KNOCK, KNOCK … Are You Ready for Who’s Behind the Door: RACs, MICs, and ZPICs?

Magnolia Hotel Ballroom - Third Floor
1100 Texas Avenue
Houston, TX  77002 
(713) 221-0011

Hosted by Epstein Becker Green

Janice Jacobs
, Huron Consulting, New York
Daniel E. Gospin, Epstein Becker Green, Houston
Mark S. Armstrong, Epstein Becker Green, Houston (Introductions)

Contractors for the Centers for Medicare & Medicaid Services (CMS) have been working diligently over the past year to crack down on fraud and abuse and recoup overpayments made to health care organizations. With the passage of the Patient Protection and Affordable Care Act and the increase in demand by the federal government for quantitative results, the level of enforcement by CMS contractors will continue to intensify. Staying ahead of the curve and understanding how to proactively implement and update a compliance program to better prevent and detect fraud, waste and abuse and minimize potential red flags is a crucial first step in avoiding or preparing for a RAC, MIC or ZPIC audit. Appreciating the role of CMS contractors and their procedures is also important in navigating the often complex and opaque audit process to which many health care organizations are currently subject. Finally, if a health care organization is involved in a RAC, MIC or ZPIC audit, it is essential for the organization to protect its legal interests by understanding the administrative process by which audit results and demands for repayment may be appealed.

This program will:

  • assist providers in understanding the function and differing objectives of a RAC, MIC and ZPIC;
  • explore proactive measures that a health care organization can implement to augment existing compliance plans and decrease potential exposure resulting from a government contractor audit; and
  • address the intricacies of the administrative process for appealing audit results and demands for repayment.

You should attend this program if you are an administrator, a manager, a compliance officer, an in-house counselor or a member of the billing staff of any health care organization that receives federal or state reimbursements for services, including an academic medical center, ambulance provider, clinical laboratory, DMEPOS supplier, hospital, long-term care facility, managed care organization, MA Plan, Part D Plan, pharmaceutical manufacturer, pharmacy, physician group or skilled nursing facility.

Registration Fee: $40 (includes valet parking)

Health care organizations that register multiple attendees
have a maximum registration fee of $80.00.

Please RSVP no later than September 14, 2010.

To register, please click here.

This program is pending approval for 2.4 Compliance Certification Board (CCB) Continuing Education Units in Compliance Training and Education and Auditing and Monitoring for Compliance. Granting of prior approval in no way constitutes endorsement by CCB of the program content or the program sponsor.

NOTE: EBGWH has been approved by the State Bar of Texas for CLE credits. Please note that to receive full credit for attending, registrants must be present for the entire session. EBGWH provides assistance to those with financial hardship who wish to attend; please submit requests for assistance with an explanation to Michelle Walker ([email protected]) or Laurie Morse ([email protected]) in the Houston office. The briefings are accessible to persons with disabilities; please notify Michelle Walker if accommodations are needed.