Review & Application. Omega Renne &. J. Paul Spencer. Private Payor Contracts .... Data Mining's Effect on. Heal
Pre-Conference: Tuesday, December 5, 2017 Time
Physician-Based Auditing Track
7:008:00 am 8:009:45 am
11:30 am12:30 pm
Defining a Successful Auditing Policy & Plan
TBA
2:303:30 pm
Overview of Inpatient Facilities
Gary Lucas
Shannon Cameron
BREAK Creating an Effective Audit Sample
TBA
Frank Cohen Hands-on Auditing J. Paul Spencer & Michelle West
TBA
E/M and Primary G Codes ICD-10-CM & ICD-10 PCS for FQHCs Shannon Cameron Gary Lucas 2018 ICD-10-CM Updates for FQHCs Gary Lucas
Industry Inpatient Coding Standards of the Medical Record
Shannon Cameron
LUNCH Hands-on Auditing Review & Application J. Paul Spencer & Michelle West Creating an Effective Audit Report
TBA
2018 CMS Updates for FQHCs
Regulatory Issues for Facility Services
Charles James, Jr.
Shannon Cameron
Incident-To Service Requirements
IPPS & Compliance Topics
TBA
Michelle West
Charles James, Jr.
3:303:45 pm 3:455:00 pm
2018 CPT and HCPCS-2 Updates for FQHCs
J. Paul Spencer
12:301:30 pm
1:302:30 pm
Facility-Based Auditing Track
BREAKFAST/REGISTRATION
9:4510:00 am 10:0011:30 am
FQHC/Rural Health Auditing Track
Compliance Track
Shannon Cameron
BREAK Provider EducationMaking it Effective Scott Kraft
TBA
Medicare Preventive Outpatient Facility Coding Services & Other Medicare & Billing Benefits for FQHCs Shannon Cameron Charles James, Jr.
Wednesday, December 6, 2017 Time
General Session
9:00 – 11:00am
EXCLUSIVE VIP SESSION & BRUNCH: Evidence Based Management Frank Cohen
9:00-11:00 am
REGISTRATION
11:00-12:30 pm
EXHIBIT HALL OPEN
12:30-1:00 pm
1:00-1:30 pm
1:35-2:35 pm
2:35-3:00 pm
3:00-4:30 pm
4:30 – 5:30pm
Conference Welcome and Opening Laurie Oestreich & Shannon DeConda
On the New Horizons for Auditing & Compliance Shannon DeConda
Surviving a Whistleblower Robert Tomlinson, M.D.
BREAK WITH EXHIBITORS Incident-to SMACKDOWN! Michael Miscoe, David Glaser, Robert Liles, Sean Weiss, Shannon DeConda, Scott Kraft, Nancy Beckley
Audit & Compliance in the Medical Marijuana Industry Michael Patterson & Michael Visher
5:30 -7:00 pm
EXHIBITOR RECEPTION
Thursday, December 7, 2017 Time
Physician-Based Auditing Track
7:008:00 am 8:009:15 am
Compliance Track
Facility - Based Auditing Track
Specialty Coding/ Auditing Track
BREAKFAST WITH EXHIBITORS General Session for All Attendees Enforcement Efforts for 2018: What You Can Do to Prepare for the Upcoming Changes in Laws & Statutes Robert Liles
9:159:25 am 9:2510:25 am
10:3011:30 am
11:3512:35 pm
BREAK WITH EXHIBITORS Relationships Between Physicians & Others
Pre-Bill Auditing Opportunities: When There Are Conflicts Between CDI, Coding & Quality Measures
David Glaser
Kim Charland
Financial Compliance in Your Practice
CORF/Rehab Services/Hospital OPT
Auditing Orthopaedics
Aimee Wilcox
Gene Good
Nancy Beckley
Paul Chandler
2,3,4,5 You Ain’t Got No Alibi if You’re Not Choosing the Right LOS
Emerging Medicare Payment Models and the Role of Compliance
CDI in the Outpatient Environment
Auditing Gastrointestinal
J. Paul Spencer
Betty Stump
Andrew Montaruli
Medical Necessity and its Effects on Your Documentation Shannon DeConda Surgical Auditing (15minute Overview & 45 Minute Hands-on Auditing)
Scott Kraft 12:351:15 pm
1:152:15 pm
Defining the Process and Purpose of Forensic Auditing
Noteworthy ICD-10 and CPT updates for 2018 for the Auditor Evan Gwilliam
3:303:45 pm
3:455:00 pm
5:307:00 pm
Andrew Montaruli
LUNCH WITH EXHIBITORS
How Hospitals Compensate Physicians
Auditing Cardiovascular
Sean Weiss
David Glaser
Paul Chandler
Hospital-Physician Contracting and Focus Arrangements Gene Good & Sean Weiss
Updating Your Audit Action Plan: Short Stay Inpatient Services Betty Stump
Surviving a CIA
Michael Miscoe
2:203:30 pm
Auditing Dermatology
Auditing OB/GYN Andrew Montaruli
BREAK WITH EXHIBITORS Creating a Gray Areas Policy for your Organization Shannon DeConda
Data Mining’s Effect on HealthCare
Facility E/M Coding: Are You At Risk?
Auditing Respiratory & Neurology
Kim Charland
Paul Chandler
Frank Cohen
EXCLUSIVE VIP ONLY EVENT Available only to conference VIPs 3:303:45 pm
Friday, December 8, 2017 Time BREAKFAST
7:30-8:00 am
General Session for All Attendees 8:00-9:00 am
Building a Good Appeal & Defense Frank Cohen & Sean Weiss
9:00- 9:15 am
BREAK / TRANSFER TO BREAKOUT SESSIONS BREAKOUT SESIONS
9:15-10:15 am
10:15-11:15 am
Medicare Appeal in Iffy Case Shows The Unpredictability of Outcomes David Glaser Third Party Billing Arrangements Robert Liles
Becoming an IRO: When Will You Be Ready, and How Do You Become One? Sean Weiss Is Your Use of the 25-Modifier Compliant, Defendable, or Neither? Michael Miscoe
11:15-11:30 am
BREAK WITH EXHIBITORS
11:30-12:30 pm
General Session for All Attendees Stump the Healthcare Professional Robert Liles, David Glaser, Sean Weiss, Michael Miscoe, Shannon DeConda, Frank Cohen, Nancy Beckley
