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Handouts - 2018 - Regional - Pittsburgh

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


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)