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NATIONAL MEDICARE-MEDICAID PAYMENT INCENTIVES AND PENALTIES SUMMIT

A Hybrid Conference, Internet Event and Training Tool
The Leading Forum on Recovery Audits, Readmissions, Value-Based Purchasing, HACs and
Never Events, and Managing to Medicare Margins
Media Partners: Harvard Health Policy Review and Health Affairs
Co-located with the Seventh National Medicaid Congress
May 30 - June 1, 2012, Hyatt Regency Crystal City, Washington, DC
www.MedicareMedicaidPaymentSummit.com

INCLUDES A FULL RAC CONFERENCE WITHIN THE SUMMIT

Advanced RAC Precon on CDI and Appeal Strategies
Full Day of RAC Programing Including New MAC Issues
RAC Certificate Program Available

THE DISTINGUISHED RAC FACULTY INCLUDES:

Elizabeth Baskett Senior Associate Director, Policy, American Hospital Association, Washington, DC	Markus Cicka Director, Missouri Medicaid Audit and Compliance, State of Missouri, Jefferson City, MO	Day Egusquiza President, AR Systems, Inc., Twin Falls, ID (Co Chair)
Jeffrey E. Epstein, MD Medical Director, Continuum of Care Department, Morristown Medical Center, Atlantic Health System, Morristown, NJ	Cheryl Ericson, MS, RN Manager of Clinical Documentation Integrity and Utilization Review, The Medical University of South Carolina (MUSC), Charleston, SC	Barbara Flynn, RHIA, CCS Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FL
Linda Fotheringill Co-Founder and Partner, Washington & West, LLC, Baltimore, MD	Mike Frith Regional Manager, Patient Accounts, Trinity Health-Saint Alphonsus, Boise, ID	Larry T. Hegland, MD Chief Medical Officer, Ministry Saint Clare's Hospital, The Diagnostic and Treatment Center, Weston, WI (Co Chair)
Mary C. Malone Director and Attorney, Hancock, Daniel, Johnson & Nagle, P.C., Glen Allen, VA	Margie McLean, CPC, CPC-H, PMCC CEO, QMACS, Inc., Dallas, TX	Steven J. Meyerson, MD Vice President, Accretive Physician Advisory Services®, Accretive Health, Inc., Chicago, IL
Maria Perrin Chief Business Officer, HMS Holdings Corp., New York, NY	Michael S. Routh RAC Coordinator, Midland Memorial Hospital, Midland, TX	Jane Snecinski President, Post Acute Advisors, Atlanta, GA
Andrew B. Wachler, Esq. Principal, Wachler & Associates, PC, Royal Oak, MI	Sara Kay Wheeler Partner, King & Spalding, LLP, Atlanta, GA	Denise Wilson, RN, MS, RRT Director of Client Education & Performance Improvement, Intersect Healthcare, Inc., Lutherville, MD

Ralph Wuebker, MD, MBA
Vice President, Audit, Compliance and Education, Executive Health Resources, Newtown Square, PA

John Zelem, MD, FACS
Senior Director, Audit, Compliance & Education, Executive Health Resources, Newtown Square, PA

AND THE RAC CERTIFICATE PROGRAM

THE SIXTH NATIONAL MEDICARE RAC SUMMIT CONTENT IS NOW AVAILABLE
IN VARIOUS POST CONFERENCE FORMATS

The Sixth National Medicare RAC Summit conference content is now available in a variety of formats.

You may now purchase the packaged Medicare RAC Summit Training Program, which includes preconference readings and online courses, the conference video with synchronized PowerPoint presentations and the post conference online exam. This content is perfect for corporate compliance training programs and can be purchased at deep group discounts.

Alternatively, you may purchase just the Summit streaming content in the following formats: Flash Drive or online archive (6 months access).

THE COMPLETE ONLINE RAC TRAINING PROGRAM IS NOW AVAILABLE
Earn your RAC Training Program Certificate and 8.5 CEU hours from AAPC

Includes:

Background readings (available online)
A complete curriculum of the following 3 online training modules on preparing for and responding to RAC audits, prepared by Davis Wright Tremaine and Deloitte & Touche (3 hours):

Module I: Understanding and Preparing for RAC Program Implementation
Module II: Responding to RAC Audit Notifications and Data Requests
Module III: Dealing with RAC Audit Results

Streaming Video of entire RAC Summit with synchronized PowerPoint presentations (18 hours of content) (6 months of access - 24/7)
Online examination with certificate of completion and 8.5 CEU hours from AAPC

Integrates easily into corporate compliance training program
Purchase individually for $595
Or license multiple seats as follows:

5 or more for $395 each
10 or more for $295 each
15 or more for $195 each
20 or more for $95 each

ALTERNATEIVELY YOU CAN PURCHASE JUST THE SIXTH NATIONAL MEDICARE RAC SUMMIT CONTENT AS FOLLOWS:

Online Archive of 2011 Sixth National Medicare RAC Summit Presentations today!
Complete conference: $595
Order Now
Flash Drive of 2011 Sixth National Medicare RAC Summit Presentations today!
$595
Order Now

FINALLY YOU MAY PURCHASE SIXTH NATIONAL MEDICARE RAC SUMMIT INDIVIDUAL PRESENTATIONS:

Click here to purchase individual presentations for $59.95 in online archive format (6 months of access - 24/7).

