2014-15 Visions Issue 4
Transcription
2014-15 Visions Issue 4
Visions 2014-15 Issue 4 President’s Message It is hard to believe that the 2014-15 chapter year will be coming to a close in the next few weeks. It has been a truly wonderful year with many highlights. We hosted our first pure networking event as the Cavaliers took on the Miami Heat, celebrated our 60th anniversary in style at the Rocksino and streamed our first live event in a webinar format at the UH Provider Hosting Roadshow. 2014-2015 Chapter Sponsors Presidential Sponsors Ernst & Young First Credit Inc., (FCI)/RevCare HW&Co. Human Arc JP Recovery Services, Inc. McGladrey Over the course of the chapter year we achieved many goals set for our chapter by HFMA National. These goals were achieved through the steadfast support of our chapter members, sponsors, leaders and volunteers. Thank you all for your dedication to the Northeast Ohio Chapter of HFMA. Platinum Sponsors Brennan, Manna & Diamond, LLC. Fenner Fifth Third Bank Plante & Moran, PLLC Revenue Group/HRS As we look to transition leadership to the 2015-16 team I want you to know that the future of this chapter has never been brighter. The team, led by Don Urbancsik, recently conducted an in-depth strategic planning session to share innovative ideas that will take this chapter to new heights. Additionally, several chapter leaders had the opportunity to travel to San Antonio this past week to participate in the annual Leadership Training Conference (LTC). The conference prepares our leaders for the roles they will take on in the coming year and provides an opportunity to share best practices with our colleagues around the nation. Gold Sponsors CompMed Analysis Fidelity National Net Revenue PNC Healthcare I am looking forward to another successful year and continuing to be actively involved in the chapter. We are always in need of great new ideas and committee volunteers. If you are not already involved in the chapter or would like to become more involved, I encourage you to contact one of our chapter officers to discuss the plethora of opportunities available to you. I thank you all for your commitment to making our chapter great. It has been an honor serving as your President. Sincerely, Justin Williams President Northeast Ohio Chapter of HFMA Silver Sponsors Bruner-Cox, LLP Cirius Group, Inc. Crowe Horwath LLP KPMG ProAssurance Receivables Management Partners The ROI Companies The Wellington Group, LLC Bronze Sponsors BKD, LLP Calfee, Halter & Griswold LLP Emrhein & Associates Helvey & Associates Meridian Leasing Corporation Parallon Quadax, Inc. The Shamrock Companies Inc. UCB, Inc. VISIONS NEWSLETTER ISSUE 4: 2014-15 New Members - Welcome to NEOHFMA! Please welcome our newest members to the Northeast Ohio Chapter of HFMA. Look for them at our next meeting and welcome them to our organization. Justin Meiser Inpatient Medical Services, Inc. Matthew Sharp The MetroHealth System Brian D Wellock Escallate, LLC Christina A Steffl Human Arc Richard Kundrata CELCO John Beirne, Jr. Director, Business Development Beth A. Reimer Pease & Associates Kyle Hennis Bruner Cox, LLP Sandra K Peffer Human Arc Corporation Kimberly A Barker Mary J Hudec Odyssey Health Systems, LLC Welcome Back! HFMA Members that have reinstated their membership during this past quarter. James A Baraona Westshore Primary Care Anthony E. Naoum The MetroHealth System Christine M Sanderson CBS Healthcare Consulting, LLC Vurned M Stilgenbauer Cleveland Clinic Regional Operations / Marymount Matthew J Fadel Jason G. O'Rourke Stanford Hospital & Clinics Tom L Yoder Ontario Systems Jeffrey J. Lampson Community Care Ambulance Network Melissa Cox Accretive Health VISIONS NEWSLETTER ISSUE 4: 2014-15 NEO HFMA 60th Anniversary Party On behalf of the 2014-2015 Networking committee I would like to thank all of the attendees of the NEO HFMA 60th Anniversary event held on Wednesday, April 22nd, 2015. Our event was held in the Club Velvet room located inside the Rocksino. With nearly 70 attendees, our evening was packed with historical memorabilia and our Historian Frank Klaus who attended spoke with several members that viewed the “Passing on the Legacy” memory table. Additionally, Frank had several hundred pictures digitalized for us, so the archives are stored for later use. Several historical