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Friday, May 14, 2010
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7:30 am -
8:30 am
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| Market Insight Breakfasts |
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8:30 am -
8:45 am
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8:45 am -
9:30 am
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- Discuss coding claims accurately for Medicare home health agencies
- Examine the extent to which physicians are aware of their reassignments
to avoid schemes
- Review Medicare contractors' processes for enrolling and monitoring suppliers
of durable medical equipment, prosthetics, orthotics and home health agencies
to ensure billing compliance
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9:30 am -
10:15 am
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- Explore the need for prompt privacy breach resolutions to minimize risk and
exposure due to internal mistakes
- Discover talking points for communicating to membership, that are honest but
do not create panic
- Develop safe guards for internal information access to provide assurance against
fraudulent exposures and enhance proper operational processes to ultimately
improve cost savings
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10:15 am -
10:45 am
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10:45 am -
11:45 am
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11:45 am -
12:30 pm
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12:30 pm -
1:30 pm
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Topics to be Discussed:
- Durable medical equipment
- Home health agencies
- Pharmaceutical shopping
- Medical identity theft
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| Roundtable Discussion Leaders: TBD |
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1:30 pm -
2:15 pm
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- What fraud, waste and abuse training is CMS approved for health plans?
- Hear the CMS roadmap for evaluating health plan training activities
- Learn what CMS is looking for in marketing and sales initiatives relative to fraud, waste and abuse in Medicare Advantage and Medicare Part D programs
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| CMS Representative: TBD (invited) |
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2:15 pm -
3:00 pm
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- Will anti-fraud recovery monies pay for HIT?
- Explore the future of EMRs used to track emergency room hopping and
drug shopping
- Discover how the design of new and innovative approaches can enable the use
of data through electronic health record reporting to find emerging trends and
vulnerabilities in high-risk areas such as durable medical equipment and home health
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3:00 pm -
3:15 pm
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