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Summer 2020 • vol 66 • num 4
new jersey chapter
• Chapter Newso 2020 Institute Updateo Meet the New Leadership
• Prepare for Single Audit Methodology
• COVID-19 Impacts to Alternate PaymentPrograms
Summer 2 0 2 0
Focus 1
focus•advertisers•focus•features•
ARMC & BPS Strategies
BESLER
CBIZ KA Consulting Services, LLC
McBee Associates, Inc.
William H. Connolly & Assoc.
Withum Smith+Brown
focus•cover•
Cover Courtesy ofHermitage Press, Inc.
focus•points•
Who’s Who in the Chapter ..... 2
The President’s View by Stacey Medeiros ...................... 3
From the Editors by Scott Besler ............................ 4
Who’s Who in NJ Chapter Committees ............ 12
New Members ........................... 16
Job Bank Summary ................. 17
Certification Corner ................. 18
Save the Date ............................ 18
Preparation for Single Audits Amidst the COVID-19 Pandemicby Devin Desmond, CPA ………………………………………………………………… 6
COVID-19 and Medicare Alternate Payment Programsby Neil M. Sullivan ……………………………………………………………………… 10
NJHFMA and Greenbaum, Rowe, Smith & Davis LLP Present Three-Part Webinar Series on Legal Issues for New Jersey’s Healthcare Communityin Collaboration with NJHA, MSNJ and NJDA
by: James A. Robertson, Esq. …………………………………………………………… 13
NJ HFMA Leadership 2020-2021 ………………………………………… 19-23
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2 Focus
focus/hfmaWho’s Who in the Chapter 2020-2021Chapter Website …………………………………..www.hfmanj.org
Advertising Policy/Annual RatesThe Garden State “FOCUS” reaches over 1,000 healthcare professionals in various fields. If you have a product or service you would like the healthcare financial industry to know
about, please take advantage of this great opportunity!Contact Laura Hess at 888-652-4362 to place your ad or receive a copy of the Chapter’s advertising policy. The Publications Committee reserves the right to refuse any ad not consistent
with the overall mission of the Chapter. Inclusion of an ad in this Newsmagazine does not infer endorsement of the product or service by the Healthcare Financial Management Association or the Publications Committee. Neither the Healthcare Financial Management Association nor the Publications Committee shall be responsible for slight variations in production quality of published advertisements. Effective July 2015 Rates for 4 quarterly issues are as follows:
Ads should be submitted as print ready (CMYK) PDF files along with hard copy. Payment must accompany the ad. Deadline dates are published for the Newsmagazine. Checks must be payable to the New Jersey Chapter - Healthcare Financial Management Association.
DEADLINE FOR SUBMISSION OF MATERIALIssue Date Submission Deadline
Fall August 15Winter November 1Spring February 1
Summer May 1
IDENTIFICATION STATEMENTGarden State “FOCUS” (ISSN#1078-7038; USPS #003-208) is published 4 times a year by
the New Jersey Chapter of the Healthcare Financial Management Association, c/o Scott Besler, AtlantiCare, 6550 Delilah Rd, Suite 301, Egg Harbor Township, NJ 08234. Periodical postage paid at Trenton, NJ 08650. POSTMASTER: Send address change to Garden State “FOCUS” c/o Laura A. Hess, FHFMA, Chapter Administrator, Healthcare Financial Management Association, NJ Chapter, P.O. Box 6422, Bridgewater, NJ 08807
OBJECTIVEOur objective is to provide members with information regarding Chapter and national activities, with
current and useful news of both national and local significance to healthcare financial professionals and as to serve as a forum for the exchange of ideas and information.
EDITORIAL POLICY Opinions expressed in articles or features are those of the author(s) and do not necessarily reflect the view of the New Jersey Chapter of the Healthcare Financial Management Association, or the Communications Committee. Questions regarding articles or features should be addressed to the author(s). The Healthcare Financial Management Association and Communications Committee assume no responsibility for the accuracy or content of any articles or features published in the Newsmagazine. The Communications Committee reserves the right to accept or reject contributions whether solicited or not. All correspondence is assumed to be a release for publication unless otherwise indicated. All article submissions must be typed, double-spaced, and submitted as a Microsoft Word document. Please email your submission to:Adam Abramowitz aabramowitz@cbiz.com
REPRINT POLICY The New Jersey Chapter of the HFMA will not reprint articles published in Garden State FOCUS Newsmagazine. Individuals wishing to obtain reprint authorization must obtain it directly from the author(s) of the article. The cover of the FOCUS may not be used in the reprint; however, the reprint may note that the article was published in a specific issue. The reprint may not imply endorsement by the HFMA, directly or indirectly.
Per issue/Total Per issue/Total Per issue/Total Per issue/TotalBlack & White 1x 2x (10% off) 3x (15% off) Full Run (20% off)Full Page $ 675 $ 607 / $ 1,214 $ 573 / $ 1,719 $ 540 / $ 2,160Half Page $ 450 $ 405 / $ 810 $ 382 / $ 1,146 $ 360 / $ 1,440Quarter Page $ 275 $ 247 / $ 494 $ 233 / $ 699 $ 220 / $ 880
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Communications CommitteeBrian Herdman, Director ......................................................................CBIZ KA ConsultingScott Besler, Chair ........................................................................................... AtlantiCare Adam Abramowitz................................................................................CBIZ KA ConsultingTeresa Bailey ............................................................................................ Penn PrincetonRachel Gisser ..........................................................................WithumSmith + Brown, P.C.Laura Hess, FHFMA ............................................................................................ NJHFMAElizabeth Litten, Esq. ............................................................................. Fox Rothschild, LLPAmina Razanica .............................................................New Jersey Hospital AssociationJames A. Robertson, Esq. ......................................Greenbaum, Rowe, Smith & Davis LLPLisa Weinstein ......................................................................................................Bancroft
NJ HFMA Chapter OfficersPresident, Stacey Medeiros ......................................................................... Penn Princeton
President-Elect, Jill Squiers ..........................................................AmeriHealth New Jersey
Treasurer, Brian Herdman ......................................................................CBIZ KA Consulting
Assistant Treasurer, Heather Weber .............................................................. Baker Tilly LLP
Secretary, Heather Stanisci ...................................................... Arcadia Recovery Bureau
NJ HFMA Board MembersJonathan Besler ....................................................................................................BESLERScott Besler .....................................................................................................AtlantiCareLeslie Boles ...................................................................................Waud Capital PartnersMaria S. Facciponti .................................................... Elite Medical Receivables SolutionAlex Filipiak - Associate Board Member ..................... Bergen New Bridge Medical CenterJason Friedman – Associate Board Member ...................................Atlantic Health SystemMichael George ...................................................................Pricewaterhousecoopers LLPJane Kaye ..............................................................Jane Kaye Healthcare Consulting LLCDave Murray .................................................................................Inspira Health NetworkAmina Razanica, CHFP .................................................. New Jersey Hospital AssociationNicole Rosen – Associate Board Member ............................................ Acadia ProfessionalLisa Schaaf ...................................................................... Children's Specialized HospitalHayley Shulman .....................................................................WithumSmith + Brown, P.C.
