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MEDICARE RAC CERTIFICATE PROGRAM
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NATIONAL MEDICARE RAC SUMMIT AGENDA: DAY II
Tuesday, November 8, 2011
Note, all times listed are Eastern Standard Time
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7:00 a.m. |
Registration Opens
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AT RISK AUDIT AND COMPLIANCE ISSUES FOR HOSPITALS AND PHYSICIANS |
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8:00 a.m. |
Welcome and Overview
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Co Chair)
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8:15 a.m. |
RAC Audits of Physician Practices - the Current Landscape
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
Presentation Material (Acrobat)
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8:45 a.m. |
Hospital Collaboration with Physician Practices
Margie McLean, CPC, CPC-H, PMCC
CEO, QMACS Inc., Dallas, TX
Presentation Material (Acrobat)
Handout Material (Acrobat)
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9:30 a.m. |
Areas of Physician-Hospital Shared Audit Risk
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
Presentation Material (Acrobat)
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10:15 a.m. |
Networking Break
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10:45 a.m. |
Developing and Maintaining Physician Engagement
Mark S. Michelman, MD, MBA
Vice President of Medical Affairs, Medical Director of Quality Management, Medical Director of Utilization Management, Medical Director of Case Management, and Physician Coding Advisor, Morton Plant Mease Health Care, Clearwater, FL
Presentation Material (Acrobat)
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11:15 a.m. |
Tales from the Crypt - Investigation and Audit Tactics of MACs, MICs, and ZPICs re Physician Practices - and Tactics for Response
Cristine M. Miller, CCP, CHC, CCS-P
Partner, Mountjoy Chilton Medley LLP, Louisville, KY
Presentation Material (Acrobat)
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11:45 a.m. |
Wrap Up and Final Q&A
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Moderator)
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12:00 p.m. |
Networking Lunch - Optional Table Topics by Region
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CONCURRENT TRACK SESSIONS |
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CONCURRENT SESSIONS - TRACK A: ACUTE CARE ISSUES |
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1:15 p.m. |
Welcome and Introduction
RAC Targets, Bullseyes and Near Misses: What Your CDI Program Should Know
Barbara Flynn, RHIA, CCS
Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FL (Chair)
Presentation Material (Acrobat)
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2:00 p.m. |
A Consequence of the RAC: Closer MAC Focus
Kathy Reep
Vice President, Financial Services, Florida Hospital Association, Orlando, FL
Presentation Material (Acrobat)
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2:30 p.m. |
Understanding and Using the New 2011 PEPPER Data
Cheryl Ericson, MS, RN
Manager of Clinical Documentation Integrity and Utilization Review, The Medical University of South Carolina (MUSC), Charleston, SC
Presentation Material (Acrobat)
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3:00 p.m. |
Audit Experiences Across a Multi-Hospital, Multi-State System
Jason Haley
Assistant Vice President of AR Core Services, Parallon Business Solutions, Nashvile, TN
Presentation Material (Acrobat)
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3:30 p.m. |
Networking Break
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CONCURRENT SESSIONS - TRACK B: POST-ACUTE AND OUTPATIENT ISSUES |
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1:15 p.m. |
Welcome and Introduction
Medicare Contractors' Impact on Post Acute - Update
Jane Snecinski
President, Post Acute Advisors, Atlanta, GA (Co Chair)
Presentation Material (Acrobat)
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1:45 p.m. |
The Government Focus on Home Health
Cheryl J Golden, CPA, MHA, CHC, CPC-A, CHRC
Director, Health Sciences, Regulatory Risk & Compliance, Deloitte & Touche LLP, Tampa, FL
Presentation Material (Acrobat)
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2:15 p.m. |
Tales from the Crypt II - Investigation and Audit Tactics of MACs, MICs, and ZPICs re Nursing Homes and SNFs - and Tactics for Response
Cristine M. Miller, CCP, CHC, CCS-P
Partner, Mountjoy Chilton Medley LLP, Louisville, KY
G. Brenda Coey
Attorney at Law, Buckingham, Doolittle & Burroughs, LLP, Canton, OH
Presentation Material (Acrobat)
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2:45 p.m. |
Inpatient and Outpatient Rehab - Where are the RACs?
Jane Snecinski
President, Post Acute Advisors, Atlanta, GA
Presentation Material (Acrobat)
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3:15 p.m. |
Final Audience Q&A and Discussion
Jane Snecinski
President, Post Acute Advisors, Atlanta, GA (Moderator)
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3:30 p.m. |
Networking Break
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RECONVENE IN PLENARY SESSION |
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4:00 p.m. |
Report from the Field - Lessons for Providers from the First Year of ZPIC Audits
Steve Lokensgard
Special Counsel, Faegre & Benson, LLP, Minneapolis, MN
Presentation Material (Acrobat)
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4:30 p.m. |
Report from the Field - Responding to OIG Compliance Audits
Scott W. Taebel
Shareholder, Hall, Render, Killian, Heath & Lyman, PC, Milwaukee, WI
Presentation Material (Acrobat)
Handout Material (Acrobat)
Handout Material (Acrobat)
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5:00 p.m. |
Ten Keys to a Successful Global Appeals Process
Larry T. Hegland, MD
Chief Medical Officer, Ministry Saint Clare's Hospital, The Diagnostic and Treatment Center, Weston, WI
Presentation Material (Acrobat)
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5:30 p.m. |
Adjournment
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