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Visit www.hcca-info.org or call 888-580-8373
Physician PracticecomPliance conference
October 1–3, 2008Philadelphia, PA | Doubletree Hotel Philadelphia
Sponsored by
Physicians, compliance officers, coders, and managers: learn to manage an effective compliance program!
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Wednesday, october 1Pre-conference sessions
7:00 – 8:00 am Registration
8:00 – 10:00 am
P1 Compliance 101 Debbie Troklus, CHC, CCEP Assistant Vice President of Health Affairs/ Compliance University of Louisville HSC
An in-depth look at effective compliance implementation and •the management of ongoing operationsProvides a thorough understanding of the seven elements and •the method to incorporate them into your compliance programProvides an opportunity to interact with other compliance •professionals to discuss compliance operations
10:15 am – 12:00 pm
P2 Privacy issues in the Physician Practice: This is Not Your Father’s Physician Practice
Marti Arvin, JD, CHC, CPC, CCEP Privacy Officer University of Louisville
What other laws and regulations does a physician practice need •to know?EHRs improved performance could increase liability•Federal legislation that could impact your practice•
12:00 – 1:30 pm
Lunch (on your own)
1:30 – 3:30 pm
P3 Using Controlled Self-Assessment to Determine Compliance Risk
John Falcetano, CHC, CIA, MA Chief Audit /Compliance Officer University Health Systems of Eastern Carolina
Discuss internal controls and how they relate to compliance•Discuss how Control Self-Assessment can assist in identifying •riskDiscuss universal business risks•Identify things that can affect risk•
3:45 – 5:45 pm
P4 Auditing and Monitoring for Physician PracticesDawnese Kindelt System Compliance Director Catholic Healthcare West
5:45 – 7:15 pm
Networking Reception
thursday, october 27:00 – 8:00 am Continental Breakfast/Registration
8:00 – 8:15 am Opening Remarks
8:15 – 9:30 am General Session: Can Compliance Programs Help Physicians Improve Quality of Care?
Rory Jaffe, MD, MBA, CHC President, HCCA Board of Directors
Systems and culture•The new coding rules•Terms of engagement•
9:30 – 10:45 am General Session: How Compliance Efforts Can Help Avoid Enforcement Actions
Sean R. McKenna Assistant U.S. Attorney Department of Justice
Physician risk areas that could result in fraud investigations•How the government evaluates the merits of referrals•How the government investigates such allegations•Compliance activities that can assist physicians during fraud •investigationsCompliance efforts that could reduce or minimize the adverse •effects of fraud investigations
10:45 – 11:00 am Break
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11:00 am – 12:00 pm
101 Internal Investigations and Voluntary Disclosure
Gabriel Imperato, Esq., CHC Managing Partner Broad & Cassel
Determining the scope of the internal investigation, the •methodology of an investigation and accountability and reporting authority between the law firm directing the investigation and the consultants conducting the investigationApplication of the attorney-client, work product and self-evaluative •privileges during the internal investigation and issues arising with respect to matters that are privileged, especially when taking into consideration parallel criminal and/or civil litigation or disclosure by public companiesDiscussion of the methodology for the investigation, including, •but not limited to, interview techniques, document review and cooperation of the client organizationAlternatives for documenting the results of the investigation and •issues of voluntary disclosure and waiver of the privilegeThe risks and rewards of voluntary disclosure of misconduct and •the who, what, why and where of such disclosuresThe obligation of returning known overpayments to Federal health •programs
102 Outpatient Billing and Coding: Is Your Revenue Washing Down the Drain?
Teresa Bivens, CPC, CHC Deputy Compliance Officer University of Louisville/HSC
Whether your organization is small or large, piping together a •structure and process for the accurate coding and billing patient claims is imperative to a continuous flow of revenueYou have a revenue process in place, but are you catching all •your potential revenue? Where to stop the leaks…Those nasty clogs—what they are and how to plunge them •away!
