EEOC Sexual Harassment Update Fall 2018

The Equal Employment Opportunity Commission (EEOC) released a Press Release yesterday encouraging employers to take “concrete steps to change their workplace cultures to prevent harassment”.  The EEOC held a meeting yesterday at their headquarters in Washington D.C. as it has been 12 months since the #MeToo movement first exploded in the media in October 2016.  Long before the #MeToo movement gained momentum, the EEOC assembled a Select Task Force on the Study of Harassment in the Workplace to try to ascertain the progress made in the last 30 years of anti-harassment efforts.  This Special Task Force released a report in June 2016 in which they state that sexual harassment in the workplace is still a significant problem and that many of the employer awareness and educational efforts have done little to reduce or prevent it.

The EEOC released the final 2018 fiscal year data regarding its efforts to fight or prevent workplace harassment.  The report included data that showed a 13.6% increase in sexual harassment charges and nearly 50% increase in harassment lawsuits.  EEOC Acting Chair Victoria A. Lipnic and Select Task Force Co-Chair Chai R. Feldblum, stated that there needs to be a holistic approach to fighting and preventing workplace sexual harassment.  For there to be a real impact, there needs to be a fundamental cultural change where leadership is engaged and accountable for ensuring that the appropriate policies, procedure, and educational programs in place.  This is not an instance in which implementing one of those elements will have a meaningful impact.  The message for employers is that they need to do more.

The AAA has been tackling this issue head on over the last year by providing front-line supervisors and EMS leaders with a practical educational program aimed at investigating sexual harassment incidents in an EMS workplace.  We have held nearly ten EMS Supervisor Simlabs over the last twelve months all over the country.  The final SimLab of 2018 will be held in Charlotte, NC on November 15, 2018.  In this one-day workshop, attendees learn the law related to workplace harassment and how to approach and perform a workplace investigation from both a strategic and legal perspective, to ensure the best outcome for both employee and organization.

Join Us in Fort Worth for a Finances & AR Workshop

MedStar Mobile Healthcare
2900 Alta Mere Dr | Fort Worth, TX 76110
March 16, 2017 | 9:00 am – 4:00 pm
$315 for Members | $630 for Non-Members

EMS agencies need to make sure all individuals understand how their efforts impact the organization’s ability to care for the patients that they serve. During this workshop, AAA HR & Operations Consultant, Scott Moore, and AAA Medicare Consultant, Brian Werfel, will give patient account personnel and EMS leadership a better understanding of the important role that their function serves within an EMS agency.

Attendees will learn about:

  • The finances of an ambulance service, including the Key Performance Indicators of Expenses, Income, Assets, and Liabilities.
  • Cash management’s role in a company’s operation and sustainability.
  • How to tie the financial foundation to the activities and performance of the Patient Accounts Department, discussing the role of patient accounts in the financial strategy of a service, as well as evaluating the performance of your AR department.
  • How to get the most from their billing software to maximize efficiency and ensure the appropriate tracking of claims from time of transport until the account is paid and closed.
Attendees will leave with actionable tools from each session they can apply in their organization immediately. This is the must-attend workshop for all ambulance service biller, supervisors, and managers or individuals who are interested in a career in EMS. View Agenda ►
Group registrations (of 2 or more) use Coupon Code aaalivegroup for $25 off each registration.
Hotel Information:
La Quinta Inn & Suites Fort Worth West – I-30 | 7310 Calmont Ave, Fort Worth, TX 76116
Ph: (817) 244-4777 | Please reference the AAA/MedStar room block for the special rate of $79.00/night + tax.

Boston Compliance and Billing Workshop

A Comprehensive Compliance Strategy: How to Structure Your Billing Office for Integrity, Accountability, and Profitability

Workshop Date: Thursday, September 29, 2016

The Comprehensive Compliance Strategy One-Day Workshop is intended to guide Patient Accounts Managers/Supervisors and lead billing staff on the need for a comprehensive compliance strategy. The workshop provides a hands-on “Deep Dive” format that will allow for in-depth discussion of your billing office operations. It is our goal to have attendees leave with actionable information on the reimbursement, compliance, and practical aspects of running a billing office. NAAC approved for 6.5 CEU hours.

$299 for individual members, $279 group rate (2 or more)NAAC_CEU_CAC_CACO_CAPO_LogoVector
$599 for non-members, $579 group rate (2 or more)

 

Location:

Spaulding Rehabilitation Hospital
300 First Street
Charlestown, MA

There is no event hotel for the workshop. However, there are several hotels less than 5 miles from Spaulding Rehabilitation Hospital for those needing overnight accommodations.  Two noteworthy and affordable hotels nearby are:

THANK YOU TO OUR EVENT SPONSORS:

LakeRegionEMSMark_rd4_EmblemWithType_ColorForWhiteBackgrounds

 

 

 

 

 

 

 

logo 8-2015

 

 

 

PROGRAM AGENDA

9:00 am –Welcoming Remarks and State of the Union

The first session will cover a current state of the industry as it relates to fraud and abuse in the ambulance business, CMS and OIG practices, investigative trends and the need for payment reform. The session will identify those fraudulent and unintended billing errors that led to action by the oversight agencies. Also, was it much to do about nothing? We will an update on the ambulance industry’s transition to ICD-10.

10:30 am- Deep Dive-The Lion in Sheep’s Clothing-Properly Vetting Employees

This in-depth session will teach you how to develop a comprehensive background screening process for all staff members, both new hires and existing staff, particularly those handling ambulance claims. Attendees will learn what screening they should be performing on employees and the law on when they can and should run credit reports on those in financially sensitive positions. Attendees will leave with a checklist and tips to ensure they accurately document their processes.