pictures of the founders of NEO HFMA, and documents were framed and displayed on each table for attendees to stroll around the room and look at. A slideshow was also playing during the entire evening with historical and current pictures included. After the “kickoff” VISIONS NEWSLETTER ISSUE 4: 2014-15 speech by our President Justin Williams, Bill Emrhein took control of the next hour with four very distinguished panel guests: Richard Hogg, William Keckan, Michael Szubski, and Bob Monitello. Bill asked several questions of the panel and not only did we receive opinions on where they feel the healthcare industry is heading, we also had some funny stories told by the panelists as well. It was truly an evening filled with lots of memories and visiting with old friends and the opportunity to meet new friends too. Additionally, there was a photo booth available for all attendees to have their pictures taken together with props and instant print outs for all to take home as a memento of the event. A copy of the pictures will be sent to us from the company and will be available for our viewing pleasure. It has been suggested that the slideshow and memorabilia be available at the GHALI for all attendees to see. Thank you again to our GREAT committee members! Each of you have assisted with our theme of: “Passing on the Legacy” Sincerely, Michelle Earich, CPhT NEOHFMA Networking Chair Certification Program Transformation By Kelly Linson, MBA, CPA, FHFMA The NEOHFMA chapter is proud to congratulate another one our talented members for recently earning Certified Healthcare Financial Professional (CHFP) status. Allana Haut is now our most recent certified member. Allana joins our growing list of 28 certified members of the Northeast Ohio chapter (NEOHFMA). Congratulations Allana! VISIONS NEWSLETTER ISSUE 4: 2014-15 Changes to HFMA’s CHFP Certification Program HFMA’s strategic vision characterizes the current healthcare business environment as the transformation of care to achieve value. Providers, physicians, and payers are all confronted with new business challenges. The nature of the business environment and its impact on industry stakeholders supply both the demand for and elements of a new approach to the CHFP. New CHFP program features A learning program designed to build comprehensive industry understanding and sharpen business skills; Two-module structure: 1) Achieving Strategy: the Business of Healthcare 2) Operational Excellence: Healthcare Industry Stakeholder’s Business Challenges; CHFP designation earned by successful completion of both modules; Online study materials created specifically to assist in mastering the business content. Why is the certification program changing? The healthcare reform environment has caused the industry’s key stakeholders—providers, payers and physicians—to fundamentally rethink existing business models. Care transformation is business transformation. The necessary success factor for finance professionals today: Change-oriented business acumen. The existing certification program focuses narrowly on applied finance and financial reporting and does not address the business environment. CHFP Program Important Dates: April 30, 2015 - Current CHFP exam registration ends • You may register for the current CHFP exam prior to April 30. You have one year from the date of registration to schedule your exam. For example; if you register in March 2015 you will have until March 2016 to schedule your exam. Also, if you need to retake the exam, the current exam will be available to you for as long as you need (based on current registration, scheduling, and retake policy). May 1, 2015 - New CHFP program pre-registration available • Pre-registration allows interested members to email HFMA. HFMA will email members as soon as the link to purchase and more information about the new program is available. June 1, 2015 - New CHFP program registration available. CHFP Program - Transition Groups For members who are currently pursuing certification and have begun actively preparing for the exam, or have been through a chapter certification webinar series or practicum study group, HFMA encourages continuing with the current process. VISIONS NEWSLETTER ISSUE 4: 2014-15 Current CHFP candidates can choose, at no additional cost, either to continue the traditional CHFP