12:00 – 1:15 pm
Lunch
1:30 – 2:30 pm
201 Compliance & Clinical Documentation Improvement: Are You Ready for the RACs?
Betty Bibbins, MD, CHC, C-CDI Spec, CPEHR, CPHIT President & Chief Medical Officer DocuComp LLC
Importance of Clinical Documentation Improvement Specialists •within the inpatient environment Give examples of appropriate documentation of severity of •illness that justifies consumption of resources What Recovery Audit Contractors are and how they are and will •be impacting healthcare Methods in responding & appealing denials regarding quality of •care issues that may be raised by third-party payers
202 Advanced Stark: How to Operationalize Stark and Assess Stark Compliance in a Physician Organization
Bob Wade Partner Baker & Daniels LLP
Janis Anfossi, JD, MPH, RN Associate General Counsel Rush University Medical Center
Brief overview of Stark Act and Physician Practice exceptions •Detailed analysis and operational issues involving: •
Rental of office space –Rental of equipment –Bona fide employment relationships –Personal services –Group Practice Definition –In-office ancillary exception –Stand In the Shoes/Physician Organizations –Physician recruitment –Indirect compensation and ownership arrangements –Gifts and benefits: Non-monetary compensation up to $329 and –medical staff incidental benefits
Fair market value •How to perform a Stark Compliance Assessment •Tools and processes for implementing Stark compliance •How to conduct periodic audits of your Stark processes•
2:30 – 2:45 pm Break
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2:45 – 3:45 pm
301 Identifying and Analyzing Compliance Issues John Falcetano, CHC, CIA, MA Chief Audit /Compliance Officer University Health Systems of Eastern Carolina
Selecting the team•Reviewing the documentation•Identifying the issues•Implementing corrective action•Monitoring the results•
302 HIPAA Security for the Un-Geek Tom Ealey Associate Professor Alma College
Laptop, laptop, who’s got the laptop? Smaller, faster, more •dangerousThe joys of technology: phishing and social engineering•Helping identity thieves—Trojans, worms, mal-ware, spy-ware, •and wireless surfers Steal your employees’ passwords before someone else does: •security in the era of sticky notes Document protection: paper and digital •Fire, flood, lighting, theft, earthquake—the joys of paranoia•
3:45 – 4:00 pm
Break
4:00 – 5:00 pm
401 The Dark Side of EMRSchawn Pedersen, CPC-E/M Manager Moss Adams LLP
Identify where EMR provides the ability for complete and •accurate documentation and quality patient careIdentify where risk is associated with specific functions in an •electronic medical recordConsider appropriate policies and procedures to support •documentation and reduce organization’s risk
402 Quality In Physician Practices: Practical Tools for Assessment and Implementation
D. Scott Jones, CHC, LHRM Vice President Corporate Compliance and Risk Management American Healthcare Providers Insurance Services
Why the work we do is the same: The real roles of Compliance •Officers, Risk Managers, and Quality Leaders in Physician Practices The Top Quality and Compliance issues that generate •professional liability lawsuits: An analysis of the nations’ leading database of medical malpractice claims against doctors Administrative support systems that foster quality in medical •practices Medical Records documentation assessments for quality and •defensibility of documentation Facility assessments for quality and patient safety •Effective assessment of compliance, quality and risk for •Physician Practices
5:00 – 6:30 pm Opening Reception
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friday, october 37:00 – 8:00 am Continental Breakfast/Registration
8:00 – 8:15 am Opening Remarks
8:15 – 9:15 am General Session: Medicaid Enforcement
James Sheehan Medicaid Inspector General New York State Office of the Medicaid Inspector General
9:15 – 10:30 am General Session: Physician Practice Enforcement Initiatives
Laura Ellis Senior Counsel U.S. Department of Health & Human Services Office of Counsel & Office of the Inspector General
Relationships with Drug and Device Manufacturers•Relationships with Hospitals•False Claims for Physicians: Billing, Upcoding, Unbundling, •and Other PitfallsResearch and Education Grants•A Potential Remedy: The Provider Self-Disclosure Protocol•
10:30 – 10:45 am Break
10:45 – 11:45 am
501 Meshing Compliance Education for Physician and Hospital
Ronda Tews, CPC, CHC, CCP-P Corporate Compliance Project Manager Education St. John’s Health System
Why is compliance education needed in the physician’s practice? •How can this education be rolled out to the physician? •How can compliance education be rolled out to other •coworkers? How can you mesh hospital compliance education with the •physician practice compliance education?
