2020 Spring Institute

Event Date: 3/18/2020 - 3/20/2020
8:30 AM - 4:45 PM

Event Overview
Hyatt Regency San Antonio Riverwalk

San Antonio



After careful consideration and thoughtful deliberation, the NARHC Board has decided to cancel the 2020 Spring Conference scheduled to begin next week in San Antonio, Texas. This was not an easy decision but one that the Board felt was in the best interests of the health and well-being of you, our conference attendees, your families and the communities you serve. 

We appreciate your support and look forward to seeing you -in person- at a future NARHC Meeting!

Click here for information on attending our fall conference in Phoenix 

Dates: October 26-28, 2020 (M-W)



Baugh, Nathan - Washington Update




  Director of Government Affairs, NARHC, Alexandria, VA
Nathan is the Director of Government Affairs for the National Association of Rural Health Clinics (NARHC) where he has worked since April of 2015. Nathan works on both regulatory and legislative policy at the federal level. He has been involved in issues such as the CPT reporting policy, the Chronic Care Management benefit, and the Emergency Preparedness rules. Nathan is instrumental in planning and organizing the annual Washington Fly-in which is a key part of NARHC’s RHC advocacy action plan. He has worked tirelessly on getting the RHC Modernization Act legislation introduced in the Senate and continues seeking support for the same. Nathan is a frequent speaker at state RHC conferences across the country.


Calhoun, Michael - Challenges & Opportunities of Managing a Multi-Chain Health System



MBA, Chief Operating Officer, Citizens Memorial Healthcare, Bolivar, MO
Michael has worked for CMH, an integrated healthcare system, since 1999. He also served as President of the Missouri Assn of RHCS (MARHC) from 2016-2019. Michael was named to the Board of Examiners for the 2015 Malcolm Baldrige National Quality Award. The Baldrige Award is the nation’s highest honor for organizational innovation & performance excellence. Those selected meet the highest standards of qualification & peer recognition, demonstrating competencies related to customer focus, communication, ethics, action orientation, team building & analytical skills. He has bachelor’s and master’s degrees in business administration from Southwest Baptist University.


Chambers, Shannon - RHC Basics + Billing 101




 AHIMA App CD-10 CM/PCS Trainer, Ambassador, Dir. of Provider Sol., SCORH, Lexington, SC
Shannon assists private physician offices who desire to convert to RHC status & provides technical assistance to RHCs in maintaining compliance with the SC Department of Health & Environmental Control guidelines. Shannon also provides technical assistance in billing & coding, EHR implementation, & practice mgm. for all RHCs. Prior to joining the SC Office of Rural Health, Shannon worked in multiple physician practices. She has experience in Family Practice, Internal Med., Orthopedics, Urology, Peds, & many other specialties. Shannon has been a certified professional coder with the AAPC since 2006. She is also a Notary Public for the State of South Carolina since 2001. In 2015, Shannon became an AHIMA approved ICD 10 CM/PCS Trainer. Shannon has been a key player in the creation of NARHC’s RHC Clinic Manager Certification.


Charlet, Angie - Conference Welcome




 DBA, MHS, RN, Director of Quality & Educational Services, ICAHN, IL
Angie is a Registered Nurse with over 25 years in the healthcare industry. She has a Bachelor’s in Nursing, Master’s in Healthcare Management and Doctorate in Business Administration with a focus on Healthcare Management and Executive Leadership. She is certified in CPHQ, Lean, Black Belt in Six Sigma and Leadership Coach. She is employed by Illinois Critical Access Hospital Network and Director of Quality, Compliance and Education and serves the same capacity for the Illinois Rural Community Care Organization (IRCCO-ACO). Angie provides training, education, mock surveys and resources to both critical access hospitals and rural health clinics. Her focus is around regulations, quality initiatives, PCMH implementation and care coordination all which in turn drive population health.


