Payment denial/appeals consultant has urgent message for Medicare providers
Partners 7th Annual Connected Health Symposium
The Way Forward: Reform’s New Focus on Health and Wellness, Independent Aging, Chronic Condition Self-Care and the Tools That Support Them
On October 21-22, The Center for Connected Health, a division of Partners HealthCare, will invite the future-oriented healthcare community to Boston to discuss ways to move care beyond the hospital and into the day-to-day lives of patients. Topics will include healthcare payment reform, provider accountability, system gridlock, patient self-management, available technology tools and the role of IT executives.
The 7th annual Connected Health Symposium will be a two day affair plus pre-meeting workshops at the Boston Park Plaza Hotel & Towers. Featured speakers will include:
- Caroline Apovian, MD, FACP, FACN, Associate Professor, BU School of Medicine; Director, Center for Nutrition & Weight Management, Boston Medical Center
- B.J. Fogg, Director, Persuasive Technology Lab, Stanford University
- Gary Gottlieb, MD, MBA, President and CEO, Partners HealthCare
- Sheena Iyengar, Inaugural S.T. Lee Professor of Business, Columbia Business School
- Cory Kidd, MS, PhD, Founder and CEO, Intuitive Automata
- Thomas Lee, MD, Network President, Partners Healthcare System; CEO, Partners Community HealthCare
- Geoffrey Ling, MD, PhD, Revolutionizing Prosthetics program, DARPA; Professor and Vice-Chair of Neurology, Uniformed Services University of the Health Sciences
Payment denial/appeals consultant has urgent message for Medicare providers
“How ZPICs and PSCs Monitor Your Agency: An Insider’s Look” is the title of a traveling two-day seminar that will stop next in Houston at the end of August. It will be presented by former nurse and former California OASIS coordinator Michael McGowan, who has spent more time arguing against payment denials in front of Administrative Law Judges than most attorneys, and with a 90% success rate and over $38 million recovered for clients.
Billed as “Tools, Tips and Methods to Avoid Overpayments and Audits,” the seminar offers practical steps to manage the data you supply to the government so that it cannot later be used against you.
Today, state and federal contractors are targeting home health providers in a handful of metropolitan areas known for high rates of fraud. Honest providers prone to sloppy work or simple errors are being treated the same as those who purchase or start home care agencies with unabashed criminal intent. Soon, these fraud abatement efforts will spread nationwide after ZPICs and PSCs gain their experience in Miami, Los Angeles and Houston.
The course covers two intensive days from 9:00 am through 5:30 pm. A promotional flyer proclaims, “Take action and build a strong defense. Eliminate the guesswork. Start running a safe, profitable, trouble-free business. Learn exactly what practice patterns get you flagged for audit and what to do about it.”
Course tuition is $525 in advance and $599 at the door but McGowan will waive 100% of the fee for any agency that can pass his Post-Payment Mock Survey. Other cities are planned for the fall following the seminar’s Houston debut.
Editor’s note: to those who find it to be somewhat promotional to feature these two events, let us state unequivocally that we fully acknowledge that it is promotional. While HCTR is not associated with Partners or MadAppeals.com in any way, nor do we receive remuneration from either of them, it is this newsletter’s strong editorial position that these two topics are critically important.
Linking patient data with nearby hospitals and physicians will mean life or death to home care agencies within the next few years. Just as threatening is the rapid expansion of Medicare fraud abatement efforts from a few Linking patient data with nearby hospitals and physicians will mean life or death to home care agencies within the next few years. Just as threatening is the rapid expansion of Medicare fraud abatement efforts from a few target cities to all areas. Honest agencies will be caught up in the sweep if they are not prepared to differentiate themselves from the criminals.
