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Handouts - 2016 - Regional - San Francisco

San Francisco Regional Conference
Friday, December 2, 2016
San Francisco, CA

Conference Brochure

Healthcare Fraud and Abuse Update

Brian Bewley, Shareholder, Polsinelli

  • Review of noteworthy settlements and enforcement activity in 2016
  • Discussion of most recent significant false claim and health care fraud court decisions
  • Proactive compliance measures to take in 2017 in light of enforcement trends

Presentation (2 slides/page)
Presentation (3 slides/page)

OCR Phase 2 Audits: What is happening?

Marti Arvin, CHPC, CHRC, CHC-F, CCEP-F, Vice President of Audit Strategy, Cynergistik

  • The desk audits are complete. Do we know what they found?
  • The onsite audits and what to expect if you are selected
  • How can the audit protocol be used to enhance your compliance program?

Presentation (2 slides/page)
Presentation (3 slides/page)

Telehealth/Telemedicine Panel

Deidre Ramsey, CHC, CHPC, Managing Director TPMG Compliance, Permanente Medical Group

Greta Fees, CHC, Director, Billing & Coding Compliance, Sutter Health System Office
Anne V. Cadwell, Managing Director, The Permanente Medical Group

  • How telehealth/telemedicine is changing the health care provided to patients
  • The “key” ins and outs for billing for telehealth/telemedicine
  • How to mitigate the risks with telehealth/telemedicine

Presentation (2 slides/page)
Presentation (3 slides/page)

Handout 1
Handout 2
Handout 3 (.doc)

Dial C for Compliance

Lori Laubach, CHC, Partner, Moss Adams
Judith Waltz, Partner, Foley & Lardner

  • How do you identify issues that require further review?
  • When do you need to bring in an external auditor?
  • What is the best way to design an audit, get it done, and succeed?
  • How do you meet your legal obligations while securing legal protections?

Presentation (2 slides/page)
Presentation (3 slides/page)

Medicare Part C & D Compliance

Pamela C. Brecht, Partner, Pietragallo Gordon Alfano Bosick & Raspanti, LLP

  • Medicare C – Emerging trends
  • Risk Scores – What are you certifying?
  • Medicare D – What’s happening in this $70 billion program

Presentation (2 slides/page)
Presentation (3 slides/page)