Online Training Course

Prod ID: 446
Understanding Oversight Entities

There are many regulatory bodies, legislative acts, and oversight committees to be aware of which can impact a healthcare practice and its revenue cycle. Practice leaders must ensure their staff is informed and compliant with all of them.

CEUs

1

Length

59 min

Price

$119.00


In this session presented by Revenue Cycle Management expert and healthcare consultant, Kem Tolliver, learn about important oversight entities and become familiar with the details required for ensuring compliance in your practice and protecting the bottom line.

Highlights:

  • 7 compliance guidelines that every medical office manager must know
  • OIG Work Plan and how it relates to practice operations
  • Excluded Individuals/Entities (LEIE)
  • Fraud, Waste and Abuse
  • False Claims Act
  • HIPAA and HiTech
  • Right of Access & OCR settlements
  • Red Flag Rules to prevent identity theft
  • Fair Debt Collection Practices
  • Updated Stark Law provisions and Anti-Kickback Statute Safe Harbors
  • How to reduce the risk of violations and monetary penalties

Kem Tolliver

CMPE, CPC, CMOM


Kem is the co-author of, “Revenue Cycle Management: Don’t Get Lost in the Financial Maze” published by MGMA®. She also created and delivered the first-ever Revenue Cycle Management Certificate program on behalf of MGMA. Medical practices managed by Kem have received MGMA® “Better Performing Practice” distinctions in the areas of Accounts Receivable and Collections. As a national and regional SME, Kem develops and delivers educational content to industry leadership.

Mrs. Tolliver holds dual Bachelor of Science degrees in Healthcare Administration and Organizational Management; Summa Cum Laude and Magna Cum Laude respectively. Her certifications include: Certified Medical Practice Executive (CMPE), Certified Professional Coder (CPC) and Certified Medical Office Manager (CMOM). For over 20 years she has provided strategic and operational leadership to medical practices and hospitals. As the President of Medical Revenue Cycle Specialists, LLC (MRCS) her team leads Health Care Organizations in: Practice Start Up and Transformation, Revenue Cycle Improvements, Clinical Documentation Improvement, Educational Programing, Payer Contracting, HIT Software Development, EMR/PM software customization and Telehealth integration.

Kem has served on the Board of Directors of MD MGMA as the Chair of the Practice Management Committee and Chair of the Government Affairs Committee. She received MD MGMA’s 2016 Outstanding Service Award and was the 2018 State of Maryland ACMPE Certification Rep.

Participants will receive a thorough explanation of the various oversight agencies regulating the business of medicine and learn how to maintain compliance with them.
No prerequisites required.
Self-paced online program includes unlimited review of previously recorded instruction and the downloadable PowerPoint handout for 6 months.

Comments from past participants:

"It was VERY informative and presented well. The handouts were excellent with a lot of links to additional resource information."

"Well organized, great subject matter. This will help our practice better maintain our compliance paperwork."

"The instructor shared relevant and important information. It was well put together and simple to understand."

"The information is up-to-date and helpful."

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