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1 The Ohio Society of CPAs Health Care Conference November 7-8, 2012 Columbus Course #00361CO SAVE $50! Register by Oct. 24 Hospitals Physician Practices Long-term Care Learn the short- and long-term prognosis for the health care industry Exhibitors: ADP Oswald Companies

2 Prepare for upcoming financial changes in the health care industry. From the Supreme Court s ruling on health care reform to the transition to ICD-10 and the impact of the election, change is inevitable. Join us to explore the latest legislative and financial developments as they relate to hospitals, physician practices and long-term care. DETAILS CREDITS DETAILS COURSE FEES Course #00361CO Two Days One Day Early member fee $369 $219 Early nonmember fee $524 $374 SAVE! Register by Oct. 24 for $50 early registration discount! DATE November 7-8, 2012 TIME Day one: 8:50 a.m. - 4:15 p.m. Day two: 8:30 a.m. - 3:30 p.m. (registration begins at 8:00 a.m. both days) Earn 8 CPE credits each day Standard member fee $419 $269 Standard nonmember fee $574 $424 LOCATION Crowne Plaza Columbus North 6500 Double Tree Ave. Columbus, OH CLICK HERE TO REGISTER NOW Two Days >> One Day

3 SCHEDULE AT A GLANCE Wednesday, Nov. 7, :00 a.m. - 8:50 a.m. Registration and Continental Breakfast 8:50 a.m. - 9:00 a.m. Welcome 9:00 a.m. - 10:15 a.m. GENERAL SESSION 1 Health Care s New Horizon: A 10-year Prognosis 10:15 a.m. - 10:30 a.m. Networking Opportunity and Refreshments 10:30 a.m. - 11:45 a.m. GENERAL SESSION 2 Transitioning to ICD-10: A Light at the End of the Tunnel? 11:45 a.m. - 12:45 p.m. Lunch 12:45 p.m. - 1:45 p.m. Physician practices Hospitals Long-term Care 3: Medicaid: It s Not for Everyone 4: Medicaid: Skilled Nursing Facility Update 1:45 p.m. - 2:00 p.m. Networking Opportunity and Refreshments 2:00 p.m. - 3:00 p.m. 5: Clinical Compliance Program 6: Recovery Audit Contractors in 2012 and Risk Mitigation Strategies 7: Mandatory Compliance Programs and Medicare Audits for Nursing Facilities 3:00 p.m. - 3:15 p.m. Networking Opportunity and Refreshments 3:15 p.m. - 4:15 p.m. 8: Physicians Selling To and Becoming Employed by Hospitals 9: Cost Reduction: Identifying the Opportunities 10: Creative Bank Financing Solutions for Long-term Care 4:15 p.m. Adjourn Thursday, Nov. 8, :00 a.m. - 8:30 a.m. Registration and Continental Breakfast 8:30 a.m. - 9:45 a.m. GENERAL SESSION 11 How the Election will Shape Health Care in :45 a.m. - 10:00 a.m. Networking Opportunity and Refreshments 10:00 a.m. - 11:00 a.m. GENERAL SESSION 12 Geriatrics: The Future is Today 11:00 a.m. - 11:15 a.m. Networking Opportunity and Refreshments 11:15 a.m. - 12:15 p.m. Physician practices Hospitals Long-term Care 13: Tax Uncertainty Revisited 14: Tax Update: Issues Affecting Health Care Organizations and Their Employees 12:15 p.m. - 1:15 p.m. Lunch 1:15 p.m. - 2:15 p.m. 15: Evolution of Physician Compensation Under Accountable Care 16: Long-term Care and the Law: Legal Update 2:15 p.m. - 2:30 p.m. Networking Opportunity and Refreshments 2:30 p.m. - 3:30 p.m. 3:30 p.m. Adjourn 17: Physician Revenue Cycle Management: Creating a Blueprint for Success 18: Charge Practices Associated to Contract Matters 19: The Ever-changing Issues Related to Long-term Care Revenue Cycles