NJ HFMA Advisory CouncilMichael McKeever ............................................................. Saint Peter’s University HospitalErica Waller .................................................................................................. Penn Princeton Scott Mariani ............................................................................ WithumSmith + Brown, P.C.Dan Willis ............................................................................................................... Aetna
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Focus 3
The President’s View . . .
Stacey L. Medeiros
By the time this issue reaches all of you we will be quickly approaching the end of the summer season. Although the public health situation has limited some things we can do, hopefully everyone was able to take some time to enjoy the warm weather and sunshine, recharge and get ready for the fall.
As with most other things in 2020, the fall season for NJ HFMA will look a lot different than in the prior years. Normally at this time our chapter would be deep into the planning for our premier event of the year, the Annual Institute, held over three days every October in Atlantic City. As many expected, we recently made the decision to move this to a virtual event. Although it is disappointing to not be able to hold this event, which has been held annually for over 40 years, our decision is best for the health and safety of all who would attend. Mark your calendars for the following dates and times for our new virtual Institute and watch your inbox for details on registration:
Thursday, October 15: 2pm – 5pm
Friday, October 16: 8:30am – 12pm
Thursday, October 22: 2pm – 5pm
Friday, October 23: 8:30am – 12pm
In addition to the Institute, our chapter leaders have been hard at work creating virtual events for our members over the summer. In lieu of their usual in person education session in June, the Revenue Integrity and CARE committees provided half day webinar sessions in June and July respectively, both of which were well received. In addition, a new data analytics committee was formed in the spring, with the intention of hosting a live event in May. Once it became clear this would not be able to happen, the committee was able to quickly pivot to turn this into a three-part webinar series over the course of the summer.
These efforts will continue throughout the fall. As of this writing, our Payer & Provider Collaboration committee is hard at work putting together a virtual education session for September. Our education committee has formed a webinar subcommittee to formulate future offerings for later in the chapter year. Leaders from the education committee are also working with other HFMA chapters in our region to develop monthly regional webinars.
Even though we cannot meet in person now, our chapter is still offering opportunities for networking with peers. The Membership and Networking committee has already hosted three virtual Happy Hour events since the chapter year started on June 1. The committee has gotten creative with the events, utilizing breakout rooms in July and hosting an event with the Hudson Valley chapter in August featuring a magician for entertainment. If you haven’t already, consider joining one of these events in the future; they are a great way to keep contact with those we aren’t able to see in person right now.
A big thank you goes out to all who have stepped up to plan these events, ensuring our members can continue to network and get the education and credits they need. For those who would like to become more involved, a full listing of our committees, chairs and co-chairs and meeting information can be found in this magazine. Please reach out to any of our chapter leaders for more information.
Regards,Stacey L. Medeiros
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From The Editors . . .
Scott Besler
As the summer season comes to an end, we look forward to new beginnings. It most likely has always been a ritual for us in the fall. Whether we were starting a new school year, getting ready for cooler days and nights as we prepare for winter, or still reading the latest federal register. Change is near. This year is unlike any other we have seen in our lifetime. We may have heard folks talking about how they cannot wait for 2021. We understand why but it is sad that we wish to rush past a year of our lives. I hope you find some good in 2020 – we may just have to look harder. This year will also end with an election that is on the minds of many – maybe that is another reason to look towards 2021.
On behalf of the committee, I would like to welcome our president, Stacey Medeiros into her new role. We have no doubt that Stacey will continue to guide our chapter forward, as anyone that has worked beside her on various committees will attest. Throughout this pandemic, our chapter has continued to be a resource to our membership. Stacey, along with the help of the board members, is always searching to deliver what the chapter needs. We have scheduled virtual presentations and also happy hours that are engaging and perhaps a glimpse into what the future holds. It all started with Mike McKeever and his “shift on the fly” methods. We are ready.
As we prepare, both as chapter and an industry, for the challenges ahead, we hopefully can take comfort that we will get through it. Many of us received COVID-19 funding and will need to prepare for the audit of these dollars. Audits that more than likely will be performed remotely. As with anything done remotely, communication will be key. The pandemic has also created a new path with alternate payment models. So perhaps we can gain something from this time – improved communication.
Thank you and we look forward to hearing, and soon seeing, you at chapter events.
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Preparation for Single Audits Amidst the COVID-19 Pandemic
by Devin Desmond, CPA
Devin Desmond
With the June 30th fiscal deadline passing, many entities are in the process of their final financial close for the year and beginning preparations for their upcoming financial audits. As to be expected, this process adds a level of stress to every entity’s accounting and finance department, especially if their entity receives federal or state of New Jersey funds which would require a single audit. The ongoing COVID-19 pandemic also presents some unique challenges for any fiscal 2020 audits soon to begin as most entities and auditors have restrictions on personnel in their offices. This has resulted in both entities and auditors embracing a remote work environment to the best of their abilities.
What is a single audit?A single audit encompasses the following, each of which
results in the issuance of certain auditor reports: • An audit of the entity’s financial statements and report-
ing on the supplementary schedule of expenditures of federal awards (SEFA) and/or NJ state financial assis- tance (SESFA).
