Thank You to Our Platinum and Presidential Sponsors

2013 Issue 2

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Our Corporate Sponsors

We gratefully acknowledge the commitment of our Corporate Sponsors who assist in the funding of the Chapter's programs and activities

Ernst & Young LLP
FirstCredit Inc.(FCI)/RevCare
Howard, Wershbale & Co.
Human Arc
JP Recovery Services, Inc

Alta Partners, LLC
Deloitte & Touche LLP
Fifth Third
Plante & Moran, PLLC


Net Revenue
PNC Healthcare

Credit Adjustments, Inc.
KeyBanc Capital Markets
The ROI Companies

Avadyne Health
Blue & Co., LLC
Calfee, Halter & Griswold LLP
Crowe Horwath LLP
Emrhein & Associates
HMC Group
Meridian Leasing Corporation
Quadax, Inc.
the MASH program
The Wellington Group, LLC
UCB, Inc.
Wise Management Services, Inc
Wolfskill & Associates

HFMA Northeast Ohio
Chapter Officers

Lisa Hilling

Justin R. Williams

Vice President
Donald B. Urbancsik

Chapter Secretary/Treasurer
Geoffrey A. Himes, FHFMA, MBA

Diane Lilko, CPA

Chapter Coordinator
Kathleen A. Much

Board of Directors
John Beirne
Melissa Hoch
Chuck Josey
Stanley Kasmarcak, CPA
Kelly R. Linson
Mary Kaye Verbiar

Visit HFMA National at:

Visit HFMA Northeast Ohio at:

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President’s Message

Diane LilkoIt’s that time of year again! It’s your opportunity to let National know what a great chapter we have in Northeast Ohio.

On October 29, you should have received a “Member Satisfaction Survey” on behalf of our chapter, conducted by National HFMA.

Your participation in this survey is important for many reasons.

First, in order to meet our chapter goals set by HFMA National we need to have at least a 60% response rate at very or extremely satisfied. The results are sent to us in January and this represents one third of our overall point goal on our Chapter Balanced Scorecard.

In addition, the officers and board members review the results to measure how we are doing in our member’s eyes. But most important, we read your comments and advice and use that information to set our goals for each year. In the current year, our leadership has set 3 goals based on last year’s responses.

  1. We have formed a communications committee to find better more convenient ways to reach our members.
  2. We have formed a collaborative event committee to provide a different venue for those who cannot take as much time away from a busy work schedule.
  3. We are reaching out to providers in the eastern parts of our state to provide programming convenient to our members in those locations.

In addition to the above we will continue with our high quality programming throughout the year.

I encourage you to participate in the survey and to participate in our events. We are particularly excited about our upcoming event at The Cleveland Convention Center. We will be among the first groups in after the opening of the Global Center for Health Innovation. Our program offers high educational content, great networking opportunities as well as a tour of the new center.

Thank you for your continued support!


Lisa Hilling
Northeast Ohio Chapter of HFMA

chris MilliganGreetings Northeast Ohio HFMA!

My name is Chris Milligan. I have been given the honor of serving as your regional executive for this chapter year (2013/2014). As regional executive, my responsibility is to serve as a liaison to national for all the chapters within region six (Ohio and Michigan). I serve as a direct link between national and the leadership of your chapter and act as an advocate on behalf of the members.

Since taking on this role in May, I have had the pleasure of working closely with the leadership of Northeast Ohio through the Leadership Training Conference, Annual National Institute, Fall President’s Meeting and monthly conference calls. You should all be very proud of the outstanding job your chapter leadership is doing! If you are not currently involved in your chapter in some capacity, I would strongly encourage you to consider getting connected. Over the past 15 years that I have been involved in HFMA on both a local and regional level, I have developed great relationships that have helped me in my career growth and success. As the saying goes, you get out of it more than you ever put into it.

The Northeast Ohio leadership has done an outstanding job to make sure your chapter is not only hitting but also exceeding the goals established by national through the Chapter Balance Scorecard (CBS) process. Specifically, Northeast Ohio is exceeding your goals in the areas of, DCMS on-time reporting and board composition and you are on target to exceed your education hours, membership and membership satisfaction goals. I have no doubt these efforts will result in your chapter, once again, being recognized for your success at this year’s Annual National Institute, to be held in Las Vegas on June 22-25, 2014.

Additionally, in order to make sure the chapter is providing you value, local leadership has been focusing on improving the quality of education and networking events.

