Meeting Information



Commercial Payer Audits: A New Frontier in Reimbursement Oversight?
 
Date: Friday, October 18, 2013 8:00 AM to 9:00 AM
Venue: Town and Country Club  Saint Paul, MN United States   Get Directions
$30.00

**PLEASE NOTE THAT THE MEETING WILL NOT BE HELD IN THE USUAL ROOM AT THE TOWN & COUNTRY CLUB.  WE HAVE BEEN MOVED TO THE PRESIDENT'S ROOM AT TOWN & COUNTRY.**

Historically, reimbursement audits tended to be driven by initiatives implemented as a component of government health care programs.  In recent years, however, commercial payers have become increasingly active in instituting their own audit programs to detect and prevent what they consider to be waste, fraud and abuse.  While some of these programs use the same approaches found in Medicare and Medicaid-driven audits, commercial payers’ audits are escalating in intensity and volume, and applying increasingly more creative strategies.  This session will review the kinds of activities that can lead to audits by commercial payors; review some of the tools used by payers to detect irregularities and discuss how payers determine whether further scrutiny is warranted; discuss strategies for responding to these audits; review options for working with payers to resolve the issue; and consider what happens if a mutually agreeable resolution cannot be reached.

Please join us for breakfast beginning at 7:30 a.m., followed by the program from 8:00 - 9:00 a.m.

Breakfast will be provided. Special meal requests need to be received no later than Tuesday, October 15.

Presenters:
David Glaser, Fredrikson & Byron P.A.
Carolyn Ham, Associate General Counsel at OptumInsight


CLE Credits:
1 Standard CLE credit approved.  Event Code: 183898

Remote Participation:
Teleconferencing is available.  Please indicate that you will attend by teleconference when registering. Teleconferencing instructions will be sent via e-mail on Thursday, October 17.

Cost:
Health Law Section Member:  $15.00
MSBA Member but not a member of the Health Law Section:  $20.00
Non-MSBA Members:  $30.00
Law Students: Free

Join the Health Law Section:  $32.00  MSBA Members who are not members of the Health Law Section can join the section & attend this event for FREE.  Pay the 12-month section dues and your section membership will expire on June 30, 2014. This offer is not available using online registration.  Please call Sue Bores at 612-278-6325 to take advantage of this offer.

Deadline to Register:  Tuesday, October 15, 2013

Credit card payments should be made online.  Prior to starting the registration process, log-in on the Home Page with your User Id and Password.  (Non-MSBA members will need to click the Join button and create a profile prior to starting the registration process.)

To pay by check, use the registration form located here.

Need to cancel?  Please see our cancellation policy.

Questions?  Contact:
Sue Bores / 612-278-6325 / sbores@mnbar.org

 

 
No sessions have been associated with this event.
 
 
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