11:45 am- Your Infrastructure- Establishing Partners Not Peddlers

An expose on establishing or improving upon vendor partnerships in the billing office, both from a compliance standpoint, as well as achieving the best type of partnerships for the EMS organization. The session will cover the use of indemnification clauses in the Business Associate Agreements, ensuring the vendor has a current Cyber Insurance Policy, out clauses for non-performance, GEO Screening for Vendor Employees (and their contractors!), and more. This session will cover advanced strategies like looking for partners, not peddlers, measuring net-back gain (vs. rate), using no obligation test files, comparing multiple vendor results, holding vendors accountable, interviewing negative and positive references, and more.

12:45 pm –Deep Dive – Raising the Bar:Patient Accounts Policies & Procedures Workgroup

This interactive breakout session, facilitated by both speakers, will address the compliance concerns brought forward by the attendees. During this session, we will identify and discuss policies and procedures that will standardize ambulance billing office practices as part of a larger compliance plan. This session will give services a list of recommended Patient Accounts Policies & Procedures that will provide protection from unintended errors.

2:15 pm Billing Office Efficiencies, Managing Payor Problems and Your Revenue Cycle

Brian Choate, with Solutions Group, will share some of his practical advice and step by step methods for having maximum reimbursement success.  From how to deal with VA claims, to how to make your data work for you, this is the session that will help you find solutions you can implement immediately.

3:45 pm Medicare Update

An invaluable overview of what you need to know regarding Medicare. Always pithy and delivered at a pace that holds your attention this session will give you the big picture for reimbursement. Brian will also cover court cases and the decisions that may surprise you. These real-life examples will help you avoid the common and the not so common pitfalls.

We’ll wrap up the day with Q&A with all our presenters

REGISTER NOW

ABOUT OUR PRESENTERS

Scott Moore

2

Scott A. Moore, Esq. has been in the emergency medical services field for over 26 years.  Scott has held various executive positions at several ambulance services in Massachusetts.  Scott is a licensed attorney, specializing in Human Resource, employment and labor law, employee benefits, and corporate compliance matters.  Scott holds a certification as a Professional in Human Resources (PHR) and was the Co-Chair of the Education Committee for the American Ambulance Association (AAA) for several years.  Also, Scott is a Site Reviewer for the Commission on the Accreditation of Ambulance Services (CAAS).   Scott earned his Bachelor’s Degree in Psychology from Salem State College and his Juris Doctor from Suffolk University Law School.  Scott maintains his EMT and still works actively in the field as a call-firefighter/EMT in his hometown.  Scott is a member of the American Bar Association, the Massachusetts Bar Association, the Society for Human Resource Management, and the Northeast Human Resource Association.

Brian Werfel

3Brian S. Werfel, Esq. is a partner in Werfel & Werfel, PLLC, a New York-based law firm specializing in Medicare issues related to the ambulance industry. Brian is a Medicare Consultant to the American Ambulance Association, and has authored numerous articles on Medicare reimbursement, most recently on issues such as the beneficiary signature requirement, repeat admissions and interrupted stays. He is a frequent lecturer on issues of ambulance coverage and reimbursement.

Tristan North

1

Tristan North serves as the Senior Vice President of Government Affairs for the American Ambulance Association (AAA). Mr. North is a registered lobbyist with over 15 years of expertise and experience in government affairs. He joined AMG in 2002 and has been a lobbyist for the AAA since 1996. As the Senior Vice President of Government Affairs for the AAA, Mr. North oversees all aspects of the legislative and regulatory priorities of the Association before the Congress and Federal agencies. He is the lead lobbyist for the AAA and is responsible for shaping and implementing the public policy of the organization. Before joining AMG, Mr. North was Director of Government Affairs for the AAA at Hauck & Associates. Mr. North spent five years in the Government Affairs Division of Fleishman-Hillard representing the interests of health care and financial service clients before the Congress. For four of those years, Mr. North was a member of the Fleishman-Hillard team that represented the AAA on legislative and regulatory issues. Mr. North began his career in politics with the U.S. House of Representatives Committee on Financial Services where he worked as a professional staff member and investigator. While on the Committee, he was responsible for issues involving anti-counterfeiting efforts, the redesign of the currency and the review of the U.S. banking system. Mr. North graduated from Babson College in Wellesley, MA with a B.S. in Finance

Brian Choate

2Brian’s diverse background consists of 18 years of finance, technology, and revenue cycle. His passion for out-of-the-box thinking and innovation creates a perfect storm for challenging the status quo. Brian’s start in revenue cycle began in 2009 when creating a technology that uncovers billable insurance(s) for mis-classified self-pay accounts. Brian currently serves as faculty for the American Ambulance Association’s (AAA) Reimbursement Conferences and often speaks on reimbursement technologies at State and National EMS conferences.  When not working, Brian enjoys playing drums and spending time with his wife and three children, ages 17, 3, and 1.

Register Now
Please contact Desiree LaFont at dlafont@ambulance.org or 703-610-9038 should you need any additional information.

San Francisco Area Workshop at Paramedics Plus

A Comprehensive Compliance Strategy: How to Structure Your Billing Office for Integrity and Accountability

The Comprehensive Compliance Strategy One-Day Workshop is intended to provide guidance to Patient Accounts Managers/Supervisors and lead billing staff on the need for a comprehensive compliance strategy. The workshop provides a hands-on “Deep Dive” format that will allow for in depth discussion of your billing office operations. It is our goal to have attendees leave with actionable information on the reimbursement, compliance, and practical aspects of running a billing office. NAAC approved for 6.5 CEU hours.

