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October 17 – 19, 2010 | Philadelphia, PA | Doubletree Hotel Philadelphia

Program Sunday, October 17 Monday, October 18 Tuesday, October 19 Pre-conference 7:00 am – 6:00 pm | Registration 8:00 – 10:00 am P1 Physician Clinical Documentation is Only Half of the Compliance Picture for Office and Inpatient Care ... Have You also Captured Your Medical Necessity? Betty B. Bibbins, MD, FACOG, CHC, C-CDI, CPEHR, CPHIT, President & Chief Medical Officer, DocuComp LLC The importance of knowing about the MACs – how inconsistent documentation can severely impact your physicians’ office compliance as well as for inpatient care. Discuss how clinical documentation captures the true severity-of-illness within the medical record, and medical necessity justifies the utilization-of-resources to 3rd party payers. Why Medical Decision Making (MDM) is becoming the most important component of E&M documentation. 10:00 – 10:15 am | Break 10:15 – 12:15 pm P2 Compliance 101 Debbie Troklus, CCEP-F, CHC-F, CHRC, CHPC, Assistant VP for Health Affairs/Compliance University of Louisville An in-depth look at effective compliance implementation and the management of ongoing operations Provides a thorough understanding of the seven elements and the method to incorporate them into your compliance program Provides an opportunity to interact with other compliance professionals to discuss compliance operations 12:15 – 1:30 pm | Lunch (on your own) 1:30 – 3:30 pm P3 Physician Coding Initiative: Evaluation and Management Bill Friedel, CPC, CHC, Institutional Compliance Manager, Corporate Compliance Department, Memorial Sloan-Kettering Cancer Center Leslie C. Bembry, CPC, Coding and Compliance Manager, Fornance Physician Services Inc. Discuss the challenges surrounding educating providers on E&M services Why is it that E&M training is often ineffective? Learn about a different approach to physician education and training How much documentation is required 3:30 – 3:45 pm - Break 3:45 – 5:45 pm P4 Impact of HITECH on Physician Practices George B. Breen, Shareholder, Epstein Becker & Green, P.C. Danna Teicheira, Privacy Officer, St. Luke's Regional Medical Center Herman Doering, HIPAA SME, Information Systems Security Officer St. Luke's Regional Medical Center HITECH has raised the stakes when it comes to protection of patient privacy. EHRs introduce a new level accounting of disclosures which will directly impact physicians. Physicians and healthcare organizations must work together to address privacy concerns. 5:45 – 7:00pm Opening Reception 7:00 am – 5:00 pm | Registration 7:00 – 8:15 am | Continental Breakfast 8:15 – 9:15 am | GENERAL SESSION Physician Compliance Update from the Office of Inspector General David M. Blank, Senior Counsel, Office of Counsel to the Inspector General, Administrative and Civil Remedies Branch Division, Department of Health and Human Services 9:15 – 9:30 am | Break 9:30 – 10:30 am | GENERAL SESSION Effectiveness: Physician Compliance Kimberly Brandt, Former Director of Medicare Program Integrity, Centers for Medicare & Medicaid Services 10:30 – 11:00 am | Break 11:00 am – 12:00 pm | Concurrent Breakouts 101 RACs: Are You Ready? Marie Moseley, BSN, CNNP, MPH, JD, UHS Regulatory Affairs Specialist/Privacy Officer, University Health Systems of Eastern Carolina, Inc. Tamara Rodriguez, Partner, Vidaurri, Lyde, Rodriguez & Haynes, LLP The Basics of RAC Audits How the Process Works Recoupment & Appeals 102 Pointers & Pitfalls in Gaining Physician Buy-in to a Compliance Program Robert H. Ossoff, DMD, MD, CHC, Assistant Vice-Chancellor for Compliance and Corporate Integrity, Maness Professor of Laryngology and Voice, Vanderbilt Medical Center Learn "conversation starters" to improve your interactions with physicians Develop successful physician-compliance office relationships Develop, utilize and leverage your physician champion relationships 12:00 – 1:00 pm | Networking Lunch 1:00 – 2:00 pm | Concurrent Breakouts 201 Preparing the Physician Practice for ICD-10 Caroline Rader, Associate Director, Navigant Consulting, Inc. Susan Allen, MBA, CPC, CCS-P, Managing Consultant, Healthcare, Navigant Consulting, Inc. An overview of the adoption of ICD-10 for the physician practice and its impact Provides a thorough understanding of the costs of the adoption of ICD-10 Walk away with a preparation checklist, budget and implementation plan 202 Developing Standards for Physician Audits Angela Brown, CHCA, CHC, CCS-P, PCS, HSC Deputy Compliance Officer, HSC Interim Compliance Audit Manager, University of Louisville Health Sciences Center Office of Compliance What are you auditing? How are you auditing? How to build an Auditing Reference Binder 2:00 – 2:30 pm | Break 2:30 – 3:30 pm | Concurrent Breakouts 301 The ABC’s of ABN’s Angela