Cindy Groux, CHBME/Board Member at HBMA and CEO, President and Owner of Health Care Practice Management, will address new CPT codes for 2021 to include prolonged services and clinical staff services, documentation changes to reduce the administrative burden, decreased needs for audits and how to promote coding consistency, and new rules for time billing.
Stephen Bittinger, partner with K&L Gates in the firm’s Charleston office and a member of the health care/FDA practice group, is presenting with us on the brief history of use of big data in investigating and proving False Claims Act liability. He will offer an explanation of the government agencies and contractors involved in gathering health care data for investigation of fraud and abuse. We will look into the increased risk of fraud investigations due to regulatory changes implemented in response to COVID-19, and give practical ways to use data to reduce risk of investigation and liability.
Presented by Feisal Nanji, CEO and Executive Director at Techumen LLC. We are moving to a Data-based quality care where vast amounts of data move at high speeds with little to no governance of the data. This presentation will discuss key controls for data analytics, identify potential threats, and balancing risks versus rewards.
Catherine Short converses with Bob Chaput, Founder and Executive Chairman of the Board of Clearwater, a provider of healthcare compliance and cyber risk management software and consulting services, on the topic of “Healthcare’s Enterprise Cyber Risk Management Imperative.” Healthcare organizations continue to see escalating numbers of cyberattacks. It is no longer a matter of if your organization will be targeted, but when. What is at stake? Everything.
Catherine Short speaks with Courtney Tito, Esq., Member of the Health Law group at McDonald Hopkins, LLC in its West Palm Beach office about “Payor Disputes and Audits: Observations & Strategies.” Our discussion will help listeners better understand the payor audit process and prepare the organization to respond. We will talk about the payor audit process from the government perspective and compare and contrast typical government audits with typical commercial audits. Finally, we will identify some best practices that providers can implement now to prepare for payor audits.