Healthcare Auditor Conference
Cleveland, Ohio
May 5 - 8, 2015
Sponsored by
American Institute of Healthcare Compliance, Inc.
431 W. Liberty Street Medina, Ohio 44256
Toll Free: 866-571-5635 / Cleveland/Akron Area: 330-241-5635
Fax: 330-952-0716 / Contact Us
Visit our web site at www.aihc-assn.org
An Internationally Recognized Compliance Training & Certification Leader in Health Care
501(c)(3)Non-Profit Organization
Training Camp Facilitator:
Katherine Koss-Vyrostek, BA, CPC, CPMA, CMCO, CHA
Katherine has over 15 years of experience in coding, compliance and education. She has
experience with all facets of the physician’s office, from initial contact and intake to compliance
and insurance reimbursement. Katherine has also worked locally educating doctors and staff on
documentation requirements and coding standards. She is a Certified Professional Coder (CPC),
and Certified Professional Medical Auditor (CPMA). Her professional affiliations include the
American Institute of Healthcare Compliance (AIHC), the National Alliance of Medical
Accreditation Services (NAMAS), and the American Academy of Professional Coders (AAPC.)
Keynote Speaker:
Joanne Byron, LPN, BS, CCA, CMDP, CHA, CHCO, CHBS, CMC, CMCO,
ICDCT-CM, ICDCT-PCS
Ms. Byron is the founder of the American Institute of Healthcare Compliance and chairperson of
the Board of Directors. She has helped in the development of the programs offered through this
institute and has served as an instructor for these programs as well. Joanne is affiliated with
AAMA (American Association of Medical Assistants), AHIMA (American Health Information
Management Association), ASQ (American Society for Quality), and the MGMA (Medical
Group Management Association). She has over thirty years of experience in health care. Her
expertise is conducting business systems and compliance audits. She has served as an expert
witness in legal cases with expertise in coding, documentation, collection and billing
compliance.
.
Who should attend the conference?
This Training Camp is for experienced Healthcare Administrators and Executives involved in
the Auditing of Business Systems, Processes, Compliance, Documentation and Records
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
Learning objectives to achieve certification as a
Professional Healthcare Auditor
Check-in on Tuesday: 8:00 a.m.
Conference Schedule: Tuesday – Thursday: 8:30 a.m. – 4:30 p.m. / Friday: 8:30 a.m. – 11:30 a.m.
Class size is limited to provide an optimal learning experience – (agenda subject to change)
Business System Auditing
 Developing a Compliance Audit Team
 Four phases of Internal Auditing
 Conducting planning meetings appropriately
 Department of Justice expectations
 Federal Sentencing Guidelines
 Medicaid Program Provider Self-Audits
Leading the Audit Team
 Military Leadership Models applied to health care
 Advice from military leaders - medical and military structure is very similar - learn how to
use your understanding of rank & politics to make convincing arguments to institute change
 Skills needed by health care auditors & team leaders
 Be, Know & Do Concepts - Values, Attributes, Judgment, and Managerial Skills
Introduction to CMS, RACs, ZPICs, CERT & OIG Compliance
 Reasons for conducting Internal Audits
 Medical Necessity - Medicare guidelines
 OIG Compliance
 Recovery Audit Contractors and the Medicare & Medicaid Recovery Audit Programs
 Medicaid Integrity Contractors
 Civil False Claims Act, ARRA, FERA, HEAT
 New government tactics to detect and fight healthcare fraud.
When to Protect the Audit Process & Comparative Analysis
 Understanding the importance of Attorney-Client Privilege
 Calculating error rates and analyzing findings
 Comparative analysis of baseline audit to follow up audit
Benchmarks & Self Disclosure
 Self- Disclosure & OIG Guidelines
 Corporate Integrity Agreements & Negotiations
 External and internal benchmarks
 Financial Relationships with Physicians: Auditing and Monitoring Anti-Kickback Statute
and Stark Law Compliance
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
Calculations & Analyzing Data
 Critical Thinking Skills
 Basic Math Review (percent, base & percentage PBR formulas)
 Mean, Median, Mode
 Billing Adjustments, Developing a Voluntary Disclosure & Refund
Statistical Analysis/Cause & Effect:
 Measures of Dispersion/Range, Standard Deviation, Coefficient of Variation
 Statistical analysis of data
 Graphs, Charts & Illustrations of Statistical Data
 Illustrating Cause & Effect/Fishbone Diagrams
 20 Principle of Auditing (American Society for Quality)
 Audit Process Inputs (Purpose and Scope)
 Desk Audit and Audit Strategies (focus on Flowcharting tips)
Determining the Sample Size
 20 Auditing Principles / Auditing Pocket Guide
 RAT STATS
 Audit Sampling: Terms, Statistical vs. Non-statistical Sampling Methods
 c=0 Sampling Plan
 Identifying Requirements and Planning
 Techniques to Improve Effectiveness / PDCA technique
After the Audit – Effective Corrective Action
 Tracing a Problem to Its Origins
 Joint Commission's Definition of Root Cause
 Sentinel Event Alerts
 Veteran's Administration Approach to Patient Safety
 Root Cause Analysis (RCA) Versus Healthcare Failure Mode & Effects Analysis (HFMEA)
 RCA Tracing a Problem to its Origin
How to Conduct RCA Using Veterans Administration Methods
 Veterans Administration National Center for Patient Safety - RCA Methodology
 Principles of Root Cause Analysis
 Process Steps of RCA
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
What is the cost of the Training Camp?
