Health Care Industry Conference (HCC)

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Thursday, April 25, 2019
General Sessions

Registration and Continental Breakfast
7:30am-8:00am



Opening Remarks
8:00am-8:20am



Keynote Presentation: Healthcare Challenges (Credits: 1.0 TB)
8:20am-9:10am

Aurelio M. Fernandez
President and CEO / Memorial Healthcare System
Ft Lauderdale, FL

Overview of the current health care challenges facing hospitals today, including health care reform; reimbursement; patient experience; operational effectiveness; and population health among other issues.


Concurrent Breakouts (choose one)

Breakout 1: Revenue Recognition in Practical Terms (Credits: 1.0 AA)
9:15am-10:05am

McCrae Bennett
Senior Audit Manager / Crowe LLP
Tampa, FL

Shared experiences on the successes and lessons learned, and challenged encountered, during the first-year implementation of ASC 606 - revenue from contracts with customers with health care providers.


Breakout 2: Alternative Payment Models (Credits: 1.0 TB)
9:15am-10:05am

David McMillan, CPA
Managing Principal of Strategy & Integration Services / Pershing Yoakley & Associates, P.C. One Cherokee Mills
Knoxville, TN

The transition from fee-for-service reimbursement to value-based payments is rapidly accelerating.  Learn several new models including pay-for-performance, episodic payments, shared savings arrangements, and global budgets. 


Breakout 3: What you Need to Know About Medical Cannabis (Credits: 1.0 TB)
9:15am-10:05am

Charles Felix, CFF,CGMA,CPA
Owner / South Florida Hospital News & Healthcare Report
Boca Raton, FL
AND
Calvin E. Glidewell Jr
President/CEO
AND
Ryan Brandt, CPA, MS
Tax Manager / WithumSmith+Brown, PC
Whippany, NJ

Examine the accounting practice and legal implications of medical marijuana businesses.


Break
10:05am-10:20am
Concurrent Breakouts (choose one)

Breakout 4: Practical Considerations for Implementing Lease Accounting (Credits: 1.0 AA)
10:20am-11:10am

Amanda Brady, CPA, MBA
Vice President and Chief Accounting Officer / AdventHealth
Altamonte Springs, FL
AND
Omosede Ogiamien
Advisory Partner / Deloitte & Touche LLP
Los Angeles, CA

Demystify the new lease standards.  Hear the perspective of a health system, AdventHealth, that has implemented the Lease Accounting Standard and a professional service firm, Deloitte, that has worked with multiple clients within the industry implementing the standard.
 


Breakout 5: The Evolving Healthcare System: Chasing Value, Going Micro and Associated Regulatory Concerns (Credits: 1.0 AA)
10:20am-11:10am

Kyle Kramer, FACCA, FAAMA
Director, Strategy and Operations / Pinnacle Healthcare Consulting
Centennial, CO
AND
Kenya Woodruff
Partner / Katten Muchin Rosenman LLP
Dallas, TX

Examine the strategic value associated with moving key services outside the traditional hospital environment and their impact on the overall care delivery system.  Examine recent surveys and case law following the 2019 CMS guidance regarding the required length of stay to be considered a hospital for accreditation purposes.  The implications for specialty hospitals and ambulatory surgery centers will also be explored.


Breakout 6: Health Care Accounting Bootcamp for New CPAs - Part 1 (Credits: 1.0 AA)
10:20am-11:10am

Brandon Slauter, CPA
Audit Senior Manager / RSM US LLP
Orlando, FL
AND
Michael R. Mendez, CPA
Audit Senior Manager / RSM US LLP
Ft Lauderdale, FL
AND
Kirk P. Cornack, CPA
Manager / RSM US LLP
Ft Lauderdale, FL

Designed for young CPAs and those new to the health care field.  Receive an introduction to health care; understand appropriate terminology and tools; explore reimbursement and revenue cycles; learn current hot topics and much more.


