Top Compliance and Fraud & Abuse Risk Areas for 2019
Moderator:
Rose Willis Attorney Dickinson Wright
Panel:
Peter Domas Attorney Dickinson Wright
Jennifer Ishmael, RHIA Revenue Integrity and Payment Consultant, The Rybar Group
• Significant new rules and laws for inclusion in compliance programs
• OIG high risk areas for coding and documentation
• Industry coding audit trends
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Reimbursement Strategies and Related Compliance Issues
C. Timothy Gary Chief Executive Officer Crux Strategies
David Adams Vice President of Business Intelligence-Revenue Cycle Management, Crux Strategies
• Follow the money!
• What you don’t know can hurt you
• Defensive strategies and related opportunities
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Tips for Conducting Interviews for Internal Investigations
David Glaser Fredrikson & Byron, P.A.
• Who should do interviews and how should you document them?
• What are some of the best/worst things you can do during an investigation?
• Understand some of the privilege issues associated with interviews and investigations.
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Pharmaceutical Compliance and Legal Issues
Panel Moderator:
Lisa Karram, CHC Compliance Specialist Diplomat RX
Panel:
Dr. Saqib Nakadar, D.O. Doc Greens Clinic
Ann T. Hollenbeck Partner Jones Day
• 340B Drug Pricing Program updates
• Real-world audit challenges
• Compliance pitfalls and tips
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Delivery System Reform Compliance Challenge Specifics
Tiana L. Korley, MHA, JD Associate General Counsel University of Michigan, Office of the Vice President & General Counsel
• Participants will hear real-world compliance challenges in alternative payment models, including Oncology Care Model and Medicare Shared Savings Program.
• Participants will learn mitigation techniques to apply to alternative payment model participation.
• Participants will gain more insight into the future of government scrutiny in the area of alternative payment model participation.
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Healthcare Fraud and Abuse: A View from the U.S. Attorney’s Office
Adam B. Townshend Assistant U.S. Attorney, U.S. Attorney’s Office, Western District of Michigan
• Discuss recent DOJ and HHS-OIG enforcement trends, nationally and in the State of Michigan
• Explore the dynamics involved in parallel criminal, civil, and administrative proceedings
• Discuss recent experiences in, and best practices for, corporate healthcare investigations
No Presentation Available
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