$299 for individual members, $279 group rate (2 or more)
$599 for non-members, $579 group rate (2 or more)

NAAC_CEU_CAC_CACO_LogoVector

Register Now

Location:

Paramedics Plus
575 Marina Blvd.
San Leandro, CA 94577

There is no event hotel for the workshop, however there are several hotels less than 5 miles from Paramedics Plus for those needing overnight accommodations.  Two noteworthy and affordable hotels nearby are:

The Marina Inn on San Francisco Bay
The Holiday Express at Oakland Airport

THANK YOU TO OUR SPONSORS:

EMSA_New_286

 

 

logo 8-2015

 

PROGRAM AGENDA

9:00 am –Welcoming Remarks and State of the Union

The first session will cover a current state of the industry as it relates to fraud and abuse in the ambulance business, CMS and OIG practices, investigative trends and the need for payment reform. The session will identify those fraudulent and unintended billing errors that led to action by the oversight agencies. Also, was it much to do about nothing? We will an update on the ambulance industry’s transition to ICD-10.

10:30 am- Deep Dive-The Lion in Sheep’s Clothing-Properly Vetting Employees

This in-depth session will teach you how to develop a comprehensive background screening process for all staff members, both new hires and existing staff, particularly those handling ambulance claims. Attendees will learn what screening they should be performing on employees and the law on when they can and should run credit reports on those in financially sensitive positions. Attendees will leave with a checklist and tips to ensure they accurately document their processes.

11:45am- Your Infrastructure- Establishing Partners Not Peddlers

An expose on establishing or improving upon vendor partnerships in the billing office, both from a compliance standpoint, as well as achieving the best type of partnerships for the EMS organization. The session will cover the use of indemnification clauses in the Business Associate Agreements, ensuring the vendor has a current Cyber Insurance Policy, out clauses for non-performance, GEO Screening for Vendor Employees (and their contractors!), and more. Then, the session will move into a larger scope for achieving the best value for the provider with advanced strategies like:  looking for partners, not peddlers, measuring net-back gain (vs. rate), using no obligation test files, comparing multiple vendor results, holding vendors accountable, interviewing negative and positive references, and more.

12:45pm –Deep Dive – Raising the Bar:Patient Accounts Policies & Procedures Workgroup

This interactive breakout session, facilitated by both speakers, will address the compliance concerns brought forward by the attendees. During this session, we will identify and discuss policies and procedures that will standardize ambulance billing office practices as part of a larger compliance plan. This session will give services a list of recommended Patient Accounts Policies & Procedures that will provide protection from unintended errors.

2:15 pm Billing Office Efficiencies, Managing Payor Problems and Your Revenue Cycle

Asbel Montes, with Acadian Ambulance will share some of his practical advice and step by step methods for having maximum reimbursement success.  From how to deal with VA claims, to how to make your data work for you, this is the session that will help you find solutions you can implement immediately.

3:45 pm Medicare Update

An invaluable overview of what you need to know regarding Medicare. Always pithy and delivered at a pace that holds your attention this session will give you the big picture for reimbursement. Brian will also cover court cases and the decisions that may surprise you. These real-life examples will help you avoid the common and not so common pitfall.

We’ll wrap up the day with Q&A with all our presenters

REGISTER NOW

ABOUT OUR PRESENTERS

Scott Moore

2

Scott A. Moore, Esq. has been in the emergency medical services field for over 26 years.  Scott has held various executive positions at several ambulance services in Massachusetts.  Scott is a licensed attorney, specializing in Human Resource, employment and labor law, employee benefits, and corporate compliance matters.  Scott has a certification as a Professional in Human Resources (PHR) and was the Co-Chair of the Education Committee for the American Ambulance Association (AAA) for several years.  Also, Scott is a Site Reviewer for the Commission on the Accreditation of Ambulance Services (CAAS).   Scott earned his Bachelor’s Degree in Psychology from Salem State College and his Juris Doctor from Suffolk University Law School.  Scott maintains his EMT and still works actively in the field as a call-firefighter/EMT in his hometown.  Scott is a member of the American Bar Association, the Massachusetts Bar Association, the Society for Human Resource Management, and the Northeast Human Resource Association.

Brian Werfel

3Brian S. Werfel, Esq. is a partner in Werfel & Werfel, PLLC, a New York-based law firm specializing in Medicare issues related to the ambulance industry. Brian is a Medicare Consultant to the American Ambulance Association, and has authored numerous articles on Medicare reimbursement, most recently on issues such as the beneficiary signature requirement, repeat admissions and interrupted stays. He is a frequent lecturer on issues of ambulance coverage and reimbursement.

Tristan North

1

Tristan North serves as the Senior Vice President of Government Affairs for the American Ambulance Association (AAA). Mr. North is a registered lobbyist with more than 15 years of expertise and experience in government affairs. He joined AMG in 2002 and has been a lobbyist for the AAA since 1996. As the Senior Vice President of Government Affairs for the AAA, Mr. North oversees all aspects of the legislative and regulatory priorities of the Association before the Congress and Federal agencies. He is the lead lobbyist for the AAA and is responsible for shaping and implementing the public policy of the organization. Before joining AMG, Mr. North was Director of Government Affairs for the AAA at Hauck & Associates. Mr. North spent five years in the Government Affairs Division of Fleishman-Hillard representing the interests of health care and financial service clients before the Congress. For four of those years, Mr. North was a member of the Fleishman-Hillard team that represented the AAA on legislative and regulatory issues. Mr. North began his career in politics with the U.S. House of Representatives Committee on Financial Services where he worked as a professional staff member and investigator. While on the Committee, he was responsible for issues involving anti-counterfeiting efforts, the redesign of the currency and the review of the U.S. banking system. Mr. North graduated from Babson College in Wellesley, MA with a B.S. in Finance

Asbel Montes

CROPPED
Asbel Montes began his employment with Acadian in May 2009. He oversees Acadian’s revenue cycle management, contract management, business office process improvements, and government relations for state and federal reimbursement policy initiatives.

Over the past seventeen years, he has provided leadership in revenue cycle management to four ambulance agencies located throughout the Southeast.