Brown, CHCA, CHC, CCS-P, PCS, HSC Deputy Compliance Officer, HSC Interim Compliance Audit Manager, University of Louisville Health Sciences Center Office of Compliance When you should obtain an ABN every time—and why it's OK Simplify your approach and maximize the benefit to your practice and your patients Training staff, monitoring success, retraining, and the essentials of a good ABN plan 302 Compliance Work Plan for Physicians Aletheia Lawry, JD, LL.M, CHC, Senior Business Practices Analyst, The Methodist Hospital System What must you provide when your patient asks for copies of their medical record? Is your use of outside debt collection agencies compliant? Find the answers to these and other non-billing compliance questions. 3:30 – 4:00 pm | Break 4:00 – 5:00 pm | Concurrent Breakouts 401 Doing More with Less in Today’s Economy, Obstacle or Opportunity? David Childers, CIPP, President and CEO, EthicsPoint A downsized experience can lead to positive outcomes Turn operational compliance “silos” in to “synergies” How basic low cost automation can provide immediate ROI 402 Dangerous Documentation Carolyn C. Avery, CPC,CEMC, Manager of Coding and Compliance, Carter, Lankford CPAs, PC Kathy Rowland, CPC, CEMC , CHC, MCS-P, Health Care Compliance Consultant, Integrity Compliance LLC Learn how to identify high risk areas in evaluation and management visits Understand the areas of liability for the coder and billing staff Develop solutions with hands on exercises to help apply what you have learned 5:00 pm – 6:30 pm Networking Reception 7:30 am – 3:00 pm | Registration 7:30 – 8:15 am | Continental Breakfast 8:15 – 9:15 am | GENERAL SESSION Tools and Trends in Physician Health Care Fraud Investigations Sean R. McKenna, Assistant U.S. Attorney, Department of Justice Physician risk areas that could result in fraud investigations Compliance activities that can assist physicians during fraud investigations Compliance efforts that could reduce or minimize the adverse effects of fraud investigations 9:15 – 9:30 am | Break 9:30 – 10:30 am | GENERAL SESSION Medicaid Compliance James Sheehan, Medicaid Inspector General, New York State Office of the Medicaid Inspector General 10:30 – 11:00 am | Break 11:00 am – 12:00 pm | Concurrent Breakouts 501 Physician Conflicts of Interest Valerie J. Chiappone, MBA, Conflicts of Interest Specialist, University Hospitals Office of Outside Interests Paul Belton, Vice President, Corporate Compliance, Sharp HealthCare Recent enforcement activity: the consequences of not addressing the issue Physician-industry relationships: risk or benefit to the organization? What should healthcare organizations do before the government steps in? 502 Office Visit Coding Without Consults Bess Ann Bredemeyer, BSN, RN, CHC, CPC, PCS, Director, Compliance Services, McKesson Practice Consulting Solutions, McKesson Corporation Mary Whalen, MBA, CPA, BSN, CHC, CCSP, CHP, FACHE, FHFMA, President, Whalen Consulting, LLC Identify how to bill when you can’t bill Consultation Codes but you provided a consultation service Identify instances when Consultation Codes may be utilized Increased impact of coding accuracy 12:00 – 1:00 pm | Networking Lunch 1:00 – 2:00 pm | Concurrent Breakouts 601 Stark Law, Anti-Kick Back Statute and False Claims Act-Enforcement Jay P. Anstine, Director, Corporate Compliance, The Imaging Center To reduce your organization's risk associated with certain prohibited self-referrals To improve your organization's compliance activities associated with monitoring Fraud & Abuse To provide insight and tips for navigating Stark in light of business realities 602 Practicing in an Era of Increased Government Enforcement: Tips to Avoid the Pitfalls George B. Breen, Member, Epstein Becker & Green, P.C. How changes to, and enforcement of, the Federal False Claims Act impacts your practice What the state enforcers are doing to pursue health care providers How to use recent CIA's to bolster your own compliance programs 2:00 – 2:15 pm | Break 2:15 – 3:15 pm | Concurrent Breakouts 701 Tom’s Top Ten (Weaknesses in the Physician Revenue Cycle) Tom Ealey, Associate Professor, Alma College Targeted information on typical revenue cycle weaknesses Best practices are highlighted to improve revenue and compliance Take homes include useful tools to quickly improve practices 702 Compliance: Flying Solo Teri Morris, Compliance Officer, Cherokee Indian Hospital Are you a one-person Compliance Office?  Valuable lessons learned in a one person compliance office will be discussed. If you are just beginning your flight into the field of Compliance and need guidance this session is for you. Tools and policies will be provided to participants to assist the one-person compliance officer.

Program | Hotel/City | Certification | Exhibit/Sponsor | Registration | HCCA