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Inside this Edition

ANI Las Vegas 2

Hospital Readmissions 3

HealthCare Reform 5

New Members 8

New Board 09

Sponsors 14

Charge Master 15

Directory 18

July 2012 Issue

Mountain Talk Welcome to the “Changing Seasons of Healthcare”…this is a time when the need for leadership in Healthcare is more important than ever and I am sure this is why our 2012-2013 HFMA Chair Ralph E. Lawson chose the Chair’s theme of LEADERSHIP MATTERS. As the financial leaders in a quickly changing healthcare industry it is important that we are always striving to meet all of the new challenges with strong solutions to help lead our business forward during trying times. It is imperative that we continue to expand our reach to connect with those that have time, talent and resources to meet our mutual needs. I am certain that the membership and leadership of WV HFMA can make a big difference.

My hope for this year as president is to continue to increase our membership, to offer top of the line educational/networking opportunities and give back to our members and sponsors. We have had several years of growth and success in our chapter thanks to the endless hours of volunteer-ism provided by our membership. In the past year under Keith Morgan’s leadership the chapter was the recipient of three awards at the ANI Meeting held in Las Vegas. We will look forward to presenting those to our chapter at the January HFMA meeting in Charleston. For the last five years the number of education hours per member has increased from 17.6 to 22.6. This year Na-tional HFMA introduced a new educational goal that if achieved our chapter would receive the Platinum Award. I would be delighted to accept that Award in Orlando 2013. Our member sat-isfaction score for the prior year came in at 75% which put our chapter in the top 10% on that metric! I would encourage each of you to reach out to a colleague and get them involved in WV HFMA. There is certainly truth in the statement that there is strength in numbers.

Please make time in your schedule to attend our Fall Educational Meeting – “The Changing Sea-sons of Healthcare” September 26-28th at the scenic Snowshoe Mountain Resort. This will be a joint meeting with the WV HIMSS Chapter. We will have an exciting year with many educa-tional opportunities so please check our website often for dates, times and places. I hope to see as many of you there as possible. Please take a moment to speak with me or any of the leader-ship if you are interested in helping to grow the chapter or growing yourself.

I want to express my gratitude for the honor and pleasure of serving this chapter and working with a very talented and enthusiastic leadership team and energetic group of committee mem-bers. I am confident this will be a great year!!

Presidents Letter: Lisa Simmons

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2012 ANI Held In Las Vegas

The 2012 Annual National Institute was held in Las Vegas Nevada on June 24-27, 2012. Over the four day event there were some amazing speakers. Chesley B. Sullenberger III, better known as Sully, was one of the key note speakers. Sully spoke about the “Miracle of the Hudson”. He went into great detail on how he and his crew were able to land the airplane in the Hudson River, and how team work saved so many lives. There were many classes offered, anything from accounting, capital budgeting to surviv-ing the Revenue Cycle. On the last day of the event, the CNO from Mercy Hospital in Joplin Missouri gave a presentation in the aftermath of the violent tornado that destroyed the hospital along with the community. After listening to what they had endured it would make one realize just how lucky we truly are. Hats off to the amazing strides they have made to rebuild the hospital and recover from such devastation. At the President’s Dinner the West Virginia Chapter was recognized for its out standing work throughout the year. Keith Morgan was presented with Hottum award for educational performance improvement, the Gold award of Excellence for education, and the Sil-ver award for membership growth and retention. AWESOME JOB!!!

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Hospital Readmission Reduction Program

By: Kathy Ruggieri, Director, Revenue Cycle Services

The Patient Protection and Affordable Care Act of 2010 (Section 3025 of the Affordable Care Act added section 1886(q)) mandates that Centers for Medicare and Medicaid Services (CMS) implement a program in which hospitals with higher-than-expected readmission rates for certain designated conditions will experience reductions in their Medicare payments. The initial focus will be on readmissions related to heart failure, heart attack and pneumonia. The imple-mentation of this program and these reductions commences for fiscal year 2013 discharges. It is expected that the Fed-eral Fiscal Year (FFY) 2013 financial impact of the Readmission Reduction Program totals $300 million nationally. Hos-pitals can also expect up to a 2% reduction in base DRG rates in 2014 and up to a 3% reduction in base DRG rates in 2015. CMS will expand the program to include COPD, CABG, PTCA and other vascular procedures. It is estimated the readmission payment reductions will total $7.1 billion over ten years. There are very few hospitals nationally that will not experience a payment reduction. In the 2013 IPPS Proposed Rule, the CMS have given hospitals 30 days to review and submit corrections on information used to calculate their excess readmission ratios in conjunction with the Hospital Readmission Reduction Program. On June 20, 2012, hospitals received access to their hospital specific readmission reports and have until July 19, 2012 to review their data and report any errors by emailing CMS at: CMS_readmission_reduction@matematica-mpr.com. The FY 2013 Hospital Readmissions Reduction Program implementation timeline is as follows:

