PPT-Medicare Compliance, Coding

and Billing   and More What Every University Clinic Must Know and Implement Paul Pessis AuD Tim Nanof MSW Disclosures Financial Tim Nanof is employed full time by ASHA. Allegations. . Secret Shops. . Corrective Actions . Audits. An audit is an examination and evaluation of an organization to make sure that their records are accurate, and that the company and their contracted partners are adhering to the requirements of the contract. . Developed by the Centers for Medicare & Medicaid Services. This training module will assist Medicare Parts C and D plan Sponsors in satisfying the Compliance training requirements of the Compliance Program regulations at 42 C.F.R. §§ 422.503(b)(4)(vi) and 423.504(b)(4)(vi) and in Section 50.3 of the Compliance Program Guidelines found in Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual. A Practical Approach to MSAs, Conditional Payments and Mandatory Reporting for WC and Liability Claims Operations. September 19, 2012. PRESENTERS. Jon Gunter. - . Executive VP, MEDVAL . Anne Hernandez. MCMS Coding Forum – Kick-off Meeting . 4/3/14 9:30-10:30 am. Deb Kenney, CPC, CPMA. Senior Consultant. Medical Business Advisors, LLC. kenneyd@mba-md.com . 301-468-2030. www.mba-md.com. 1. Deb Kenney, CPC, CPMA. Guidance for Meridian ACO Providers. Edition: Sep 2014. Learning Objectives. By the end of this course, you will be able to… . Understand federal and state fraud and abuse . laws.. Identify referral restrictions in Stark and similar . Developed by the Centers for Medicare & Medicaid Services. This training module will assist Medicare Parts C and D plan Sponsors in satisfying the Compliance training requirements of the Compliance Program regulations at 42 C.F.R. §§ 422.503(b)(4)(vi) and 423.504(b)(4)(vi) and in Section 50.3 of the Compliance Program Guidelines found in Chapter 9 of the Medicare Prescription Drug Benefit Manual and Chapter 21 of the Medicare Managed Care Manual. Physician Education. Every . year billions of dollars are improperly spent because of Fraud, Waste, and Abuse (FWA). It affects everyone – including you. This training helps you detect, correct, and prevent FWA. You are part of the solution. Compliance is everyone’s responsibility. As an individual who provides health or administrative services for Medicare enrollees, your every action potentially affects Medicare enrollees, the Medicare Program, or the Medicare . Fraud, Waste and Abuse. . (FWA). Training. 12/11/2013. FRAUD, WASTE AND ABUSE (FWA). EXECPTION-NOTICE. There is one exception to the FWA training and education requirement. Regulations effective June 7, 2010 implemented a “deeming” exception which exempts FDRs who are enrolled in Medicare Parts A or B from annual FWA training and education. Therefore, if an entity or an individual is enrolled in Medicare Parts A or B, the FWA training and education requirement has already been satisfied. If you are unsure if this “deeming” exception applies to you please contact an IEHP Compliance Manager at . Cynthia Trapp, MS,CHFP, CMPE, CPCO, CPC, CPC-I, AAPC-Fellow, CCS-P, CHC. New England MGMA Regional Conference. Friday May 4, 2018. Defining Risk Adjustment. History of CMS Risk Adjustment. Risk Adjustment Models. Kim Cavitt, AuD. Audiology Resources, Inc.. Live Streamed from Chicago, IL. February 23-24, 2017. Learning Outcomes. Attendees will be able to:. …. list . Federal regulations applicable to audiology. Part I: Foundation & Structures - Don't Be Intimidated. Dee Adams Nikjeh, PhD, CCC-SLP. Paul . Pessis. , . AuD. Tim . Nanof. , MSW. . Speaker Disclosures. Financial. Each speaker received complimentary registration for this meeting and air fare. 2020. Please review the notes section of each slide for additional information and details.. Publicly-funded insurance program. Americans age 65 and over. Disabled Americans. A Medicare plan may include:. New Hire and Annual Employee Compliance Training. CTS Introduction. Coordinated Transportation Solutions, Inc.. CTS is a 501(c)(3) not-for-profit entity founded in Connecticut in 1997. We manage non-emergency transportation programs for government agencies, managed care organizations, school districts and businesses throughout the northeast and mid-Atlantic region. We do not have drivers and vehicles of our own that perform trips. Rather, we coordinate transportation using a network of credentialed and contracted, local transportation companies. . For claims with dates of service on or after January 1, 2002 , §104 of the Benefits Improvement and Protection Act (BIPA) 2000, provides for payment of all mammography tests (including screening mam