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Webinar

OIG targets incident to claims – are you billing correctly? 

About the Webinar

Medicare rules governing "incident to" services have long been a source of confusion to physician practices seeking to maximize efficient use of clinical staff.  Recently, the OIG has turned its spotlight on incident-to claims and is questioning whether office clinical staff is legally qualified to furnish the services they are providing. CMS is taking the OIG's concerns seriously and is expected to initiate policy changes in the near future that could include more stringent credentialing of personnel and additional recordkeeping and administrative obligations. Failure to comply with Medicare policy in this area can result in significant refund obligations and possible civil monetary penalties of up to $10,000 per claim. Two national experts on Medicare legal and compliance issues faced by physician practices will lead you through this complex area and help you reduce your compliance risks.

Following this session, you will:

1. Know all existing rules and policies governing submission of claims for Medicare for "incident to" services
2. Understand the OIG's concerns with current incident-to billing practices and activities or arrangements that might trigger an OIG or Medicare contractor audit
3. Be aware of possible upcoming changes in Medicare rules governing incident-to billing, including new staff credentialing requirements and reporting obligations that could have a financial impact on your practice 

Who should attend? 

Medical practice executives, administrators, billing managers, physicians, business accounting professionals, coders, compliance officers. 

With registration you will receive

Outlines and program materials

Continuing education credit hours

• ACMPE – 1.5 hour
• CME – 1.5 Category 1 credit hour
• CPE – 1.5 contact hour
  

Faculty

Robert J. Saner II, Principal Bob Saner joined Powers Pyles Sutter & Verville in 1994. He specializes in health care and environmental law, legislation, and regulation. Mr. Saner's health practice focuses heavily on physician organizations, including professional societies, associations, medical groups, academic practices and integrated systems. His environmental and public health practice focuses on the regulation of municipal water utilities under the federal Safe Drinking Water Act and includes emerging issues in public infrastructure protection and homeland security. Prior to joining Powers Pyles, Mr. Saner was a partner in White, Verville, Fulton and Saner. From 1972 to 1974 he served in the Department of Health, Education and Welfare and the Executive Office of the President.

Rebecca L. Burke, Of Counsel Rebecca Burke joined Powers Pyles Sutter & Verville in 1994. She has over 20 years of health care law experience. Ms. Burke's practice encompasses a broad range of regulatory and reimbursement services. She regularly represents clients before the Centers for Medicare and Medicaid Services and other federal agencies on a variety of Medicare and Medicaid payment, fraud and abuse, Stark law, coverage, coding and other issues that affect physicians, hospitals, transplant centers, diagnostic testing facilities, and various other health care providers.

 Computer Requirements

MGMA live Webinars are multimedia presentations that contain PowerPoint slides synchronized with full audio narration and are 90 minutes in length. You have the option to listen to this live session through the telephone only or listen through the phone and see the visual presentation via your computer and Internet connection.

Note: The audio portion of this live event is not provided via the Web.

MGMA live Webinars are designed to function under the following minimum computer standards

• Internet Explorer version 6.0 or higher
  
  
• 56k baud dial-up modem to connect to the Webinar.
  If you have a connection speed lower than 56k, please follow along with your printed handout.
  
  
• Windows Media Player version 6.0 or higher
  
  
• A Microsoft Windows operating system
  

Check your computer compatibility for this Live Webinar presentation by using the Microsoft Live Meeting test link.

 How the Webinar works

• The MGMA member will receive an email prior to the live presentation with dial-in instructions and a PDF version of the handout materials.
  
  
• Listen in and follow along with the handout materials provided in the email.
  
  
• To view the handouts online via the live Webinar go to the Web site that is included in the email instructions, follow the directions and download Microsoft Live Meeting.

  *One phone line per registration. Additional connections are subject to additional connection fees.
  *There is no limit to the number of staff members from your office that can attend the live presentation.