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THIRD NATIONAL
MEDICARE RAC SUMMIT
RAC and the Larger Program Integrity Agenda -- MAC, MIC, ZPIC, OIG
March 4 - 5, 2010
Onsite:
Renaissance Washington DC Hotel
Online:
Live and Archived for 6 Months
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MEDICARE RAC CO SPONSORS
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SUMMIT GRANTORS
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BRONZE
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MEDICARE RAC CERTIFICATE PROGRAM
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FEATURED SESSIONS
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MEDICARE RAC BOOT CAMP
RAC Basics and RAC in the Larger Program Integrity Arena
RAC at Ground Zero: Organizing and Managing the Internal Hospital RAC Team
RAC at Ground Zero: Organizing and Managing the Hospital Response Process
Taming Complex RAC Risk Areas Using Root Cause Analysis and Scorecards
The Basics of the Appeal Process for MACs, MICs, and RACs
Early Findings and Lessons from the Resumption of RAC Implementation
DAY I: MEDICARE RECOVERY AUDIT CONTRACTING AND THE BROADER PROGRAM INTEGRITY LANDSCAPE
Overvew of Program Integrity Audits Process
The MAC Education and Oversight Role
The Medicaid Integrity Program and Medicaid Integrity Contractors (MICs)
The Zone Program Integrity Contractors (ZPICs)
OIG Initiatives for FY 2010
The State Medicaid Program Integrity Agenda
Reading the Congressional Tea Leaves about Where Program Integrity May be Headed Next
DAY II: NATIONAL RAC IMPLEMENTATION
Results of the GAO Studies of RAC Implementation and MACs
Early Hospital Data from AHA RACTrac
Hospital Experiences to Date in the Permanent Program
Major Hospital Vulnerabilities I: Inpatient Coding
Major Hospital Vulnerabilities II: Medical Necessity and Clinical Documentation
Estimating and Setting Aside a Prudent RAC Reserve
Major Hospital Vulnerabilities III: Areas of Hospital Physician Risk -- ED, OBS, E&M Leveling, Correct Setting
The Convergence of Federal and State Audits - Taking it to the Next Level
Major Hospital Vulnerabilities IV: Ambulatory Surgery and Hospital Outpatient Departments
Managing MIC Demands and Timetables
Roundtable on Legal Issues for RAC and Beyond
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MEET THE RAC CONTRACTORS
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Click here for video of representatives of all 4 RAC Contractors at RAC Summit I.
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MEDICARE RAC SUMMIT IS A
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SEPTEMBER 2009 SECOND MEDICARE RAC SUMMIT POST CONFERENCE MULTIMEDIA, ONLINE ARCHIVE AND EXAM NOW AVAILABLE
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Click here post-conference multimedia from the Second National Medicare RAC Summit.
Click here for online archive of the
Second National Medicare RAC Summit.
Click here for post conference online examination.
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THIRD NATIONAL MEDICARE RAC SUMMIT
March 4 - 5, 2010
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ONSITE
Renaissance Washington DC Hotel
Washington, DC
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ONLINE
In your own office or home live via the Internet
with 24/7 access for six months
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MEDICARE RAC CONFERENCE CO CHAIRS
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Kathleen Houston Drummy, Esq.
Partner, Davis Wright Tremaine LLP, Los Angeles, CA |
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
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Stew Presser
Vice President, Greater New York Hospital Association, New York, NY |
Kathy Reep
Vice President, Financial Services, Florida Hospital Association, Orlando, FL
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LEADING GOVERNMENT OFFICIALS AND REGULATORS
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Karen Jackson
Director, Medicare Contractor Management Group, Centers for Medicare & Medicaid Services, Baltimore, MD |
George M. Reeb
Assistant Inspector General for Medicare and Medicaid Program Audits, Office of the Inspector General, US Department of Health and Human Services, Washington, DC |
James G. Sheehan, Esq.