June 20, 2012 – Hospitals receive hospital specific reports and discharge level data with results for the FY 2013 program for review, as proposed in the FY 2013 IPPS Proposed Rule

July 19, 2012 – Deadline for hospitals to notify CMS of any concerns about their excess readmission ratio calcu-lation August 1, 2012 – CMS publishes excess readmission ratio results in FY 2013 IPPS Final Rule

October 1, 2012 – FY 2013 readmission adjustment goes into effect October 11, 2012 – CMS reports FY 2013 excess readmission ratio results on Hospital Compare

There is a strong disagreement to the manner in which CMS implemented their readmission program. The statute man-dates that CMS adjust the readmission measures to account for readmissions that are planned and unrelated to the initial admission. For FY 2013, CMS previously finalized that it will use the three existing 30 day readmission measures for heart attack, heart failure, and pneumonia patients. However, CMS has not excluded all planned and unrelated re-admissions from these measures, despite ongoing feedback from AHA and other advocacy groups. Several advocacy groups have communicated their concerns regarding the inclusion of planned and related admissions and have memo-rialized these concerns during the 2013 final rule comment period. BESLER Consulting believes that hospitals should analyze their readmission reports by validating their data. It is un-known whether a change will be made related to planned and unrelated readmissions once the 2013 IPPS rule is final-ized. Hospitals need to gain a detailed understanding of their readmission trends in order to prepare for these reduced payments. Although the Readmission Program initiative begins with a 1% reduction for 2013, further reductions are anticipated for 2014 and 2015. There is also the potential of an expansion to the current program over and above the three core measures. BESLER CONSULTING also recommends that hospitals identify all planned and unrelated readmis-sions and identify these cases as errors during the 30 day comment period. It is unclear what appeal rights may apply outside of this 30 day review period, so hospitals should take the opportunity to raise any concerns now. Hospitals fo-cused on the reduction of readmissions are best positioned to limit the financial impact of this program. BESLER CONSULTING has been monitoring the readmission reduction program and we are prepared to assist you in the analysis and validation of your data. If you need assistance or have questions in general, please contact Kathy Ruggieri at (732) 392-8227 or kruggieri@besler.com.

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Calendar of Events

Fall Meeting Snowshoe September 26-28, 2012 Fall Revenue Cycle Flatwoods October 31, 2012 Winter Meeting Charleston January 23-25, 2013 Spring Revenue Cycle Flatwoods March 26, 2013 Spring Meeting Stonewall Resort May 15-17,2013

HFMA Webinars Offered HFMA is hosting the following Live webinars in the following months. Please visit hfma.org for more Information. August Patient Statements: Telling a Story to Collect More in Less Time (August 8, 2012) Employee Engagement in the Midst of Rightsizing (August 14, 2012) Eliminate Payroll Checks with Debit PayCards (August 15, 2012) Creating and Integrating a Finance Structure in Nursing (August 16, 2012) 2013 Proposed Rule Changes to OPPS and ASCs (August 21, 2012) How to Control Costly Physician Preference Items (August 23, 2012) Medicare’s Final Inpatient Prospective Payment System Rule for FY 2013 (August 28, 2012) Managing Physician Revenue in a Hospital Environment (August 29, 2012) September Leveraging Enterprise Intelligence to Manage Readmissions (September 20, 2012) October Harnessing Data Normalization to Drive Product Savings (October 25, 2012) November Promote Patient Safety and Efficiency with Real Time Clinical Intelligence (November 15, 2012) December Using Attribution to Drive Product Rationalization and Savings (December 6, 2012) .