On a regional level, your membership, along with the membership of the other six chapters within the region, have been working to improve education opportunities through a regional webinar series and improving the certification process by developing a regional committee to focus on the value that being certified provides you.

National continues to be sensitive to these issues and has listened to our feedback. As a result, national has provided several educational updates on Health Care Reform and the pending ICD-10 conversion. Furthermore, changes were made to the certification process this year to include a certification specific for members working within the revenue cycle, as well as continuing to offer the HFMA certification and fellowship. Currently, Northeast Ohio’s membership consists of 25 certified members or 5.1% of your total membership. National has set a goal of 5.7% for Northeast Ohio this year.

In the coming months, my focus will be on visiting each chapter to learn what I can do to help improve your HFMA experience and communicate those findings back to our national board. In April of 2014, I will be ending my term as Regional Executive and Mary Whitbread (Eastern Michigan) will be taking over as regional executive. Mary has been working closely with me for the past year in the role of regional executive-elect. Replacing Mary in the role of regional executive elect is Barb Shelly (Western Michigan). Believe me when I say that the region is in good hands moving forward!

I will leave you with this challenge. Like anything in life, HFMA can only be as good as you make it. If you have an idea for an educational or networking event, I encourage you to share your ideas with your local leadership. Furthermore, I encourage you to get or stay involved by attending meetings, becoming a member or chairman of a committee or potentially becoming active in a leadership role. Who knows, one day you could be writing an article to the chapter as regional executive.

Although I have regular interactions with your chapter leadership team, I invite you to contact me directly with any question, concerns or ideas you may have.

Have a great rest of your year!

Chris Milligan

New Members - Welcome to NEOHFMA!

Please welcome our newest members to the Northeast Ohio Chapter of HFMA. Look for them at our next meeting and welcome them to our organization.

Nan Arian
Baker Hostetler
Michelle L. Lindman
Akron Children’s Hospital
Donna Graham
The MetroHealth System
Laura Gronowski
Center for Health Affairs
Laurajeanne Cerniglia
Dixon Highes Goodman
Gregg Morris
Patina Solutions
Kathy A. HartmanFang Xia
Cleveland Clinic
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Welcome Back!

HFMA Members that have reinstated their Membership during this past quarter.

Brian G. Francesangelo
Ernst & Young
Lyman G. Sornberger
Capio Partners
Sara M. Bing
Plante & Moran
Matthew E. Albers, Esq
Vorys, Sater, Seymour & Pease, LLP
Jeffrey Scott
Key Bank
Michael V. Spinelli
Ernst & Young
Betsy B. Shaughnessy, MBA
St. John Medical Center
Thomas F. Boggs, CPA
Aultman Health Foundation
Thomas P. Coffey
Salem Community Hospital
Mary L. Griest, CPA
Regional Health System
Donald L. Kepner
Acme Health System
Dan A. Lege
Cleveland Clinic Health System
Cheryl L. Lepkowski, CPA
Akron Children’s Hospital
Paul M. Helmick
Systems, Inc.
Christopher Donovan
Cleveland Clinic Foundation
Dorothy M. Manwell
Cleveland Clinic Foundation
Tim Barber
Cleveland Clinic Foundation
Christine M. Sanderson
CBS Healthcare Consulting, LLC
James E. Heikkinen
Community Health Partners
Mary C. Reed
Gateway Group
Bruce Giambattista
The Hope Center for Cancer Care
Yvonne A. McNulty
Plante Moran
Ryan M Miller, CPA
The Cleveland Clinic Foundation
Jon R. Englander, CPA
MedCom Solutions
Dennis D. Pijor, CPA
Summa Integreated Service Organization
Deborah L. Gatto
Cleveland Clinic
Niki V. Cromes
Cleveland Clinic Foundation
Mary Ann Crawford, Phd, RN
Walsh University
Bobbi L. JonesCarol E. Polley
Hospitals Health System

From the Editor’s Desk

In addition to publishing the quarterly newsletter, an expanded communications committee is also working on efforts to improve social media usage and our chapter website. All chapter members are encouraged to join the official Northeast Ohio HFMA LinkedIn group. From the group search page, enter HFMA – Northeast Ohio Chapter. Once the page appears, simply click the yellow Join button. As a group member, you will be able to receive reminders of upcoming events, breaking healthcare news and other updates from fellow members.

