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Lee Barrett, Executive Director, EHNAC

Mr. Barrett has been Executive Director of The Electronic Healthcare Accreditation Commission (EHNAC) since its inception in 1993. EHNAC is nationally recognized non-profit healthcare accreditation organization. He has 10 years leading healthcare professional services organizations including PricewaterhouseCoopers, SAIC, Covansys and Virtusa. He has 13 years in senior management roles in payer organizations including: MassMutual, Connecticut Mutual, Travelers and Aetna. He has also been in senior leadership for the American Dental Association Business Enterprises Inc. (ADABEI), the for-profit, wholly owned subsidiary of the ADA, a provider organization. He has led several healthcare software/services development companies including: MBEXX, Claredi, HealthEC and others in which many he facilitated their acquisition. He has served as chairman of WEDI, and ASCX12N Insurance Subcommittee, serves on the eHi Leadership Council and DirectTrust Board and has been on a number of other industry board roles.

He speaks nationally on a number of e-Health/HIT industry topics and is involved in a number of industry coalitions promoting the use and implementation of both administrative and clinical transactions, including the development and proliferation of electronic health records (EHR) and “Meaningful Use” including the Sequoia Project and the promulgation of the Direct Protocol and assuring the security/privacy of health Information exchanges. Mr. Barrett continues to work on key HIT industry initiatives that lay the foundation for health information technology – including support and implementation of key healthcare legislative mandates and speaks nationally regarding security, privacy and cybersecurity risk management/assessment and mitigation strategies and tactics.

Healthcare Payments Innovations
Lili Brillstein, Director of Episodes of Care for the Market Innovations Division, Horizon Blue Cross Blue Shield of New Jersey

Lili Brillstein is the Director of Episodes of Care for the Market Innovations division of Horizon Blue Cross Blue Shield of New Jersey. She is responsible for the overall direction, strategy, design and oversight of the Episodes of Care/Bundled Payment Program. When Lili joined Horizon in January of 2013, the Episodes program was still in pilot and included only total hip and total knee replacement episodes. Under Lili's leadership, the program has grown to include additional orthopaedic episodes, obstetrics and gynecology, GI, cardiology, oncology, and is the largest commercial Episodes program in the country. Lili also plays a leadership role in the advancement of Horizon's PCMH, ACO and other value-based models.

Lili serves as an advisor to CMS and other organizations, nationally, on episodes of care and bundled payment development, and is a recognized thought leader in the advancement of the Episodes of Care model as a health care value strategy for specialty care.

Healthcare Payments Innovations
John Burger, Director of IT -- Finance Operations, Kaiser Permanente

John has over 20 years of extensive IT experience in the health care industry and in high-tech industries in silicon valley. When looking to solve for today's challenges, not only does John look at cutting edge solutions, but he couples this with his extensive experience in various markets, spanning three continents - focusing on best business practices.

He currently is responsible for a strategic program designed to help Kaiser Permanente deal with some of the most challenging issues in today's competitive healthcare market, and they are: how do you continue improving data security without compromising the user experience? With this customer focused perspective, he is in the middle of a multi -year, multi -million dollar program that is designed to modernize how Kaiser Permanente accepts its member payments.

Healthcare Payments Innovations
Brandon M. Burnett, National Director, Revenue Cycle, Regions Outside of California, Kaiser Permanente

Brandon Burnett has been a Revenue Cycle professional for over 15 years. Brandon has led broad Revenue Cycle teams and focused on creating world class experiences that enhance the patient experience throughout all financial touch points. His passion is around creating patient experiences that make the financial encounter seamless and invisible throughout the patient care experience. He believes that technology along with exceptionally trained staff can increase both revenue and patient satisfaction. He is currently the National Director of Revenue Cycle for Regions Outside of California at Kaiser Permanente, focusing on front end processes to enhance the patient experience.

Healthcare Payments Innovations
Rene S. Cabral-Daniels, JD, MPH, Chief Executive Officer, Community Care Network of Virginia, Inc.

Rene Cabral-Daniels is currently the Chief Executive Officer for Community Care Network of Virginia, Inc., the Commonwealth of Virginia's only Health Center Controlled Network. In this role she oversees all Federally Qualified Health Center activities related to system interoperability and health information exchange formation. Rene is responsible for oversight of all federal HCCN grant activities as a contractor to the Virginia Primary Care Association.