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Supreme Court Rules on Healthcare Reform Law

On June 28, 2012 in one of the most anticipated decisions in many years, the United States Supreme Court voted by a 5-4 ma-jority to uphold major provisions of The Patient Protection and Affordable Care Act of 2010 (PPACA). Led by Chief Justice John Roberts, the Supreme Court concluded that the “individual mandate,” one of the most controversial aspects of the law, was constitutional as a valid exercise of the Federal government’s taxing power. In addition to upholding the requirement that all individuals maintain some sort of insurance coverage, the Court also sanctioned the expansion of Medicaid provided under the PPACA. Importantly, however, the Court held that the Federal government could not withhold Medicaid funds from States that choose not to expand Medicaid coverage pursuant to the PPACA. How that aspect of the Court’s ruling impacts Medicaid ex-pansion will likely be a State-by-State issue. The stage is now set for the PPACA to continue to be one of the key issues in the upcoming Presidential and Congressional elections. In upholding the PPACA, the Court ensured that healthcare reform under the Act will continue, at least until the Federal elec-tions this November. This removes some of the uncertainty under which healthcare providers have been acting while the legal challenge was pending. Healthcare providers should now proceed with the expectation that the PPACA will be implemented according to schedule. While the upcoming election could change things, it would take a Republican sweep of the Presidency and both Houses of Con-gress to even begin the process of repealing provisions of the PPACA. In order to best prepare financially, hospitals should pay special attention to the following areas as the PPACA is fully imple-mented. Now is the time for improved clinical and financial collaboration to be proactive in improving patient care delivery models while minimizing financial penalties today and in future years.

The Hospital Readmission Reduction Program commences on October 1, 2012. The initial focus will be on readmissions related to heart attack, heart failure and pneumonia. Hospitals with higher than expected readmission rates will ex-perience reductions in their Medicare rates. It is expected that the Federal Fiscal Year (FFY) 2013 financial impact of the Readmission Reduction Program totals $300 million nationally. Hospitals can also expect up to a 2% reduction in base DRG rates in 2014 and up to a 3% reduction in base DRG rates in 2015. CMS will expand the program to include COPD, CABG, PTCA and other vascular procedures. It is estimated the readmission payment reductions will total $7.1 billion over ten years. There are very few hospitals nationally that will not experience a payment reduction. Hospitals focused on the reduction of readmissions are best positioned to limit the financial impact of this program.

The Value Based Purchasing (VBP) program will reward hospitals that deliver high quality care with value based incen-

tive payments to hospitals that meet specified performance standards. These standards will begin with a subset of the measures in the current Pay for Reporting program but will be expanded to include efficiency and outcome measures. Effective October 1, 2012, all hospitals will experience a 1% reduction in base DRG rates. Incentive payments will then be made to the qualifying providers. In other words, hospitals will need to “earn their money back”.

Beginning in FFY 2012, CMS publically reported the first eight hospital acquired conditions under the inpatient quality

reporting program. Beginning October 1, 2014, hospitals in the top quartile with respect to national HAC rates will ex-perience a 1% payment reduction in base DRG rates.

Hospitals should prepare for changes to Medicare Disproportionate Share Hospital Reimbursement, which under the

PPACA is set to begin on October 1, 2013. Those changes will reduce Medicare DSH payments to 25% of their current levels.

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Supreme Court Rules on Healthcare Reform Law

Continued:

Hospitals should pay greater attention to the Medicare Cost Report Worksheet S-10, which reflects uncom-pensated care provided by a hospital. In conjunction with the decrease in Medicare DSH payments, an uncom-pensated care fund is being created. Although it is unclear exactly how the Centers for Medicare and Medicaid Services will determine how to allocate that fund, it is likely that the S-10 will pay a role in that allocation. The S-10 also is a significant determinant of Electronic Health Record payments to hospitals.

State-by-State changes in Medicaid will likely accelerate following the Supreme Court’s decision. Many States

had held up implementing Medicaid changes and expansion until a final decision on the PPACA’s constitution-ality was issued. Now that the constitutionality has been settled, expansion measures will become more prominent. Hospitals should work with their Associations and other advocates to attempt to shape these ex-pansion efforts to ensure that providers’ views are considered in the expansion. Once the specifics of each State’s expansion become clearer, hospitals will have to work with consultants and internal staff to adjust to those changes.

Some States have stated that despite the Supreme Court’s ruling, the State will not implement various provi-

sions of the PPACA. This puts hospitals in a very precarious position. With DSH funding scheduled to be re-duced, if a State does not take steps to implement the PPACA, it is possible that hospitals in such a State will also be excluded from the new uncompensated care pool. The impact on hospital funding could be substan-tial. Hospitals should work closely with their advocates to ensure that any State that wants to register its con-tinuing objection to the PPACA does so in a manner that does not hurt hospitals and other providers in the State.

