Catherine Short speaks with Dr. Mary Hoppa, MD, MBA, senior consultant with The Greeley Company which provides solutions through consulting, education, interim staffing, credentialing management, and external peer review to healthcare organizations nationwide, about “The Do’s and Don’ts of Designing an Aging Physician Policy.” We will be discussing how to identify and address competency issues among senior physicians and best practices to prevent potential safety incidents that could have long-term consequences for both patients and practitioner. We will also learn how to recognize age related impairments that affect a healthcare professional’s ability to safely administer care, look at how to design a fair aging policy to protect both practitioners and patients, as well as focusing in on how to address competency issues and when privileging needs to be reassessed or revoked.
Catherine Short speaks with Stephen Bittinger, Health Care Reimbursement Partner at K&L Gates, about the topic of “The Biggest Recent Health Care Scams & How to Avoid Being a Target.” We will be learning the mechanics of some of the largest recent health care fraud scams, how many providers became victims of these scams, and how to avoid these types of risks in the future. We will study the mechanics of health care fraud scams and the impact on providers caught in them, discover how to identify health care fraud scams and discuss resources for providers to educate themselves, and learn from other providers’ mistakes on how to avoid health care fraud scams and decrease risk to revenue cycle.
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.