Sports Medicine
Jeffrey Palmieri
Head of Healthcare Digital, AI Coding, & Receivables Finance
Huntington National Bank
Christine Masotti
AVP, Payer Negotiations and Network Development
UConn Health
Joe Vasile, MD
President & CEO
Greater Rochester Independent Practice ACO
8:00 REGISTRATION AND WELCOME COFFEE
8:55 OPENING REMARKS & PROGRAM WELCOME
9:00 EXECUTIVE PANEL DISCUSSION: CURRENT STATE OF THE HEALTHCARE INDUSTRY
• Forecasting legislative and policy changes & their impacts on healthcare
• Innovative improvements to financial operations and care
• Adapting to the changing healthcare landscape
• Overcoming obstacles to providing accessible and equitable healthcare
Jane Antulov, AVP, Revenue Management & Patient Access
Geisinger Health System
Yta Toribio, SVP, Revenue Cycle Management
Schweiger Dermatology Group
Wanda Matthews, CFO
Eastport Health Care
10:00 STREAMLINING REVENUE: BRIDGING BILLING AND CLIENT VISITS
Join us for an insightful exploration into the critical link between billing/coding practices and client visits in healthcare. In this discussion, we will delve into the significance of aligning billing behaviors with client encounters and unveil strategies to unlock maximum revenue potential per visit. Learn how to navigate the intricacies of billing and coding to optimize revenue streams while ensuring quality care delivery.
Alain Digon, Managing Director
Clearview Health & Wellness Group
Andrew Hawes, Director, Strategy and Business Development
Boston Sports Medicine
10:45 NETWORKING & COFFEE BREAK
11:15 PARTNERING WITH FINANCIAL INSTITUTIONS AND TECHNOLOGY TO BUILD BETTER HEALTHCARE BUSINESSES
Running successful healthcare businesses in today’s environment was a challenge prior to Covid. Today, longstanding revenue cycle issues, ever-changing regulatory hurdles, labor shortages, inflation, and other market drivers have made it worse. Traditional solutions are no longer enough – industry stakeholders have to partner to solve core problems. Explore how healthcare providers can collaborate with partners like financial institutions and technology companies to survive and thrive.
Dan Storer, Senior Managing Director, Group Head of Corporate Healthcare Banking
Huntington National Bank
Jeffrey Palmieri, Head of Healthcare Digital, AI Coding, & Receivables Finance
Huntington National Bank
12:00 TRACK ONE: MAXIMIZING REIMBURSEMENT POTENTIAL: LEVERAGING OBSERVATION IN UTILIZATION MANAGEMENT
Discover how to optimize reimbursement potential by harnessing the power of observation in utilization management. This discussion group explores innovative strategies for identifying and leveraging observation opportunities to enhance patient care while maximizing financial outcomes. Gain insights into best practices, regulatory considerations, and practical implementation techniques to drive efficiency and effectiveness in utilization management.
Jennifer Rivers, Sr. Director, Utilization Management, Appeals & Denials
Hartford HealthCare
12:00 TRACK TWO: BUILDING EFFICIENT TEAMS WITH LEADERSHIP EXCELLENCE
In an era of remote and hybrid work, automation, and consolidation, team building has become increasingly harder. Leadership excellence can strengthen existing teams while providing an avenue for innovative methods of recruitment and retention. This roundtable will focus on leadership exemplified in behavioral health and community healthcare partnerships.
Amy Kalinick-Delmonte, Chief Financial Officer
Horizon Healthcare Partners
12:45 LUNCHEON
2:00 TRACK ONE: REMOTE WORKFORCE: INCREASING ENGAGEMENT & TEAM COMMUNICATION
In today’s digital age, the landscape of work has undergone a profound transformation, with remote teams becoming the new norm. While remote work offers unparalleled flexibility and access to global talent, it also presents unique challenges in maintaining engagement and fostering effective team communication. This roundtable delves into the strategies and best practices essential for maximizing engagement and enhancing communication within remote teams.
Crystal Isom, Director, HIM & Coding
NewYork-Presbyterian
2:00 TRACK TWO: RENEGOTIATING CONTRACTS TO UPHOLD PAYER ACCOUNTABILITY
In an era of evolving healthcare dynamics, the negotiation and management of payer contracts are critical for healthcare providers to maintain financial viability while upholding quality care standards. Participants will gain insights into the intricacies of payer-provider relationships, exploring strategies to navigate contract negotiations effectively. From understanding key performance metrics and reimbursement methodologies to leveraging data analytics for evidence-based negotiations, attendees will learn practical approaches to maximize contract value and uphold payer accountability.
Christine Massoti, AVP, Payer Negotiations and Network Development
UConn Health
2:45 COMBATING DENIALS: STRATEGIES FOR SUCCESS IN BEHAVIORAL HEALTH`1AQ
Explore innovative approaches and proven tactics to conquer the challenges of denial management within the realm of behavioral healthcare. This discussion group delves into the intricacies of navigating denials, offering insights into the root causes and effective countermeasures. Discover best practices, case studies; and expert perspectives to streamline denial resolution processes, optimize reimbursement, and ultimately enhance patient care delivery. Join us as we delve into the strategies that empower healthcare professionals to achieve success in combating denials within the dynamic landscape of behavioral health.