Rene is a former Center for Medicare and Medicaid Services, Office of General Counsel attorney who was responsible for outpatient payment system regulation oversight. She was assigned as lead attorney for a number of cases as well as payment issues for providers in rural settings. Rene led Virginia's Office of Health Policy and Planning which included the State Office of Rural Health, State Office of Minority Health and Virginia's Primary Care Office. She is currently a member of the National Rural Health and Human Services Advisory Committee.

Rene holds a Masters in Public Health from Yale School of Medicine and Juris Doctor from the University of Virginia. She received her undergraduate degree from Tufts University.

Healthcare Payments Innovations
George S. Huang, Director and Senior Healthcare Analyst, Research & Economics Department, Wells Fargo Securities, LLC

George Huang joined the Wells Fargo Securities Municipal Research team in fall 2011 as a director and senior analyst, specializing in the Not-for-Profit Healthcare sector. George has more than 19 years of municipal finance experience, including more than 15 years of experience in the not-for-profit healthcare space, both acute care and long-term care. George has extensive deal structuring, credit analysis, risk management and workout experience. George has been ranked by Smith's Research and Gradings since 2012, receiving Municipal All-Star second team hospital analyst honors for four consecutive years.

Prior to joining the firm, George was a director at Assured Guaranty, a bond insurance company where he most recently managed the healthcare risk management group and previously underwrote new bond insurance. George was a vice president at Radian Asset Assurance, Inc., where he underwrote new bond insurance in the healthcare sector. At Mizuho Corporate Bank, George was assistant vice president, providing commercial banking services to the healthcare sector, as well as to public power and transportation credits. George began his public finance career at Moody's Investors Service, Inc., covering general government municipal bonds. Before that, George was a consultant with PHB Hagler Bailly, in the firm's energy and telecommunications practice. George has a B.A. from the University of Pennsylvania. George is a member of the National Federation of Municipal Analysts, the Municipal Analyst Group of New York, the American Hospital Association and the Healthcare Financial Management Association.

Healthcare Payments Innovations
Pam Jodock, Senior Director, HIMSS

Pam has more than 30 years of health care experience. She was responsible for the successful establishment and growth of two Midwestern hospice operations; has been involved in everything from product development to regulatory implementation to healthcare policy for two of the nation's largest health insurance companies and was directly involved in crafting language for the Patient Protection and Affordability Act. As the Senior Director of Health Business Solutions for HIMSS, Pam oversees the overall management and strategy development for HIMSS Health Business Solutions initiatives, which include Revenue Cycle Improvement, ICD- 10 Implementation/Operationalizing, Administrative Simplification, Fraud and Abuse, and Coding Integrity. Pam is a graduate of Eastern Oregon University with a BS in Politics, Philosophy and Economics.

Healthcare Payments Innovations
Bethann Johnston Managing Director, Global Transaction Services, Bank of America Merrill Lynch

Bethann Johnston is a Managing Director in the Global Transaction Services division at Bank of America Merrill Lynch. GTS delivers payment, liquidity and working capital solutions to businesses ranging from large corporations to the business banking sector, as well as financial institutions and governments around the world. Bethann leads Strategic Industry Solutions, focused on treasury product strategies and market opportunities for select industries with unique needs, such as healthcare and insurance.

Since joining the bank in 1983 in Florida as a credit analyst in the Relationship Manager Development Program, much of Bethann's career has been in a treasury product management and development role. Her background includes management responsibilities for revenue cycle solutions, lockbox, cash vault, deposits, remote deposit and image cash letter, specialized tax payment processing, check disbursements and ACH payments, and business process outsourcing. She has worked to bring to market new products such as image lockbox and cash recycler, and was part of a bank team that has been awarded three patents for cash processing solutions. Over the years she has participated in several efforts across the banking industry targeting the paper-to-electronic transformation of payments. Prior to product management, Bethann managed a treasury sales team in the southeast. Previous roles included commercial lender, branch manager and commercial credit department manager.

A graduate of the University of Florida's Warrington College of Business Administration, Bethann has earned the Certified Cash Manager and Six Sigma Green Belt designations. She is a member of the Healthcare Financial Management Association and the Association of Financial Professionals.

Bethann is a member of the LEAD for Women and Black Professional Group employee networks, and is also an LGBT Ally. She participates in the GBAM Women's Leadership Council and serves as a mentor in the GBAM Diverse Leader program. Bethann volunteers at bank-sponsored events such as teaching financial literacy in schools and working with Habitat For Humanity.

Living in Atlanta, Georgia, Bethann is involved in the community through her daughter's school and Girl Scouts and she serves on the board of trustees of her synagogue. She and husband Daniel Berger have two children, Jonathan age 22 and Elaine age 14. Bethann relaxes by hiking, reading, knitting badly, playing piano and flute, and singing in choral groups around Atlanta.

