February 5, 2021

Portland Regional Healthcare Compliance Conference

Virtual , Pacific Standard Time (PST)

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Handouts

Overall Survey | CEU Application | Conference Brochure

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

Presentation
Evaluation

Phishing - Sharks & Minnows – Protecting Yourself and Your Devices

Brian Hole Deputy CISO and Cybersecurity Manager Legacy Health

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

Presentation
Evaluation

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

Presentation
Evaluation

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

Presentation
Evaluation

Medicare Fee-for-Service Compliance Education

Lori Weber Medicare Part B Provider Education Representative 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

Presentation
Handout
Evaluation

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

Presentation
Evaluation