program or to wait until June 2015 to pursue the revised certification. These options are open to those who have: Purchased the self-study course since January 2014, whether they have completed it or not. Registered and paid for the CHFP exam via Castle since February 2014 (but not yet scheduled). Registered, paid for, and scheduled the CHFP exam via Castle since February 2014 (but not yet taken). Note: Members who may have been unsuccessful and are waiting to retake the current CHFP examination are not eligible. Candidates must choose one of these options by April 30, 2015 and notify Career Services at [email protected]. HFMA will provide the complete revised CHFP program (Modules 1 and 2) at no cost to all those who have purchased the CHFP self-study course and/or registered for the exam, as outlined above. For members interested in certification who have not yet begun preparing, HFMA encourages that they wait and use the new materials available in summer 2015 to prepare for the new CHFP. Questions about the new Certification Program? Please contact [email protected] or call (800) 252-4362 and ask for career services. As always, feel free to contact one of the NEOHFMA certification co-chairs: Kelly Linson - (440) 816-8071 [email protected] Christi Caister – (330) 297-2547 [email protected] Program Recaps Leading the Charge: Quicken Loans Arena March 12, 2015 On Thursday, March 12th the chapter hosted our annual leadership program entitled “Leading the Charge” at Quicken Loans Arena in Cleveland. Heidi Gartland, Vice President Government & Community Relations at UH started off the day with an update on the federal and state budget situation. The federal budget deficit has ballooned in recent years related to mandatory nondiscretionary program spending including Medicare, Medicaid and Social Security. Numerous efforts have been discussed to reduce the cost of these programs including reductions of up to 10% in medical education payments and decreased site neutral reimbursement. At the state level, a draft of the next biennial budget included a continuation of Medicaid expansion. Some modifications could include increased personal responsibility for beneficiaries such as a $20 month premium for certain income levels and possible fees for an office visit or prescription. The next speakers were Mark Leahy, General Manager for the Global Center for Health Innovation and the Cleveland Convention Center and John Paganini, Senior Manager at HIMSS Innovation Center. Mark shared the expected impact of the new facilities which is expected to exceed a $577M boost to the local economy based on 335 events currently planned with an estimated attendance of 582,000 participants. The city hosting the 2016 Republican National Convention, will be a major marketing opportunity to showcase the convention facilities, area hotels and local attractions. Such a VISIONS NEWSLETTER ISSUE 4: 2014-15 large audience is likely to generate additional bookings in subsequent years as long as attendees have an enjoyable experience. Mr. Paganini gave details of the HIMSS Innovation Center, which offers vast resources for consumers, providers and vendors in the healthcare industry. HIMSS main areas of focus are privacy and security, health business solutions, patient engagement, system interoperability and data analytics. The innovation center offers exhibitors an opportunity to showcase leading technological solutions in these areas. The afternoon session included Mary Mirabelli, Vice President, Global Healthcare Services at HP Enterprise Services sharing key factors impacting US healthcare including empowered consumers, regulatory pressure and a focus on patient experience. These pressures are creating a rapid realignment between physicians, providers and payors as aggressive goals from the Department of Health and Human Services is leading to a shift from fee-for-service to ACOs or bundled payment arrangements. Tom Ferkovic, Managing Director of Medic Management Group, LLC has spent over 25 years in the industry and has witnessed repeated cycles of history repeating itself. He compared to current ACO strategies to earlier fixed-payment efforts such as capitation. Focusing on physician practice management, he defined roles that are needed to ensure success while allowing a patient focus. A technician