The committee is also planning to refresh the chapter website in coming months. A meeting will be held in November to discuss possibilities to make the site a great resource for years to come. Current plans include an electronic event payment option and mobile device format. Your thoughts and ideas are welcome and can be shared with committee chair Chris Maeder at

Influence Future Leaders

Our chapter members have been offered an exciting opportunity to guide future healthcare finance leaders. Kent State University is looking for practicing professionals in the healthcare finance world who would like to affiliate with the university as adjunct faculty. They have an immediate need for someone to teach an undergraduate introductory course and a master's-level introductory course in health care finance. We're looking for someone who has technical as well as practical experience and can teach traditional college students and working professionals.

more information, contact Willie H. Oglesby III, PhD, at or (330) 732-7825

Program Recaps

Payer, Provider Relations Program
Great Lakes Brewery- July 31, 2013

On Wednesday July 31st, Great Lakes Brewery, in Cleveland’s historic Ohio City neighborhood, hosted HFMA’s Provider Relations Program. Great Lakes Brewing Company is one of Cleveland’s most popular destinations for dining and celebration and was a great setting for learning and an opportunity for networking.

The program kicked off with feature speakers Mark Schabel CEO, and Randy Tempest, Sr, Dir, Sales and Client Relations, from Receivables Management Partners located in Greensburg Indiana. “Going to the Finals- Leading your Team to Success,” was an enjoyment for all members in attendance, speaking to the Fundamentals of Leadership. One of the great quotes Mark Schabel delivered during their presentation was that “90 percent of success in life is a direct result of how much effort you are willing to put forth,” figure out what you are passionate about, enough to outwork everyone else in the world.

Other healthcare executives who spoke at the conference included Mike
, Director of Contract Economics, “The Current State of Healthcare Exchanges”, Robert Alt, Buckeye Institute, “Medicaid Expansion- Myth vs. Reality” and Joe Cimperman, Councilman, City of Cleveland, Ward 3, gave everyone an update on changes and improvements that are being made in Ohio City.

Our program concluded with a networking opportunity and sampling from Great Lakes’ own fine beer and appetizer selection in their beautiful tasting room. Many thanks to Great Lakes Brewery for a wonderful experience!

Volunteer Appreciation Outing:
Quail Hollow/ Jack Arra’s Salon & Spa- August 22, 2013

After a round of golfOn Thursday August 22nd, Quail Hollow Country Club, in Concord Ohio, hosted HFMA’s Volunteer Appreciation Outing. Quail Hollow Country Club is nestled among 700 acres of wooded countryside and was a great location for the morning learning opportunity and the luxurious afternoon amenities.

wine tastingThe program kicked off with speakers Rosina M. Caponi Esq., and Amanda L. Waesch Esq, from Brennan, Manna & Diamnond LLC located in Akron, Ohio. They spoke to the topic of “Navigating the Affordable Care Act: Understanding the individual mandate, the employer mandate, and insurance exchanges”. Both attorneys spoke about the overall goals of the Patient Protection and Affordable Care Act. The exchange system of shopping for health insurance was a main topic that was discussed amongst all attendees, and was very informative for all members in attendance.

Our second speaker who spoke
at the conference was Jessie Baginski, Ph.D., Executive Director of Leadership in Lake County, presented “Leadership Importance of Volunteering”. Jessie highlighted the fact that leaders do not create followers, they create more leaders. A
video by DeWitt Jones was shown to emphasize celebrating what is right for the world. The interaction
with the speaker and all the attendees was a great and rewarding experience for everyone!

golfersOur program concluded with a networking lunch on the back patio of the Country Club with a wonderful view of the pristine golf course. Lunch was followed by either the choice of a spa day or a round of golf for all the volunteers who contributed their time to HFMA the prior year. Many thanks to Quail Hollow Country Club, Jack Arra’s Salon & Spa for a wonderful experience and to all the volunteers of HFMA!

Save the DateUpcoming NEOHFMA and National HFMA Programs

Log onto the NEOHFMA Website ( for more information on our upcoming programs:

Healthcare Innovation Strategies
Program Date: Thursday, November 14, 2013
Program Location: Cleveland Convention Center

  • Healthcare Economic Strategies
    Speaker: Thomas Campanella, Director of Healthcare MBA, Baldwin Wallace
  • Innovative Change
    Speaker: J.B. Silvers, Professor, Case Weatherhead School of Management
  • Sustainable Acute Care Enterprise
    Speaker: Ken Leonczyk, The Advisory Board
  • Global Center for Health Innovation
    Speaker: David Johnson, Director of Public Relations & Marketing
  • Bundled Payment and Innovations
    Speaker: Dr. Mark Froimson, Orthopedic Surgeon & President, Euclid Hospital, Cleveland Clinic
  • Innovative Market Strategies
    Speaker: John Augustine, Chief Market Strategist, Fifth Third Bank
  • Guided Tour of the Global Center for Health Innovation

