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Webinar: Revenue Cycle Management Compliance Series — Part 1: Developing a Culture of Compliance and Written Compliance Program

Compliance Arrows

Webinar: Revenue Cycle Management Compliance Series — Part 1: Developing a Culture of Compliance and Written Compliance Program

Presenter: Michele Silcox, CMRS
Guest presenter: Emily Roche

With the increase in insurance funders as a primary source of reimbursement for ABA services, it is imperative that organizations develop an internal Compliance Program to aid in building a culture of compliance and continuously revisiting the importance of critical controls, checks and balances that can aid in keeping an organization out of harm’s way of fraudulent activity or risk of failing audits. This series will cover the steps to create your internal Compliance Program and the elements of building a solid foundation for sustaining the program long-term.

July 30th
Part 2: Key Policies and Procedures for a Compliance Program

  • Review of checklist for key policies and procedures
  • Discussion on developing a compliant session note with handout sample

August 27th
Part 3: Training and Education Component of a Compliance Program

  • Discussion on ethical billing and documentation standards
  • Review of clinical contract requirements in your compliance program

September 24th
Part 4: Monitoring, Auditing and Enforcement of a Compliance Program

  • Review of pre and post payment claims audits
  • Discussion of potential KPI’s for tracking compliance
  • Review of Compliance Officer and infraction reporting process
Registration Coming Soon

About our presenters

Profile Image of Michele Silcox, C M R S - C E O / Owner

Michele Silcox, CMRS

With her 25+ year Accounting career, she quickly learned that the basic principles of Accounting apply across all industries. She developed a keen sense of controls and successfully managed teams of accounting staff in exceeding goals for all levels of back-office functions. With her experience and desire to help others, she is a seasoned, natural leader and trainer for employees, executives, and colleagues.

 

For the last 9+ years, Michele has focused her career in ABA administrative services, founding ABA Therapy Billing and Insurance Services, a nationally recognized Autism Services billing, consulting, and credentialing company as well as MKS Consulting LLC where she provides remote and on-site auditing, training, and education providing in-depth risk assessments for providers to support compliance and profitability of their practice. With tighter regulations on healthcare services, providers need to know when they are at risk for non-compliance and remain out of harm’s way of fraudulent activity. Helping providers find that peace of mind is her goal.

Emily Roche, Director of Services

Emily Roche

Emily is the current Director of Contracting and Revenue Cycle Management at Bierman ABA Autism Centers. Previously the Director of Services for ABA Therapy Billing, Emily has been working in ABA contracting and operations since 2012. With a background in contract, credentialing, authorizations, and appeals, she has often provided training throughout the ABA industry on these topics. Emily has presented at conferences such as the Autism Law Summit and the Association of Professional Behavior Analysts. After pursuing a bachelor’s in business administration from Gonzaga University, Emily completed a master’s in health administration at the University of Colorado.

 

 

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