is vital to competes tasks and make things happen. A manager handles details, keeps score and handles crises while a leader provides vision, assesses the overall practice situation and takes calculated risks. Len Komorowski, CEO of the Cleveland Cavaliers and Quicken Loans Arena was a highlight of the afternoon. He shared insight on the culture of the NBA team and the businesses run by Dan Gilbert, which are built on culture, environment and philosophy. A key philosophy is that it is not who is right but what is right. This leads to a culture where input is valued from all team members and innovation is rewarded. The group is obsessed with finding a better way to do everything and not creating exceptions or excuses in under any circumstances. Craig Anderson Sr. was the final speaker of the day and offered leadership advice gained from reading top authors on the subject. He discussed Jim Tressel and the culture he created at The Ohio State University while serving as head football coach, which focused on creating great people who would serve as great contributors to team goals. He stressed that leaders should strive to create an environment for people to become heroes rather than focusing on catching errors and things done wrong. Organizations never have and never will change – it is the people within them that change and improve. It is the responsibility of leaders to facilitate change and encourage the team throughout the process. After the presentations the attendees enjoyed networking, cocktails, and hors d’oeuvres followed by two games of the Mid-American Conference Men’s Basketball Tournament. VISIONS NEWSLETTER ISSUE 4: 2014-15 University Hospitals Roadshow April 29, 2015 John Taylor, Director of Reimbursement, started the day with a discussion about the components of the Medicare Cost Report and the impact they have on Medicare reimbursement. He explained how the capital structure of the hospital impacts the cost report and Medicare reimbursement. Mr. Taylor also addressed the “good, the bad, and the ugly” of the Affordable Care Act and what we can expect to remain in place and what may change depending on upcoming legislation. Ron Dziedzicki, Chief Operating Officer at University Hospitals Case Medical Center discussed Disaster Preparedness. Mr. Dziedzicki John Taylor Director of Reimbursement brings extensive clinical and military experience to his role at UH. Ron University Hospitals explained how federal, state, and local resources are allocated in a disaster. He also discussed how UH developed their current Disaster Preparedness Plan and what we should be doing at home to be ready for disasters. Mr. Dziedzicki strongly encouraged participants to review the preparedness tips on FEMA’s website. The next speaker was Maria Kamenos, Vice President, Patient Access at University Hospitals. Ms. Kamenos described the changing healthcare market and the shift to a consumer driven market. Maria Attendees at the University Hospitals Provider Roadshow enjoyed refreshments as discussed the presenters discussed important topics in healthcare management. results of a national study on patient access metrics such as how long it takes to answer phone calls, call abandonment rates, and how far out appointments are scheduled. UH has been working on an overhaul of their patient access system and procedures and has experienced improvement in patient access metrics. Ms. Kamenos described areas where UH still needs to improve and the resources needed to meet the patient access goals. The final topic was community benefit. Deb Soblosky, Finance Director at University Hospitals discussed the reporting requirements of community benefit programs, what can be included, and what type of documentation the hospital must maintain. Joining Ms. Soblosky in the presentation on Community Benefit was Jori Mintz also of University Hospitals. Jori spoke about community needs assessments and changes in legal requirements as a result of the Affordable Care Act. Ms. Mintz also covered the requirements of the ACA in regard to collection efforts and the challenges of financial assistance policies for a large health system. Deb Soblosky, Finance Director University Hospitals VISIONS NEWSLETTER ISSUE 4: 2014-15 Save the Date – Upcoming NEOHFMA Programs Log onto the NEOHFMA Website (http://neohfma.org/events_calendar.html) for more information on our upcoming programs: Registration Open! 2015 Gerry Haggerty Annual Leadership Institute: Healthcare Sustainability in a Transparent Market May 13 - 15, 2015 The Double Tree Hotel 3663 Park East Drive Beachwood, OH HIGHLIGHTS *Keynote Speaker: Josh Mandel, Treasurer of Ohio *Vendor Selection Panel *New Networking Activities! More Details: http://neohfma.org/wp-content/uploads/2015/04/GHALI-2015Program_May1.pdf Visit the NEOHFMA Website to register. National HFMA Events– Save the Dates More information at http://www.hfma.org/ANI/Home/ Upcoming Live Webinars Take a look at the upcoming Webinars offered by HFMA and consider sitting in on one as an easy way to get the information you need on pressing healthcare finance topics. From the comfort of your office, you can participate in a Webinar and find the strategies and tools you need to help your organization achieve success. Log onto the HFMA Website (www.hfma.org) to sign up or get more information about the topic. VISIONS NEWSLETTER ISSUE 4: 2014-15 The following Webinars are free to HFMA members. Understanding HFMA’s Newly Redesigned Certified Healthcare Financial Professional (CHFP) Program Monday, May 11 — 11:00 – 12:00 p.m., EDT Speaker Joseph Abel, CPCC, ACC, PhD, Director, Career Strategies Programming, HFMA This webinar will cover: Summarize the structure of the new CHFP program Describe the rationale for realigning the CHFP program Understand the chapter’s role in the process for earning the CHFP designation Balancing Clinical and Financial Concerns: Insights on CMO-CFO Collaboration Tuesday, May 12 3:00-4:30 p.m. EDT Speakers o Michael Allen, CFO, Gundersen Health System o Greg Thompson, MD, CMO, Gundersen Health System o Jim Pizzo, Managing Director and Practice Leader, Physician Strategies, Kaufman, Hall & Associates o Matt Lambert, MD, Senior Vice President, Physician Strategies, Kaufman, Hall & Associates This webinar will cover: Avoid the pitfalls that often create discord between CMOs and CFOs Articulate how CMO and CFO roles are changing in light of the movement toward value-based care Identify specific opportunities to collaborate and establish a more effective working relationship for the benefit of provider organizations and the patients they serve Reining in Labor Costs Using Predictive Analytics and Data Transparency Wednesday, May 13 — 3:00 – 4:30 p.m., EDT Speakers: o Tamira Harris, PhD, MBA, MSN, CPHQ, CCM, Business Advisor, Performance Analytics, McKesson o Mary Pat Sullivan, RN, MSN, CNS, Chief Nursing Officer, Atlantic Health System This webinar will cover: Assess how data transparency can help your organization achieve sustainable cost reductions and other major initiatives VISIONS NEWSLETTER ISSUE 4: 2014-15 Describe the impact of data-driven decision-making on daily operations Demonstrate the value of reliably accurate forecasts for budget monitoring and understanding volume trends Review how demand forecasts can be used to actively engage the medical staff Tools and Takeaways: Scorecard associated with this initiative, including baseline metrics and year-to-date progress Fostering Provider-Payer Collaboration to Improve Chronic Care Management in Accountable Care Organizations Thursday, May 14 — 3:00 – 4:30 p.m., EDT Speakers: Michael Belman, MD, MHS, MPH, Regional VP, Medical Director – Clinical Programs and Innovation, Anthem Blue Cross Ellis Weeker, Medical Director, Pacific Partners Medical Group, Affiliate of Santa Clara IPA This webinar will cover: Assess the value of leveraging population analytics to find high-cost conditions for defined populations Recognize how failing to identify the effect of uncommon diseases decreases the opportunity to reduce overall cost of care Describe how care management can be shared by providers and payers to improve care coordination without impeding provider productivity Summarize how busy primary care office environments can be complemented—not compromised— through a careful introduction of care management processes and tools. Maximize the financial contributions from risk-sharing ACO programs through steerage to highest performing contracted providers and coordinating care transitions Creating Revenue Integrity Strategies for the Future Tuesday, May 19 — 3:00 – 4:30 p.m., EDT Speakers: Janet