Note: Scheduled times may be off by a few minutes in either direction during a live broadcast.
8 a.m. - CYA: Cover Your Assets-Fraud and Internal Controls
Odds are, fraud is happening at your company. If not now, it’s really only a question of when. Today’s session focuses on the staggering statistics of occupational fraud as well as some cost-effective solutions that small and intermediate-sized companies can consider to safeguard your assets and protect your operations. If time permits, we will also look into a fraud case study and discuss red flags in the behavior of a fraudster.
Lucas LaChance, CPA, CIA/Partner/Lane Gorman Trubitt, LLC/Dallas
9:20 a.m. – 9:30 a.m. - Break
9:30 a.m. - Hot Topics in Behavioral Health
Several initiatives at the state and federal level will shape behavioral health care in the coming years. Certified Community Behavioral Health Clinics (CCBHCs), the transition out of the 1115 Transformation Waiver and shifting payment mechanisms will all play vital roles in the landscape of the 2020s. We’ll also discuss some legislative thoughts pertinent to the 87th Texas Legislature.
John Burruss, MD/CEO/Metrocare Services/Dallas
10:25 a.m. - OIG 2020 Update
This session offers a holistic review of the Office of Inspector General’s current priorities, anticipated OIG evaluation, audit and enforcement work. We’ll also take a deep dive into drug pricing, opioid misuse and nursing homes.
Ruth Ann Dorrill/Regional Inspector General/U.S. Department of Health and Human Services/Dallas
11:15 a.m. – 12:15 p.m. - Lunch Break
12:15 p.m. - Stand Tall for Small - Rural Texas Health Care Update
You’ll receive an update and general overview regarding rural health care in Texas – the trends, challenges, etc. – with specific updates regarding the 1115 Waiver, DSRIP, UHRIP and MFAR.
John Henderson/President/CEO/Texas Org. of Rural and Comm Hospitals/Austin
1:05 p.m. - Managing Patient Credit Balances
Credit balances are possibly the most dangerous hidden risk within a hospital’s revenue cycle. With 5%-7% of claims paid inaccurately, a hospital generates $2m in new credits for every $100m generated in revenue. Regulation, case law and contractual obligations all shape how credits should be handled, and you’ll learn how to navigate them in this course.
Joshua L. Robinson/Crossrods Health, LLC/Gardena, CA
1:55 p.m. – 2:05 p.m. - Break
2:05 p.m.- Medicaid Fraud Update
Among the topics covered in this session will be recent trends in Medicaid qui tam litigation.
Susan Miller/Deputy Chief/Civil Medicaid Fraud/Office of the Attorney General for Texas/Austin