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

Agenda Monday, October 12 8:15 – 9:15 am General Session: Clinical Documentation Improvement Programs and Physician Advisors: Working Together to Improve Effectiveness Betty Bibbins, MD, FACOG, CHC, C-CDI, CPEHR, CPHIT., President & Chief Medical Officer, DocuComp LLC Importance of CDI to Physician Practices within the Inpatient and Office Settings Overview of goals & mission of CDI Programs Overview of Compliance requirements by Medicare regarding the documentation of severity-of-illness and medical necessity within the medical record 9:30 – 10:30 am General Session: Medicaid Enforcement James Sheehan, Medicaid Inspector General, New York State Office of the Medicaid Inspector General 11:00 am – 12:00 pm 101 ICD-10-CM: Just the Basics for the Physician Office Judy B. Breuker, CPC, CCS-P, CHBME, ACS, PCS, CPC-E/M, CHC, President, Medical Education Services, LLC Where can I find current and accurate information? Why the need for change? What are the differences between ICD-9-CM and ICD-10-CM? 102 The Lighter Side of Documentation Teresa M. Bivens, CPC, CHC Deputy Compliance Officer University of Louisville/HSC Office of Compliance Looking at the “lighter” side of provider documentation issues Real life documentation “Mad Libs” A laugh a day could keep the OIG away! 12:00–1:00 pm Networking Lunch 1:00 – 2:00 pm 201 Auditing & Monitoring Compliance: Taking the “Vital Signs” of Your Compliance Program Jason Caron, Attorney, Epstein Becker & Green, PC Robin Barton, Corporate Compliance Officer, Sheridan Healthcare, Inc. The importance of auditing and monitoring in the face of the government’s heightened scrutiny: “Kicking the tires” before it is too late What are the “high risk” areas that I should be focusing on? What are my peers concerned about? Where is the government focusing? Practical tips for efficiently targeting your efforts, protecting your findings and implementing appropriate corrective actions 202 Surviving a Government Investigation: A Collaborative Effort Vicki L. Dwyer, MN, ARNP, CPC, ACS-EM, Chief Compliance Officer, Galichia Medical Group, P.A. Nancy Kennedy, RHIT, CPC, Associate Compliance Officer Galichia Medical Group Key elements to have in place What to do when government agents walk in the door Responding to warrants, subpoenas, investigative demands, etc. 2:30 – 3:30 pm 301 Ancillary Services: A Practical Approach to Navigating Through Stark Law Requirements and the Medicare Billing Rules Hayden S. Wool, Partner/Director, Garfunkel, Wild & Travis, P.C. Review of pertinent Stark Regulations, including the in-office ancillary rules, and recent amendments to Stark Medicare’s new Anti-markup provisions Practical suggestions for reviewing arrangements and bringing them into compliance with the billing rules and Stark requirements, when necessary 302 Avoiding the Median Coding Phenomenon for Routine E/M Codes Michael Calahan, Director, Coding & Compliance, Associates Physicians Practice Development Mary E. Wood, CPC, President, Marsalisi, Inc. What is the “median coding” phenomenon? Review of protocols for appropriate E/M code assignment for office visits, consultations and inpatient hospital visits (CMS audit tool provided) How to avoid median coding patterns in your practice quickly, efficiently and within accepted compliance standards 4:00 – 5:00 pm 401 Why Physicians Should Care About Never Events Henry C. Fader, Partner, Pepper Hamilton LLP Review definitions and history of “never events” and discuss the emerging conflicts Discussion of patient safety issues generally including infections Impact on professional liability 402 QAlternative Practitioners: From “Incident To” to Locum Tenens; How to Ensure Compliance with Federal Regulations, Get Paid, and KEEP IT! Kim Heibel, CPC, Manager, Professional Services Coding Assurance, Compliance Department, WellStar Health System; Sheryl Spohn, RHIA, CHC, Executive Director of Coding Assurance, Compliance Department, WellStar Health System PAs/NPs: How can we get the most of their services in the office? Biggest bang for your buck in the hospital setting: state laws, hospital bylaws, Medicare/Medicaid/managed care, shared visits, consults Substitute physicians: Medicare/Medicaid, hospital credentialing, temporary need, long term coverage, employed or agency

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