Medicare RAC Summit
Medicare RAC Summit
Medicare RAC Summit
Medicare RAC Summit
Medicare RAC Summit
Medicare RAC Summit



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Go to Agenda:
Preconference | Day 2

Agenda: Day I
Tuesday, July 15, 2014

7:00 am Registration Opens
Welcome Coffee

BOOT CAMP OPENING SESSION -- CREATING A STRUCTURE FOR SUCCESS
8:00 am

Welcome
Audience Response System Questions


Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Chair)
8:10 am

Introduction to the New American College of Physician Advisors

Ronald J. Rejzer, MD
Senior Vice President/ Chief Physician Advisor, Parkland Health and Hospital Systems, Dallas, TX
Presentation Material (Acrobat)
8:20 am

Outline of Current Audits and Overview of the Boot Camp

Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
Presentation Material (Acrobat)
8:40 am

Step 1: What is a PA and What Does a PA Program Look Like? (Internal and External)

Larry Hegland, MD, MMM
System Medical Director for Recovery Audit and Appeal Services, Chief Medical Officer, Ministry Saint Clare's Hospital, Weston, WI
Presentation Material (Acrobat)
9:10 am

Scope of PA Services, Value to the Organization, Hospitalist Interaction

Michael A. Salvatore, MD, FACP
Physician Advisor, Beebe Medical Center, Lewes, DE
Presentation Material (Acrobat)
9:35 am Break
10:00 am Step 2: First Point of Contact and Operational Focus -- the Role of UR
  • ER Issues
  • Surgery and inpt only
  • Daily rounding /daily routine
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
Presentation Material (Acrobat)
Stacey Levitt, RN, MSN, CPC
President, Coordinated Healthcare Solutions, LLC, Peekskill, NY
Presentation Material (Acrobat)
10:45 am

Additional Role of a PA: Daily Rounding and Progressive Rounds

Howard Stein, DO
Physician Advisor, Centrastate Medical Center, Freehold, NJ
Presentation Material (Acrobat)
Michael A. Salvatore, MD, FACP
Physician Advisor, Beebe Medical Center, Lewes, DE
Presentation Material (Acrobat)
11:30 am

Faculty Panel and Audience Q&A

Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Moderator)
12:00 pm Working Lunch
(Attendees will be given actual case studies to discuss over lunch to determine the correct placement decision for the patient, reporting their conclusions in the afternoon session. Webcast attendees will have the same cases and a chance to comment via the chat room function.)
Hirsch Case Study #1 Material (Acrobat)
Hirsch Case Study #2 Material (Acrobat)
Hirsch Case Study #3 Material (Acrobat)
Meyerson Case Study #1 Material (Acrobat)
Meyerson Case Study #2 Material (Acrobat)
Pahuja Case Study #1 Material (Acrobat)
Rejzer Case Study #1 Material (Acrobat)
Salvatore Case Study #1 Material (Acrobat)
Santiago Case Study #1 Material (Acrobat)
Santiago Case Study #2 Material (Acrobat)
Stein Case Study #1 Material (Acrobat)
Wuebker Case Study #1 Material (Acrobat)
Wuebker Case Study #2 Material (Acrobat)

BOOT CAMP DAY I AFTERNOON -- DOCUMENTATION, DOCUMENTATION, DOCUMENTATION
1:00 pm Step 3: Documentation to Support the Correct Status
  • Overview of the Afternoon
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Chair)
1:15 pm

Lessons Learned from the Probe and Educate Audits WPS/MAC

K. Cheyenne Santiago, RN
Senior Nurse Analyst, WPS Medicare - Provider Outreach & Education, Omaha, NE
Presentation Material (Acrobat)
2:00 pm Presentation of Case Studies and Luncheon Table Discussions
  • Overview of Cases
  • Audience Response System Votes on Status
  • Correct Status and Rationale
All Luncheon Table Case Study Discussion Hosts
2:50 pm Break
3:15 pm

Documentation to Support Inpatient Status -- and its Challenges

Michael A. Salvatore, MD, FACP
Physician Advisor, Beebe Medical Center, Lewes, DE
Presentation Material (Acrobat)
3:40 pm

Documentation to Avoid Denials and a Methodology Physicians Can Accept -- A Case Study

Ernie de los Santos
Founder & Faculty Chair, Appeal Academy, San Antonio, TX
Presentation Material (Acrobat)
Sharon Easterling, MHA, RHIA, CCS, CDIP
President and Chief Executive Officer, Recovery Analytics, Charlotte, NC
Presentation Material (Acrobat)
4:30 pm

Faculty Panel and Audience Q&A

Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID (Moderator)
5:00 pm Adjourn -- Networking Reception in the Exhibit Hall
Optional Networking Dinners


Go to Agenda:
Preconference | Day 2




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