Jones, RN, Senior Consultant, Parallon Scott Armstrong, Senior Vice President, Revenue Cycle Services, Parallon VISIONS NEWSLETTER ISSUE 4: 2014-15 This webinar will cover: Develop a framework for creating a successful revenue integrity department that is specific to your organization’s unique needs Identify the key steps you must take to ensure your organization’s revenue is reviewed and monitored for accuracy and compliance Spot trends in your organization’s data Pinpoint key denial areas and detect billing anomalies Tools and Takeaways: NCCI manual RevCycle Pro 3M APC Finder – for the online references (CPT Assistant, Coding Clinic for HCPCS, Dr Z interventional radiology book) Hospital Outpatient PPS - Centers for Medicare & Medicaid Services Strategies to Ensure Compliance with IRS-501(r) and Its Impact on Patient Responsibility Workflows Wednesday, May 20 — 3:00 – 4:30 p.m., EDT Speakers: Mary Lee DeCoster, Vice President, Consulting Services, Adreima Steve Warner, Vice President, Patient Responsibility, Adreima This webinar will cover: Understand the comprehensive IRS-501(r) requirements Explore the impact on the billing cycle and initiate workflow changes Use best practice guidelines to determine use of extraordinary collection activities Maintain compliance with bad debt accounts Tools and Takeaways: A document that delineates key components of the IRS 501 regulation including strategies for implementation How Memorial Hermann Health System Improved Patient Satisfaction and Collection Rates while Reducing Costs Thursday, May 21— 3:00 – 4:30 p.m., EDT VISIONS NEWSLETTER ISSUE 4: 2014-15 Speakers: o Dennis Laraway, CFO, Memorial Hermann Health System o Theresa Pappas, Director of Finance, Memorial Hermann Health System o Tomer Shoval, CEO & Co-founder, Simplee This webinar will cover: Align engagement initiatives with consumer best practices Describe the role of self-service as a key performance indicator for patient financial services Identify drivers and pitfalls of self-service payment adoption Articulate the role revenue cycle plays in improving the patient experience Reducing Value-Based Purchasing Penalties by Improving Clinical Documentation Tuesday, May 26— 3:00 – 4:30 p.m., EDT Speakers: o Dr. Brett Senor, Internal Medicine/Pediatrician, Hospitalist, ICD-10 Chair/Advisor, Mission Health o Steve Robinson, MS-HSM, PA-O, RN, SSBB, CDIP, Principal, Premier Inc. This webinar will cover: Assess the financial impact of accurate mortality profiling Outline examples of secondary diagnoses that will impact mortality profiling scores, especially in ICD10-CM/PCS Describe the importance of physician engagement in documentation improvement A Cross-Organizational Approach to Costing, Performance Measurement, Decision Support, and Analytics Wednesday, May 27— 3:00 – 4:30 p.m., EDT Speakers: o Christine Santos, Chief of Strategic Business Analytics, Providence Health and Services o William Bercik, Director of Healthcare, Providers, Oracle Corporation o Sharon Rossi, Sales Consulting Manager, North America EPM Industry Team, Oracle Corporation VISIONS NEWSLETTER ISSUE 4: 2014-15 This webinar will cover: Consider projects involving the implementation of a centralized organizational approach and philosophy for costing, performance measurement, decision support, and analytics Develop a cost management mindset across stakeholders and regularly demonstrate the strategic importance of cost reduction Deliver transparent measurement and reporting buy-in among key stakeholders across your provider network Describe ways to implement network-wide process improvements and standardization Tools and Takeaways: Comprehensive vendor analysis First-hand collateral from a customer achieving success A 360-Degree Perspective on Best Practices for ICD-10 Readiness Wednesday, Jun 3— 3:00 – 4:30 p.m., EDT Speakers: o Nicole Cohen, Project Manager, Program Management Office Information Technology, Mount Sinai Health System o Brian A. Parkany, Senior Director, Strategic Programs - ICD10, Aetna o Mike Dennison, Senior Director, Regulatory Compliance Programs, Emdeon This webinar will cover: Understand best practices for collaborating with your payers to prepare for the ICD-10 transition Apply learnings from ICD-10 end-to-end testing to your transition plan Comprehend the importance of putting