This audit is conducted to determine whether the financial statements of the auditee are presented fairly, in all material respects, in accordance with generally accepted accounting principles in the U.S. and to determine whether the SEFA and/or SESFA is stated fairly in all material respects in relation to the auditee’s financial statements as a whole. There- fore, the audit goes beyond a normal non-single audit by requiring an in-relation-to opinion on the SEFA and/or SESFA in additional to the opinion on basic financial statements. In addition, the audit will also be conducted under U.S. generally accepted audit- ing standards (GAAS) and U.S. generally accepted government auditing standards (GAGAS).
• Compliance audit of federal awards This compliance audit is conducted to obtain an under- standing of internal control over federal or state pro- grams sufficient to plan the audit to support a low
assessed level of control risk of noncompliance for major programs; plan the testing of internal control over compliance for major programs to support a low assessed level of control risk for the assertions relevant to the compliance requirements for each major pro- gram; and perform testing of internal control as planned. Also, the compliance audit is conducted to determine whether the auditee has complied with fed- eral statutes, regulations, and the terms and conditions of federal awards that may have a direct and material ef- fect on each of its major programs. Therefore, while auditors are required to gain an understanding of con- trols as part of the audit process, a single audit requires the auditor to plan to audit to obtain a low control risk assessment. This is completed through additional procedures performed on key controls usually at the transaction level.
Who requires a single audit?A single audit is required for any entity which expended
federal or NJ state funds in excess of $750,000. The federal requirements are listed under Uniform Guidance Uniform Guidance §200.501(b) and the state of New Jersey requirements are listed under State of New Jersey – Department of Treasury Circular 15-08-OMB. The federal or state funds may be passed-through an intermediary and do not need to be received directly from the federal government or state of New Jersey. It is also important to distinguish here that Medicaid and Medicare dollars are not deemed to be federal or state grant funding and therefore do not need to be included in the calculation of the $750,000 threshold.
A single audit is required, now what?If an entity has met the $750,000 threshold, they should
begin assembling the necessary documentation required to be provided to the auditors completing the single audit. The key components are:
• Completed SEFA and/or SESFA
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continued on page 8
The SEFA or SESFA is the responsibility of man- agement and is required to be completed by the entity and provided to their auditors. It should in- clude the name of the ultimate funding source, along with any pass-through entities, the contract ID number, the period of the contract, the CFDA number for any federal amounts, the final amount of expenditures funded during the fiscal year, the amount of loan proceeds received during the year for loan programs and any loans from prior years with continuing compliance requirements, and any amounts which the entity has passed through to any sub-recipients.
• Copies of contract agreements and budgets, including any extensions or amendments The entity should be prepared to make available any contract agreements and budgets for those grants or programs which appear on the SEFA or SESFA pre- pared by the entity. The agreements are utilized by auditors to determine if there are any program spe- cific requirements such as eligibility or reporting require- ments which would be required to be tested. The budgets are also utilized by auditors to determine if the costs submitted for reimbursement are allowable under the budget limits, including by line item which may limit the amount of flexibility between line items or disallow certain types of costs all together. Copies of any amendments or extensions are also required as expenditures reported and submitted for reimburse- ment must be for the applicable period of the contract.
• Process and internal control write ups for federal or state funded programs
As mentioned above, auditors will be required to obtain a sufficient understanding of the controls for any programs selected for testing in order to appro- priately test those controls. These controls are for all aspects of the program, such as controls over eligibil- ity or reporting, in addition to controls over dis- bursement of funds. If these procedures are written up ahead of the audit, it will streamline the process for documenting these controls. If controls and pro- cesses are changed during the year, then the write ups should document the processes and controls in place throughout the year, starting with those in place at the beginning of the year and then indicating when
the change in controls occurred. • Other key supporting documentation Other supporting documentation to have available
would be any invoices or payroll records, i.e. pay registers and timesheets, used to support costs sub- mitted for reimbursement; any attendance or en- counter forms used to submit for fee for service reimbursement; any required eligibility documen- tation processed by the entity; any reports submit- ted to funding sources for reimbursement for either costs incurred or units served; documentation of sub- recipient monitoring procedures performed; and your procurement policy.
Given COVID-19, can any of this be done remotely?Despite the expanded procedures required to be per-
formed during a single audit, single audits can still be effec-tively completed remotely due to limitations of staff and audi-tors being onsite together. Some potential remote auditing tips include:
• Scheduled team calls One hardship during a
remote audit is a lack of communication resulting from the lack of hav- ing a team onsite together for a period of time. If the auditors are not onsite, the entity could request to have sched-uled calls either daily or weekly to en- sure that the entity’s team and auditors’ team take the time to up-date one another on the progress of the audit.
• Email contacts for contract administrators Frequently, auditors will choose to confirm any fed-
eral or state funded programs to ensure the correct information per the funding source is listed on the SEFA or SESFA. Many government agencies are either furloughing staff and/or working remotely, therefore, if these confirmations can be emailed instead of mailing via regular mail, response rates will increase significantly.
• Changes in controls If any controls previously used by the entity signifi-
cantly changed during the ongoing pandemic out of necessity due to remote working or furloughing of staff, it is important to inform your auditors of any of these changes as soon as possible, so they can tailor their understanding, documentation and test- ing as necessary.
Despite the expanded procedures required to be performed during a single audit,
single audits can still be effectivelycompleted remotely due to limitations of staff and auditors being onsite together.
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continued from page 7
• Secure upload systems Due to the level of documentation required for a single
audit, it is important for the entity to ensure any documentation shared remotely is secure throughout the process. Most auditors will already have a secure file transfer setup to utilize, but it is important to educate staff of the entity to utilize the secure file
transfer rather than simply attaching documentation in an email. The ongoing pandemic has given a sharp rise to cybercrime and it only takes one phishing email to obtain key personal information and access to an employee’s email account.
• Document mail or document pickup Another alternative to secure upload of key docu-
mentation may be to arrange the mailing to or pick up by audit per- sonnel of key documentation to then review and work with remotely. This may be the easiest method of trans- fer for any records that are heavily paper based and not easily scannable to auditors. However, you should ensure to at least make copies to pro- vide to your auditor to prevent the accidental loss of original documents.
• Video calls Finally, if certain items are deemed
confidential and the entity does not wish to upload them, even securely, think about sharing via video call. A meeting can be setup via Microsoft Teams or other video call services and the key personnel from the entity can share with the auditor any documentation which they do not want to upload. The auditors can even have multiple personnel on the call to help in expediting the process. In addition, these tests may also take less time for auditors remotely as the entity personnel sharing the documentation know exactly what to share and where it is kept in files.