Healthcare Payments Innovations
Michael Manna, First Vice President, SunTrust

Mr. Manna serves as the healthcare domain subject matter expert for SunTrust's Treasury and Payment Solutions group. He is responsible for assisting T&PS sales in managing opportunities that involve solutions of multiple and technically complex treasury products to meet the highly customized and unique needs of clients engaged in healthcare financial operations.

With over two and a half decades experience in the financial transaction processing industry, Mike has spent the past eight years focused on providing technologies which optimize the settlement process of healthcare payables and receivables; working with major financial institutions, large national billers, payers and healthcare delivery organizations . He has substantial experience in a variety of organizational settings having held senior positions in sales, sales management, product and general management and M & A assignments at both private and public companies.

A Dallas native, Mike continues to reside in North Texas. He is an honors graduate of Boston College.

Healthcare Payments Innovations
Patrick Maurer, President, Apex Revenue Technologies

Patrick Maurer is President of Apex Revenue Technologies, the leader in patient financial engagement solutions that Fit the Payment to the Patient® to help healthcare providers improve revenue cycle results and strengthen patient relationships. Pat oversees product strategy, development, implementation, and customer success for Apex - leading the company's operations team to tailor game-changing billing and payment solutions for its clients.

In response to industry challenges, Pat's vision for a more personalized financial communication approach led the company to develop Apex Connect™ - an award-winning, cloud-based communications engine that leverages patient-centric data to segment patients with similar needs and behaviors, uses targeted messaging to drive desired actions, and measures results.

Prior to joining Apex, Pat worked as Executive Vice President and Sr. Operations Officer for SPS Commerce, a leading provider of cloud-based supply chain management solutions and also spent 10 years in the financial services industry. Pat holds a B.A. in Management, Organizational Leadership from St. John's University (Minnesota).

Healthcare Payments Innovations
Ron Moser, Sr. Auditor, EHNAC

Mr. Moser is currently senior auditor/reviewer for EHNAC and he has held this position since 2007. Specializing in the areas of healthcare IT and accreditation through EHNAC, he has led multiple companies through the EHNAC accreditation process.

Prior to working with EHNAC, Mr. Moser was Director of Clearinghouse Operations for NDCHealth (now part of RelayHealth), which he joined in 1987 as a chief architect of one of the nation’s first healthcare transaction networks. He led the IT team to ensure its healthcare network commanded a leadership position throughout its history. He has over 25 years in healthcare in both Health Information Technology (HIT) and senior business positions. Mr. Moser is a Certified Information Systems Auditor (CISA) and is also Certified in Risk and Information Systems Control (CRISC). He holds a BS degree in Computer Science from Taylor University.

Healthcare Payments Innovations
John O'Gara, Director, Senior Healthcare Segment Manager Business Strategy & Market Solutions Treasury Services, BNY Mellon

John currently is the Senior Segment Manager for Healthcare at BNY Mellon Treasury Services. In this role he leads a team responsible for the strategic development, marketing strategy, product management and client engagements specific to healthcare payers and providers. Through the deployment of effective go to market strategies this team identifies and deploys solutions specific to the payments streams and business intelligence related to revenue cycle management activities.

Prior to this role, John has held similar leadership positions in Healthcare Payments at PNC Bank and National City Bank. These positions included the responsibilities of developing new products and services needed to gain efficiencies in the collection and disbursement of payments; submission of and automated posting of claims data and achieving compliance for mandates associated with Protected Health Information and the Affordable Care Act. Mr. O'Gara has been responsible for the successful development of market entrance strategies, revenue growth and alternative operating models while serving as a strategic consultant for Symcor LLP, U.S. Bancorp, ImageScan Inc. and several payment processing startup companies.

Before focusing on the Healthcare industry , John spent 15 years in several capacities working in banking operations, technology and product management. Leading efforts such as platform replacements for check processing and lockbox; migrating new client bases and technologies as results of acquisitions and deploying successful continuous improvement plans to reduce overhead and revenue growth strategies to targeted markets.

Spending over a decade with The Bank of New York to begin his career in 1989, John rejoined BNY Mellon in late 2015 in his current position

Healthcare Payments Innovations
Scott Pickens, Managing Director, Arlington Healthcare Group

As a senior healthcare executive and consultant, Scott has over 30 years' experience of broad healthcare enterprise marketing, operational and technology leadership.

