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PROGRAM AGENDA

1. Types of audits/assessments your laboratory should perform
1. Internal vs. external
2. Billing and coding
3. Stark and Anti-kickback compliance
4. Compliance program effectiveness
2. Coordinating between auditing and monitoring activities to ensure an effective compliance program
1. Definition of auditing and monitoring
2. When to conduct audits under attorney-client privilege
3. Auditing case studies
1. Billing and coding audit scenarios
1. Medical necessity and ABN use
2. Other billing and coding problem areas
3. Audit outcomes
4. What to do with the findings?
2. Stark law and Anti-kickback audit scenarios
1. Audit results as they relate to billing
2. Post-audit action plans
4. Q & A

LEARNING OBJECTIVES

At the end of this program, participants will be able to:

• Describe several types of compliance audits that address laboratory services and address government regulatory issues.
• Design effective audits for both routine and special purposes that are actually doable.
• Identify areas that need improvement in their current auditing program.
• Construct an action plan based on audit outcomes.
• List characteristics, deliverables, and other tangible outcomes that influence the selection of an external auditor.

FEATURED SPEAKERS

Diana Voorhees,  M.A., CLS, MT, SH, CLCP, is a nationally recognized healthcare reimbursement and compliance consultant and principal of DV & Associates, Inc. of Salt Lake City, Utah. Ms. Voorhees has worked in laboratory medicine for several years and spent many of these years as an Associate Clinical Professor in Medical Laboratory Sciences at the University of Utah. She has authored/edited several articles for professional publications and provided numerous presentations for various companies and organizations including ASCLS, ASCP, AACC, AAPC, AABB, CLMA, MGMA, HFMA, Coulter Corporation, G-2 Compliance Report, Laboratory Institute, MLO, United Communications Group, The Greater Cleveland Hospital Association, and the Metropolitan Chicago Healthcare Council. Ms. Voorhees has published a monthly column for ten years, Compliance Report, in Advance Newsmagazine. She is also on the editorial board of Laboratory Compliance Insider. Additionally, she completed a chapter on coding and reimbursement for a well known text book on laboratory administration. DV & Associates works nationally with all healthcare specialties and facilities.

Christopher Young, CHC, is President of Laboratory Management Support Services  (LMSS) located in Phoenix, Arizona. LMSS provides services for developing or implementing compliance programs, conducting or overseeing audits, billing and coding, Medicare rules and regulations, and training and educating for compliance.  Mr. Young is certified in HealthCare Compliance by the Health Care Compliance Board of the Health Care Compliance Association.  He is a compliance professional with nearly 20 years of experience in laboratory compliance issues.  He is an HEW-certified medical technologist, former chairperson of the CLMA Health-Care Policy Committee, and former member of the Medicare Billing Issues Committee for CLMA. He is currently serving as the laboratory representative on the Carrier Advisory Committee for Arizona. Mr. Young is also on the editorial board of Laboratory Compliance Insider

BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!

The materials are provided with PDF links. In addition to the expertise and advice presented during this audioconference, you'll also receive these free bonus tools:

1. Model gifts and entertainment policy
2. Tools relating to gifts and entertainment policy
3. Guide to selecting an external auditor

WHO SHOULD LISTEN?

Compliance officers, laboratory directors/managers, billing office staff, laboratory information technology staff, managers/supervisors of ancillary departments, auditors, HIM professionals, coding professionals, PFS directors; revenue cycle managers

Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

• Audioconferences

• Other Corporate Compliance Products