Erica Munger-Stigliano, Director, Utilization Management & Auditing Op Services
Penn Medicine Princeton House Behavioral Health
3:30 NETWORKING & COFFEE BREAK
4:00 EXECUTIVE PANEL DISCUSSION: OVERCOMING STAFFING CHALLENGES
• Exemplifying outstanding leadership in finance and RCM teams
• Addressing burnout and expanding retention initiatives
• Utilizing alternative recruitment efforts to acquire global talent
• Navigating technology innovations in the hybrid workforce
Sarah Ginnetti, AVP, Revenue Cycle, UConn Health
Keisha Downes, Sr. Director, Middle Revenue Cycle, Tufts Medicine
Svetlana Lipyanskaya, CEO, NYC H+H/South Brooklyn Health
5:00-6:00 COCKTAIL HOUR
8:30 WELCOME COFFEE
9:00 TRACK ONE: NAVIGATING CHALLENGES WITH REACH AND SHIFTING CMS POLICIES AFFECTING ACOS
As Accountable Care Organizations (ACOs) continue to play a pivotal role in healthcare delivery, navigating the complexities of regulatory frameworks such as REACH (Reducing Excessive Administrative Costs and Burdens in Healthcare) and shifting CMS policies is paramount for success. This discussion group will explore the challenges posed by changing REACH requirements and evolving CMS policies to offer strategic insights for ACOs to adapt and thrive in this dynamic landscape.
Henry Chen, Chief Executive Officer
Chinese Community ACO
9:00 TRACK TWO: SUCCESSFUL DEVELOPMENT OF REVENUE CYCLE TEAMS IN SPECIALTY CARE
In today’s dynamic healthcare environment, the role of exceptional leadership is more crucial than ever in building efficient and high-performing teams. This session will explore transformative leadership strategies that inspire and empower healthcare professionals. Attendees will gain insights into fostering teamwork, improving communication, and driving team effectiveness.
Yta Toribio, Senior Vice President, Revenue Cycle Management
Schweiger Dermatology Group
9:45 TRACK ONE: PREVENTATIVE MEASURES TO REDUCE AND MANAGE DENIALS
This roundtable will delve into the root causes of claim denials, ranging from coding errors and documentation deficiencies to lack of prior authorization and eligibility issues. Through interactive discussion, attendees will collaborate on preventative strategies aimed at addressing these underlying causes and minimizing denial rates. This discussion group will also explore best practices for denial management, including the implementation of robust processes for claim tracking, follow-up, and appeals.
Jen Davis, Director, Clinical Denials Management
UMass Memorial Health
9:45 TRACK TWO: FOSTERING UNITY: BUILDING DYNAMIC TEAMS AND CULTIVATING POSITIVE WORKPLACE CULTURE IN HEALTHCARE
In the ever-evolving landscape of healthcare, the importance of cohesive teams and nurturing a thriving workplace culture cannot be overstated. This discussion group delves into the strategies and best practices for fostering collaboration, communication, and camaraderie among healthcare professionals. From cultivating trust and respect to promoting diversity and inclusion, attendees will explore actionable insights and case studies to empower their organizations in creating an environment where both staff and patients thrive. Join us as we embark on a journey to unlock the keys to building resilient teams and cultivating a workplace culture that inspires excellence in healthcare delivery.
Malik Bahar, AVP, Access Center & Loyalty
Virtua Health
10:30 NETWORKING & COFFEE BREAK
11:15 PANEL DISCUSSION: EXPLORATION OF INDUSTRY DISRUPTORS AND INNOVATIONS
• Collaboration between health systems and the community to improve population health
• Improvements to staff recruitment and retention operations
• Impact of technology and innovations on the future of the industry
• Adapting to cyber attacks and a renewed focus on cybersecurity
Joe Vasile, MD, President and CEO, Greater Rochester Independent Practice ACO
Tanvir Sahsi, Sr. Director, Business Operations and Revenue Cycle, Mount Sinai Health System
Renato Suntay, CFO, Meadville Medical Center
12:15 CONCLUSION & CLOSING REMARKS
Previous attendee information:
CFO, Aspire Hospital
VP International Finance, CHRISTUS Health
VP Revenue Cycle Operations, Cooper University Health Care
AVP Revenue Cycle & HIM, Duke University Health System
Director, Physician Billing, Einstein Healthcare Network
AVP Clinical Integration & Contracting, Frederick Health
CFO, GBMC Healthcare
AVP Revenue Management, RCM Operations, Geisinger Health System
VP RCM, Grady Health System
Director, Finance, Houston Methodist
Patient Access Director, Inova Health System
Senior Director, Physician Reimbursement, Luminis Health
Executive Director, Managed Care Contracting, Mercy
AVP Revenue Cycle Operations, NorthShore University HealthSystem
System Director of Population Health, Ochsner Health System
Senior Director, RCM, Palomar Health
VP Finance, Parkland Health & Hospital System
VP & Corporate Controller, Prospect Medical Holdings
Senior Director, Corporate Access Management, Scripps Health
Director, Revenue Cycle, Sentara Healthcare
Director, Transplant COding, Stanford Hospital & Clinics
VP Payer Strategy, Temple University Health System
SVP RCM, Tufts Medical Center
VP Supply Chain & Financial Operations, Weill Cornell Medicine
VP Operations, Bridgeport Hospital, Yale New Haven Health System
HFMA Credits:
This program qualifies for contact hours/education points towards the HFMA Certified Healthcare Financial Professional (CHFP) and Fellow of HFMA (FHFMA) designations maintenance. HFMA requires self-reporting of education for CHFP and Fellowship certification maintenance and recognizes a contact hour as 50 minutes of continuous programming, excluding meals, breaks, or social activities. For more information about HFMA certification maintenance, click here.
Who should attend:
Executives that will find this program of greatest relevance are those currently working to discover new and innovative methods to advance the healthcare finance industry through active discussion and an open mind to new or different ideas. Job titles of those executives that will find this program to be most applicable to the job function include:
- Vice President of Revenue Cycle Operations
- Vice President of Finance
- Director of Health Information Management
- Director of Patient Access
- CFO, COO, CRO
- Director of Finance or Financial Operations
- Director of Revenue Cycle
- Revenue Cycle Manager/Senior Lead
