Compliance Enforcement Against Physician Practices:What's Happening and how to Avoid

Duration:
60 Minutes  
Instructor
C.J. Wolf 
Recorded
Refund Policy

Overview

High level overview of the Yates' Memo, it's purpose and the effect it is having on physician practices. Summary of a recent physician settlement case because of medical billing practices. Summary of a recent physician settlement case because of financial relationships with vendors and business partners. How a physician practice can strengthen its medical billing compliance program. How a physician practice can strengthen its financial relationships compliance program.

Why you should Attend

Ever since the U.S. Department of Justice (DOJ) issued the Yates' Memo which called for stronger enforcement against individuals, there has been a noticeable uptick in settlements and enforcement against individual physicians. 

Attendees will learn about the details of these recent enforcement actions and how to avoid them by strengthening your organization's compliance program.

Areas Covered in the Session

  • You will walk away with a better understanding of the current environment of compliance risk facing physician practices in the last two years due to the Department of Justice’s increased focus on individual physician accountability
  • You will also walk away with methods to prevent these settlements and enforcement against your practice
  • You will be able to:
    • Assess your compliance program's effectiveness
    • Access resources to check your practice's billing compliance
    • Learn what tools are helpful in identifying questionable financial relationships that raise red flags

Who Will Benefit

  • Compliance Officers
  • Billing Staff and Coders
  • Compliance Auditors
  • Physicians

Speaker Profile

C.J. Wolf, MD, M.Ed. has been involved in healthcare for over 20 years beginning with his years in medical school. Early in his career, Dr. Wolf made a change to healthcare administration, reimbursement and compliance. He has worked in various coding, reimbursement or Chief Compliance Officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System and Merit Medical Systems. He currently is Sr. Compliance Executive at Healthicity.

Dr. Wolf has a passion for teaching and education. He has developed and taught curricula for adult employees seeking national coding certifications, trade workshops and seminars, and has served as adjunct faculty for Salt Lake Community College and currently is Faculty at Brigham Young University-Idaho. In addition to his medical degree from the University of Illinois at Chicago College of Medicine, Dr. Wolf holds a master of education (M.Ed.) from the University of Texas at Brownsville. He completed his B.S., magna cum laude, from Brigham Young University, Provo, UT.

He holds the following professional certifications: AAPC (American Academy of Professional Coders): CPC (Certified Professional Coder), COC (Certified Outpatient Coder) HCCA (Health Care Compliance Association): CHC (Certified in Healthcare Compliance) SCCE (Society of Corporate Compliance and Ethics): CCEP (Certified Compliance & Ethics Professional) IIA (Institute of Internal Auditors): CIA (Certified Internal Auditor)
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