About the authorDevin Desmond, CPA is a Senior Manager with Withum. He can be reached at ddesmond@withum.com.
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COVID-19 and Medicare Alternate Payment Programs
by Neil M. Sullivan
Neil M. Sullivan
Insurance payments for healthcare services and supplies are frequently based on projections of future costs, often measured against a baseline calculated on past costs. However, COVID-19 and its attendant changes to the healthcare delivery system seriously disrupted those expectations, and traditional Medicare is no exception.
The Centers for Medicare and Medicaid Services (CMS), through its Center for Medicare and Medicaid Innovation (CMMI), have implemented a series of changes to the Medicare Value-Based and Shared Savings Programs to reflect these altered circumstances. Over the past several months, changes have been made, and additional options offered, which touch on most value-based models. These changes include adjustments to the payment methodologies, mitigating risk during the emergency, and/or modifying cost targets and benchmarks to adjust for the response to COVID-19.
Medicare Shared Savings Programs – Accountable Care Organizations
Changes made to Medicare Shared Savings Programs include excluding episodes of care for treatment of COVID-19 for all Accountable Care Organizations (ACOs), reducing 2020 downside risk by reducing shared losses by the proportion of months during which the Public Health Emergency (PHE) is effective, and removing 2020 financial guarantee requirements for Next Generation ACOs.
For example, any shared losses an ACO incurs for per-formance year 2020 will be reduced by at least one-third. If the period of health emergency covers the full year (January through December 2020), any shared losses an ACO incurs for performance year 2020 would be reduced completely and the ACO would not owe any shared losses.
All Part A and B payment amounts for episodes of care for treatment of COVID-19 will be removed from the determi-nation of benchmark year and performance year expenditures (e.g., trend and update factors based on national and regional FFS expenditures, truncation factors, and revenue-based loss recoupment limits). Corresponding changes for purposes of
identifying whether an ACO is a high revenue ACO or low revenue ACO, determining an ACO’s eligibility for participa-tion options, and calculation or recalculation of repayment mechanism amounts are also being made.
An episode of care for treatment of COVID-19 is triggered by an inpatient service for treatment of COVID-19. The episode of care starts in the month in which the inpatient stay begins as identified by the admission date, all months during the inpatient stay, and the month following the end of the inpatient stay as indicated by the discharge date.
CMS’ published response to COVID-19 for the Medicare Shared Savings Program is available here [insert hyperlink]: https://www.cms.gov/files/document/covid-ifc-2-medicare-shared-savings-program.pdf
Value-Based ProgramsOther changes to Value-Based Programs include the
following:• Bundled Payments for Care Improvement Advanced Model -
Option for participants to eliminate upside and downside risk by excluding clinical episodes from reconciliation for Model Year 3 (2020); BPCI-Advanced participants that choose to remain in two-sided risk can exclude certain clinical episodes from reconciliation with a COVID-19 diagnosis during the episode.
• Comprehensive ESRD Care Model - Reduce 2020 down- side risk by reducing shared losses by proportion of months during the PHE; cap gross savings upside potential at 5% of gross savings; remove COVID-19 inpatient episodes; remove 2020 financial guarantee requirement.
• Comprehensive Care for Joint Replacement Model - Remove downside risk by capping actual episode pay- ments at the target price for episodes with a date of admission to the anchor hospitalization between January 31, 2020 through the termination of the emergency period; extend the appeals timeline for Performance Year (PY) 3 and PY 4 from 45 days to 120 days
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Focus 11
• Oncology Care Model - Option for OCM practices to elect to forgo upside and downside risk for performance periods affected by the PHE; for OCM practices that remain in one- or two-sided risk for the performance periods affected by the PHE, remove COVID-19 episodes from reconciliation for those performance periods.
Lesser changes, including changes to quality reporting and timelines, apply to these other models: • Direct Contracting Model • Emergency Triage, Treat and Transport Model • Home Health Value-Based Purchasing Model • Independence at Home • Integrated Care for Kids Model • Kidney Care Choices • Maternal Opioid Misuse Model • Medicare Choices Model • Medicare Diabetes Prevention Program Expanded Model • Primary Care First Model
A full version of the table outlining CMMI changes and op-tions for Value-Based Programs is available here https://www.cms.gov/files/document/covid-innovation-model-flexibilities.pdf
The changes to Medicare Shared Savings Programs and other Value-Based Programs include multiple revisions to model implementation dates and reporting requirement dates for some new models, and adjusted deadlines for some of the existing models. Clients with or interested in these programs should check in regularly at the CMS website [insert hyper-link] https://www.cms.gov/ for updates, including in applica-tion and reporting date requirements.
About the Author:Neil M. Sullivan is Counsel in the Healthcare Department at Greenbaum, Rowe, Smith & Davis, LLP. Mr. Sullivan served as the Assistant Commissioner for Life and Health at the New Jersey Department of Banking and Insurance from March 2010 to March 2014. Greenbaum, Rowe, Smith & Davis is a 100-attorney law firm with offices in New Jersey and New York. Neil can be reached at NSullivan@Greenbaumlaw.com.
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12 Focus
•Who’s Who in NJ Chapter Committees•2020-2021 Chapter Committees and Scheduled Meeting Dates
*NOTE: Committees have use of the NJ HFMA conference Call line.If the committee uses the conference call line, their respective attendee codes are listed with the meeting date.
PLEASE NOTE THAT THIS IS A PRELIMINARY LIST - CONFIRM MEETINGS WTH COMMITTEE CHAIRS BEFORE ATTENDING.