Medicare compliance Medicare RAC recovery conference

SIXTH NATIONAL
MEDICARE RAC SUMMIT

Recovery Audit Contracting (RAC) and Related Program Integrity Efforts in Medicare and Medicaid

November 7 - 9, 2011

ONSITE
Renaissance Washington, DC Downtown Hotel
Washington, DC

ONLINE
Live and Archived for 6 months

MEDICARE RAC CERTIFICATE PROGRAM

GRANTORS
BRONZE GRANTORS

MEDIA PARTNERS

CO SPONSORS

FREE TRIAL OFFER FOR INSIDE HEALTH POLICY
Inside Washington Publishers is offering friends of the Sixth National Medicare RAC Summit a free no-obligation four-week trial subscription to InsideHealthPolicy.com, the daily online news service which includes the newsletter, Inside CMS. The free trial trial includes all regular subscriber services, including an e-mail alert every business day as a reminder of what's been added to the site.

MEDICARE RAC SUMMIT IS

CMS UPDATES REPORTED RAC COLLECTONS THRU Q1 FY 2012

CMS has released a new update on RAC collections, reporting total overpayments collected of $1.27B through December 31, 2011, or the first quarter of Federal FY 2012. Click here to access the document.

CMS ANNOUNCES NEW START OF REBILLING DEMONSTRATIONS

On November 15, 2011 CMS announced two new demonstration programs of significant interest to providers -- a Recovery Audit Prepayment Review demonstration that will allow RACs to conduct prepayment reviews in 11 States for certain high-error or high-cost procedures; and a Part A to Part B Rebilling demonstration open to up to 380 hospitals on a voluntary basis. Both were to take effect January 1, 2012. Click here to see the original CMS press release.

The RAC prepayment review demonstration was put on hold owing to provider outcry, but CMS has just announced that it is prepared to begin the program on June 1, 2012. Click here for the details on the CMS web site.

CMS ISSUES NEW BULLETIN ON MEDICAID RACs

On December 30, 2011 CMS issued a new bulletin governing implemenation of Medicaid RACs. Click here to access the document.

RAC SUMMIT APPROVED FOR AAPC CEUs

This program has the prior approval of the American Academy of Professional Coders (AAPC) for up to 14.5 continuing education hours, depending upon session attendance. Certificates will be issued onsite. Online attendees must enroll in, complete, and successfully pass the final examination for the Medicare RAC Certificate Program in order to earn their CEUs.

Granting of prior approval in no way constitutes endorsement by the AAPC of the program content or the program sponsor.

CMS INTERACTIVE MAP ON STATE MEDICAID RACs

CMS has created an interactive national map showing the status of State Plan Amendments (SPAs) submitted by States in connection with the establishment of Medicaid RACs. Click here to view the map.

CMS MEDICARE LEARNING NETWORK DOCUMENTS ON RAC

CMS in January released a new quarterly MLN Mediare Quarterly Compliance Newsletter. Click here to access Vol. 2, Issue 2 - ICN 907703. The previous documents in this series can be assessed here.

AHA RELEASES 2d QUARTER 2011 RACTrac RESULTS

AHA released its report on the 2d Quarter 2011 findings from the national RACTrac survey. The full set of slides for that report is here.

NEW CMS RULE ON RAC RECORD REQUESTS FROM SMALL HOSPITALS

CMS has issued a new rule that, effective August 22, 2011, allows RAC contractors to request 35 records from small hospitals whose record limit would be 34 or less under the current formula. Click here for the text (see new language at "E").

SIXTH NATIONAL MEDICARE RAC SUMMIT November 7 - 9, 2011
ONSITE Renaissance Washington, DC Downtown Hotel Washington, DC	OR	ONLINE In your own office or home live via the Internet with 24/7 access for six months

SUMMIT CO CHAIRS

Barbara J. Piascik, CHC, CHFP
Chief Compliance Officer, MedeAnalytics, Emeryville, CA

Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID

Andrew B. Wachler, Esq.
Principal, Wachler & Associates, PC, Royal Oak, MI

KEYNOTE SPEAKERS

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	Peter B. Budetti, MD, JD Deputy Administrator and Director, Center for Program Integrity, Centers for Medicare and Medicaid Services, Baltimore, MD
James G. Sheehan, Esq. Chief Integrity Officer, New York City Human Resources Adminisration, New York, NY	Mimi Vier, CPC Provider Outreach and Education Consultant, National Government Services, Inc., Cincinnati, OH

PRECONFERENCE AND TRACK CHAIRS

Lori Brocato
Product Manager, HealthPort, Alpharetta, GA

Barbara Flynn, RHIA, CCS
Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FL

Jane Snecinski
President, Post Acute Advisors, Atlanta, GA

FACULTY FOR THE ADVANCED PRECONFERENCE BOOT CAMP ON BEST PRACTICES

Dianna Chambers
HIM Solutions Developer, Indiana University Health - Shadeland, Indianapolis, IN

