Medicare RAC Summit: Agenda: Day I

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Agenda: Day I Thursday, December 5, 2013
7:00 am	Registration Opens Welcome Coffee
OPENING PLENARY SESSION: NATIONAL ISSUES AND NATIONAL PLAYERS
8:00 am	Welcome and Overview Audience Response System Questions Brian Annulis, Esq. Partner, Meade, Roach & Annulis, LLP, Chicago, IL (Summit Co Chair)

8:15 am	RAC Stakeholders -- Finding Some Common Ground? Maria Perrin Chief Business Officer, HMS Holdings Corp., New York, NY Presentation Material (Acrobat)

8:45 am	MAC Roles and Relationships Laurence Clark, MD, FACP Medical Director, NGS Medicare, National Government Services, E. Syracuse, NY Presentation Material (Acrobat)
	K. Cheyenne Santiago, RN Senior Nurse Analyst, WPS Medicare - Provider Outreach & Education, Omaha, NE Presentation Material (Acrobat)
	Jeffrey Farber, MD, MBA Chief Medical Officer, Mount Sinai Care, LLC; Associate Professor, Brookdale Dept of Geriatrics and Palliative Medicine; Director, Appeals Management and Clinical Documentation Improvement Departments, Mount Sinai Medical Center, New York, NY (Moderator)

9:30 am	The View from the QIC Janice H. Eidem, JD, PMP CMS-QIC Lead, MAXIMUS Federal Services, Inc., Victor, NY Presentation Material (Acrobat)

10:00 am	Networking Break

10:30 am	What Auditors Look for to Confirm/Deny Medical Necessity -- Lessons from a Former Auditor Deepak Pahuja, MD, FACP Chief Medical Officer, Aerolib Healthcare Solutions, LLC, Erie, PA Presentation Material (Acrobat)

11:00 am	Use of Interqual and Milliman Care Guidelines William D. Rifkin, MD, FACP, FHM Managing Editor, MCG (formerly Milliman Care Guldelines), New York, NY Presentation Material (Acrobat)
	Robert Roth, MD, MPH Medical Director for InterQual®, McKesson Health Solutions, Newton, MA Presentation Material (Acrobat)
	E.G. "Nick" Ulmer, Jr., MD, CPC Vice President, Clinical Services and Medical Director for Case Management, Spartanburg Regional Health System, Spartanburg, SC (Moderator)

11:45 am	Two Midnight Rule -- Implications for Documentation Ralph Wuebker, MD, MBA Chief Medical Officer, Executive Health Resources, Newtown Square, PA Presentation Material (Acrobat)

12:15 pm	Networking Lunch -- Optional Table Topics Use of PEPPER Marcia Widmer, MPP, CPC Director of Compliance and Audit, North Shore Medical Center, Partners HealthCare System, Inc., Salem, MA Successful Use of the Discussion Period Jeannine Engel, MD, FACP Physician Advisor, University of Utah Health Care, Salt Lake City, UT ABNs, HINNs, and Condition 44 Ronald Hirsch, MD, FACP Vice President, Accretive Physician Advisory Services (AccretivePAS), Chicago, IL Why a System Put RAC under Patient Accounting Karen L. Zurek Assistant Vice President/Patient Accounting, Carolinas Healthcare System, Charlotte, NC
AFTERNOON PLENARY SESSION: HOT ISSUES
1:15 pm	Welcome and Overview Larry T. Hegland, MD Chief Medical Officer, Ministry Saint Clare's Hospital, The Diagnostic and Treatment Center, Weston, WI (Summit Co Chair)

1:30 pm	Perspectives from the Field -- the Hospital Association Panel Stewart Presser (Performant Recovery and NGS) Vice President, Greater NY Hospital Association, New York, NY
	Kathy Reep, MBA (Connolly and FCSO) Vice President, Financial Services, Florida Hospital Association, Orlando, FL
	Charles Cataline (CGI and CGS) Vice President, Health Economics and Policy, The Ohio Hospital Association, Columbus, OH
	Alyssa Keefe, MPP (HDI and Noridien) Vice President, Federal Regulatory Affairs, California Hospital Association, Washington, DC
	Day Egusquiza President, AR Systems, Inc., Twin Falls, ID (Moderator)

2:30 pm	Progressive Rounds Howard Stein, DO Physician Advisor, Centrastate Medical Center, Freehold, NJ Presentation Material (Acrobat)

3:00 pm	Break

3:30 pm	Rehab and Long Term Care Jane Snecinski, MBA, FACHE President, Post Acute Advisors, Atlanta, GA Presentation Material (Acrobat)

4:00 pm	Surviving an OIG Extrapolation Audit Christine H. Newgren, CPA, CHFP, CHC Chief Compliance Officer and Chief Audit Executive, University of Colorado Health, Aurora, CO Presentation Material (Acrobat)

4:30 pm	Rebilling Part B when Part A Denied Steven Meyerson, MD Senior Vice President of Regulations and Education Group, Accretive Physician Advisory Services (AccretivePAS), Chicago, IL Presentation Material (Acrobat)

5:00 pm	Compliance Officer Panel Suzie Draper Vice President of Business Ethics and Compliance, Intermountain Healthcare, Salt Lake City, UT
	Christine H. Newgren, CPA, CHFP, CHC Chief Compliance Officer and Chief Audit Executive, University of Colorado Health, Aurora, CO
	Marcia Widmer, MPP, CPC Director of Compliance and Audit, North Shore Medical Center, Partners HealthCare System, Inc., Salem, MA
	Day Egusquiza President, AR Systems, Inc., Twin Falls, ID (Moderator)

5:45 pm	Adjourn - Networking Reception in the Exhibit Hall

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