Crawford, Elsie - Maintaining RHC Compliance 201




 RN, BSN, MHA, VP of Operations, Wilkens Medical Group / Surveyor, AAAASF, Jellico, TN
Elsie is a certified Medicare RHC surveyor & works for AAAASF doing clinic surveys. She also serves on 3 Boards of Directors: NARHC, KYPCA, & the TN Rural Health Assn. Additionally, she is the VP of Operations & Director of Nursing with Wilkens Medical Group since 1974 where she manages clinics in KY & TN. Elsie attended Cumberland College & Carson Newman College for BA & Roane State Community College for Nursing. Elsie has served on the board of The TN College of Applied Science (Nursing Div) since 2004, Board Member of NARHC since 2006, Jellico SDA Church School Board Member (Treasurer) for 9 years & Jellico City Council Member for 12 years.


Finerfrock, Bill - Washington Update




Executive Director, NARHC, Alexandria, VA
Bill co-founded NARHC & serves as the Executive Director. He is a recognized expert on rural health issues & also acts as a policy consultant for NOSORH. He has worked with HMOs & assisted pharmaceuticals with their legislative & regulatory programs in addition to his work with health care providers & practitioners. Bill has worked in & with the U.S. Congress/Federal agencies for 30+ years. He began his public policy career in Washington, DC in 1976 as an LBJ Intern for Congressman Bob Edgar (D-PA). Between 1977 & 1984 he worked for Senators Edward W. Brooke & Roger Jepsen. In 1999 he wrote a book for the Federal Office of Rural Health Policy on managed care. More recently, Bill co-wrote & edited a publication entitled, “Starting a Rural Health Clinic, a How To Manual”. Mr. Finerfrock is a 1977 graduate of Penn State University. From 1985 – 1993, he was Director of Federal Affairs for the AAPA.


Harper, Patty - Policies & Procedures



 RHIA, AHIMA-App. ICD-10CM/PCS Trainer, CHTS-IM, CHTS-PW, CHC, CEO, InQuiseek, LLC, Shreveport, LA
Patty Harper is CEO of InQuiseek, LLC, a business & healthcare consulting company based in Louisiana. She has over 21 years of healthcare experience in the areas of healthcare finance & reimbursement, health information management, compliance & practice management. She began her healthcare career as a hospital controller and reimbursement analyst. Patty holds a B.S. in Health Information Administration (cum laude) from Louisiana Tech University. She is credentialed through AHIMA as a RHIA, CHTS-IM, & CHTS-PW.  Patty successfully completed AHIMA’s ICD-10 Academy & has been recognized as an ICD-10 Trainer. She is also Certified in Healthcare Compliance (CHC®) through the Compliance Certification Board. Patty is a frequent speaker & contributor for national, state, regional & rural healthcare associations on these & other reimbursement-related topics. She has held memberships regional, state & national organizations throughout her healthcare career including NARHC, NRHA, AHIMA, MGMA, & HFMA. Patty currently serves on the NARHC Board & LRHA.

Hill, Kate - RHC Compliance 101




RN, VP of Clinical Services, The Compliance Team, Spring House, PA
Kate is a graduate of Einstein Medical Center School of Nursing. As an Army Nurse, Kate served in Viet Nam where she was awarded the Bronze Star for meritorious service. Kate joined The Compliance Team in early 2012 to direct TCT’s rural health clinic accreditation program & has fallen in love with Rural. As VP of Clinical Services, she has spearheaded the TCT Rural Health Clinic Accreditation program combining her clinical expertise, business acumen & passion for delivery of the best care possible to every patient. She presently serves on the NARHC Board. Her years of business & nursing experience combined well to contribute meaningfully to the NARHC board. She feels fortunate to have been able to speak at numerous state & national meetings about RHC compliance countrywide which gave her the opportunity to learn firsthand the diverse regional issues clinics are facing. Kate is now also working with clinics in TCT’s PCMH program & is seeing that a PCMH accreditation is being increasingly rewarded by payers. Kate also serves on the NRHA Rural congress and is always advocating for Rural Health Clinics. Kate lives in suburban Philadelphia with her husband and near her three granddaughters. She loves teaching Sunday school to the 4s. She’s happy to share photos anytime.