Asbel has been a member of the American Ambulance Association (AAA) for eight years and has served on its Board of Directors; he has also served on the AAA’s Reimbursement Task Force. Asbel also sits on the board of the Louisiana Ambulance Alliance.

Brian Choate

2Brian’s diverse background consists of 18 years of finance, technology, and revenue cycle. His passion for out-of-the-box thinking and innovation creates a perfect storm for challenging the status quo. Brian’s start in revenue cycle began in 2009, when creating a technology that uncovers billable insurance(s) for misclassified self-pay accounts. Brian currently serves as faculty for the American Ambulance Association’s (AAA) Reimbursement Conferences,  and often speaks on reimbursement technologies at State and National EMS conferences.  When not working, Brian enjoys playing drums and spending time with his wife and three children, ages 17, 3, and 1.

Register Now
Please contact Desiree LaFont at dlafont@ambulance.org or 703-610-9038 should you need any additional information.

Chicago Regional Workshop at Superior Air-Ground Ambulance Service

A Comprehensive Compliance Strategy-How to Structure Your Billing Office for Integrity and Accountability

The Comprehensive Compliance Strategy One-day Workshop is intended to provide guidance to Patient Accounts Managers/Supervisors and lead billing staff on the need for a comprehensive compliance strategy. The workshop provides a hands-on “Deep Dive” format that will allow for in depth discussion of your billing office operations. It is our goal to have attendees leave with actionable information on the reimbursement, compliance, and practical aspects of running a billing office. NAAC approved for 6.5 CEU hours.

$299 for individual members, $279 group rate (2 or more)
$599 for non-members, $579 group rate (2 or more)

NAAC_CEU_CAC_CACO_LogoVector

REGISTER NOW

Location:

Superior Air-Ground Ambulance Service
395 W Lake St
Elmhurst, IL 60126
Recommended hotel: SpringHill Suites, Elmhurst/Oakbrook

THANK YOU TO OUR EVENT SPONSORS

Bell Logo Color_OL

CommCareAmb logo

logo 8-2015

 

PROGRAM AGENDA

9:15am State of the Union

The first session will cover a current state of the industry as it relates to fraud and abuse in the ambulance business, CMS and OIG practices, investigative trends and the need for payment reform. The session will identify those fraudulent and unintended billing errors that led to action by the oversight agencies. Also, was it much to do about nothing? We will an update on the ambulance industry’s transition to ICD-10.

10:45am Deep Dive: The Lion in Sheep’s Clothing-Properly Vetting Employees

This in depth session will teach you how to develop a comprehensive background screening process for all staff members, both new hires and existing staff, particularly those handling ambulance claims. Attendees will learn what screening they should be performing on employees and the law on when they can and should run credit reports on those in financially sensitive positions. Attendees will leave with a checklist and tips that they can use at their own services to ensure that they properly document their processes.

12:00pm- Your Infrastructure: Establishing Partners Not Peddlers

Our noon session is an expose on establishing or improving upon vendor partnerships in the billing office, both from a compliance standpoint, as well as achieving the best type of partnerships for the EMS organization. The session will cover the use of indemnification clauses in the Business Associate Agreements, ensuring the vendor has a current Cyber Insurance Policy, out clauses for non-performance, GEO Screening for Vendor Employees (and their contractors!), and more. Then, the session will move into a larger scope for achieving the best value for the provider with advanced strategies like: Looking for Partners not Peddlers, measuring net-back gain (vs. rate), using no obligation test files, comparing multiple vendor results, holding vendors accountable, interviewing negative and positive references, and more.

1:15pm Deep Dive: Raising the Bar—Patient Accounts Policies & Procedures Workgroup

This interactive breakout session, facilitated by both speakers, will address the compliance concerns brought forward by the attendees. During this session we will identify and discuss policies and procedures that will standardize ambulance billing office practices as part of a larger compliance plan. This session will give services a list of recommended Patient Accounts Policies & Procedures that will provide protection from unintended errors.

3:00pm Medicare Update and Court Cases You Need to Understand

An invaluable overview of what you need to know regarding Medicare. Always pithy and delivered at a pace that holds your attention this session will give you the big picture for reimbursement. Brian will also cover court cases and the decisions that may surprise you. These real life examples will help you avoid the common and not so common pitfall.

REGISTER NOW

ABOUT OUR PRESENTERS

Scott Moore

2

Scott A. Moore, Esq. has been in the emergency medical services field for over 26 years.  Scott has held various executive positions at several ambulance services in Massachusetts.  Scott is a licensed attorney, specializing in Human Resource, employment and labor law, employee benefits, and corporate compliance matters.  Scott has a certification as a Professional in Human Resources (PHR) and was the Co-Chair of the Education Committee for the American Ambulance Association (AAA) for several years.  In addition, Scott is a Site Reviewer for the Commission on the Accreditation of Ambulance Services (CAAS).   Scott earned his Bachelor’s Degree in Psychology from Salem State College and his Juris Doctor from Suffolk University Law School.  Scott maintains his EMT and still works actively in the field as a call-firefighter/EMT in his hometown.  Scott is a member of the American Bar Association, the Massachusetts Bar Association, the Society for Human Resource Management, and the Northeast Human Resource Association.

Brian Werfel

3Brian S. Werfel, Esq. is a partner in Werfel & Werfel, PLLC, a New York based law firm specializing in Medicare issues related to the ambulance industry. Brian is a Medicare Consultant to the American Ambulance Association, and has authored numerous articles on Medicare reimbursement, most recently on issues such as the beneficiary signature requirement, repeat admissions and interrupted stays. He is a frequent lecturer on issues of ambulance coverage and reimbursement.

