Pittsburgh Regional Conference
Friday, October 5, 2018
Pittsburgh, PA
CEU Application | Conference Brochure
Healthcare Investigations and Government Enforcement Actions: Year In Review and Outlook
Rachael L. Mamula, Assistant U.S. Attorney, Civil Division, Affirmative Civil Enforcement Unit, U.S. Attorney’s Office for the Western District of Pennsylvania
- Overview of Affirmative Civil Enforcement
- Year in Review: Healthcare Fraud ACE Enforcement Actions in PA Western District
- Year in Preview: Hot Topics in Government Healthcare Enforcement Actions
No presentation available
ACOs
Robert Ramsey, Shareholder, Buchanan Ingersoll & Rooney PC
Presentation (2 slides/page)
Presentation (3 slides/page)
Benchmarking of Provider Coding Outliers: How to Transition to a Risk Focused Audit Plan
Jared Krawczyk, Director of Analytics, Nektar Analytics
- Discuss the critical elements needed to build a risk-based audit process from scratch
- Demonstrate how to conduct benchmarking analytics to support a targeted provider risk scorecard. (Above and beyond a generic E/M bell-curve)
- Explore strategies to interpret and incorporate the outlier analysis results in a functional day-to-day internal audit process
Bridging the Gap: Regulatory Compliance in a Post Acute Setting
M. Jill Griffith, CPA, CPC, Senior Manager, Arnett Carbis Toothman, LLP
- Discuss the OIG’s top regulatory concerns with skilled nursing, home health and hospice services
- Identify challenges with partnerships between post acute care and hospital providers
- Understand the payment challenges impacting regulatory compliance in post acute settings
Presentation (2 slides/page)
Presentation (3 slides/page)
Cyber-Attack: What Do I Do Now?
Paulette M. Thomas, Counsel, BakerHostetler
- Response and Reporting
- Investigation and Remediation
- Best Practices for Prevention
Presentation (2 slides/page)
Presentation (3 slides/page)
Telehealth: 2018 Legal & Compliance Issues
Christopher W. David, CPA/ABV, ASA, President, HealthValue Group
Thomas (T.J.) Ferrante, Esq, Senior Counsel, Foley & Lardner LLP
- Compliance with State and Federal Regulations
- Practice Standards and Malpractice Considerations for Telehealth
- Payment and Reimbursement Opportunities and Concerns
- Fair Market Value Compliance Issues and Pitfalls
Presentation (2 slides/page)
Presentation (3 slides/page)
Legislative Update
Michael Strazzella, Co-Head, Washington Office and Practice Group Leader, Federal Government Relations, Buchanan Ingersoll & Rooney PC
- Get Up-to-the Minute Insights into the November Election
- Understand the Potential Impact on Policy and Regulation of Election Results
- Learn the Latest from Washington on Issues Impacting Compliance
Presentation (2 slides/page)
Presentation (3 slides/page)