He's held numerous "C" level senior executive positions across the healthcare industry including:

  • Healthcare consulting and services firms
  • Commercial and publicly funded managed care organizations
  • Software, pharmaceutical and medical device manufacturing companies

Scott has worked extensively with Integrated Delivery Systems, Medicare and Medicaid programs, as well as population health management, occupational health, employee benefit, life and disabilityScott Pickens insurance, information services, behavioral health and web-based enterprises.

Scott offers clients a comprehensive and visionary understanding of how multiple players and stakeholders in the healthcare industry interoperate, collaborate and compete. He's built several successful new businesses and has consistently led his clients to the next level of success and value.

Healthcare Payments Innovations
Amy Redmond, Vice President of Revenue Integrity, Innovative Healthcare Systems, Inc

Amy Redmond has worked in the healthcare revenue cycle industry for more than ten years assisting organizations with revenue cycle excellence. Her expertise and passion is the ability to maintain and achieve operational efficiencies and compliance associated with revenue cycle management with emphasis on denial management. Mrs. Redmond first entered healthcare ten years ago as an Account Manager for a billing firm in Chicago. Today, she serves as Vice President of Revenue Integrity at Innovative Healthcare Systems, Inc. in Chicago, Illinoiswere she resides with her husband and three young children.

Ms. Redmond holds a Bachelor of Science degree from Illinois State University, CHBME Certification and is the current Chair of HBMA's Commercial Payer Relations Committee. Amy has served HBMA for more than eight years and continues to dedicate her time trying to make a difference for physicians in the healthcare industry.

Alan Robinson, CFO, Intermountain Regional Hospital

Alan Robinson has over thirty four years of financial management experience with Intermountain Healthcare. He has worked as financial analyst, finance director, hospital CFO, and Strategic Planner. During his tenure at Logan Regional Hospital, it has been recognized multiple times as a Top 100 Hospital by HCIA/Sachs Group and Truven.

His facility has implemented innovative solutions in revenue cycle and collections. Alan coordinates the Lean continuous improvement efforts at Logan. Last year the hospital implemented 2,000 ideas and saved nearly $2 million through process improvement initiatives. Intermountain, an Integrated Delivery Network, is preparing for risk assumption as an accountable care organization.

Alan has an MBA, CPA, CGMA, and is a Fellow with Healthcare Financial Management Association and the American College of Healthcare Executives. Alan recently received the Founders Medal of Honor from Healthcare Financial Management Association and currently serves in a volunteer leadership role on their Executive National Advisory Counsel.

Healthcare Payments Innovations
Kempton S. Smith, CRCE-I, VP Patient Financial Services – Regional Facilities, Corporate Operations, Carolinas HealthCare System

Kempton has been employed in healthcare and healthcare technology for over 30 years. This includes 21 years employment in acute hospital settings for both for-profit and not-for-profit health systems, and twelve years with "top 20" health systems. He also worked as a vendor, supporting technology product design and deployment, analyzing processes and "experiencing" various levels of detail in about 75 healthcare organizations. He currently serves as Vice President of Patient Financial Services in the Regional Services Division for Carolinas HealthCare System (CHS). In this role, Kempton oversees the Patient Access and Patient Accounting operations for eight hospital systems that contract with CHS for Management Services, and advises on strategic and operational matters for 5 other entities within CHS.

Once called a "pioneer" in Revenue Cycle technologies for implementing document management technologies (including Point Of Service Scanning and electronic signature capture) in the early 1990s, Kempton has experience implementing Main Frame Systems, Predictive Dialing Systems, Scheduling Systems, Contract Management Estimation, Claims System, as well as tools and modules supporting EDI Transactions, Customer Service, and Revenue Cycle Decision Support. Kempton has also coordinated mission-critical projects to enhance cash flow for financially distressed organizations. These include implementing Point of Service Collections and Requiring Payments for Non-Emergent Services in the ED, Comprehensive Medicaid Eligibility, Expanded Financial Counseling Services, and Revenue Outreach.

Kempton also served in leadership roles in State and National AAHAM including National President and Board Chairman. He is a contributing author The Patient Accounts Management Handbook published by (Aspen 1997). He has written articles for publications in HFMA, AAHAM, and various regional business journals, and has served on the Editorial Board for Aspens System's Healthcare Collector. Kempton is a graduate of Appalachian State University and native of Goldsboro, NC.