Concurrent Breakouts (choose one)

Breakout 7: Telehealth Reimbursement and Billing: Legal and Regulatory Considerations (Credits: 1.0 AA)
11:15am-12:05pm

Monica R. Chmielewski
Attorney - Partner / Foley & Lardner, LLP
Chicago, IL

Explore current legal and regulatory issues and considerations relating to reimbursement and billing in telehealth, along with considerations related to corporate models and contracting for telehealth services.


Breakout 8: Tax Considerations in Health Care System Affiliations (Credits: 1.0 TB)
11:15am-12:05pm

Scott J. Mariani, JD
Practice Leader / WithumSmith+Brown, PC
Whippany, NJ

Learn the full range of tax planning, disclosures, opportunities and considerations related to:

  • mergers, acquisitions, affiliations
  • taxpayer different year ends
  • IRS group exemption ruling
  • Corporate reorganization and joint ventures
  • employment tax
  • Code Section 501 (r), including System Financial Assistance Policy (FAP)


Breakout 9: Health Care Accounting Bootcamp for New CPAs - Part 2 (Credits: 1.0 AA)
11:15am-12:05pm

Brandon Slauter, CPA
Audit Senior Manager / RSM US LLP
Orlando, FL
AND
Michael R. Mendez, CPA
Audit Senior Manager / RSM US LLP
Ft Lauderdale, FL
AND
Kirk P. Cornack, CPA
Manager / RSM US LLP
Ft Lauderdale, FL

This session is part 2 of a 3-part track for young CPAs and those new to the health care profession.


General Sessions

Luncheon Presentation: Recruitment & Retention of Health Care Financial Professionals (Credits: 1.0 TB)
12:05pm-1:15pm

Raymond Monteleone, CPA
President and Founding Member / Paladin Global Partners
Ft Lauderdale, FL

Explore recruitment and retention in this complex environment with multi-generations and multi-media channel.  Take a glimpse into the world of employment agencies and headhunters of the future.
 


Keynote: Federal Legislative and Regulatory Update (Credits: 1.0 TB)
1:15pm-2:05pm

Kathryn A. Reep
Vice President-Financial Services / Florida Hospital Association
Orlando, FL

Learn about the recent and pending Congressional activity impacting health care providers, as well as pending or proposed Medicare changes including the FY2020 inpatient prospective payment system proposed rule.


Concurrent Breakouts (choose one)

Breakout 10: AICPA Health Care Expert Panel Update (Credits: 1.0 AA)
2:10pm-3:00pm

Lindsey W. Roe
Partner, Assurance Services / Ernst & Young LLP
Chicago, IL

The Health Care Expert Panel serves the needs of AICPA members on financial and business reporting, as well as audit and attest matters.  The expert panel protects the public interest by bringing together knowledgeable parties in the health care industry to deliberate and come to agreement on key health care issues.  Learn about the panel's current focus areas and future projects.


Breakout 11: Structure and Diligence Considerations for Physician Practice M&A Transactions (Credits: 1.0 TB)
2:10pm-3:00pm

Justin R. Silva, MST, CPA
Senior Manager, Tax Services / RSM US LLP
Ft Lauderdale, FL
AND
Andy Jenkins, CPA
Partner, Transaction Advisory Services, Health Care Lead / RSM US LLP
Chicago, IL

Learn the structure and diligence considerations for physician practice M & A transactions.  Explore structure considerations for PEG investment and diligence.  Understand management agreement considerations.  Explain tax diligence focus areas (overall method, contractual allowances, related-party, management fee and more.


Breakout 12: Health Care Accounting Bootcamp for New CPAs - Part 3 (Credits: 1.0 AA)
2:10pm-3:00pm

Brandon Slauter, CPA
Audit Senior Manager / RSM US LLP
Orlando, FL
AND
Michael R. Mendez, CPA
Audit Senior Manager / RSM US LLP
Ft Lauderdale, FL
AND
Kirk P. Cornack, CPA
Manager / RSM US LLP
Ft Lauderdale, FL

This is part 3 of a 3-part track for young CPAs and those new to the field of health care.