Tristan North

1

Tristan North serves as the Senior Vice President of Government Affairs for the American Ambulance Association (AAA). Mr. North is a registered lobbyist with more than 15 years of expertise and experience in government affairs. He joined AMG in 2002 and has been a lobbyist for the AAA since 1996. As the Senior Vice President of Government Affairs for the AAA, Mr. North oversees all aspects of the legislative and regulatory priorities of the Association before the Congress and Federal agencies. He is the lead lobbyist for the AAA and is responsible for shaping and implementing the public policy of the organization. Prior to joining AMG, Mr. North was Director of Government Affairs for the AAA at Hauck & Associates. Mr. North spent five years in the Government Affairs Division of Fleishman-Hillard representing the interests of health care and financial service clients before the Congress. For four of those years, Mr. North was a member of the Fleishman-Hillard team that represented the AAA on legislative and regulatory issues. Mr. North began his career in politics with the U.S. House of Representatives Committee on Financial Services where he worked as a professional staff member and investigator. While on the Committee, he was responsible for issues involving anti-counterfeiting efforts, the redesign of the currency and the review of the U.S. banking system. Mr. North graduated from Babson College in Wellesley, MA with a B.S. in Finance

Brian Choate

2Brian’s diverse background consists of 18 years of finance, technology and revenue cycle. His passion for out-of-the-box thinking and innovation creates a perfect storm for challenging the status quo. Brian’s start in revenue cycle began in 2009, when creating a technology that uncovers billable insurance(s) for misclassified self-pay accounts. Brian currently serves as faculty for the American Ambulance Association’s (AAA) Reimbursement Conferences, and often speaks on reimbursement technologies at State and National EMS conferences.  When not working, Brian enjoys playing drums and spending time with his wife and three children, ages 17, 3, and 1.

REGISTER NOW
Please contact Desiree LaFont if you would like additional information for this event. dlafont@ambulance.org or 703-610-9038

New York City Regional Workshop

A Comprehensive Compliance Strategy-How to Structure Your Billing Office for Integrity and Accountability

The Comprehensive Compliance Strategy One-day Workshop is intended to provide guidance to Patient Accounts Managers/Supervisors and lead billing staff on the need for a comprehensive compliance strategy. The workshop provides a hands-on “Deep Dive” format that will allow for in depth discussion of your billing office operations. It is our goal to have attendees leave with actionable information on the reimbursement, compliance, and practical aspects of running a billing office.  NAAC approved for 6.5 CEU hours.

$299 for individual members, $279 group rate (2 or more)
$599 for non-members, $579 group rate (2 or more)

NAAC_CEU_CAC_CACO_LogoVector

 

 

 

REGISTER NOW

Location:

Akin Gump Strauss Hauer & Feld, LLP
One Bryant Park
Bank of America Tower
New York, NY 10036-6745

An event hotel is not being utilized for this event. However, there are a number of affordable hotels, as well as unique boutique hotels, within walking distance of the Akin-Gump Offices. The Akin-Gump offices are less than 1 mile from both Grand Central and Penn Stations.

CONTENT SPONSORED BY:

logo 8-2015

 

 

 

PROGRAM AGENDA

9:15am –State of the Union

The first session will cover a current state of the industry as it relates to fraud and abuse in the ambulance business, CMS and OIG practices, investigative trends and the need for payment reform. The session will identify those fraudulent and unintended billing errors that led to action by the oversight agencies. Also, was it much to do about nothing? We will an update on the ambulance industry’s transition to ICD-10.

10:45am- Deep Dive-The Lion in Sheep’s Clothing-Properly Vetting Employees

This in depth session will teach you how to develop a comprehensive background screening process for all staff members, both new hires and existing staff, particularly those handling ambulance claims. Attendees will learn what screening they should be performing on employees and the law on when they can and should run credit reports on those in financially sensitive positions. Attendees will leave with a checklist and tips that they can use at their own services to ensure that they properly document their processes.

12:00pm- Your Infrastructure- Establishing Partners Not Peddlers

Our noon session is an expose on establishing or improving upon vendor partnerships in the billing office, both from a compliance standpoint, as well as achieving the best type of partnerships for the EMS organization. The session will cover the use of indemnification clauses in the Business Associate Agreements, ensuring the vendor has a current Cyber Insurance Policy, out clauses for non-performance, GEO Screening for Vendor Employees (and their contractors!), and more. Then, the session will move into a larger scope for achieving the best value for the provider with advanced strategies like: Looking for Partners not Peddlers, measuring net-back gain (vs. rate), using no obligation test files, comparing multiple vendor results, holding vendors accountable, interviewing negative and positive references, and more.

1:15pm –Deep Dive – Raising the Bar:Patient Accounts Policies & Procedures Workgroup

This interactive breakout session, facilitated by both speakers, will address the compliance concerns brought forward by the attendees. During this session we will identify and discuss policies and procedures that will standardize ambulance billing office practices as part of a larger compliance plan. This session will give services a list of recommended Patient Accounts Policies & Procedures that will provide protection from unintended errors.

3:00pm Medicare Update and Court Cases You Need to Understand

An invaluable overview of what you need to know regarding Medicare. Always pithy and delivered at a pace that holds your attention this session will give you the big picture for reimbursement. Brian will also cover court cases and the decisions that may surprise you. These real life examples will help you avoid the common and not so common pitfall.

REGISTER NOW

ABOUT OUR PRESENTERS

Scott Moore

2

Scott A. Moore, Esq. has been in the emergency medical services field for over 26 years.  Scott has held various executive positions at several ambulance services in Massachusetts.  Scott is a licensed attorney, specializing in Human Resource, employment and labor law, employee benefits, and corporate compliance matters.  Scott has a certification as a Professional in Human Resources (PHR) and was the Co-Chair of the Education Committee for the American Ambulance Association (AAA) for several years.  In addition, Scott is a Site Reviewer for the Commission on the Accreditation of Ambulance Services (CAAS).   Scott earned his Bachelor’s Degree in Psychology from Salem State College and his Juris Doctor from Suffolk University Law School.  Scott maintains his EMT and still works actively in the field as a call-firefighter/EMT in his hometown.  Scott is a member of the American Bar Association, the Massachusetts Bar Association, the Society for Human Resource Management, and the Northeast Human Resource Association.