4 SESSION DESCRIPTIONS Day One: Nov. 7, 2012 General Session 1: 9:00-10:15 a.m. Session 1 Health Care s New Horizon: A 10-year Prognosis Explore the unprecedented changes in health care and what the industry may look like in ten years. Today s health care system feeds off of volume doing more tests and more procedures. Tomorrow it may act like other industries in that it feeds off of quality and efficiency keeping people healthy in a cost-efficient manner. Kenneth Weixel, CPA, life sciences and health care managing partner, Deloitte & Touche, LLP, will kick off this conference by painting a picture of how the health care industry may look in the future. You ll learn how technology deadlines, new payment models and market forces are prompting a flurry of hospital-physician alignments and mergers among hospital systems. Weixel will explain how patient-care will be based less on volume and more on wellness and how there will be a surge of evidence-based medicine and information sharing among hospitals, physicians and insurance companies. (SK) General Session 2: 10:30-11:45 a.m. Session 2 Transitioning to ICD-10: A Light at the End of the Tunnel? Review the status of the ICD-10 transition. ICD-9-CM (International Classification of Diseases, Clinical Modification) has been in use in the United States for over 30 years, and it s time for an upgrade. Melanie Allen, RHIT, CCS, director and senior consultant, Audit Compliance Services, will provide a brief history of ICD-10 implementation in the U.S., and the current status of the timeline from the Centers for Medicare and Medicaid Services (CMS). Allen will explain the benefits and obstacles ICD-10-CM implementation brings to hospitals and physicians. (SK) Concurrent Sessions: 12:45-1:45 p.m. Session 3 Medicaid: It s Not for Everyone Find answers on the state of heath care today. How did we get into this mess? Are we getting value for our expenditures? What role does Medicaid play in the health care system? Jerome Friedman, J.D., advisor for health policy and associate vice president for external relations and advocacy, The Ohio State University Wexner Medical Center, will describe how health care reform seeks to make health care available and affordable. He ll also discuss the implications of the PPACA and the Supreme Court decision on the expansion of Medicaid and the general outlook for Ohio. (SK) Session 4 Medicaid: Skilled Nursing Facility Update Discuss Medicaid reimbursement for skilled nursing facilities for Fiscal year Peter Van Runkle, executive director, Ohio Health Care Association, will review the impact of the integrated care delivery system on skilled nursing facilities. He ll also provide insight on what may be coming in the reimbursement arena in 2014 and beyond. (SK) Concurrent Sessions: 2:00-3:00 p.m. Session 5 Clinical Compliance Program Focus on government audits of physicians, physician practices and hospital owned physician practices. Cristine Miller, CMPE, CCS-P, CHC, partner, Mountjoy Chilton Medley LLP, will reveal who appears to be the most active investigative body for auditing physicians. You ll learn more about who is targeted for an audit and how they were defended. Miller will also tell you what specific things you should do to protect yourself after you ve been notified of an audit. (AA) Session 6 Recovery Audit Contractors in 2012 and Risk Mitigation Strategies Review Recovery Audit Contractors (RAC) program in 2012, including new pre-pay audits. Diane Setty, RHIA, CPHQ, system director health information management, OhioHealth, will identify the potential red flags that make organizations more vulnerable to RAC review and the common problems that result in RAC denials. Setty will also describe what to expect during a RAC audit. (SK) Session 7 Mandatory Compliance Programs and Medicare Audits for Nursing Facilities Review the requirements for nursing facility corporate compliance programs that will become mandatory on March 23, 2013.