Jakielo, Dave - Managing Multi-Generations In The Workplace




President, Seminars & Consulting, Pittsburgh, PA
Dave Jakielo experience includes 12 years in hospital patient finance and four decades of managing physician practices and Medical Billing Companies. Dave has been speaking, consulting and teaching business methods throughout North America, Europe and Asia. He is co-author of four books and he is a columnist in the trade journals RCM Advisor and BC Advantage. Dave is a graduate of University of Pittsburgh and received his Masters’ in Management from Carnegie Mellon University. Since 1995 he has been President of his own Seminar and Consulting Company.


James, Charles IV - RHC Advanced Billing




MBA, President & CEO, North American Healthcare Management Services, St. Louis, MO
Charles took the position of President & CEO in 2004 after the loss of the company founder, Charles James, Sr. North American celebrates its 25th year in business in 2017. Charles began his career with James Clinic running the IT department. As part of North American, Charles has overseen & helped develop all aspects of the company. Today, North American is a proud gold-certified, Aprima EHR/PRM. In addition, he provides Revenue Cycle Management, RHC certification/cost reporting/Annual Evaluations, Provider Enrollment, and Financial Consulting to all types of healthcare entities.


James, David - Advanced Cost Reports




CPA, CFO, North American Healthcare Management Services, St. Louis, MO
David is a graduate of Westminster College in Fulton, MO where he earned a B.A. degree in Finance. He has extensive experience in accounting & all financial aspects of medical practices. He has worked intensively on financial management of medical practices since 1992. He completed the CPA examination in May of 2000 & is currently licensed as a Certified Public Accountant in Missouri. David is responsible for the preparation of client cost reports, financial projections, and North American's internal accounting system. David completes more than 100 cost reports annually for FQHCs & RHCs across the country.


Lofgran, Reid - Creating An Opioid Treatment Program In Your RHC




Family Physician, Addictionologist, North Canyon Medical Center, The Walker Center, Gooding, ID
Dr. Reid Lofgran is an addiction & family medicine doctor and author. He received his medical degree from Kirksville College of Osteopathic Medicine. He has worked in both Independent & provider-based RHCs. He co-founded Gooding Family Physicians in 2006 and then joined North Canyon Family Medical Center in 2014. Opioid addiction has made headlines over the past decade due to the high cost in lives, money, and societal impact. Many other drugs  pose similar challenges, such as alcohol, nicotine, methamphetamine, and more. Behavioral addictions likewise pose high costs to our society. To help combat stigma and stereotypes surrounding addiction, and promote recovery and healing from addictions, Dr. Lofgran has written a book, “Understanding Addiction”.

Lucas, Gary - Quality Reporting & Care Management In RHCs




MSHI, CPC, VP of Education, ArchProCoding, Cumming, GA
Gary serves as Senior Adjunct Faculty for the rural health & state/federally-funded medical community. His focus is on helping clients manage the transition to ICD-10 by integrating clinical documentation regulations into the organization’s business ops. He prepares a plan unifying its people, processes, & technologies, i.e. EHRs. Gary was previously with The Medical Mgm Institute as Senior Instructor/Director where he taught 1300+ courses on physician medical records documentation, revenue cycle compliance, prof. coding, & medical billing in 46 states. Gary has been an AAPC certified CPC & CPC-Instructor for 12+ years. From 2007- 2012, Gary provided federal healthcare & IT management consulting services with Booz Allen Hamilton to large medical centers, Military Health Systems (US & international), VA Medical Cnts, the CDC, medical device manufacturers, CMS, pharmaceutical companies, & state rural health, primary care, & hospital associations. He earned his M.S. in Health Informatics from the University of Illinois in 2014, preceded by a B.A. from the University of Georgia’s Terry College of Business in 1994.


O'Riley, Jennifer - Lessons Learned From Clinic Managers & Directors




Port Lavaca Clinic Associates, PA, Practice Administrator 
Jennifer is Practice Administrator of Port Lavaca Clinic Associates, PA . The clinic recently celebrated 58 years in business. She joined Port Lavaca Clinic in 1994. She is currently a board member of the Texas Association of Rural Health Clinics. She also serves as a member of the National Association of Rural Health Clinics Policy Committee. Jennifer enjoys spending time with her family and 3 dogs.