COMMITTEE PHONE DATES/TIME/ ACCESS CODE MEETING LOCATION
CARE (Compliance, Audit, Risk, & Ethics)Chair: Danette Slevinski – slevindl@uhnj.org (516) 617-1421 First Thursday of the month Conference CallCo-Chair: Leslie Boles – lboles21@gmail.com (732) 877-9864 9:00 AM (712) 770-5393Board Liaison: Lisa Maltese-Schaaf – LMaltese-Schaaf@childrens-specialized.org (732) 507-6533 Access Code: 473803
Communications / FOCUSChair: Scott Besler (Editor) – Scott.Besler@atlanticare.org (609) 383-2117 First Thursday of each month Conference Call (712) 775-7460Board Liaison: Brian Herdman – bherdman@cbiz.com (609) 918-0990 x131 10:00 AM Access Code: 868310 In-person Meetings by Notification
EducationChair: Jane Kaye – jane@hcfadvisors.com (732) 233-3144 Second Thursday of the Month Conference CallCo-Chair: Sandra Gubbine – Sandra.Gubbine@atlanticare.org (609) 484-6407 10:00 AM (712) 770-5044Co-Chair: Hayley Shulman – hshulman@withum.com (973) 898-9494 Access Code: 131556 Board Liaison: Hayley Shulman – hshulman@withum.com (973) 898-9494
Certification (Sub-committee of Education)Chair: Amina Razanica – arazanica@njha.com (609) 275-4029 Second Thursday of the Month Conference CallBoard Liaison: Hayley Shulman – hshulman@withum.com (973) 898-9494 10:00 AM Access Code: 131556 (712) 770-5044
FACT (Finance, Accounting, Capital & Taxes)Chair: Alex Filipiak – Alexander.Filipiak@rwjbh.org (732) 789-0072 Third Wednesday of each month Conference Call Co-Chair: Spiro Leunes – sleunes@bdo.com (917) 816-0601 8:00 AM (712) 770-4952Board Liaison: Dave Murray – murrayd@ihn.org (856) 298-6629 Access Code: 294782
Institute 2020Chair: Mike McKeever – m.mckeever2@verizon.net (609) 731-4528 Third Friday of each month Conference CallCo-Chair: Sandra Gubbine – Sandra.Gubbine@atlanticare.org (609) 484-6407 10:00 AM (712) 770-4957Co-Chair: Jill Squiers – Jill.Squiers@AmeriHealth.com (609) 662-2533 Access Code: 865290 Board Liaison: Stacey Medeiros – Stacey.Medeiros@pennmedicine.upenn.edu (609) 423-8731
Membership Services/NetworkingChair: Nicole Rosen – nrosen@acadia.pro (862) 325-5906 Third Friday of each month Conference Call (712) 770-5335 Co-Chair: John Byrne – JByrne56@gmail.com (610) 737-6683 9:00 AM In-person Meetings Board Liaison: Heather Stanisci – hstanisci@ArcadiaRecovery.com (862) 812-7923 Access Code: 267693 by Notification
Patient Access ServicesChair: Daniel Demetrops – ddemetrops@medixteam.com (845) 608-4866 Contact the committee leaders Aetna officesCo-Chair: Jacqueline Lilly – jacqueline.lilly@atlanticare.org (609) 385-3105 Access Code: 196273 ParsippanyBoard Liaison: Amina Razanica – arazanica@njha.com (609) 275-4029 Conference Call: (712) 770-5377
Patient Financial ServicesChairman: Steven Stadtmauer – sstadtmauer@csandw-llp.com (973) 778-1771 x146 Second Friday of each month Conference Call (712) 770-4908Co-Chair: Michael Berger – mberger10@comcast.net (908) 794-8994 10:00 AM In person MeetingsCo-Chair: Ruby Ramos – ruramos77@yahoo.com (908) 884-7259 Access Code: 120676 by NotificationBoard Liaison: Maria Facciponti – facciponti.maria@gmail.com (973) 583-5881
Payer/Provider CollaborationChair: Michelle Merchant – Michelle_Merchant@horizonblue.com (973) 466-4048 Third Wednesday of each monthCo-Chair: Holly Fritz – holly.fritz01@aetna.com (973) 244-3539 2:00 PMBoard Liaison: Jill Squiers – Jill.Squiers@AmeriHealth.com (609) 662-2533
Physician Practice Issues ForumChair: Michael McLafferty – michael@mjmaes.com (732) 598-8858 Third Wednesday of the Month Wilentz, Spitzer & Goldman officesBoard Liaison: Erica Waller – erica.waller@pennmedicine.upenn.edu (609) 620-8335 8:00AM In person with call in available 90 Woodbridge Center Dr WebEx: https://meetingsamer7.webex.com/meet/michael91 Woodbridge, NJ
Regulatory & ReimbursementChair: Jason Friedman – Jason.friedman@atlantichealth.org (973) 656-6951 Third Tuesday of each month Conference Call (712) 770-5354Co-Chair: Chris Czvornyek – chris@hospitalalliance.org (609) 989-8200 9:00 AM In Person MeetingsCo-Chair: Christine Gordon – cgordon@virtua.org (856) 355-0655 Access Code: 382856 by NotificationBoard Liaison: Scott Besler – Scott.Besler@atlanticare.org (609) 383-2117
Revenue IntegrityChair: Tiffani Bouchard – tbouchard@panaceainc.com (651) 272-0587 Second Wednesday of each month Conference Call (712) 770-5021Co-Chair: Jennifer Daniels – jdaniels@panaceainc.com (651) 424-4233 9:00 AM In Person MeetingsBoard Liaison: Jonathan Besler – jbesler@besler.com (732) 392-8238 Access Code: 419677 by Notification
CPE DesignationChair: Lew Bivona – lewcpa@gmail.com (609) 254-8141
CLE DesignationChair: Michael P. McKeever, CPA – m.mckeever2@verizon.net (609) 731-4528
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Focus 13
NJHFMA and Greenbaum, Rowe, Smith & Davis LLP Present Three-Part Webinar Series on Legal Issues for New Jersey’s Healthcare Community in Collaboration with NJHA, MSNJ and NJDA
James A. Robertson
by James A. Robertson, Esq.
continued on page 14
The New Jersey Healthcare Financial Management Asso-ciation (NJHFMA) recently joined in a collaboration with the New Jersey Hospital Association (NJHA), the Medical Society of New Jersey (MSNJ), and the New Jersey Dental Association (NJDA) to co-sponsor a three-part series of one-hour “Lunch & Learn” webinars presented by attorneys from Greenbaum, Rowe, Smith & Davis LLP.
The webinar series, titled “COVID-19 Conversations: Legal Issues for New Jersey’s Healthcare Community,” was presented free-of-charge on successive Wednesdays in June and early July, with registration open to all NJHFMA, NJHA, MSNJ and NJDA members. CPE and CLE credits were made available for all attendees.