Northeast Ohio HFMA Annual Holiday Party & Awards Dinner
Program Date: Thursday, December 5th, 2013
Program Location: LockKeepers, 8001 Rockside Road, Valley View, OH 44125 216.524.9404
Agenda: 6:00pm Cocktails & Appetizers
7:00pm Dinner and Music
8:00pm Awards
8:30pm Dessert and entertainment by Stick People
Ticket Price: Advanced Purchase from 10/21-11/8 is $40.00 per person
After 11/8 ticket prices go up to $50.00 per person
(So buy your tickets early!) Registration: Online:
Phone: 440.835.1186
Mail: Kathy Much
27910 Osborn Road
Bay Village, OH 44140
Reservation deadline is: Monday, November 25th, 2013.

50/50 Raffle supporting Greater East Ohio Alzheimer's Association

Alzheimer's Association

Entertainment Provided By:
Stick People

Patient Financial Services Seminar
Program Date: February 27, 2014
Program Location: Akron General Health & Wellness Center West, Akron, OH

MAC Madness Leadership Conference and Past President Appreciation
Program Date: March 18, 2014
Program Location: Quicken Loans Arena, Cleveland, OH

2014 Gerry Haggerty Annual Leadership Institute

Sawmill CreekDate: May 21st- 23rd, 2014

Location: Sawmill Creek Convention Center & Golf Resort

Mark your calendar for this great event to be held at this beautiful resort featuring three restaurants, marina, shops, pools, beautiful lakefront sand beach and a 500 acre nature preserve.

National HFMA Seminars

Chargemaster Essentials
November 12, 2013 – San Antonio

2014 Chargemaster Update
December 11, 2013 – Chicago

Developing a Chargemaster and Charge
Capture Strategies in Clinical Departments

November 13, 2013 – San Antonio
December 10, 2013 – Chicago

Managed Care Contracting, Negotiation, and Reimbursement
December 10 - 11, 2013 – Chicago

Managing Denials Through Process Improvements
November 13, 2013 – San Antonio

Medicare Cost Reporting Essentials
November 11, 2013 – San Antonio
December 10, 2013 – Chicago

Medicare Cost Reporting Implications and Strategies
November 12 - 13, 2013 – San Antonio
December 11 - 12, 2013 – Chicago

Revenue Cycle Essentials
November 11 - 12, 2013 – San Antonio
December 10 - 11, 2013 – Chicago

Benchmarking Organizational Performance
for Productivity and Process Improvements

November 12 - 13, 2013 – San Antonio

Key Performance Indicators for Revenue Cycle Improvement
December 12, 2013 – Chicago

Constructing Financial Forecasting Models for Return
November 11, 2013 – San Antonio

Cost Accounting Under New Reimbursement Models
November 12, 2013 – San Antonio
December 11, 2013 – Chicago

Financial Reporting Best Practices
December 10, 2013 – Chicago

Developing a Strategic Business Intelligence Initiative
November 11 - 12, 2013 – San Antonio

Healthcare Financial Management Essentials
November 11 - 13, 2013 – San Antonio
December 10 – 12, 2013 – Chicago

Using Analytics to Improve Financial Performance
December 11 - 12, 2013 – Chicago

Building the Infrastructure to Deliver
Accountable Care and Clinical Integration

November 11, 2013 – San Antonio
December 12, 2013 – Chicago

Maximizing Financial Performance of Employed Physicians
November 13, 2013 – San Antonio
December 10, 2013 – Chicago

Upcoming Live Webinars

Take a look at the upcoming Webinars offered by HFMA and consider sitting in on one as an easy way to get the information you need on pressing healthcare finance topics. From the comfort of your office, you can participate in a Webinar and find the strategies and tools you need to help your organization achieve success. Log onto the HFMA Website ( to sign up or get more information about the topic. The following Webinars are free to HFMA members.