Break
3:00pm-3:15pm
Concurrent Breakouts (choose one)

Breakout 13: Accounting for Software Implementation/Physician Guarantees (Credits: 1.0 AA)
3:15pm-4:05pm

Michael A. Shamblin
Managing Principal of Audit & Assurance Services / PYA, PC
Knoxville, TN
Explore the unique accounting rules and industry best practices for health care providers around the accounting and financial reporting for software development and implementation; as well as accounting treatment for physician guarantees.


Breakout 14: Robotic Process Automation (RPA): Optimizing Efficiencies in Health Care Provider Operations (Credits: 1.0 TB)
3:15pm-4:05pm

Clinnie F. Biggs Jr.
Director / RSM US LLP
Charlotte, NC

Learn the benefits and efficiencies gained in automating repetitive, high-volume tasks using RPA. Viewing a demonstration of RPA in the health care provider and revenue cycle space will highlight the ease of implementation and effectiveness of automation and machine learning. 


Breakout 15: Margin Optimization (Credits: 1.0 TB)
3:15pm-4:05pm

Domenic J. Segalla
Principal, Team Leader, Healthcare Advisory Group / WithumSmith+Brown, PC
Whippany, NJ

Learn methods, process and tools designed to enhance operations, improve margins and increase patient satisfaction through inserting education and tools into daily work flows.


General Sessions

Facilitating Physician Leadership in a Changing Environment (Credits: 1.0 TB)
4:10pm-5:00pm

Fraser Cobbe
President / Cobbe Consulting & Management
Land O Lakes, FL

Managing multiple physician organizations provides a front row seat to how an ever-changing landscape influences the personal and professional lives of the physicians we serve.  What are the major trends and challenges facing physicians and those opportunities for collaboration and leadership that have emerged as we respond to these disruptive forces.


The Latest From GASB (Credits: 1.0 AA)
5:00pm-5:50pm

Susan L. Friend, CPA
National Assurance Director, Nonprofit and Government Industries Group / BDO USA, LLP
Ft Lauderdale, FL

It's been a very busy GASB year.  Learn about the latest GASB pronouncements that will be implemented this year and in the next few years.  What can you look forward to from GASB in the future.


Friday, April 26, 2019
General Sessions

Keynote Presentation: Healthcare's Journey to the Future: This Isn't My Mother's Healthcare! (Credits: 1.0 TB)
8:00am-8:50am

Jaime Caldwell
President / South Florida Hospital & Healthcare Association
Dania Beach, FL

Explore some of the changes that are currently occurring in healthcare.  Learn about the changes in technology, labor force, alternative payment models, pharmaceuticals, and competition.  Healthcare is evolving at a rapid pace and the traditional medicine paradigms are undergoing almost daily change.  How do you survive and take advantage during these uncertain times?


Keynote: The Federally Qualified Health Center (FQHC) Healthcare Delivery Model and Movement (Credits: 1.0 TB)
8:50am-9:40am

Alejandro Romillo
President and Chief Executive Officer / Health Choice Network, Inc
Miami, FL

The war on poverty in the 1960s required the development of several key supporting governmental agencies to help Americans thrive.  Healthcare and the Federally Qualified Health Centers (FQHCs) were vital in the redevelopment of America's backbone.  Learn how these services impact over 28 million patients.  Explore how partnering with community-based organizations, hospitals, managed care plans and other patient-focused entities allows FQHCs to thrive in all local, state and federal administrations and budgets.


Concurrent Breakouts (choose one)

Breakout 16: How Changes in GAAP Will Impact Financial Covenants and the End-User's Perception of Your Financial Statements (Credits: 1.0 AA)
10:00am-10:50am

Farlen Halikman, CPA, CHFE
Shareholder / Moore Stephens Lovelace, PA
Orlando, FL
AND
Jeff Goolsby, CPA, CGMA
Shareholder / Moore Stephens Lovelace, PA
Tampa, FL
AND
Richard LeComte
Senior Vice President - Healthcare Banking / Bank of Oklahoma Financial Corp
Tampa, FL
AND
Matthew Kirchner
Credit Officer - Healthcare / Fifth Third Bank
Chicagco, IL

Explore how new accounting changes impact the end-user's interpretation of your financial statements.  Health care leaders and board members will discuss the potential impact on financial covenants, credit worthiness and  perception of financial health.