Medicaid Inspector General, NYS Office of the Medicaid Inspector General, Former Associate United States Attorney, US Attorney's Office, Eastern District of Pennsylvania, Albany, NY
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HOSPITAL COMPLIANCE OFFICERS AND RAC LIAISONS
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Cindy K Bartlett
Vice President, Corporate Responsibility, BSHR Compliance and Privacy Office, Bon Secours Hampton Roads, Suffolk, VA |
Elizabeth Baskett
Associate Director, Policy, American Hospital Association, Washington, DC |
Betsy Hall, MPH, CHC
Corporate Compliance Officer and Privacy Officer, Jewish Hospital & St. Marys HealthCare, Louisville, KY
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Ginny Kim
Compliance and Privacy Officer, Hoag Memorial Hospital Presbyterian, Newport Beach, CA |
Lisa Krumpter, RN, MS
Appeals Manager, RAC Liaison, Good Samaritan Hospital Medical Center, West Islip, NY |
Edmund L. (Ned) Lafer, MD, MBA
FACHE, CPE, Six Sigma Black Belt, Medical Director Clinical Resource Management/Quality, Temple University Hospital, Philadelphia, PA
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Denise Morris, RHIA, CCS
Senior DRG Coordinator, Sarasota Memorial Health Care System, Sarasota, FL
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Thomas Newman
Vice President, Finance, UPMC St. Margaret, Pittsburgh, PA |
Kathy Skrzypczak
President, Corporate Services, Martin Memorial Health System, Stuart, FL
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NATIONAL RAC LEGAL AND FINANCIAL EXPERTS
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Valerie Barckhoff
Vice President, Revenue Cycle, Quorum Health Resources, LLC, Brentwood, TN |
Andrea Clark
President, Health Revenue Assurance Associates, Inc., Plantation, FL |
Ronald S. Connelly, JD
Principal, Powers Pyles Sutter & Verville PC, Washington, DC
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Alan S. Goldberg, JD, LLM
Attorney and Counselor-at-Law, Adjunct Professor of Health Law, George Mason University, McLean, VA |
Cheryl J Golden, CPA, MHA, CHC, CPC-A, CHRC
Senior Manager, Health Sciences, Regulatory Risk & Compliance, Deloitte & Touche LLP, Tampa, Florida |
Richard P. Kusserow
President and Chief Executive Officer, Strategic Management; Former Inspector General, Department of Health and Human Services; Alexandria, VA
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Andrew B. Wachler, Esq.
Principal, Wachler & Associates, PC, Author, "Recovery Audit Contractors and Medicare Audits: Successful Strategies for Preparing for and Defending Audits", Journal of Health Care Compliance, Royal Oak, MI |
Sara Kay Wheeler
Partner, King & Spalding LLP, Atlanta, GA
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MEDICARE RAC EXPANSION SCHEDULE
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MEDICARE RAC TOPS LIST OF CHALLENGES FACING HOSPITALS
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The consensus on the top 10 hospital compliance challenges, according to a survey of compliance officers along with tips from Boston-based Vernaglia and Milwaukee-based Gonzalez Knavel, puts RAC at the top of its list.
-- Click here for the list. |
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THE TIME IS NOW FOR NEW, EFFICIENT AND COST EFFECTIVE ALTERNATIVES
TO TRADITIONAL LEARNING APPROACHES
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A variety of forces - the nation's economic crisis, costly and difficult air travel, the mandate for cost efficiency in healthcare, the proliferation of greater Internet bandwidth, the emergence of the popularity of online video via You Tube, and the explosion of online training in the health sector - has come together to create both a dramatic need and an extraordinary opportunity for innovative approaches to sharing new ideas and best practices. This Summit offers not only traditional conference attendance, but also the opportunity to attend the event live and archived online.
How can we be expected to reform the nation's health system if we can not reform the way we do our own business?
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PARTICIPATION OPTIONS
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TRADITIONAL ONSITE ATTENDANCE
Simply register, travel to the conference city and attend in person.
Pros: subject matter immersion; professional networking opportunities; faculty interaction
LIVE AND ARCHIVED INTERNET ATTENDANCE
Watch the conference in live streaming video over the Internet and at your convenience
at any time 24/7 for the six months following the event.
The archived conference includes speaker videos and coordinated PowerPoint presentations.
Pros: Live digital feed and 24/7 Internet access for next six months; Accessible in office, at home or anywhere worldwide with Internet access; Avoid travel expense and hassle; No time away from the office |
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INTERNET INTERFACE SAMPLE
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Click here for a sample stream
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THE GROUP REGISTRATION/ONLINE TRAINING ALTERNATIVE
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By arranging to license online group access to the Summit Medicare RAC Certificate Program, health care providers subject to RAC audits can implement an organization-wide online Certificate Program on preparing for, responding to and appealing a RAC audit. The organization's training coordinator can assign and track online participation. Successful completion of the training can be evidenced by passing the post conference training examination.
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HERE IS AN EXAMPLE OF A HEALTH SYSTEM RAC CERTIFICATE PROGRAM
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