Seattle, WA Regional Conference
June 9, 2017
Seattle, WA
CEU Application | Conference Brochure
Fighting Fraud: the Medicaid Fraud Control Unit at the Attorney General’s Office
Bob Ferguson, State Attorney General, Washington State
Larissa Payne, Deputy Director, Medicaid Fraud Control Unit, Washington State Attorney General’s Office
- Types of cases in medicaid fraud
- Being a partner in enforcement
- Identifying medicaid fraud
- Measuring medicaid fraud
- Knowing your obligations
Presentation (2 slides/page)
Presentation (3 slides/page)
HIPAA Updates from OCR
Evelyn Zeller, JD, Supervisor, Office for Civil Rights, Pacific Region Seattle Office, US Department of Health & Human Services
- Individual access to PHI
- Working in the Cloud
- Update on OCR’s audits
- Frequent compliance issues
- Recent enforcement examples
Presentation (2 slides/page)
Presentation (3 slides/page)
Medicaid Program Integrity Today
Lisa DeLaVergne, RHIT, CCS, Section Manager, Program Integrity, Washington Health Care Authority
- Most common types of Medicaid fraud, waste and abuse
- Documentation pitfalls
- Implementing internal compliance programs
- Prepare for a Medicaid audit or review
- Alternative Payment Models
Presentation (2 slides/page)
Presentation (3 slides/page)
Federal Update – Healthcare Fraud/Waste/Abuse
Lori Ahlstrand, Regional Inspector General, U.S. Department of Health & Human Services
Steven Ryan, Special Agent in Charge, OIG, Regional Field Office, U.S. Department of Health & Human Services, Understanding the role of the HHS, OIG
- Recent cases and audits relating to current trends in healthcare fraud, Waste, and Abuse
- Legal consequences of medicare fraud
- Impact of medicare fraud on patient care
- How to work with HHS, OIG to combat medicare fraud
Presentation (2 slides/page)
Presentation (3 slides/page)
How to Prepare for a RAC Audit
Margaret Evans-Perkins, Program Director, RAC Region 4
Crystal Guadan, Program Manager, RAC Region 4
- RAC Region 4 Provider Portal overview and process for provider address customization
- New issue development overview
- Additional Documentation Request, Informational and Review Results letters, samples and timing
- Discussion period request process
- Process to request for a physician-to-physician teleconference
Presentation (2 slides/page)
Presentation (3 slides/page)
The Changing Landscape for Behavioral Health
David Dickinson, MA, Regional Administrator, Substance Abuse & Mental Health Services Administration, U.S. Department of Health & Human Services
- Why integrate behavioral health in other healthcare settings?
- SAMHSA support for primary and behavioral health care integration
- State approaches to health care integration
- Tribal healthcare integration model
- Changes to 42 CFR Part 2 confidentiality rules for SUD treatment support integrated care
Presentation (2 slides/page)
Presentation (3 slides/page)
Healthcare Compliance Hot Topics and Trends
Sheryl Forrester, CHC, Compliance Officer, Children’s Medical University Group
Johanna Brown, Compliance Director, Kootenai Health
Carolyn Barton, CHPC, CHC, Vice President Compliance & Regional Compliance Officer, Compliance, Ethics and Integrity Office, Kaiser Foundation Health Plan of Washington
Theresa Anderson, Compliance Officer Laboratory Medicine, UW Medicine
- Developing a centralized compliance department – a hospital’s first compliance officer will share her experiences in building a robust compliance program
- Cultivating a positive (and effective) relationship between the compliance department and the organization
- Compliance program effectiveness reviews from the health plan perspective, including acquisition considerations
- Tips and tricks for dealing with social media
No presentation available
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