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MEDICARE RAC CERTIFICATE PROGRAM
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NATIONAL MEDICARE RAC SUMMIT AGENDA: DAY II
Tuesday, September 15, 2009
Note, all times listed are Eastern Standard Time
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THE TOOLS FOR GETTING IT RIGHT THE FIRST TIME
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8:00 a.m. |
Welcome and Introduction to RAC Building Blocks
Kathy Reep
Vice President, Financial Services, Florida Hospital Association, Orlando, FL
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8:15 a.m. |
Organizing the Internal RAC Team and Process for Success
Kathy Skrzypczak
Assistant Vice President, Corporate Services, Martin Memorial Health System, Stuart, FL
Presentation Material (Acrobat)
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8:45 a.m. |
RAC Preparedness "By the Numbers" - Using Data Mining Proactively to Identify Potential Targets
George Kelley
Chief Operating Officer, CBIZ KA Consulting Services, LLC, East Windsor, NJ
Dennis Jones
Director, Compliance Services, CBIZ KA Consulting Services, LLC, East Windsor, NJ
Presentation Material (Acrobat)
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9:15 a.m. |
Areas of Risk in Nursing Home, Home Health, and Physician Office Services
Elizabeth Milton RN, BSN, GNP, PHN, ET
Principal, Life Enhancing Consulting, Rancho Cucamonga, CA
Presentation Material (Acrobat)
Day Egusquiza
President, AR Systems, Inc., Twin Falls, ID
Presentation Material (Acrobat)
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10:00 a.m. |
Networking Break - Exhibit Hall
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10:30 a.m. |
Outpatient RAC Vulnerabilities Exposed - Real Audits, Real Examples
Andrea Clark, RHIA, CCS, CPCH
President, HRAA, Plantation, FL
Presentation Material (Acrobat)
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11:00 a.m. |
Successful Strategies for Physician Engagement
Rob Corrato, MD, MBA
President, Executive Health Resources, Inc., Newtown Square, PA
Presentation Material (Acrobat)
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11:30 a.m. |
Interactive Speakers Panel and Audience Q&A
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12:00 p.m. |
Networking Luncheon
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RAC APPEALS AND DEFENSES
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1:15 p.m. |
Welcome and Introduction to RAC Appeals and Defenses
Stewart M. Presser
Vice President, Greater New York Hospital Association, New York, NY (Co chair)
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1:30 p.m. |
Dealing with RAC Denials: Thinking Strategically About What and Whether to Appeal
Kathleen Houston Drummy, Esq.
Partner, Davis Wright Tremaine LLP, Los Angeles, CA
Presentation Material (Acrobat)
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2:00 p.m. |
RAC Appeals - the View from the QIC and ALJ Perspective
David P. Sheridan, MD, MS
Project & Medical Director, Administrative QIC, Columbia, SC
Presentation Material (Acrobat)
Thomas E. Herrmann, JD
Vice President, Strategic Management Services, LLC, Alexandria, VA
Presentation Material (Acrobat)
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2:45 p.m. |
Transition Break
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3:00 p.m. |
Successful Defense and Appeal Strategies
Hospitals
Ronald S. Connelly
Principal, Powers Pyles Sutter & Verville PC, Washington, DC
Presentation Material (Acrobat)
Long Term Care Facilities
Mark Reagan, Partner, Hooper, Lundy & Bookman, Inc., San Francisco, CA
Presentation Material (Acrobat)
Part B Providers
Andrew B. Wachler, Esq., Principal, Wachler & Associates, PC, Royal Oak, MI
Presentation Material (Acrobat)
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4:00 p.m. |
Strategic and Legal Issues in the Use of Health Care Experts in RAC Administrative and Judicial Appeals
Alan S. Goldberg, JD, LLM
Attorney and Counselor-at-Law, Adjunct Professor of Health Law, George Mason University, McLean, VA
Presentation Material (Acrobat)
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4:30 p.m. |
Interactive Speakers Panel and Audience Q&A
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5:00 p.m. |
Summit Adjournment
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