an effective denial management strategy into place Tools and Takeaways: White paper: Best Practices for Transitioning to ICD-10 ICD-10 readiness checklist Minimizing ICD-10’s Impact on a Physician Practice’s Revenue Cycle Thursday, Jun 4— 3:00 – 4:30 p.m., EDT VISIONS NEWSLETTER ISSUE 4: 2014-15 Speaker: o Crystal Clack, MS, RHIA, CCS, Director, HIM Practice Excellence, American Health Information Management Association (AHIMA) This webinar will cover: Review the impact on the revenue cycle as a result of ICD-10 implementation Identify revenue stakeholders Create key strategies to minimize ICD-10 stress Realign a revenue cycle post ICD-10 implementation Managing Perioperative Operations to Improve Margins Thursday, Jun 11— 3:00 – 4:30 p.m., EDT Speakers: o Minnette Beeson, Director of Perioperative Services, Akron General Medical Center o Amy Caslow, Lean Six Sigma Green Belt, Business Manager, Clinical Services, Akron General Hospital o Nayan D. Patel, CHCIO, FHIMSS, PMP, Director of Information Technology, The Heart Hospital Baylor Plano o Mohamad M. Safa, M.Sc, Business Systems Analyst, Surgical Services, The Heart Hospital Baylor Plano o Robert M. Craft, MD, Professor and Vice Chair/Residency Program Director, Department of Anesthesiology, University of Tennessee College of Medicine, Knoxville o Daniel A. Biggs, MD, M.Sc., Associate Professor/Medical Director of Anesthesia Informatics, Clinical Director of Perioperative Services, Department of Anesthesiology, University of Oklahoma This webinar will cover: Understand how organizations leverage data and drive improvements in perioperative services Describe how improvements in perioperative metrics can improve margins Examine how OR leaders implement to make changes and drive better performance and margins Tools and Takeaways: White Paper: Anesthesia Information that Enables All Perioperative Phases of Care White Paper: Bringing the power of information to the OR supply chain How Overtime May Be Harming Your Business and Patients Tuesday, Jun 16— 3:00 – 4:30 p.m., EDT VISIONS NEWSLETTER ISSUE 4: 2014-15 Speaker: o Patrick Ball, General Manager, Consulting, Sage Growth Partners This webinar will cover: Understand the quantified impact of overtime’s total cost implications in the use-cases presented Connect the impact of overtime with nurse safety, staff turnover, and medical errors Identify the compelling link between overtime and its implications on patient satisfaction Recognize workforce overtime control as a dominant strategy for long-term success Tools and Takeaways: White paper: Adding It Up: Accounting for the Transformational Power of an Optimized Workforce Ellis Medicine case study on reducing overtime Kudos Congratulations to Allana Haut, CHFP on successful completion of the HFMA certification examination. We’re excited to share your achievements so please send any updates Chris Maeder ([email protected]) Puzzle Sometimes I boldly say, "Here I stand." Other times, as in a trick, I hide inside. I'm almost everywhere, it's not like I'm banned, So I know you'll easily find me, in time. If I were to say, "I'm in 'this' and not in 'that,'" I'm sure you could find me in nothing flat. So who, or what, am I? E-mail your answer to Rhonda Ridenour at [email protected]. All correct entries will be included in a drawing and one lucky entrant will receive a $25 gift certificate. Previous Puzzle/Riddle Answer Three HFMA members paid $50 to share a $150 hotel room at ANI. Later, the manager realized he had failed to give them the $5 conference discount so he gave the bellboy 5 onedollar bills to return to the group. The bellboy returned one dollar to each of the members, but kept two for himself. So, the members paid $147 for the room, plus the $2 to the bellboy for a total of $149. Where did the extra dollar go? VISIONS NEWSLETTER ISSUE 4: 2014-15 Answer: There is no missing dollar. In the calculation, the $2 should be subtracted from (not added to) the $147 to get $145 paid for the room. The members paid a total of $147 for the room - $145 (the $150 rate minus the $5 discount) plus the $2 to the bell boy. The difference is the $3 that was returned to the attendees. The $2 that the bell boy kept is already in the $147 figure. Winner: Laura E. Porto, CPA Senior Financial Analyst, University Hospitals Finance Division