Brian Werfel

3Brian S. Werfel, Esq. is a partner in Werfel & Werfel, PLLC, a New York based law firm specializing in Medicare issues related to the ambulance industry. Brian is a Medicare Consultant to the American Ambulance Association, and has authored numerous articles on Medicare reimbursement, most recently on issues such as the beneficiary signature requirement, repeat admissions and interrupted stays. He is a frequent lecturer on issues of ambulance coverage and reimbursement.

Tristan North

1

Tristan North serves as the Senior Vice President of Government Affairs for the American Ambulance Association (AAA). Mr. North is a registered lobbyist with more than 15 years of expertise and experience in government affairs. He joined AMG in 2002 and has been a lobbyist for the AAA since 1996. As the Senior Vice President of Government Affairs for the AAA, Mr. North oversees all aspects of the legislative and regulatory priorities of the Association before the Congress and Federal agencies. He is the lead lobbyist for the AAA and is responsible for shaping and implementing the public policy of the organization. Prior to joining AMG, Mr. North was Director of Government Affairs for the AAA at Hauck & Associates. Mr. North spent five years in the Government Affairs Division of Fleishman-Hillard representing the interests of health care and financial service clients before the Congress. For four of those years, Mr. North was a member of the Fleishman-Hillard team that represented the AAA on legislative and regulatory issues. Mr. North began his career in politics with the U.S. House of Representatives Committee on Financial Services where he worked as a professional staff member and investigator. While on the Committee, he was responsible for issues involving anti-counterfeiting efforts, the redesign of the currency and the review of the U.S. banking system. Mr. North graduated from Babson College in Wellesley, MA with a B.S. in Finance

Brian Choate

2Brian’s diverse background consists of 18 years of finance, technology and revenue cycle. His passion for out-of-the-box thinking and innovation creates a perfect storm for challenging the status quo. Brian’s start in revenue cycle began in 2009, when creating a technology that uncovers billable insurance(s) for misclassified self-pay accounts. Brian currently serves as faculty for the American Ambulance Association’s (AAA) Reimbursement Conferences, and often speaks on reimbursement technologies at State and National EMS conferences.  When not working, Brian enjoys playing drums and spending time with his wife and three children, ages 17, 3, and 1.

REGISTER NOW
Please contact Desiree LaFont if you would like additional information for this event. dlafont@ambulance.org or 703-610-9038

Palmetto Announces Prior Authorization Workshops

Palmetto GBA asked AAA to share the following announcement with our members.


 

Repetitive Scheduled Non-Emergent Ambulance Transportation Documentation Requirements—North Carolina

Palmetto GBA will hold Repetitive Scheduled Non-Emergent Ambulance Transportation Prior Authorization Demonstration face-to-face workshops in North Carolina for ambulance providers providing repetitive scheduled non-emergent transports to familiarize them with The Centers for Medicare & Medicaid Services (CMS) demonstration currently going on in South Carolina.

These workshops are designed to familiarize providers, whose ambulances are garaged in potential demonstration expansion states, with demonstration requirements including the process of submitting a prior authorization request, billing for repetitive scheduled non-emergent ambulance transports under the repetitive scheduled non-emergent transportation demonstration, as well as common errors identified during the demonstration in South Carolina. Each event will include a question and answer period at the end of the formal presentation.

Background Information

The purpose of the current prior authorization demonstration is to ensure that beneficiaries continue to receive medically necessary care while reducing expenditures and minimizing the risk of improper payments to protect the Medicare Trust Fund by granting provisional affirmation for a service prior to submission of the claim. Prior authorization allows providers and suppliers to address issues with claims prior to rendering services and to avoid the appeal process.

Prior authorization will not create new clinical documentation requirements. Instead, it will require the same information necessary to support Medicare payment, just earlier in the process.

Workshop Topics:

  • Repetitive Scheduled Non-Emergent Ambulance Transportation Demonstration Expansion Regulations
  • Documentation Requirements
  • Proper Claim Submission
  • Q & A

Note:

  • These workshops will provide insight for new, intermediate or advanced staff; however, we suggest that providers who are new to Medicare or have new staff attend online learning courses for beginners on the Palmetto GBA website. Basic billing and other online educational resources can be found in the Self-Paced Learning section under the Learning and Education link on the left navigation.
  • CMS requires that Medicare contractors track all educational activities, which consists of capturing the provider’s six-digit Provider Transaction Access Number (PTAN) and National Provider Identifier (NPI). Please bring this information when attending the workshop.

North Carolina
Ambulance Prior Authorization Workshop: Repetitive Scheduled Non-Emergent Ambulance Transports
Audience: Part B Ambulance providers of repetitive scheduled non-emergent ambulance transports
Event Type: In Person Seminar


How to Register

The schedule of workshops and registration information is listed below. To reserve your seat or find out more about the workshops in your area, please make sure you:

  1. Create a profile at the new Event Registration Portal to create an account. Your existing Workshops database profile is not linked to the new portal as the profile creation process is different.
  2. Log in your Event Registration Portal account and you will be able to register yourself or other people for any workshops hosted in the portal before registration closes. Each workshop will have a separate registration link. For the workshops that Palmetto GBA sponsors, Palmetto GBA’s registration page will be displayed. If the state Association is sponsoring the workshop, the link will take you directly to the Association’s registration page.

**As a reminder, providers are encouraged to telephone the Provider Contact Center (PCC) at 855-696-0705 with any claim specific questions they may have as these will not be able to be addressed at the workshop.