Hospitals will experience Medicare payment reductions in just a few months. Additional reductions will continue over the next few years. It will imperative for hospitals to focus on these areas to minimize the financial impact wherever possible. BESLER Consulting offers a variety of customized services that can provide the appropriate mix of expertise to conduct a Health Care Reform impact analysis for your Hospital. For more information please contact Jeffrey A. Lampman at (609) 514-1400 or jlampman@besler.com.

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Want To See Your Name In Print?

Gas prices too high? Back to School Shopping got you down? We can help. How does $250.00 sound?

What do you need to do? Write an article for the WVHFMA Newsletter.

During 2012, we will be accepting articles from WVHFMA members.

Belinda Bennett: belinda_g_bennett@chs.net If you are winner of the best article you can win $250 first prize and $150

for second.

Certification Program

As a member of HFMA, we wanted to ensure that you are among the first to hear that HFMA’s newly improved CHFP certification program is live. The CHFP program is now available online, allowing candidates the ability to purchase study materials and access online resources like the complimen-tary practice exam. The single examination is no longer proctored but can be taken at one of the several hundred sites with Castle Worldwide, HFMA’s support partner. Effective January 2011, the certification requirements are as follows: Successful completion of one comprehensive certification examination designed for mid-level

healthcare finance professionals Minimum of 3-5 years of healthcare finance management experience Current and active HFMA membership Study/preparation materials available online Becoming CHFP certified is more important than ever—it distinguishes you as a leader and role model in the healthcare finance community. Donald P. Schott, FHFMA, AVP-Provider Reimburse-ment, Blue Cross Blue Shield of ND sees immense value in being certified, “HFMA certification has helped me gain the respect of my peers in the healthcare finance profession." We are certain that these changes will provide candidates fewer barriers and a more seamless proc-ess in their path to certification. For more information on CHFP certification or program changes, please reference the FAQ document, visit us online, or contact the certification office at certifica-tion@hfma.org.

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Abby Duplaga Mallory Ohse Arnette and Foster Arnette and Foster Supervisor Associate Charleston, WV Charleston, WV 304-951-0221 304-346-0441 Abbey.duplaga@afnetwork.net Mallory.ohse@afnetwork.com Amy King Condaras Will Robinson Spilman Thomas & Battle Arnette and Foster Member Attorney Associate Charleston, WV Charleston, WV 304-342-1499 304-444-6922 acondaras@spilmanlaw.com will.robinson@afnetwork.net Elisa White Susan Dull Davis Memorial Hospital Dixon Hughes Goodman LLP Billing Clerk Tax Manager Elkins, WV Morgantown, WV 304-637-3143 304-255-3160 white.elisa@dhswv.com susan.dull@dhgllp.com Kim Coles Monongalia General Hospital Supervisor Morgantown, WV 304-285-5197 colesk@monhealthsys.org

Do you know someone that is interested in being a HFMA member? Please visit our website or con-tact any board member for assistance. For all of those who sponsored a new member in the 2011-2012 year, A SPECIAL THANKS goes out to you. If you would like to volunteer or assist in any way see a committee chair. (listed on the last page of the newsletter)

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Induction of New Board of Directors at Stonewall Resort

WVHFMA Store Now Open

WV HFMA members can now purchase clothing and other merchandise with the organization’s logo!!

Below are the URLs for you to start shopping.

You can set up an individual account and purchase whatever you like.

There are two logos available—a white logo and a blue/gold logo.

If there is something you would like but don’t see it on the website please contact Lisa Simmons.

Lands’ End - http://ocs.landsend.com/cd/frontdoor?store_name=WV_HFMA&store_type=3 From the Members Area on the WV HFMA site - http://www.wvhfma.org/site/epage/125032_455.htm

2012-2013 WV HFMA Board of Directors

Left to right: Keith Morgan, Past President and Treasure, Lisa Simmons: President, Jan Strope, standing is as past president, John Yeager: second year board member, Okey Sil-man: Secretary, Marcia Metz: first year board member, Becky Hammer: second year board member, Belinda Bennett: President elect. Missing is Ryan Lindsey first year board mem-ber. GOOD LUCK and may you have a very successful year!!