Quinn, Julie - RHC Cost Reporting 101





CPA, MBA, VP of Cost Reporting & Provider Education, Health Services Associates, Ringgold, GA
Julie is a CPA with over 25 years’ experience in governmental compliance and cost reporting, 15 of which she spent in the Medicare Contractor arena. She holds an MBA with a concentration in Healthcare Administration. During her years with Medicare, she managed an audit staff responsible independent RHC cost reports in 15 states and served as Compliance Officer for a Medicare Contractor. In her current role, she assists RHCs with cost reporting, audit resolution, rate setting and various cost issues. Ms. Quinn also works with new and existing RHCs providing mock surveys, policy and procedure manuals, as well as HIPAA and other compliance solutions.


Raebel, Katie Jo - Growing Your RHC




CPA, Partner, Wipfli LLP, Spokane, WA
Katie Jo began her accounting career in 1999 with Michael R. Bell & Company, LLC which merged with Wipfli LLP in 2010. Her experience has allowed her to solely concentrate on health care clients. With her continuing commitment toward understanding unique issues affecting health care, Katie Jo strives to offer clients assistance to meet their specialized needs. She has worked on various projects from audits & reviews to cost reports & analyses. All of these services & client interactions have helped her understand the various facets of the health care industry. Katie Jo is a member of the American & WA Institutes of CPAs as well as a member of the Healthcare Financial Management Association.


Robinson, Kim - Improve Your Medicare RHC Knowledge




Provider Outreach Education Specialists, Novitas JH and JL
Kim is a Provider Outreach Education (POE) Specialist for Novitas, the Medicare Administrative Contractor (MAC) for all services in JH and JL.  Specialties include liaison for the Indian Health Services (IHS), Rural Health Centers (RHCs), Federally Qualified Health Centers (FQHCs), Veterans Affairs (VA), Medicare Part A and Part B, Medicare Secondary Payer (MSP), and a Medicare Secondary Payer (MSP) Auditor.  Kim has 36 years of experience in Medicare claims, billing and operations. Prior to joining Novitas 7 years ago, she was with TrailBlazer Health Enterprises for 29 years.   The primary focus is to meet the educational needs of the physicians and suppliers; this is accomplished through conducting workshops, on-site visits and speaking to various groups.

Runyan, Kaysie - Creating An Opioid Treatment Program In Your RHC




LPN, Nursing Supervisor, North Canyon Medical Center, Gooding, ID
Kaysie is the Nursing Supervisor with North Canyon Family Medicine. She has been working as a Licensed Practical Nurse for the past seven years. Two years were spent in Skilled Nursing Home Facilities and five years ago she joined North Canyon Family Medicine. Kaysie's compassion and service excellence has become an intricate part of North Canyon Family Medicine's MAT Program. She is also NCFM Immunization Coordinator, assists in management of their Patient Drug Assistance Program. She has completed Youth Mental Health First Aid Training. She received her Licensed Practical Nursing degree from the College of Southern Idaho. Kaysie is currently working on her Business degree with CSI, she's an incredible cook and a proud mother to 3 beautiful children.


Sacrey, Tressa - Critical Maintenance of Emergency Plan Biennial Review, Civil Rights, Personnel File Audits




RHC Compliance Analyst, Health Services Associates, Fremont, MI
Tressa joined Health Services Associates in May 2015 as a Compliance Analyst. She brings over 10 years of business experience to Health Services Associates, Inc. She received her Bachelors’ Degree in Education and has completed courses in Business Applied Technology. Her key areas of responsibility include Policy and Procedure Manuals, Civil Rights, Emergency Preparedness and facilitation of hazardous training, Research of CMS regulations, education training, on-site compliance mock surveys, and creating forms and tools to assist RHC's across the nation.