5 Aric Martin, J.D., managing partner, Rolf Goffman Martin Lang Co, LPA, will provide practical advice for facilities to consider when they are designing or updating their compliance programs. You ll learn what areas the government is focusing on, including the proliferation of Medicare audits that nursing facilities now face (such as, ZPICs, MICs, MRAs, etc.) You ll review the different expectations from the Office of the Inspector General regarding compliance systems based on the size of the organization. Martin will also explain how the government is increasingly auditing providers through contractors, and how many of these auditors use statistical extrapolation to reach very high disallowance amounts. (SK) Concurrent Sessions: 3:15-4:15 p.m. Session 8 Physicians Selling To and Becoming Employed by Hospitals Discuss the current trends in hospital acquisitions of physician practices and hospital employment of physicians. John Mulligan, J.D., member, McDonald Hopkins, LLC, will tell you how to assist physician clients who are considering selling to and becoming employed by a hospital. Mulligan will discuss the issues you and the physician will face as you consider this transition. (SK) Session 9 Cost Reduction: Identifying the Opportunities Understand the current national health care cost crisis and its impact on governmental payers and financial viability. Jamie Cleverley, MHA, principal, Cleverley + Associates, will examine the key characteristics of lowcost providers through a national research study. This research shows how hospitals are impacted by operating environment and methods to create a more lean cost structure. Cleverley will also present a framework for cost assessment, opportunity identification and management execution. (SK) Session 10 Creative Bank Financing Solutions for Long-term Care Understand how conventional banks perceive and underwrite the long-term care industry. Michael Mason, MBA, senior vice president health care finance, FirstMerit Bank, N.A., will review conventional and unique financing structure ideas/options including creative bond and bridge to HUD/Agency financing solutions. He ll also stress the importance of communicating your short- and long-term financing goals with your banker and how those discussions can positively impact your loan structure. (SK) Day Two: Nov. 8, 2012 General Session: 8:30-9:45 a.m. Session 11 How the Election will Shape Health Care in 2013 Learn how 2012 Presidential and Congressional elections will impact health care policy in 2013 and beyond. What will happen to Medicare/ Medicaid? Who will have access to health care? Dan Nickelson, MA, health policy consultant and former director of Government Relations for the Cleveland Clinic, will review all these issues as he discusses the fate of Obamacare. You ll also cover how to survive the December-January fiscal cliffs. (SK) Concurrent Sessions: 10:00-11:00 a.m. Session 12 Geriatrics: The Future is Today Find out if health care for seniors can be higher quality and less expensive. Robert Palmer, MD, director, Glennan Center for geriatrics, Eastern Virginia Medical School, will review the geriatric imperative: the population is aging, chronic diseases are on the rise, and medical costs are out of control. Geriatric medicine holds the solution for reducing costs and improving the quality of life and quality of medical care for our seniors. The models of care are already at work in acute care hospitals, skilled nursing facilities and home health care. Palmer will explain how health care reform has the potential to merge quality and cost savings to create a win-win for seniors today. (SK) Concurrent Sessions: 11:15 a.m.-12:15 p.m. Session 13 Tax Uncertainty Revisited Learn how to plan taxes even with tax legislation uncertainty. David DiManna, CPA, office managing partner and Jeremy Herman, CPA, associate, both with Plante and Moran, PLLC, will review the latest federal and estate tax changes. They ll discuss the choice of entity

6 SESSION DESCRIPTIONS structure in a rising rate environment. DiManna and Herman will also cover succession planning opportunities. (TX) Session 14 Tax Update: Issues Affecting Health Care Organizations and Their Employees Put your organization and your clients in a strong financial position with the latest tax information. Daniel Riemenschneider, CPA, CMA, tax partner, Bruner-Cox LLP, will provide a variety of tax tips and an update of the latest health care tax laws affecting everyone. He ll also review federal, state and local tax issues. (TX) Concurrent Sessions: 1:15-2:15 p.m. Session 15 Evolution of Physician Compensation Under Accountable Care Review the changing health care environment as organizations traverse significant transformational changes to their cultures. Quality and efficiency are becoming as important as productivity. Properly aligned physician compensation plans will help support this cultural change. Richard Sobieray, CPA, MHA, MSEd, chief financial officer and associate executive director, The Ohio State University Physicians and Faculty Group Practice, will compare physician compensation today versus tomorrow under accountable care. He ll also describe how physician compensation plans will need to evolve to meet the needs of the changing health care environment. (SK) Session 16 Long-term Care and the Law: Legal Update Understand the key reimbursement changes in Federal Medicare, Ohio Medicaid and the implication for providers, their bankers, vendors, employees and residents. Harry Brown, J.D., partner, Benesch Friedlander Coplan & Aronoff, will discuss the significant changes in long-term care reimbursement and regulations that have changed the picture in all phases of the market. Brown will also tell you how to cope with the Medicare reimbursement cuts. (SK) Concurrent Sessions: 2:30-3:30 p.m. Session 17 Physician Revenue Cycle Management: Creating a Blueprint for Success Review the priorities, benefits and tools for perfecting the physician revenue cycle towards becoming a best practice. George SeBlonka, senior director, revenue cycle, The Ohio State University Physicians, will show you how you can connect revenue cycle workflows and data. This will help improve front-end operations, optimize central billing and office performance. (SK) Session 18 Charge Practices Associated to Contract Matters Learn the impact of contract language. William Hunt, president, MedCom Solutions, Inc., will discuss how time changes can diminish reimbursement. You ll also learn how the lesser of contract language can affect pricing strategies and how medical record coding can be misinterpreted to cause lost reimbursement. (SK) Session 19 The Ever-changing Issues Related to Long-term Care Revenue Cycles Prepare for potential payment changes in the long-term care setting. Lee Heinbaugh, CFO, Altenheim and Shurmer Place, will discuss how Ohio Medicaid MITS problems are resulting in cash flow issues. Heinbaugh will also review Ohio Medicaid and what could be coming in (SK) More to explore MEGA Tax Conference Dec. 6-7 Course #04871CO Columbus All the information you need on taxes will covered at the MEGA Tax Conference. This two-day event will keep you informed and help you prepare for tax season as you review the latest changes to federal, state, municipal and business taxes. Health Care Special Interest Section Join OSCPA s Health Care Section to keep up-to-date on the effects of health care reform on medical personnel, hospitals, nursing homes and practitioners. You ll learn the latest information on federal reform, HIPAA compliance, regulations and more. Benefits of joining the section include a dedicated web page with relevant content and links to upcoming events, a weekly electronic newsletter and a community of your peers on LinkedIn for conversation and exchanges. Contact CPAnswers at for more information or to join.