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Kentucky HFMA Welcomes You to the 2012 Region IV Mid-Atlantic Meeting

Join us in August 1 – 3, 2012 at the

Hyatt Regency, downtown Louisville, KY Reservations can be made directly on-line @ https://resweb.passkey.com/go/kyhfma or by calling 1-888-421-1442. Room rate $130 a night Reservation Code: HFMA

Information on the Louisville visit: http://www.louisvilleky.gov/visitors/

Planned Educational Sessions Include:

Day 1: Professional Ethics Day 2: Keynote General Session: “Communication Bleeps and Blunders in Business”

Todd Hunt speaks to organizations that want to add fun to their events and send Members back to work smiling, with tips to improve communication and success.

Reimbursement/Medicare rules effective 10/1/2012 Behavioral health beds in a hospital or not? Healthcare from Cuba MAP Indicators of revenue cycle excellence 12 Labors of Hercules

A different approach to analyzing and solving seemingly overwhelming problems, understand how to manage through difficulty times

CFO Panel representing Virginia, Maryland, and Kentucky Day 3: Keynote General Session from Ralph Lawson, HFMA National Chair Elect

Mr. Lawson will be the HFMA National Chair at the time of the Mid-Atlantic event ICD-10 Part II More To Come………….

Attendees will enjoy our a cruise on the Belle of Louisville down the Ohio River

For information regarding the conference: Contact: Tony Sudduth @ tsudduth@tjsamson.org or Scott Reed @ sreed@blueandco.com

Numerous Sponsorship and /or Exhibitor Opportunities Are Available! For Information Contact Richard Schneider: rschneider@tjsamson.org

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West Virginia Chapter – HFMA 2011-2012 Corporate Sponsors

EMERALD LEVEL HealthCare Financial Services

National Hospital Collections, LLC

RUBY LEVEL Arnett & Foster, PLLC

Fifth Third Bank Helvey & Associates, Inc.

PNC Healthcare

SAPPHIRE LEVEL Advanced Patient Advocacy, LLC

Data Image Highmark West Virginia

The Mash Program ParenteBeard Quadax, Inc.

United Collection Bureau, Inc. The Wellington Group, LLC

PEARL LEVEL

BB&T Collection Service Center, Inc.

HealthNet Aeromedical Services

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Charge Description Master Maintenance and the Compliance Link Highlights of the July 2012 OPPS Hospital Update

By: Elizabeth Schaub-DeBlock

Since the implementation of Medicare’s Outpatient Prospective Payment System (OPPS) in August of 2000, we have come to understand the significant role the Charge Description Master (CDM) plays within this pay-ment structure to ensure appropriate payments for hospital services. Constant changes, including Healthcare Common Procedure Coding System (HCPCS) updates, changes in procedures being performed throughout the hospital and changes in reimbursement guidelines highlight the importance of maintaining the CDM. In January 2005 the Office of the Inspector General (OIG) released the Supplemental Compliance Program Guidance for Hospitals, which emphasizes the importance of maintaining the CDM:

Because HCPCS codes and Ambulatory Payment Classifications (APCs) are updated by CMS regularly, hospitals should pay particular attention to the task of updating the CDM to ensure assignment of correct codes to outpatient claims. This should include timely updates, proper use of modifiers and correct association between procedure and revenue codes./

This guidance underscores that an outdated CDM poses a significant compliance risk for hospitals. A representative from the Corporate Compliance Department should be included on the hospital’s CDM Team for oversight and compliance documentation purposes. Ongoing CDM maintenance is an important compli-ance monitoring activity and should be documented to demonstrate the hospital’s ongoing compliance efforts. As comprehensive, annual and quarterly updates to the CDM are made, the Compliance Officer will want to evaluate and assess the CDM review and maintenance function. One way to do this is to perform a CDM gap analysis. The gap analysis should include the following steps:

Validation of the CDM Validation of the Charge Capture Process Interviews with staff responsible for charge capture, to assess their knowledge of the process A review of the CDM Maintenance policies and procedures A chart to bill coding and billing assessment

Additionally, the staff that is involved in the ongoing maintenance of the CDM should receive annual educa-tion on how to comply with federal, state and local claims submission guidelines for correct selection of charges relevant to actual services being provided.

CDM Compliance Example: An example of a compliance issue would be coding for drugs, biological or ra-diopharmaceuticals with the incorrect number of units. When billing for these items the number of units should reflect the units referenced in the HCPCS and CDM descriptions of that drug, as well as the documented num-ber of units administered. CMS guidance states that:

___________________________________________

/ OIG Supplemental Program Compliance Guidance for Hospitals, January 2005

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Charge Description Master Maintenance and the Compliance Link Highlights of the July 2012 OPPS Hospital Update

Continued: Hospitals are strongly encouraged to report charges for all drugs, biological and radiopharmaceuticals, regardless of whether the items are paid separately or packaged, using the correct HCPCS codes for the items used. It is also of great importance that hospitals billing for these products make certain that the reported units of service of the reported HCPCS codes are consistent with the quantity of a drug, biological, or radiopharmaceutical that was used in the care of the patient.