Presentation Overview: Managing in an Environment of Change The speed of change is accelerating. The pressures of Consumerism, Bed-side Registration, Red Flag Rules, HIPPA Privacy, Compliance, and Point of Service Collections seem minor compared to the growth of Consumer Expectations, Changes in Reporting Requirements, Outreach Program Expectations, Realization of EDI Transaction Sets, and New Technology Deployment that looms on the horizon.

These anticipated "uncontrollable" changes interrupt the ability to envision and execute changes departmental leaders would like to implement. to improve internal operations, improve employee morale, and enhance our patients' experiences.

We all know the resulting stress is significant for leadership and staff.

Managing in an Environment of Change will examine the pressures we face, sharing successes and failures experienced by others. This presentation will help participants develop ways of examining changes, understanding the root cause and developing strategies for success. This presentation will be pertinent to both day-to-day management and project leadership.

Healthcare Payments Innovations
Jamie Solak, Managing Director, Arlington Healthcare Group

Having worked as a senior leadership and strategic advisor, Jamie has over 25 years of healthcare, financial services, and technology industry leadership experience.

She's held numerous operational senior leadership positions in:

  • Fortune 500 companies
  • Venture-backed start-ups
  • Small and mid-size public and private companies
  • Public agencies

Jamie has collaborated with senior executives and management team leaders to drive sustained growth and performance success with commercial and publicly funded healthcare insurers, managed care organizations (employer-based, Medicare, Medicaid, TRICARE, Veterans Health & Benefits), and integrated delivery systems.

Healthcare Payments Innovations
Tarun “TJ” Theogaraj, Sr. Product Manager, CAQH

TJ has over 14 years of experience in the technology sector, in organizations ranging from 15-person startups to global multibillion-dollar corporations of over 100,000 people. He has held roles as a software developer, business analyst, operations manager and product manager, and is passionate about leveraging technology to solve complex problems.

TJ is currently the product manager for CAQH’s EnrollHub solution for healthcare EFT and ERA enrollments. In his previous role as Sr. Product Manager at DrFirst, he was responsible for expanding the company’s MedHx product into the Cerner market, and partnering with the government of British Columbia in a pilot program to enable real-time delivery of medication history at the point of care. Prior to that, he managed the conception, definition and delivery of healthcare startup Tyrula’s HCC RAMP app for Medicare risk adjustment.

He holds an undergraduate degree in electrical engineering from the University of Mumbai, and an MS in Information Systems and an MBA from Boston University.

Healthcare Payments Innovations
June St. John, CTP, Senior Vice President, Healthcare Product Manager, Wells Fargo

June has 28 years of Treasury Services product management and customer service experience. Since 2005, she has helped lead Wells Fargo's solutions development for the healthcare industry. Currently she is responsible for Wells Fargo's Revenue Cycle Management - Claims Payment Solution for Commercial/Government Insurance Payments product strategy and Supplier Payment Solution, a healthcare provider supply chain management payables strategy.

June is a frequent presenter and author on the convergence of healthcare and banking.

Currently she serves as the co-chair of HIMSS/Medical Banking and Financial Systems, Business Edge Task Force committee. She served as Chair of the HIMSS/Medical Banking and Finance Systems Steering Committee from July 2011 through June 2012. She was awarded the Evelyn Casillas Award in February 2012 by HIMSS as recognition of her industry leadership in healthcare financial services.

June holds both graduate and undergraduate degrees from the University of North Florida in Jacksonville, FL.

Healthcare Payments Innovations
Sherri Zink, Senior Vice President, Chief Data & Engagement Officer, BlueCross BlueShield of Tennessee

Sherri serves as SVP, Chief Data & Engagement Officer for BlueCross BlueShield of Tennessee and has been with the company for 5 years. In this role she has ownership of the Data & Analytics Center of Excellence and serves as the catalyst for data exploitation across the enterprise. She is the corporate leader of data insights and champions a culture of data-driven decision making. Her organization provides enterprise wide data management services, client reporting solutions, provider & accreditation analytics, and predictive modeling functions. Prior to joining BCBST, Sherri served as VP, Reporting & Analytics for Optum and as Director, Reporting Strategies for CIGNA Healthcare. Sherri has received several awards for her work in the analytic field including the 2016 ComputerWorld Top 100 Technology Leader Award, the 2016 Digital Edge25 Award, the 2015 HealthData Management All-Star Analytics Award for Population Health Project of the Year, CIO Magazine's Top 100 Most Innovative Use of Analytics, and ComputerWorld's Data+ Editor's Choice Award for the Custom 360 Analytics Platform leveraged by BCBST today.

Healthcare Payments Innovations

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Healthcare Payments Innovations