Schentrup, Denise Marie - Lessons Learned From Clinic Managers & Directors




DNP, APRN-BC, Assoc. Dean Clinic Affairs, Archer Fam Health Care-UF College of Nursing, Archer, FL
Denise serves as the Associate Dean for Clinical Affairs at University of Florida College of Nursing &the Clinic Director of Archer Family Health Care, the only nurse-led federally designated RHC within the University of Florida Health system. This unique practice provides family & behavioral health services to its rural residents. The practice in Archer, FL serves Alachua & surrounding rural counties. She practices as an advanced practice registered nurse two days per week. She precepts students in this rural practice, giving them a glimpse into the challenges in this setting. Her combined role as a clinician & administrator gives her the opportunity to view the practice from a wide lens and make decisions that will ensure the sustainability of the practice. Under her leadership at Archer Family Health Care, she has been successful in obtaining Meaningful Use dollars, implementing an interprofessional care team, & obtaining Level 2 certification as a PCMH. She was awarded funding from various agencies to support improving access to quality health care for rural residents. Denise is a graduate of U. of FL College of Nursing in Gainesville, FL & Rush University, Chicago, IL.


Shaver, Monda - Maintaining RHC Compliance 201




RN, BSN, MSHM, Chief Regulatory Affairs Officer, AAAASF, Gurnee, IL
Monda serves as the Chief Regulatory Affairs Officer with AAAASF. She’s very knowledgeable about the unique challenges facing accreditation organizations & the ever-changing healthcare regulatory landscape. Most recently Shaver has served as the Technical Director of Accreditation Services at the Centers for Medicare & Medicaid Services (CMS). Prior to that she served as the Director of Accreditation Operations at the Healthcare Facilities Accreditation Program. During her tenure at CMS Shaver was the lead for national accrediting organization programs enforcement & oversight. She provided technical guidance to stakeholders and developed operational policies & procedures related to accreditation organization oversight. Shaver also served as lead for the national Accrediting Organizations IT reporting system ensuring quality control in addition to providing the necessary support & education to organizations utilizing the reporting system. Shaver received a BS in Nursing from the University of Michigan and a Master of Science Degree in Healthcare Management from Touro University.


Shelast, Mandy - Lessons Learned From Clinic Managers & Directors




CRHCP, Regional Director of Clinics and Medical Group Michigan Region Aspirus, Inc, Houghton MI
Mandy Shelast serves as a Regional Clinic Director for Aspirus Health System. Aspirus is a nonprofit community health system spanning rural populations in Central Wisconsin & Northern Michigan. Her service area includes Aspirus Keweenaw & Aspirus Ontonagon, both critical access hospitals who are home to 5 PB NARHC member RHCs. Amanda brings eight years of experience in RHC operations & has a built rapport with the Michigan Center for Rural Health. She understands the uniqueness of rural communities and the vital role these clinics play to their residents. Amanda was one of the first group who took and passed NARHC’s Certified RHC Professional course. Amanda knew from a young age she wanted to work in healthcare and has truly found her passion in serving the rural communities she calls home. She understands the quality healthcare these clinics deliver and finds great interest in how the rural model will apply into the future with upcoming policy changes. She asks now for the tremendous opportunity to bring her experience and voice to represent Michigan and Wisconsin RHCs to serve on the NARHC Board.


VeltKamp, Robin - Leadership Self Care




M.A., ICD-10-CM/PCS Trainer/Ambassador, VP Compliance, Health Services Assoc, Fremont, MI
Robin joined Health Services Associates in January 2007. Having over 30 years of experience in the hospital, medical office and billing field, she is well-equipped to handle health care administration issues including human resource management, coding/billing, safety, quality and compliance. Her solid foundation provides support for various types of medical settings including RHC, FQHC, specialists, family medicine and hospital. Her responsibilities have included assisting clinics in obtaining and maintaining RHC compliance, patient flow analysis, maximizing accounts receivable and coding/billing along with assessing safety and risk and implementing preventive measures for creating a safer environment for employees and patients.  As part of her career focus, Robin participates in the quarterly RHC network meetings for the State of Michigan. She serves various States by being connected with their list serve and reviews discussions and provide needed insight and guidance.   She is a well-known speaker at the National Association of Rural Health Clinics Conferences and has been a speaker at various State conferences. She was published as a co-author for the Journal of Oncology, March 2012, on the subject of productivity assessment of PAs and NPs in oncology in an academic medical center. Robin has a Bachelor's in Health Care Administration and a Masters’ in Leadership. She is currently working on her Doctorate in Transformational Leadership.  She possesses strong leadership skills and is an asset to the health care community.