As you can see, the accuracy and appropriate use of the CDM is a significant billing compliance risk that requires oversight by the Compliance Department. The CDM review and maintenance procedures conducted as part of hospi-tal operations are critical to a hospital’s billing compliance program.

Highlights of the July 2012 Update of the Hospital OPPS

HCPCS code C1882 Cardioverter defibrillator, other than single or dual chamber, implantable has been re-instated as a device code that can satisfy the edit for CPT code 33249, retroactive to January 1, 2012.

CMS is implementing in the OPPS the seven Category III CPT codes that the AMA released in January 2012. The codes 0302T – 0308T, along with their status indicators, APCs and payment rates, can be found in Ad-dendum B of the July 2012 OPPS Update at https://www.cms.gov/Medicare/Medicare-Fee-For-Service-Payment/HospitalOutpatientPPS/Addendum-A-and-Addendum-B-Updates.html on the CMS website.

Effective July 1, 2012, HCPCS code C9732 has been deleted. CPT code 0308T should be reported in its place, and should be reported with device C1840.

There are two new drugs and biological that have been granted pass-through status effective July 1, 2012: C9368 Grafix core, per sq. cm and C9369 Grafix prime, per sq. cm.

Six new HCPCS codes have been created for reporting certain drugs and biological (in addition to those listed in the preceding paragraph). Q2047 Injection, Peginesatide, 0.1MG (for ERSD on dialysis); Q2049 Inj, doxorubicin hydrochloride, liposomal, imported lipodox, 10mg; Q2034 Influenza virus vaccine, split virus, for intramuscular use (Agriflu); Q2045 Injection, human fibrinogen concentrate, 1 mg (this replaces J1680 which will change to SI E, effective July 1, 2012); Q2046 Inj, aflibercept, 1 mg (this replaces C9291, which will be deleted effective July 1, 2012) and Q2048 Inj, doxorubicin hydrochloride, liposomal, doxil, 10mg (this replaces J9001 which will change to SI E, effective July 1, 2012).

Make sure to update your CDM to ensure compliance!

For more information please contact Laureen A. Rimmer at (732) 839-8226 or lrimmer@besler.com.

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/ CR 7847, July 2012 Update of the Hospital Outpatient Prospective Payment System.

/ MLN Matters: MM7847.

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SAVE THE DATE - September 26-28, 2012

Please join us for the

“CHANGING SEASONS OF HEALTHCARE MEETING” Snowshoe Mountain Resort

Sponsored by:

West Virginia Healthcare Financial Management Association (WVHFMA)

West Virginia Health Information Management and Systems Society (WVHIMSS)

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Page 18 President Board Members Lisa Ann Simmons 304-598-6247 John Yeager 304-368-2760 Becky Hammer 304-637-3156 Vice President Marcia Metz 304-551-3988 Belinda Bennett 304-469-8620 Ryan Lindsay 304-206-3323 Secretary Okey Silman 304-473-2127 Treasurer Keith Morgan 304-346-0441

Please feel free to contact us at any time.

Committee Name Chairs Members Advisory Keith Morgan Susan Cunningham Linda Dugan Jan Strope Mary Ann Brown Jim Holden Awards Jill Epstein Board Officer and Directors Past Presidents Danielle Heston-Raddish Amy Kirk Belinda Bennett Sponsorship Joan Namey Lisa Simmons Belinda Bennett Dan Honebrink Financial Review Outgoing President Lisa Simmons Steve Meadows Outgoing/Incoming Treasurer Web Master Lisa Simmons Member Services Linda Dugan Mid Atlantic Julie Shaw Newsletter Belinda Bennett Jason Deem Corey Slider Program and Entertainment Sonja Raddish Diana Cesa Andrea Mamen Marcia Metz ConnieGenco Becky Hammer Keith Morgan Belinda Bennett Lisa Simmons David Phelps Okey Silman John Yeager Linda Dugan Adrianne Crouch Revenue Cycle Tommy Spurlock Belinda Bennett Jill Epstein Jane Antulov Susan Cunningham Okey Silman