Welcome and Opening Remarks

2021 Evaluation and Management Changes Cori Bowmer, Manager, Physician Coding Services, Reimbursement Management Consultants, Inc. Dana Brown, President, Reimbursement Management Consultants, Inc.

• Distinguish what has changed, and what has stayed the same with Evaluation & Management coding with the new 2021 guidelines
• Understand the new E/M guidelines and how to apply them to coding and auditing
• Understand how the E/M guideline changes will it affect the industry

Break

Phishing - Sharks & Minnows – Protecting Yourself and Your Devices Brian Hole, Deputy CISO and Cybersecurity Manager, Legacy Health

• Identify phishing emails and know what to do with them
• Proactively keep your phone and computers protected with simple easy steps
• Apply good account password hygiene

Break

Reimbursement Policy and Medical Records Documentation Kimberly Haas, Clinical Policy & Reimbursement Analyst, Moda Health Plan

• Identify appropriate documentation which can be used to support billed services
• Define the correct way to make legal additions or corrections to the medical record
• Identify common documentation problems that lead to denials and how to avoid them

Mid-Conference Break

Networking and Discussion Connect with your fellow attendees and enjoy a free-flowing conversation about what stood out during the sessions or a compliance challenge you want feedback on. The objective here is to enable conference participants to network with and learn from each other and help overcome the isolation of the past months. This optional networking event will be held on Zoom and participants may choose to be on camera.

How Do We Monitor and Audit Telehealth - Past, History, and Present Lori Laubach, Partner , Moss Adams, LLP

• Identify controls related to telehealth necessary to mitigate the risk in the present and after PHE
• Operational uses of telehealth – what are the compliance issues?
• Audit and monitoring of the telehealth controls
• Review potential corrective action ideas and how to provide results without creating additional risk

Break

Medicare Fee-for-Service Compliance Education Lori Weber, Education Representative II, Part B Provider Outreach & Education, Noridian Healthcare Solutions

• Reviewing various regulations, statutes and Medicare program exclusions
• Defining CMS post-pay reviewers and their roles
• Providing successful documentation and valuable resources from both Noridian and CMS

Break

How to Respond to "I Heard That’s Illegal!" David Glaser, Shareholder, Fredrikson & Byron PA

• Suggestions for improving your hiring process for compliance professionals
• Tips for explaining complicated rules and the legal hierarchy to both compliance and medical professionals
• Strategies for analyzing contradictory “expert” opinions and reducing the legal anxiety that can prompt employees to become external whistleblowers
• Review examples of situations where compliance professionals correctly, or incorrectly, concluded something was illegal