502 From Dictation to Clinical Data: Achieving Documentation Compliance
Nick van Terheyden, MD Chief Medical Officer M Modal
By converting speech recognized text into structured data it is •easier to achieve documentation compliance and generate higher quality documentationAccurate, detailed and complete clinical information is •semantically interoperable between electronic health records systems and used to provide a wealth of decision support at the point of care
11:45 am – 1:00 pm Lunch
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1:15 – 2:15 pm
601 Audit Plan for Medicare’s Shared Visit RuleElin Baklid-Kunz, MBA, CPC, CCS Director of Physician Services Halifax Health
Risk Areas and regulations for shared visit •Relationship to “incident-to” and scribing •Documentation and billing requirements •Private payer difference •Workplan for the actual audit•Implementing self audit tools for department to use for follow •up
602 How to Develop and Use Physician Scorecards to Audit/Monitor Physician Compliance
Andrei Costantino, CHC, MHA, CPC, CPC-H Director of Organizational Integrity Trinity Health
Develop individual physician scorecards •Implement an effective auditing and monitoring strategy for •large physician’s practices or multiple physician networks Using external (CMS) and internal (provider) data to develop •compliance tools Monitoring Risk •Sampling designs based on data •Framework of reporting results and findings•
2:15 – 2:30 pm Break
2:30 – 3:30 pm
701 Adding Insult to Injury: Coding for the Uninsured
Dennis Cowart, MHA, MHL, CHC, CCS-P
Lack of uninsured population coding guidelines protection in •the United StatesClass action litigation•Auditing and education•Ethical concerns and patient advocacy•
702 An Inconvenient Truth-Coding: The Risk Areas
Amy Bailey Muckler, CHC, CPC, CPC-H, CCS-P, PCS, FCS Healthcare Consulting Manager Hooper Cornell, PLLC
Sarah Spry, CHC, CPC, PCS Healthcare Consultant Hooper Cornell, PLLC
Identify the most common risk areas pertinent to coding•Discuss proper documentation and coding for known risk areas•Interactive review of case examples •Explore easy resources to identify aberrant coding patterns•
CHC Certification Exam On-Site!Date: Friday, October 3, 2008Time: 4:30–6:30 pmPlace: Doubletree Hotel Philadelphia, Philadelphia, PACost: $250 (HCCA Members) or $350 (Non-Members)
You must be pre-registered to sit for the exam. To apply, download the application at HCCA’s Web site: www.hcca-info.org. Questions? E-mail [email protected] CEUS are required to sit for the exam.Physician Practice Compliance Conference sessions qualify: each hour attended = 1.2 CEUs. One clock hour = 1.2 CCB/CHC hours.Physician Practice Compliance Conference classes you should consider to supplement your previous experience include: P1–P4, 101, 102, 201, 202, 302, 402, and 702.
HUGE SAVINGS!Attend two
of HCCA’S 2008 national Conferences and receive an additional $300 discount*
Quality of Care Compliance Conference•
Physician Practice Compliance Conference•
Research Compliance Conference•
Medicare Prescription Drug Part D Compliance Conference•
* In order to receive this discount you must fax in your registration forms simultaneously. Online registration will not be accepted for this discount. The Fraud & Compliance Forum is not included in this offer. For more information, please contact our registration department at 888-580-8373 or [email protected]. Pre-conference registration discounts may be combined with this offer.