Preparing Your Organization for the
Influx of Insurance Exchange Patients

(Tuesday, November 12, 2013 - 3:00 – 4:30 p.m. Eastern Time)

  • Nikki Parham, Principal, Health Industries Advisory, PwC
  • Jon Souder, Director, Health Industries Advisory, PwC

What will be covered:
Research published by PwC's Health Research Institute (HRI) finds that while the new customer base could provide a much-needed financial boost, few hospitals have developed comprehensive strategies to identify, educate, and help enroll people in health plans sold through the new exchanges. This webinar shares findings from the HRI report and the opportunities associated with participation in the state insurance exchanges

An Update on Healthcare Reform Legislation and Regulatory Issues
(Wednesday, November 13, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speaker: Andy Bressler, CFA, Managing Director, Bank of America Merrill Lynch Global Research
What will be covered:

  • Identify the trends that are leading change
  • Define the impacts on key stakeholders
  • Gain insights into potential future scenarios

Effective Strategies for Achieving Population Health Management
(Thursday, November 14, 2013 - 3:00 – 4:30 p.m. Eastern Time)

  • Philip Oravetz, MD, MPH, MBA, Medical Director, Accountable Care, Ochsner Health System
  • Andrew Mellin, VP, Medical Director, McKesson

What will be covered:

  • Understand which strategies peer organizations are focusing on to achieve population health
  • Implement a set of analytical tools that measure physician efficiency and variability in managing a population of patients
  • Create a governance process and incentive structures that successfully engage physicians in creating low cost, evidence-based care in managing population health
  • Develop a strategy to successfully mitigate physician challenges in clinical analytics such as attribution issues, measure accuracy, and population risk
  • Understand how to turn data into actionable clinical information

Improve Planning Accuracy and Efficiency
with Service-Line-Based Budgeting and Forecasting Techniques

(Thursday, November 21, 2013 - 3:00 – 4:30 p.m. Eastern Time)

  • Daniel Albaugh, Senior Director, Financial Planning and Analysis, Dignity Health
  • Jeff Knezovich, Director of Financial Planning & Analysis, Dignity Health
  • Jay Spence, Vice President of Healthcare Solutions, Axiom EPM

What will be covered:

  • Articulate the benefits of service line-based budgeting and forecasting
  • Understand how to set baseline volumes by service line and how they impact departmental and organizational forecasts
  • Isolate scenarios for specific service lines and model the impact to related departments
  • Leverage service-line-based models to make decisions about investing in and focusing on specific service lines

Understanding the Economics of Patient Loyalty Programs
(Wednesday, December 4, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speaker: William Wachs, CPA, CVA, Manager, Consulting Services, Midwest Region at Aetna Accountable Care Solutions from Aetna
What will be covered:

  • Understand the changing business imperative for patient loyalty under value-based payment models and accountable care
  • Share the financial case for patient retention and quantifying downstream revenue
  • Explain the importance of patient satisfaction to keep individuals in-network
  • Develop organizational strategies to attract and retain patients

2014 Final Rule Changes to OPPS and ASCs
(Thursday, December 5, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speaker: Michael S. Kovar, Principal, WeiserMazars LLP
What will be covered:

  • Identify OPPS/ASC changes that may have significant impact on health system finances
  • Prepare to address issues within your organization's charge master
  • Describe potential compliance issues

Understand How Predictive Tools Help Expedite Value Analysis
(Thursday, December 12, 2013 - 3:00 – 4:30 p.m. Eastern Time)

  • Scott E. Pruyn, Product Manager, Strategic Supply Sourcing, McKesson Provider Technologies
  • Phil Oaten, President & CEO, Meperia, LLC

What will be covered:

  • Transition your product evaluation committee into an expedited value analysis team.
  • Discuss predictive tools available to support broadening the consolidation model.
  • Expand your value analysis efforts to a sustainable, repeatable process

How to Develop and Maintain Supply Chain Transparency and Control
(Thursday, February 20, 2014 - 3:00 – 4:30 p.m. Eastern Time)

  • Scott E. Pruyn, Product Manager, Strategic Supply Sourcing, McKesson Provider Technologies
  • Phil Oaten, President & CEO, Meperia, LLC

What will be covered:

  • Perpetually reduce supply item proliferation.
  • Develop sustainable methods to improve transparency.
  • Control procurement with formulary-based requisitioning methods.