Summary of CMS Ambulance Open Door Forum of November 5, 2015

By David M. Werfel, Esq. | Updated November 6, 2015 On November 5, 2015, the Centers for Medicare and Medicaid Services (CMS) conducted its latest Ambulance Open Door Forum.  As usual, CMS started with announcements, which were as follows: As required under the Medicare Access and CHIP Reauthorization Act (HR 2), the pilot program for…

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Novitas Issues Guidance for Ambulance Providers, Facilities and Beneficiaries Regarding Expansion of Prior Authorization Project for Repetitive Patients

September 17, 2015 Novitas Solutions, Inc. (Novitas) recently issued a series of guidance documents on the expansion of the prior authorization demonstration project for repetitive scheduled non-emergency ambulance transports. This demonstration project is currently operating in the states of New Jersey, Pennsylvania, and South Carolina. The Medicare Access and CHIP Reauthorization Act of 2015 (Pub….

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Spotlight: David Tetrault

David Tetrault
Farmington, MO, USA
Administrator/CEO, St. Francois County Ambulance District
Director, AAA Board, Region 4

Tell us a little about yourself, please.

I grew up in Jennings, Missouri, a small town in St. Louis County. I’m the baby of six kids—four brothers and a sister. I am very proud of my twin girls who just graduated from high school while simultaneously completing their associates degrees. They are now off to college to Rolla, Missouri, to finish their bachelors degrees. In addition to sharing time with my family and friends, I enjoy softball, camping, swimming, tennis, and walking.

How did you come to work in the industry? How long have you been involved?

David with some of his staff at a recent AAA workshop.
David with some of his team at a recent AAA workshop.

Years ago I was involved in part of the law enforcement arena called “Police Explorers”, primarily because my brother was a police officer. From there, I progressed through many different facets of law enforcement. The one thing that sticks out in my mind is that every time I was involved in an incident including a sick person or trauma, I really felt as if I would filling my calling. I could calm people and make them feel better, even when at that point I had only first responder training.

I have been involved with EMS for more than 30 years now, from my early days as a dispatcher, then up the ranks to Training Officer, then Manager, and now CEO/Administrator here in St. Francois County.

What do you enjoy most about your job?

I enjoy working with the public, people in our community, and my staff. They are my second family.

What is your biggest professional challenge?

Dealing with the younger spirited individuals coming into the world of EMS. Understanding the different challenges in funding, retention of our employee’s, the right mix of people and balancing the good/bad at the same time.

Making sure the Emergency Medical Services is not the forgotten one in the mix of Fire and Police. We all have a very important roles and the same amount of responsibility.

What is your typical day like?

My day typically starts with putting out fires and finishing my to do list from the previous day. Having 24/7 responsibility for a large program has its ups and downs—including sometimes getting called into work in the middle of the night. By sunrise, I have usually been up and on the highway for several hours. During typical office hours, I attend meetings and handle projects, budgeting, scheduling, and other tasks that need to be completed to keep our service operating. I also address any concerns or needs of the board of directors.

How has participation in AAA membership and advocacy helped your organization?

The American Ambulance Association has bridged the gap for me in my role as a service Administrator/CEO. AAA has many valuable resources, and provides me access to a vast network of ambulance services across the United States. My fellow AAA members as well as staff are always available to answer questions.

AAA has been the leader in ambulance services resources for many years, and they continue to strive to be the best in everything they offer. I enjoy the daily updates, and feel that the work AAA does with benchmarking and standands forms the backbone of the industry. The American Ambulance Association is truly a leader for EMS.

 

Boston Workshop- SOLD OUT

Join the American Ambulance Association at in Boston for a one day, hands-on ICD-10 Workshop. Spend the day in a relaxed atmosphere with plenty of individual attention geared to your specific service type. There will also be ample time for Q&A with our subject matter experts. Amanda Jimeson, CPC, will share the program she developed for EMSA and joining Amanda will the AAA’s Medicare Regulatory co-chairs, Angie Lehman, Vice President of Finance, EMSA & Rebecca Williamson, Compliance Officer for Muskogee EMS and author of the AAA Compliance Guide. And to put it all in perspective will be AAA’s Medicare Consultant, Brian Werfel. You’ll receive helpful tools and walk away with an intimate understanding of ICD-10 coding and its proper application.

Location

Cataldo Ambulance
25 Eastern Avenue
Malden, MA 02148

Sponsored by

private ambulance services

 

ambulance membership services

 

 

Schedule

9:00am-9:15am
Welcome, Speaker introductions and course objectives

9:15am-10:30am
ICD-10  Part I

10:30am-10:45am
Break

10:45am-12:00pm
ICD-10 Part II

12:00pm-12:15pm
Tour of Host Facility

12:15pm-1:15pm
Networking Lunch with Sponsors

1:15-pm-2:30pm
Medicare Update Part I with Brian Werfel

2:30pm-2:45pm
PM Break

2:45pm-3:30pm
Medicare Update Part II

3:30pm-4:30pm
Putting it into Practice and Closing Comments

4:30-5:00pm
Final Q&

6.5 CEUs

Ambulance Coding workshops

Hotel Information

Hyatt Place Boston/Medford
4.212 Google reviews | 3-star hotel
116 Riverside Ave, Medford, MA 02155
Phone: (781) 395-8500
Distance from Cataldo: about 2.5 miles

This classic hotel is 5.4 miles from historic Faneuil Hall and 7.8 miles from the Museum of Fine Arts. and more.
Modern rooms feature free WiFi, 42-inch flat-screen TVs, and separate living and sleeping areas. They also come with pull-out sofas and coffeemakers. Free hot breakfast and parking are available. Other amenities include an indoor pool and a fitness center, as well as a 24/7 menu and market, a coffee and cocktails bar, a business center and meeting facilities.