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S p e A k e r SJanis Anfossi, JD, MPH, RNAssociate General Counsel,Rush University Medical CenterChicago, IL
Marti Arvin, JD, CHC, CPC, CCEPPrivacy OfficerUniversity of LouisvilleLouisville, KY
Betty Bibbins, MD, CHC, C-CDI Spec, CPEHR, CPHITPresident & Chief Medical OfficerDocuComp LLCSt. Clairsville, OH
Teresa Bivens, CPC, CHCDeputy Compliance OfficerUniversity of Louisville/HSCLouisville, KY
Andrei Costantino, CHCDirector of Organizational IntegrityTrinity HealthFarmington Hills, MI
Dennis Cowart, MHA, MHL, CHC, CCS-PMarietta, GA
Tom EaleyAssociate ProfessorAlma CollegeAlma, MI
Laura EllisSenior CounselU.S. Department of Health & Human Services Office of Counsel & Office of the Inspector GeneralWashington, DC
John Falcetano, CHC, CIA, CCEP, MAChief Audit & Compliance OfficerUniversity Health System of Eastern CarolinaGreenville, NC
Gabriel Imperato, Esq., CHCManaging PartnerBroad & CasselFort Lauderdale, FL
Rory Jaffe, MD, MBA, CHCPresident, HCCA Board of DirectorsDavis, CA
D. Scott Jones, CHC, LHRMVice President Corporate Compliance and Risk ManagementAmerican Healthcare Providers Insurance ServicesDestin, FL
Dawnese KindeltSystem Compliance DirectorCatholic Healthcare WestRancho Cordova, CA
Elin Baklid-Kunz, MBA, CPC, CCSDirector of Physician ServicesHalifax HealthDaytona Beach, FL
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S p e A k e r SSean R. McKennaAssistant U.S. AttorneyDepartment of JusticeDallas, TX
Amy Bailey Muckler, CHC, CPC, CPC-H, CCS-P, PCS, FCSHealthcare Consulting ManagerHooperCornell, PLLCBoise, ID
Schawn Pedersen, CPC-E/MManagerMoss Adams LLPScottsdale, AZ
James SheehanMedicaid Inspector GeneralNew York State Office of the Medicaid Inspector GeneralAlbany, NY
Sarah Spry, CHC, CPC, PCSHealthcare ConsultantHooper Cornell, PLLCBoise, ID
Nick van Terheyden, MDChief Medical OfficerM Modal
Ronda Tews, CPC, CHC, CCP-PCorporate Compliance Project Manager Education,St. John’s Health SystemSpringfield, MO
Debbie Troklus, CHC, CCEPAssistant Vice President of Health Affairs/ComplianceUniversity of Louisville HSCLouisville, KY
Bob WadePartnerBaker & Daniels LLPSouth Bend, IN
Physician Practice Compliance Conference October 1–3, 2008 | Philadelphia, PA | Doubletree Hotel Philadelphia
SeSSion Selection: Please indicate below which sessions you would like to attend. This information will be used in planning. You are not obligated to attend selected sessions.
ReGiStRAtion: Please type or print your information below.
❏ Mr. ❏ Mrs. ❏ Ms. ❏ Dr.
Member ID
First Name M.I. Last Name
Title
Place of Employment
Address
City State Zip
Telephone Fax
Email (required for confirmation notice)
Give me the CD-ROMs only—no binders
Please note: should your total be miscalculated, HCCA will charge your card the correct amount. No refunds will be given for no-shows or cancellations. You may send a substitute or use as a conference credit. Cancellation by telephone is NOT valid. Please fax written cancellations to 952-988-0146 or e-mail Patti Hoskin at [email protected]. Pre-conferences and/or post-conferences are free with a paid main conference registration through the date indicated. If you wish to participate only in the pre- or post-conferences, fees will apply.
(Federal Tax ID No. 23-2882664 / Code: PGP08)
HCCA Members .................................................................................$645 Renew Membership & Registration ...................................................$940 Non-Members .....................................................................................$745 HCCA Membership & Registration ....................................................$845
(new members only)
HCCA Members: One Day Only: circle one • Wed • Thu • Fri ........$325
Non-Members: One Day Only: circle one • Wed • Thu • Fri ...........$375
Pre-Conference Session Morning ..................................................$100
Pre-Conference Session Afternoon ................................................$100
TOTAL
I will receive an additional $300 discount for attending two of the following conferences (see terms on page 7): Quality of Care Compliance Conference Physician Practice Compliance Conference
Research Compliance Conference Medicare Prescription Drug Part D Compliance Conference
Mail to: HCCA, 6500 Barrie Road, Suite 250, Minneapolis, MN 55435
FAX to: 952-988-0146 (including completed registration form with necessary billing information)
Check enclosed, payable to HCCA
Invoice me Purchase Order #
Charge my credit card: VISA MasterCard AMEX
Credit Card Number
Expiration Date
Name of Card Holder
Signature of Card Holder
Wednesday
Pre-Conference AM P1 (8:00–10:00 am)
P2 (10:15 am–NooN)
Pre-Conference PM P3 (1:00–3:00 pm)
P4 (3:15–5:15 pm)
thursday
11–NooN 1:30–2:30 pm 2:45–3:45 pm 4–5 pm
101 201 301 401
102 202 302 402
Friday
10:45–11:45 am 1:15–2:15 pm 2:30–3:30 pm
501 601 701
502 602 702
Register online at www.hcca-info.orgQuestions? Call 888-580-8373
www.hcca-info.org | 888-580-8373 11
d e t A i l S
Objectives: Physicians, compliance officers, coders, and managers will learn to manage an effective compliance program. Designed with networking in mind, the conference provides many opportunities for choosing breakout sessions covering topics of interest for all. Participants will learn about compliance program development and management as it relates to physician practices; current government initiatives in the field of health care compliance specific to physicians and their group practices; correct documentation, billing and coding practices for physicians; and best practices utilized in physician practices.