Breakout 17: Taxing the Exempt? The Impact of the Tax Cuts and Jobs Act on Tax-Exempt Organizations (Credits: 1.0 TB)
10:00am-10:50am

Emily J. Smithson, CPA
Manager - Tax Services / PYA
Tampa, FL

The Tax Cuts and Jobs Act of 2017 contains many provisions impacting tax-exempt organizations.  Discuss, in particular, its impact on tax-exempt hospitals with specific focus on the 21% excise tax for covered employees compensation exceeding $1 million per individual; changes to unrelated business activities and the use of net operating loss carry forward; tax treatment of fringe benefits and the potential impact of changes to employer-provided parking; and opportunities for planning under the new Act.


Concurrent Breakouts (choose one)

Breakout 18: Crush Payment Fraud Risk in 2019 (Credits: 1.0 TB)
10:00am-10:50am

Eric Waldenmaier
Vice President of Business Development / Paymerang
Richmond, VA
Payment fraud risk is a very real threat.  One slip-up in processing an ACH or wire transfer could cost you millions of dollars and result in significant embarrassment for your finance team.  Learn four ways you can build a resilient organization, ready to handle the growing threats in 2019.  Examine the latest scams and hear some practical ways to prevent them.  Uncover key payment threats.  Learn four layers of protection available to you to prevent payment fraud.  Identify practical implementation steps. 


Breakout 19: Single Audit and GASB Update (Credits: 1.0 AA)
10:55am-11:45am

Joel A. Knopp, CPA
Shareholder / Moore Stephens Lovelace, PA
Orlando, FL

Receive an update on single audit considerations for health care entities, as well as important GASB pronouncements impacting tax-district hospitals.
 


Breakout 20: Denials: Understanding the Financial Impact and the Interventions to Reverse and Prevent Them (Credits: 1.0 TB)
10:55am-11:45am

Karen Meador
Senior Physician Executive and Managing Director / BDO USA, LLP
New York, NY

Review data on claims denials with a specific focus on Medicare claims in NC.  Estimated costs of denials for hospital and physician groups will be explored.  Understand clinical denials, as well as the additional risk they present.  Hear suggested interventions with physicians/providers, case management, patient accounting, finance and operations, and health information management so that your organization can more effectively reverse and prevent denials.


Concurrent Breakouts (choose one)

Breakout 21: Fair Market Value and Commercial Reasonableness - Stark Law and Regulatory Risks (Credits: 1.0 AA)
1:00pm-1:50pm

Jana Kolarik
Partner / Foley & Lardner LLP
Jacksonville, FL
AND
Tynan Kugler
Principal / PYA
Atlanta, GA

Learn about the Stark Law and Anti-Kickback Statute with a focus on FMV and commercial reasonableness assessments and related risks.  Explore the enforcement agencies' interest in physician compensation arrangements and strategies to avoid FMV and CR-related pitfalls.


Breakout 22: Population Health and Analytics (Credits: 1.0 TB)
1:00pm-1:50pm

Ryan Willhite, CIA, CISA, CFE
Senior Audit Manager / Crowe
Ankeny, IA
Explore population health management concepts and how health providers are utilizing analytics to track both clinical and social indicators in an effort to reduce the overall cost of patient care.


General Session

Accounting & Auditing Update (Credits: 2.0 AA)
2:05pm-3:45pm

Lynda M. Dennis, CGFO, Ph.D
Lecturer / University of Central Florida Dixon School Of Accounting
Orlando, FL

Examine the recently effective and recently issued accounting and auditing standards affecting health care entities. 
 



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