On-Demand Webinars

HFMA also offers on-demand webinars, which do not provide CPEs but do qualify for DCMS hours. Most on-demand webinars are free (or are only $49) for members. There are multiple webinars available in all of the following areas of interest:

  1. Accounting and Financial Reporting
  2. Finance and Business Strategy
  3. Legal and Regulatory Compliance
  4. Operations Management
  5. Payment, Reimbursement, and Managed Care
  6. Revenue Cycle
  7. Technology
  8. HFMA 2012 Virtual Healthcare Finance Conference Recorded Programs

See national website for registration (

Sponsor's Corner

The Wellington Group

The Wellington Group, LLC is a healthcare software solutions and consulting firm that helps hospitals nationwide to improve their financial and operational performance by addressing needs in the clinical revenue cycle. We provide unique software solutions to improve your coding, billing, charge master, compliance and revenue cycle processes. Our software products include:

  • ICD-10 Coding and Financial Impact Assessment Reports-From Executive Summary to claim and code level detail; this set of reports will help drive your ICD-10 preparation process. Identify areas of financial exposure by service area, physician and claim type.
  • AuditNavigator™- RAC Audit/Appeal tracking, management, and reporting system.
  • AuditGuru™- Comprehensive ICD-10 training and auditing environment for the healthcare industry.
  • Ambulatory Revenue Manager™- Improves charge capture and compliance.
Visit our website at or contact Michelle Earich, CPhT at 216-525-2200 ext.240.

HFMA Sponsors -
Do not forget to get your company’s spotlight & new products & services mentioned in the Newsletter. Please contact Chris Maeder ( for publication in future newsletter

Alta Partners

Since 2000, Alta Partners has been working with physician practices across the country to help make them more efficient and profitable. Servicing both hospital employed physician groups as well as independent practices, Alta Partners maintains a clientele of over 300 providers in almost every physician specialty of the healthcare continuum. By providing physician billing, electronic healthcare record (EHR) training, customization and support, practice management, and physician practice consulting, Alta Partners helps physicians (and hospitals who employ physicians) operate more profitably and with aligned incentives.

Many of our new clients have called us as a result of their struggle to merge Electronic Healthcare Record (EHR) technology effectively into their practices, resulting in a great deal of dissatisfaction among physicians, support staff, and reduced practice productivity.

While new technology can be great, integrating an EHR into practice operations requires a complete understanding and restructuring of every process and workflow that takes place in the office. In addition, your EHR must work seamlessly with your practice management (billing) software and processes. While IT can make all the connections to allow your EHR work through the computer, Alta Partners can show you how to harness the technology, and make it work more efficiently and effectively. When we finish, we will ensure that your organization embraces EHR technology in your practice offices, instead of wishing to be divorced from it.

If you need assistance with your physician group to improve your practice results, contact your partner in physician practice management, billing and EHR, Alta Partners.

For more information, contact us at:

Stan Kasmarcak, CPA Dan Kasinec, FACMPE
Principal Principal
440-808-3647 440-808-3648

Alta Partners is proud to be a Platinum Sponsor for the Northeast Ohio HFMA, and an Ohio Hospital Association Corporate Partner


Congrats to our chapter for the following awards received for the 2012-2013 HFMA chapter year:

  • Silver Award of Excellence for Membership Growth and Retention
  • C. Henry Hottum Award for Education Performance Improvement

3 Helen M. Yerger Special Awards:

  • Program Improvement: March Madness Event held at Quicken Loans Arena
  • Program Innovation: Not Your Typical HFMA Event held at Austen BioInnovation Institute
  • Membership Recruitment and Retention: Membership Committee’s focused process and results

Please share your great news! You can share updates about a new position, family addition, award or other recognition with chapter members by contacting Debbie Guillermo at


Make this equation correct without changing the numbers: 8 + 8 = 91

E-mail your answer to Rhonda Ridenour at All correct entries will be included in a drawing and one lucky entrant will receive a $25 gift certificate.

Previous Puzzle Answer

Four HFMA members need to cross a bridge at night to get to their after-hours party. They have only one flashlight and 17 minutes to get there. The bridge must be crossed with the flashlight and can only support two members at a time. The Accountant can cross in 1 minute, the Revenue Cycle Director can cross in 2 minutes, the CFO can cross in 5 minutes and the Physician takes 10 minutes to cross. How can they all make it to the meeting in time?

  1. The Accountant takes the flashlight and crosses with the Revenue Cycle Director. This takes 2 minutes
  2. The Accountant then returns across the bridge with the flashlight taking 1 more minute (3 minutes passed so far).
  3. The Accountant gives the flashlight to the CFO. The CFO and Physician cross together taking 10 minutes (13 minutes passed so far).
  4. The CFO gives the flashlight to the Revenue Cycle Director, who recrosses the bridge taking 2 minutes (15 minutes passed so far).
  5. The Accountant and Revenue Cycle Director now cross the bridge together taking 2 more minutes.

Now, all are across the bridge at the meeting in exactly 17 minutes.

Tom Masterson, JP Recovery Services



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