Compliance Enforcement Against Physician Practices: A review of recent actions

Product Id : HE43
Instructor : C. J. Wolf
Sep 20, 2018 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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Overview

Since the Yates’ Memo – which necessitated stronger enforcement against inpiduals – was issued by the U.S. Department of Justice (DOJ), there has been a significant increase in settlements and enforcement against inpidual physicians. It is important that compliance personnel, billing and coding staff, and physicians know the details of these enforcement actions, so they can strengthen their organization’s compliance program.

During this webinar, our expert speaker Dr. C. J. Wolf will walk you through the subject of compliance enforcement against physician practices, explaining various concepts in detail, going through multiple case studies, and providing useful information which will help you understand compliance risk, and prevent settlements and enforcement against your practice.

Topics under discussion include:  Overview of the Yates’ Memo; purpose of the Yates’ Memo, and the effect it’s having on physician practices; a recent physician settlement case due to medical billing practices; a recent physician settlement case due to 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, and many others.

After the webinar, you will have an understanding of the compliance risk physician practices face of late, and you will be aware of the methods you can use to prevent settlements and enforcement against your practice. All webinar attendees will be provided handouts which will help them remember and make the most of what they have learnt during the training session. 

Training Highlights:

  • Go through an overview of the Yates’ Memo
  • Understand the purpose of the aforementioned, and the effect it’s having on physician practices
  • Learn about a recent physician settlement case due to medical billing practices
  • Find out about a recent physician settlement case due to financial relationships with vendors and business partners
  • Discover how a physician practice can strengthen its medical billing compliance program
  • Learn how a physician practice can strengthen its financial relationships compliance program
  • …and much more

Who will benefit:

The following people will benefit from, and should therefore attend, this webinar:

  • Compliance officers
  • Compliance auditors
  • Physicians
  • Staff involved in billing
  • Professionals responsible for coding
  • People wishing to learn about physician compliance


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 a 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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