Nearly 700 professionals with ties to the healthcare industry registered for one or more presentation, including C-level and other management executives and directors from the compliance, finance, legal, clinical, technology and administrative sectors.
Here is an overview of the three webinars:“Delivering Healthcare in a COVID-19 World: What
Providers Should Know to Adjust and Adapt to the Pandem-ic” was presented on June 17. With the COVID-19 pandemic forcing the healthcare industry to adjust and adapt the way it does business by creating new financial and healthcare delivery issues that providers cannot ignore – and with predictions of a likely second surge in the coming months – this presentation addressed issues of consideration to help healthcare providers adapt their businesses and position themselves well for the “new normal” of a COVID-19 world. The webinar covered a variety
of topics, including actions taken by the U.S. Department of Health and Human Services (HHS), the Centers for Medicare and Medicaid Services (CMS), the New Jersey Legislature and Governor Murphy. Attendees learned about qualifying for and retaining HHS stimulus funds, the expansion of telehealth ser-vices, federal Stark Law, Anti-kickback Statute and CMS 1135 waivers, CMS modifications to the EMTALA law, guidelines for the reopening of healthcare facilities for elective medical procedures, and physician compensation and patient treatment issues. James A. Robertson, Chair of Greenbaum’s Healthcare Department, served as the program moderator, which featured presentations by Greenbaum healthcare partners John W. Ka-veney and Glenn P. Prives.
“The Impact of COVID-19 on Healthcare Industry Employers and Next Steps” was presented on June 24. The presentation offered a timely review of employment law issues related to compliance and operations, as well as thoughts about what healthcare industry employers can expect to see going forward in the era of COVID-19 when an understanding of the federal and state employment law landscape will be criti-cal. Up-to-the minute practical guidance related to navigating compliance with federal and state employment laws, pandem-ic-triggered legislation and regulatory agency guidelines were a key focus of the presentation. The webinar provided a review of considerations for healthcare employers related to staffing and payroll issues, including layoffs, furloughs, wages and federal stimulus relief/ PPP loans. Compliance with legislation under the CARES Act, including the Families First Coronavirus Re-
Summer 2 0 2 0
14 Focus
continued from page 13
sponse Act was discussed, as was an overview of unemployment benefit provisions and paid sick leave. Guidance from federal agencies including the CDC, OSHA and the EEOC, as well as a review of anti-discrimination laws such as the ADA was cov-ered. The presentation also addressed the importance of fully understanding the employment law landscape to better prepare for potential litigation risks, as well as a possible second surge of COVID-19 infections. Mr. Robertson again served as the moderator, with presentations by Greenbaum partners Jemi G. Lucey and Maja M. Obradovic and associate Joel Clymer – all members of the firm’s Employment Law Practice Group.
“Insurance Coverage Issues and Defending Your Rights in the Age of COVID-19” was presented on July 1. With busi-ness interruptions, force majeure, and fraud-related concerns taking on new and different dimensions in the wake of an un-precedented health crisis and widespread economic disruption, this presentation provided an informative deeper dive into insur-ance claims and coverage for losses sustained as a result of CO-VID-19. This included an overview of coverage for property loss and business interruption, with an explanation of how certain policy terms, definitions and common exclusions are relevant to the virus. There was a timely update on COVID-19 cases in the courts and a review of current federal and state legislative ac-tion to address coverage under business interruption insurance. Shifting the focus to issues impacting employers who provide coverage to their employees, the speakers reviewed temporary changes to HIPAA and COBRA, premiums based on utiliza-tion, and disability income and workers compensation claims by employees. Concerns for healthcare providers claiming benefits on behalf of their patients were addressed, including those re-lated to telemedicine and network adequacy, cost-sharing, and rates of reimbursement, each within the context of various payer types, including insured commercial plans, self-insured employer
plans, Medicare, and Medicaid. The program also touched on internal and external fraud risks stemming from remote work-forces, incentives to commit fraud due to unemployment, layoffs or mounting expenses, dummy vendors and embezzlement, the theft of assets due to office/equipment or data access, and billing fraud. The speakers were partner Robert B. Hille and Counsel Neil M. Sullivan of Greenbaum’s Healthcare Department and partner Christopher D. Adams, Chair of the firm’s Criminal De-fense & Regulatory Compliance Practice Group, with Mr. Rob-ertson again serving as the moderator.
Greenbaum, Rowe, Smith & Davis LLP was proud to be given this opportunity to share important information as we all work towards gaining a better understanding of both the imme-diate and longer-term impacts of COVID-19 on business oper-ations and on our personal and professional lives. Recordings of the webinars outlined in this article are available on our website. The firm stands ready to serve as a resource for all members of New Jersey’s healthcare community. Please contact the author, James A. Robertson at jrobertson@greenbaumlaw.com or visit us online at greenbaumlaw.com.
About the AuthorJames A. Robertson is a Partner and Chair of the Healthcare Department at Greenbaum, Rowe, Smith & Davis LLP. Jim can be reached at jrobertson@greenbaumlaw.com.
