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MEDICARE RAC CERTIFICATE PROGRAM
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NATIONAL MEDICARE RAC SUMMIT AGENDA:
PRECONFERENCE SYMPOSIUM
Monday, November 7, 2011
Note, all times listed are Eastern Standard Time
(Registration optional; separate registration required)
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7:00 a.m. |
Registration Opens
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PRECONFERENCE I: RAC BOOT CAMP - BEST PRACTICES FROM THE FIELD (Registration optional)
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8:00 a.m. |
Welcome and Preconference Boot Camp Overview
Lori Brocato
Product Manager, HealthPort, Alpharetta, GA (Co Chair)
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8:15 a.m. |
A Lean Approach to Compliance and Audit Management
Dawn Crump, MHR, SSBB
Network Director of Compliance, SSM Health Care St. Louis, St. Louis, MO
Presentation Material (Acrobat)
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8:45 a.m. |
Finding and Training Physician Advisors
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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9:15 a.m. |
A Comprehensive Scorecard for Board and Staff
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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10:00 a.m. |
Break
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10:30 a.m. |
Thinking Like a RAC – Data Mining and Self-Auditing
Dianna Chambers
HIM Solutions Developer, Indiana University Health – Shadeland, Indianapolis, IN
Presentation Material (Acrobat)
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11:00 a.m. |
Knowing What, When, and How to Appeal
Denise Wilson, RN, MS, RRT
Director of Client Education & Performance Improvement, Intersect Healthcare, Inc., Chester, VA
Presentation Material (Acrobat)
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11:30 a.m. |
Faculty Q&A Panel
Lori Brocato
Product Manager, HealthPort, Alpharetta, GA (Moderator)
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12:00 p.m. |
Preconference Adjournment
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NATIONAL MEDICARE RAC SUMMIT AGENDA: DAY I
Monday, November 7, 2011
Note, all times listed are Eastern Standard Time
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RECOVERY AUDIT CONTRACTING - THE BROADER PROGRAM INTEGRITY LANDSCAPE |
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1:00 p.m. |
Welcome and Overview
Barbara J. Piascik, CHC, CHFP
Chief Compliance Officer, MedeAnalytics, Emeryville, CA (Co Chair)
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1:15 p.m. |
Current OIG Compliance Audit Strategy
Michael J. Armstrong, MPA, CPA
Regional Inspector General for Audit Services, Office of Inspector General, US Department of Health and Human Services, Region I, Boston, MA
Stephen Conway
National Director of Advanced Audit Techniques Staff, Office of Inspector General, US Department of Health and Human Services, Boston, MA
Kimberley D. Rapoza, CPA, CGFM
Audit Manager, Office of Inspector General, US Department of Health and Human Services, Boston, MA
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1:45 p.m. |
MAC Roles and Relationships with Providers in the Medicare RAC Program
Mimi Vier, CPC
Provider Outreach and Education Consultant, National Government Services, Inc., Cincinnati, OH
Presentation Material (Acrobat)
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2:15 p.m. |
Implications of Predictive Modeling and Analytics for Health Care Provider Audits
Carol F. Endahl
Senior Product Manager, OptumInsight, Minneapolis, MN
Thomas E. McGraw
Senior Vice President of Government Program Integrity, OptumInsight, Richmond, VA
Presentation Material (Acrobat)
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2:45 p.m. |
Networking Break
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3:15 p.m. |
AHA Policy and RACTrac Update
Elizabeth Baskett
Senior Associate Director, Policy, American Hospital Association, Washington, DC
Presentation Material (Acrobat)
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4:00 p.m. |
Top 10 Inpatient and Outpatient Issues of Interest to Medicaid Auditors
James G. Sheehan, Esq.
Chief Integrity Officer, New York City Human Resources Adminisration, New York, NY
Presentation Material (Acrobat)
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4:30 p.m. |
Hospital Association Roundtable on Implementation Issues
Stewart M. Presser (Region A)
Vice President, Greater New York Hospital Association, New York, NY
Trudy Struck (Region B)
Senior Manager, Revenue Cycle, Blue & Co., LLC, Indiana Hospital Association Consultant, Indianapolis, IN
David McClure (Region C)
Senior Vice President of Finance, Tennessee Hospital Association, Nashville, TN
Matt Absher
Director of Reimbursement Programs, California Hospital Association, Sacramento, CA
Cheryl J Golden, CPA, MHA, CHC, CPC-A, CHRC
Director, Health Sciences, Regulatory Risk & Compliance, Deloitte & Touche LLP, Tampa, FL (Moderator)
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5:30 p.m. |
Adjournment - Networking Reception
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