Group Discounts: Five or more individuals from the same company receive a $100 discount per person, based on membership status. Please complete a registration form for each attendee and fax or mail in simultaneously.
Tax Deductibility: All expenses incurred during training, including tuition, travel, lodging and meals, to maintain or improve skills in your profession, may be tax deductible. Please consult your tax advisor.
Cancellations/Substitutions: No refunds will be given for “no-shows” or cancellations. You may send a substitute, or receive a credit toward another con-ference. Please e-mail Karrie Hakenson at [email protected].
Hotel AccomodationsDoubletree Hotel Philadelphia237 South Broad Street, Philadelphia, PA 19107Phone: 1-800-222-TREE | Fax: 215-893-1664
A special rate of $219 single/$239 double per night, plus tax, has been arranged. Please make your reservations directly with the hotel and men-tion the HCCA’s Physician Practice Compliance Conference to receive the reduced rate. Reservations will be accepted at the group rate until Saturday, September 6, 2008, or until the group block is sold out, whichever comes first. Reservations received after this date, or after the group block is filled, will be accepted based on space and rate availability.
Dress Code: Business casual dress is appropriate.
Target Audience: Compliance officers, physicians, providers, practice managers, billing and coding staff, and anyone working in a physician practice environment.
Continuing Education CreditsAAPC: The Physician Practice Compliance Conference, has prior approval of the American Academy of Professional Coders for 19.5 Continuing Education Units. Granting of this approval in no way constitutes endorsement by the Academy of the program, content or the program sponsor.
aCHE: This program has prior approval from the American College of Healthcare Executives (ACHE) for 19.5 Category II continuing education credits. Participants of this program wishing to have the continuing education hours applied to Category II credit should list their attendance when applying for advancement of recertification in ACHE.
aHIma: This program has been approved for 20 continuing education units for use in fulfilling the continuing educa-tion requirements of the American Health Information Management Association (AHIMA).
CCB: This program has been approved for 23.4 CCB continu-ing education credits for compliance certification.
CCEp: This program has been approved for 23.4 CCEP con-tinuing education credits for compliance certification.
Continuing Education for Nursing: The Health Care Compliance Association has been approved as a Continuing Education Provider from the California Board of Registered Nursing: Provider # CEP 14593, for 23.4 contact hours.
NaSBa/CpE: The Health Care Compliance Association, is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing profes-sional education on the National Registry of CPE sponsors: Sponsor Identification No: 105638. State boards of accoun-tancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. Website: www.nasba.org. A maximum of 23 credits based on a 50-minute hour will be granted. Health Care Compliance Association offers programs at an update/review level of continuing education. Although no prerequisite courses, experience, or advanced preparation is required to participate in this program, working knowledge of Compliance is required, as well as prior knowledge of the program topic. This is an update group-live activity. For more information regarding administrative policies such as com-plaints or refunds, call the HCCA at 888-580-8373.
HCCA is in the process of applying for additional certification for continuing education credits. Please visit www.hcca-info.org for updates or contact the certification department for further information at [email protected] or 888-580-8373. Please note that the continuing education credits listed may be subject to change.
Register online at www.hcca-info.orgQuestions? Call 888-580-8373
www.hcca-info.org Phone 888-580-8373
Fax 952-988-0146
October 1–3, 2008Philadelphia, PADoubletree Hotel Philadelphia
Physician Practice comPliance conference
6500 Barrie Road, Suite 250Minneapolis, MN 55435www.hcca-info.org
October 1–3, 2008 | Philadelphia, PA | Doubletree Hotel Philadelphia
Physician Practice comPliance conference
Physicians, compliance
officers, coders, and
managers: learn to
manage an effective
compliance program!