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16 Focus
Suzette VillagomezRevenue Cycle Representative551-221-5398svillagomez@student.sussex.edu
Eric McGrierProspect Keystone Crozer Health NetworkExecutive Director Revenue Cycle856-912-0428mcgrier-eric@comcast.net
Rosemary VelasquezHuang Medical Care PCAdministrator201-641-2125rvelasquez@eastwick.edu
Brian Tomczyk551-804-0233
Erin AtalayAtlantic Health SystemAccounting Manager908-309-5341erin.atalay@atlantichealth.org
Tiffani BouchardPanacea Healthcare SolutionsSenior Healthcare Consultant561-350-0623tbouchard@panaceainc.com
Varduhi Kyureghyan310-739-3044vk1282@stern.nyu.edu
Mike ScaliaAllscripts EPSIManager856-689-3700mike.scalia@verizon.net
Jennifer DiGirolamo732-425-5434jrd246@scarletmail.rutgers.edu
Jennifer Gruszka551-200-2733jg707438@sju.edu
Junaid Baloch1-848-247-8423hg242@scarletmail.rutgers.edu
Jean Sanon973-393-1941jeansanon1969@email.phoenix.edu
Reetu NarainFinastraHead of Financial operations203-985-5331reetu.narain2001@gmail.com
Tracie Yensel856-449-0277tracieyensel@student.purdueglobal.edu
Fatime Sela973-934-8035fatime.sela@student.ashford.edu
Rajan Kanda908-296-6885kanda.rajan@student.ccm.edu
Timothy RedaAtlantic Health System Inc Financial Analyst973-490-3305timothy.reda@atlantichealth.org
Ben LevinINVESTMENT 360Director of Strategic Growth848-245-3182ben@inv360.com
Joseph PonessiUniversal Health ServicesCFO - Summit Oaks Hospital908-277-9065joseph.ponessi@uhsinc.com
Lily Lee917-288-4756ls245314@ohio.edu
Birju Narechania201-772-6417birju.narechania@my.ichs.edu
Cathy SuberSelf EmployedConsultant973-855-1191catsub7@gmail.com
Deborah BinghamAtlanticare Regional MCAIT Budget Coordinator609-272-6351debbie.bingham@atlanticare.org
Tonisha BurnettAxia Women’s HealthBiller856-895-8321tonisha.burnett@axiawh.com
Josephine SpinelliHunterdon Healthcare SystemAnalyst908-309-7683jspinelli@hhsnj.org
Mary PaslowskyStudent at CapellaStudent609-471-3795mpaslowsky@capellauniversity.edu
Brian Hochstuhl856-745-4602bphochstuhl@widener.edu
Rick CarpentierVisitPaySales Executive917-974-1412rcarpentier74@gmail.com
Rory FlanneryExperian Health/PassportClient Executive615-351-6256rory.flannery@experian.com
Mary MitskavichCoastal ENTManaging Partner732-289-7855mtmitskavich@coastalhearing.com
Diane PlumAtlanticare Regional MCFinancial Analyst II609-272-2558diane.plum@atlanticare.org
Jules InnisInnis Billing & Consulting, LLCMedical Biller732-533-9963julius@innismedbilling.com
Alexander ShorshteinNorth American Partners in AnesthesiaChief of Anesthesia201-600-0292ashorshtein@gmail.com
Roger CastilloBDOSenior Associate646-302-7272rogerluvus@gmail.com
Jeremy PadmosPremier Healthcare AllianceVice President, ERP & Financial Solutions305-775-1818jeremy_padmos@premierinc.com
Jennifer Gertsman-DeliaMarshVice President973-401-5024jennifer.delia@marsh.com
Joanne M. PossumatoCertified Credit & CollectionPresident & CFO908-809-1890jpossumato@certifiedcollection.com
Puja ContractorStudent973-974-0684pdc67@scarletmail.rutgers.edu
Evan LewisHCAnalyst908-328-9759evan_lewis@my.uri.edu
Ernie KernanVidalPTAvidale3707@students.felician.edu
New Members
Summer 2 0 2 0
Focus 17
•Focus on...New Jobs in New Jersey•
JOB BANK SUMMARY LISTINGNJ HFMA’s Publications Committee strives to bring New Jersey Chapter members timely and useful information in a convenient, accessible manner. Thus, this Job Bank Summary Listing provides just the key components of each recently-posted position in an easy-to-read format, helping employers reach the most qualified pool of potential candidates, and helping our readers find the best new job opportunities. For more detailed information on any position and the most complete, up-to-date listing, go to NJ HFMA’s Job Bank Online at www.hfmanj.org.
[Note to employers: please allow five business days for ads to appear on the Website.]
Job Position and Organization
Manager Of Managed Care CentraState Healthcare System
Manager Of Budget & Reimbursement CentraState Healthcare System
Medical Billing Manager Project HOPE, Inc.
What’s Your Covid Comfort?NJ HFMA Members share what helped them pass the time and cope during the COVID-19 crisis
Deborah Carlino shared that online shopping and exercise were her go-tos.
For Teresa Bailey it is her virtual workouts. Trying to keep herself together considering gyms weren’t open.
Donna Barnes says “My guilty pleasure has been online gaming…specifically word games. Boggle, Scrabble, you name it. When I’m suffering from bad news overload, spelling a word with a Q&Z with triple points gives me life! LOL”
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18 Focus
•Certification Corner•
Maintaining Your CertificationsImportant: HFMA certification maintenance due date of May 31, 2020, extended to Oct. 1, 2020.
During this unprecedented time HFMA is committed to meeting the needs of its certified individuals. HFMA is implementing a temporary certification maintenance grace period to allow for additional time to meet recertification requirements. The maintenance deadline for all HFMA certifications will be extended from May 31, 2020, to Oct. 1, 2020. Email questions to careerservices@hfma.org or Amina Razanica at arazanica@njha.com.
Reporting Your Education ActivitiesIt is your responsibility to self-report your education hours/activities using the online reporting tool. The only educational
activities that do not need to be self-reported are activities sponsored by HFMA National for which you have received CPE credit. HFMA website contains download instructions for using the online reporting tool along with a list of eligible CHFP/FHFMA maintenance activities. This document also includes general certification maintenance information.
Some FAQs:• I need CPEs for my CPA license but this program does not offer CPE?
HFMA programs that do not offer CPE credits may be accepted by your local State Board of Accountancy as education credit for your CPA license. Please contact your local State Board of Accountancy for more information regarding qualified programs and next steps. For information on how to contact your State Board of Accountancy, visit NASBA’s website, call NASBA at (866) 627-6286, email NASBA.
• Can I use HFMA programs that do not offer CPEs toward my HFMA certification maintenance?Yes. HFMA programs that do not offer CPE may be eligible toward HFMA certification maintenance for contact hours/education points when self-reported.
Maintenance Requirements: Certified Revenue Cycle Representative (CRCR) and Certified Specialist (CS)HFMA CRCR and CS certificants must maintain their certification every two years. The recertification process is
straightforward: to re-certify as a CRCR or CS, you must take a 50-question online exam. To help you prepare for the exam, you will have access to an updated elearning course. With all-access membership there is no cost for the CS and CRCR recertification exams. The maintenance fee for non-members is $100 per certification. Members who joined before Nov. 1, 2018, will be able to unlock all-access benefits upon their renewal for the next period.