7 Health Care Conference November 7-8 #00361CO Full Name Society ID/ * / Business Name Business Address City State Zip Fax Phone After Hours Phone Special Needs * Course confirmations will be sent via . In the event the Society does not have an address for you on file, confirmation will be mailed USPS. THE OHIO SOCIETY OF CPAs MEMBERSHIP STATUS (Check all that apply) Member Membership Pending The Ohio Society of CPAs Nonmember Other State Society Member (eligible for member rate) HFMA Member eligible for OSCPA member rate SESSION SELECTION Day One Nov. 7 12:45 1:45 p.m. 3: Medicaid: It s Not for Everyone 4: Medicaid: Skilled Nursing Facility Update 2:00 3:00 p.m. 5: Clinical Compliance Program 6: Recovery Audit Contractors in 2012 and Risk Mitigation Strategies Day Two Nov. 8 11:15 a.m. 12:15 p.m. 12: Geriatrics: The Future is Today 13: Tax Uncertainty Revisited 14: Tax Update: Issues Affecting Health Care Organizations and Their Employees 1:15 2:15 p.m. 15: Evolution of Physician Compensation Under Accountable Care 16: Long-term Care and the Law: Legal Update The Ohio Society of CPAs is paperlite CLICK HERE TO REGISTER NOW >> 7: Mandatory Compliance Programs and Medicare Audits for Nursing Facilities 3:15 4:15 p.m. 8: Physicians Selling To and Becoming Employed by Hospitals 9: Cost Reduction: Identifying the Opportunities 10: Creative Bank Financing Solutions for Long-term Care 2:30 3:30 p.m. 17: Physician Revenue Cycle Management: Creating a Blueprint for Success 18: Charge Practices Associated to Contract Matters 19: The Ever-changing Issues Related to Long-term Care Revenue Cycles PAYMENT Both Days: #00361CO Day One, Nov. 7: #00362CO Day Two, Nov. 8: #00363CO Register by Oct. 24 for early registration savings! Two Day One Days Early member fee: $369 $219 Early nonmember fee: $524 $374 Standard member fee: $419 $269 Standard nonmember fee: $574 $424 Check (Payable to The Ohio Society of CPAs) Company Credit Card Personal Credit Card Credit cards accepted: MasterCard, Visa, American Express, Discover Card # Expiration Date Name on card REGISTRATION OPTIONS ONLINE ohioscpa.com Under CPE, click on Course Catalog and enter the course #00361CO CALL CPAnswers at For quicker service, reference course #00361CO FAX with credit card. MAIL Ohio Society of CPAs 535 Metro Place S. P.O. Box 1810 Dublin, OH The Ohio Society of CPAs is paper lite and will NOT be distributing paper outlines at this event. All session outlines will be available to download or print via your Knowledge Gateway. Visit and select the CPE tab to log on to your Knowledge Gateway. Outlines can be located on your Upcoming Events tab prior to the event and then on the Past Events tab until Dec. 31 of your reporting year. Sponsors SAVE FROM Bundle Save 10-15% & Register for 3 or more 8-hour events at once and SAVE from 10-15%. This program is perfect for individuals or multiple registrants. Refer to for program details.

8 save $50! Register by Oct. 24 THE OHIO SOCIETY OF CPAs 535 Metro Place South Dublin, Ohio Co-sponsors: Connect with us: Facebook LinkedIn Twitter Health Care Conference November 7-8, 2012 Columbus Course #00361CO

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