Dawn Crump, MHR, SSBB
Network Director of Compliance, SSM Health Care St. Louis, St. Louis, MO

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

Denise Wilson, RN, MS, RRT
Director of Client Education & Performance Improvement, Intersect Healthcare, Inc., Chester, VA

Lori Brocato
Product Manager, HealthPort, Alpharetta, GA (Preconference Chair)

HOSPITAL REPRESENTATIVES

Matt Absher Director of Reimbursement Programs, California Hospital Association, Sacramento, CA	Elizabeth Baskett Senior Associate Director, Policy, American Hospital Association, Washington, DC	Cheryl Ericson, MS, RN Manager of Clinical Documentation Integrity and Utilization Review, The Medical University of South Carolina (MUSC), Charleston, SC
Barbara Flynn Vice President, Health Information and Denial Management Services, Florida Hospital Association Management Corporation, Inc., Orlando, FL	Jason Haley Assistant Vice President of AR Core Services, Parallon Business Solutions, Nashvile, TN	Larry T. Hegland, MD Chief Medical Officer, Ministry Saint Clare's Hospital, The Diagnostic and Treatment Center, Weston, WI
David McClure Senior Vice President of Finance, Tennessee Hospital Association, Nashville, TN	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	Stewart M. Presser Vice President, Greater New York Hospital Association, New York, NY

Kathy Reep
Vice President, Financial Services, Florida Hospital Association, Orlando, FL

Trudy Struck
Senior Manager, Revenue Cycle, Blue & Co., LLC, Indiana Hospital Association Consultant, Indianapolis, IN

LEGAL AND FINANCIAL EXPERTS

Brian Annulis Partner, Meade & Roach, LLP, Chicago, IL	G. Brenda Coey Attorney at Law, Buckingham, Doolittle & Burroughs, LLP, Canton, OH	Carol F. Endahl Senior Product Manager, OptumInsight, Minneapolis, MN
Cheryl J. Golden, CPA, MHA, CHC, CPC-A, CHRC Director, Health Sciences, Regulatory Risk & Compliance, Deloitte & Touche LLP, Tampa, FL	Steve Lokensgard Special Counsel, Faegre & Benson, LLP, Minneapolis, MN	Thomas E. McGraw Senior Vice President of Government Program Integrity, OptumInsight, Richmond, VA
Ryan Meade Partner, Meade & Roach, LLP, Chicago, IL	Cristine M. Miller, CCP, CHC, CCS-P Partner, Mountjoy Chilton Medley LLP, Louisville, KY	Tara Mondock Group Vice President, Payer Relations, IVANS, Inc.
Michael Schramm Group Vice President, Product and Innovation, IVANS, Inc.	Ernie de los Santos Consultant and Creator, The RAC Shadow, Los Angeles, CA	Scott W. Taebel Shareholder, Hall, Render, Killian, Heath & Lyman, PC, Milwaukee, WI

NATIONAL PROGRAM INTEGRITY CONTRACTOR MAPS
Click below to see larger versions of the maps of the national landscape for the RAC Contractors, Medicaid Integrity Audit Contractors (MICs), Zone Program Integrity Contractors (ZPICs), and Medicare Administrative Contractors (MACs A/B).
RAC Map Map prepared by and used with permission of King & Spalding	MICs Map Map prepared by and used with permission of King & Spalding	ZPICs Map Map prepared by and used with permission of King & Spalding	MACs A/B Map Map prepared by and used with permission of King & Spalding

CONTENT OPTIONS

TRADITIONAL CONFERENCE REGISTRATION
Register for Preconference Medicare RAC Boot Camp and/or Conference.

MEDICARE RAC CERTIFICATE PROGRAM
The Medicare RAC Summit is offering a Medicare RAC Certificate Program in the form of an optional course within the conference for attendees wishing to take a deeper dive into the Summit's subject matter. The Program requirements are:

Completion of preconference readings - Click here to review pre-course reading
Completion of online training modules on preparing for and responding to RAC audits, prepared by Davis Wright Tremaine and Deloitte & Touche
Attend Preconference Medicare RAC Boot Camp either in person or online
Attend Summit either in person or online
Successful completion of a post-conference online examination - Click here to take sample examination.

Attendees who successfully complete Program requirements will receive a certificate of completion.

PARTICIPATION OPTIONS

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

INTERNET INTERFACE SAMPLE
Click here for a sample stream

THE GROUP REGISTRATION/ONLINE TRAINING ALTERNATIVE

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.

HERE IS AN EXAMPLE OF A HEALTH SYSTEM RAC CERTIFICATE PROGRAM

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SIXTH NATIONAL MEDICARE RAC SUMMIT

SIXTH NATIONAL MEDICARE RAC SUMMIT November 7 - 9, 2011

SIXTH NATIONAL
MEDICARE RAC SUMMIT

SIXTH NATIONAL MEDICARE RAC SUMMIT
November 7 - 9, 2011