SAVE DATEthe
Annual Institute Virtual Thursday, October 15 from 2pm to 5pmFriday, October 16 from 8:30am to noonThursday, October 22 from 2pm to 5pmFriday, October 23 from 8:30am to noon
Summer 2 0 2 0
Focus 19
NJ HFMA Leadership 2020-2021Officers
Scott J. Mariani smariani@withum.comWithumSmith+Brown, PC
Michael McKeever m.mckeever2@verizon.netSt. Peter’s University Hospital
Stacey MedeirosNJ HFMA Presidentstacey.medeiros@pennmedicine.upenn.edu Penn Medicine
Advisory Council
Dan Willis Dkwillis6@gmail.com Aetna
Heather Weber NJ HFMA Asst. Treasurerheather.weber@bakertilly.com Baker Tilly
Board of Directors
Jill Squiers NJ HFMA President-Electjill.squiers@amerihealth.com AmeriHealth New Jersey
Brian HerdmanNJ HFMA TreasurerBHerdman@cbiz.comCBIZ KA ConsultingServices, LLC
Erica Waller erica.waller@pennmedicine.upenn.edu Penn Medicine Princeton Health
Michael Georgemichael.george@us.pwc.comPricewaterhousecoopersLLP
Heather StanisciNJ HFMA Secretaryhstanisci@arcadiarecovery.com Arcadia Recovery Bureau
Jonathan BeslerJBesler@besler.com BESLER
Scott Beslerscottbesler@atlanticare.org AtlantiCare Regional Medical Center
Lisa SchaafLMaltese-Schaaf@childrens-specialized.orgChildren's Specialized Hospital
Maria S. Faccipontifacciponti.maria@gmail.comElite Medical ReceivablesSolution
Summer 2 0 2 0
20 Focus
Board of Directors (Cont’d)
Associate Board Directors
Dave Murray murrayd@ihn.org Inspira Health Network
Nicole Rosennrosen@acadia.proAcadia Professional
Mike Costa costam@aetna.com Aetna
Ex-Officio
Roger Sarao RSarao@NJHA.com New Jersey Hospital Association
Committees
Scott BeslerCommunicationsscott.besler@atlanticare.org AtlantiCare Regional Medical Center
Sandra GubbineEducation CommitteeSandra.Gubbine@atlanticare.org AtlantiCare Health System
Hayley ShulmanHShulman@Withum.com WithumSmith+Brown, PC
Amina Razanicaarazanica@njha.com New Jersey Hospital Association
Jane Kayejane@hcfadvisors.comJane Kaye Healthcare Consulting LLC
Alex FilipiakAlexander.Filipiak@rwjbh.orgRWJBarnabas Health
Danette Slevinski Compliance, Audit, Risk & Ethics (CARE) Committeeslevindl@uhnj.orgUniversity Hospital
Leslie BolesCompliance, Audit, Risk & Ethics (CARE) Committee lboles21@gmail.com Waud Capital Partners
Leslie Boleslboles21@gmail.com Waud Capital Partners
Jane KayeEducation Committeejane@hcfadvisors.comJane Kaye Healthcare Consulting LLC
Jason Friedman Regulatory and Reimbursementjason.friedman@atlantichealth.orgAtlantic Health System
Summer 2 0 2 0
Focus 21
Steven StadtmauerPatient Financial Services Committeesstadtmauer@csandw-llp.com Celentano Stadtmauer & Walentowicz, LLP
Ruby RamosPatient Financial Services Committee ruramos77@yahoo.com
Committees (Cont’d)
Amina RazanicaCertification Committeearazanica@njha.com New Jersey Hospital Association
Hayley Shulman Education CommitteeHShulman@Withum.com WithumSmith+Brown, PC
Alex FilipiakFinance, Accounting, Capital & Tax (FACT) CommitteeAlexander.Filipiak@rwjbh.orgRWJBarnabas Health
Sandra GubbineInstitute CommitteeSandra.Gubbine@atlanticare.org AtlantiCare Health System
Nicole RosenMarketing/Networkingnrosen@acadia.proAcadia Professional
Jacqueline LilyPatient Access Services Committee jacqueline.lilly@atlanticare.orgAtlantiCare Health System
Michael BergerPatient Financial Services Committeemberger10@comcast.netSaint Peters UniversityHospital
Spiro LeunesFinance, Accounting, Capital & Tax (FACT) Committeesleunes@bdo.comBDO USA, LLP
Michael McKeever Institute CommitteeCLE Designationm.mckeever2@verizon.netSt. Peter’s University Hospital
John ByrneMarketing/NetworkingJByrne56@gmail.com
Daniel DemetropsPatient Access Services Committee ddemetrops@medixteam.comMedix
Michelle MerchantPayer & Provider Collaboration Michelle_Merchant@horizonblue.comHorizon Blue CrossBlue Shield
Jill Squiers Institute Committeejill.squiers@amerihealth.com AmeriHealth New Jersey
Summer 2 0 2 0
22 Focus
Jason Friedman Regulatory and Reimbursementjason.friedman@atlantichealth.orgAtlantic Health System
Lew BivonaCPE Designationldbcpa@verizon.net
Michael McKeever CLE Designationm.mckeever2@verizon.netSt. Peter’s University Hospital
Committees (Cont’d)
Michael McLaffertyPhysician Practice Issues Forum michael@mjmaes.comMJM Advisory andEducational Services, LLC
Chris CzornyekRegulatory and Reimbursement chris@hospitalalliance.orgHospital Alliance
Christine GordonRegulatory and Reimbursement cgordon@virtua.orgVirtua Health
Tiffani BouchardRevenue Integrity tbouchard@panacainc.comPanacea Healthcare Solutions
Jennifer DanielsRevenue Integrity jdaniels@panaceainc.comPanacea Healthcare Solutions
Holly FritzPayer & Provider Collaborationholly.fritz01@aetna.comAetna
HFMA NEW JERSEYIN CONJUNCTION WITHHFMA METROPHILADELPHIA PRESENT:
Oct. 15: 2pm-5pm
Oct. 16: 8:30am-12pm
Oct. 22: 2pm-5pm
Oct. 23: 8:30am-12pm
Registration opening soon atnjhfmainstitute.org
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