Four Points by Sheraton Boston Logan Airport
407 Squire Rd, Revere, MA 02151
Phone: (781) 284-7200
Distance from Cataldo: about 3 miles
Conveniently located 4.5 miles from Logan International Airport in Revere, MA and six miles from Boston’s many tourist sites, convention centers, universities, hospitals, and sports arenas. Just one mile away from the Blue Line T-Station, where guests can take the subway and arrive in downtown Boston within minutes.

Washington, DC Prior Authorization Regional Workshop

The AAA will be holding a one-day workshop for CEO’s and other senior ambulance service executives to cover Prior Authorization for repetitive patients. We invite you to be part of this important day of education that will help you better prepare for the expansion of the program. This event will be held in conjunction with a legislative fly-in on Thursday, October 1, 2015.

Location

AAA Headquarters
8400 Westpark Dr
McLean, VA 22102

Sponsored by

emt association

Schedule

9:00am-9:45 am
The Big Picture with Brian Werfel, Werfel and Werfel

10:00am-11:30am
Prior Authorization Success and Guidance
How to Prepare for the Expansion
with John Iazzetta, Alert Ambulance Service, New Jersey
Also presenting will be Nicci Warner with Novitas and Shannon Chase and Tammy Tucci with Palmetto

11:30 am-1:00pm –
Lunch and Q&A with Dr. William Rogers, CMS (confirmed)
Q&A

1:00pm-2:00pm
What’s OIG’s Perspective and Role
AAA Policy Expert, Kathy Lester, Lester Healthcare Law

2:15 pm-3:15
More you need know regarding CMS, Prior Authorization and biller/payer requirements
Kathy Lester, Lester Healthcare Law
Tristan North, American Ambulance Association

3:30-pm-4:30pm
2016 and Beyond
Kathy Lester, Tristan North and Brian Werfel

Hotels Nearby

Please be aware, the AAA has not negotiated any special rates for these hotels.

Crowne Plaza Tysons Corner
1960 Crowne Plaza
Tysons Corner, McLean, VA 22012
703-893-2100
Situated in the heart of McLean, VA across the street from the Tysons Corner Metrorail Station, the Crowne Plaza Tysons Corner is the ideal venue for your next meeting, conference or event.
Sheraton Premiere
8661 Leesburg Pike
Tysons, Virginia, 22182

Nestled in the center of Northern Virginia’s newly energized urban and residential setting you will relish the conveniences of both town and country amenities and atmosphere. Adjacent to the Spring Hill Road Metrorail Silver Line Stop, our Tysons Corner hotel grants you the convenient access to all the things to do in Tysons Corner, Virginia.

Fort Worth ICD-10 Sold Out!

Join the American Ambulance Association at MedStar Mobile Healthcare in Dallas/Ft. Worth for a one day, hands on ICD-10 Workshop. Spend the day in a relaxed atmosphere with plenty of individual attention geared to your specific service type. There will also be ample time for Q&A with our subject matter experts. Amanda Jimeson, CPC, will share the program she developed for EMSA and joining Amanda will the AAA’s Medicare Regulatory co-chairs, Angie Lehman, Vice President of Finance, EMSA, and Rebecca Williamson, Compliance Officer for Muskogee EMS and author of the AAA Compliance Guide. And to put it all in perspective will be AAA’s Medicare Consultant, Brian Werfel. You’ll receive helpful tools and walk away with an intimate understanding of ICD-10 coding and its proper application.

 

Location

MedStar Mobile Healthcare
2900 Alta Mere Drive
Ft. Worth, TX 76110

Agenda

9:00am-9:15am
Welcome, Speaker introductions and course objectives

9:15am-10:30am
ICD-10  Part I

10:30am-10:45am
Break

10:45am-12:00pm
ICD-10 Part II

12:00pm-12:15pm
Tour of Host Facility

12:15pm-1:15pm
Networking Lunch with Sponsors

1:15-pm-2:30pm
Medicare Update Part I with Brian Werfel

2:30pm-2:45pm
PM Break

2:45pm-3:30pm
Medicare Update Part II

3:30pm-4:30pm
Putting it into Practice and Closing Comments

4:30-5:00pm
Final Q&A

Sponsored by

private ambulance services

Solutions-Group-200

ambulance membership

6.5 CEUs

aaa conference Ambulance Coding

Hotel Information

La Quinta (New Property!)
7310 Calmont Avenue, Fort Worth, TX 76116
Phone: (817) 244-4777
Distance from MedStar: 0.3 miles
The La Quinta Inn & Suites Fort Worth West/I-30 hotel is conveniently located off I-30 in the Fort Worth Business District, near Lockheed Martin, Ridgemar Mall and the Naval Air Station and Joint Reserve Base. Some of our hotel amenities include a Free Bright Side Breakfast and wifi.

Fairfield Inn & Suites Fort Worth I-30 West
6851 West Freeway, Fort Worth Texas 76116
Phone: (817) 731-9600
Fairfield Inn & Suites Fort Worth I-30 West Near NAS JRB is in Fort Worth, TX and has outstanding amenities to make travel easy. Guests enjoy complimentary breakfast and on-site fitness facilities.

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St. Louis ICD-10 Regional Workshop

6.5 NAAC CEU’s

Join the American Ambulance Association our one day, hands-on ICD-10 workshop. Our first stop on on our ICD-10 junket will be Abbott EMS in St. Louis. Spend the day in a relaxed atmosphere with plenty of individual attention geared to your specific service type. There will also be ample time for Q&A with our subject matter experts. Amanda Jimeson, CPC, will share the program she developed for EMSA and joining Amanda will the AAA’s Medicare Regulatory co-chairs, Angie Lehman, Vice President of Finance, EMSA & Rebecca Williamson, Compliance Officer for Muskogee EMS and author of the AAA Compliance Guide. And to put it all in perspective will be AAA’s Medicare Consultant, Brian Werfel. You’ll receive helpful tools and walk away with an intimate understanding of ICD-10 coding and its proper application.

2500 Abbott Place
St. Louis MO 63143