Early-Bird Registration Discount – Pay $1,300!
$650 Coupon Expires January 11, 2015 5PM EDT
You MUST Use Coupon Code: CHA650CPT
Click Here to Register Online
(copy and paste coupon code and click on “apply coupon code” to receive discount)
OR
scroll down and the mail/fax Registration Form
Without Coupons or Discounts Training Camp Tuition: $1,950.00
What is included?
Text Book , Training Materials, & Pre-Camp Web Page
Four (4) Days of Classroom Training
Daily Lunch (Tuesday – Thursday)
First Year Membership to AIHC (Non-Members Only)
Certification Exam: To be taken after training camp, online by appointment with an
AIHC proctor at the location of your choice (high-speed Internet required)
DEADLINE to register for Training Camp: April 20, 2015 5PM EST
Payment options:
 Pay Online with all major credit cards
 Fax your registration (Visa, MasterCard and Discover only)
 Mail your registration and pay by Check
 PayPal Credit
(Click Here for more information - an online payment plan option through PayPal)
QUESTIONS? Contact Us for registration assistance
Do you offer group discounts?
Yes! Please Contact Us for more information!
Do you offer a refund policy?
Yes! Click Here to view our Refund and Transfer Policy.
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
Can I earn Continuing Education Units (CEUs) for
successfully completing the coursework for camp?
YES! EARN 18 CONTINUING EDUCATION UNITS
18 CEUs: This program has been approved for 18 continuing education
units (CEUs) by the American Institute of Healthcare Compliance for AIHC
Certified Professionals.
18 CEUs: This program has been approved for 18 continuing education
units(s) for use in fulfilling the continuing education requirements of the
American Health Information Management Association (AHIMA). Granting
prior approval from AHIMA does not constitute endorsement of the program
content or its program sponsor.
Where do I take the certification exam to earn my
CHA Credential?
You will have the option to take the certification exam online after camp. The
online exam can be taken from the comfort of your home or office by appointment
only and scheduled with a professional AIHC proctor. The certification exam is OPTIONAL, but
the cost is INCLUDED in your training camp tuition. Click Here for more information
regarding the CHA exam.
How do I maintain my CHA Credential?
Once you are certified, you need to maintain your credentials by earning eight (8) continuing
education units annually as described below.
Click Here to access the online CEU renewal chart.
AIHC OFFERS FREE AND LOW COST ($35) CEU PROGRAMS TO OUR MEMBERS
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
Where is the event location?
Residence Inn Marriott
527 Prospect Avenue East · Cleveland, Ohio 44115 USA
Phone: 216-443-9043 / Fax: 216-443-9843
Special Event Room Rates:
$149 Studio Suite
$159 One Bedroom Suite
Reservations can be made by calling the hotel: (216) 443-9043
Inform hotel you are attending the Healthcare Auditor Conference through the
American Institute of Healthcare Compliance (AIHC)
Group Code: SMERF
DEADLINE for GUARANTEED ROOM RATE:
April 20, 2015
Check-in: 3:00 PM / Check-out: 12:00 PM / Complimentary Breakfast
High-Speed Internet Available
Are you flying? Conference is located by Cleveland Hopkins
International Airport
 Distance from Hotel: 12 Miles NE
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Red Sparrow Limousine: $35 USD (one way); Reservation required
Subway service: $2 USD (one way)
Estimated taxi fare: $35 USD (one way)
Downtown parking garage for hotel: $18 per day
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
What to do in Beautiful Cleveland, Ohio
(located on Lake Erie)
~ Stay over for the weekend ~
Take the Transit to downtown Cleveland - no need to rent a car!

 Visit the Horseshoe Casino
 See the Rock-n-Roll Hall of Fame
 Science Center
Playhouse Square is second only to Broadway with various theaters
 Cleveland Aquarium and the Shark tunnel
 Cleveland Zoo
 Cleveland is in the top 5 cities known for our Microbrews!
 Fantastic Restaurants, Jazz Clubs and more!
Click Here for more local attractions
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
2015 Healthcare Auditor Conference: Cleveland, OH
Registration Form
FINAL REGISTRATION DEADLINE: APRIL 20, 2015 5PM EST
Print Name/Credentials (one form per person)
Enrollment Date
Employer Name and Address: [ ] Ship texts here
Is Employer paying for this course? Yes No
Office use ONLY
Date Received:
Books Ordered:
Web Site Access Granted:
TILA [ ] Yes
[ ]No
Home Address: [ ] Ship texts here
Clearly PRINT YOUR EMAIL ADDRESS(ES) For website administration & registration:
Primary:
Alternate:
Work Phone/Ext.:
Home Phone:
 Training Camp Tuition: $1,950.00
Cell Phone:
 Early Bird Tuition: $1,300.00 Coupon Code:____________
(Expires 5pm EDT January 11, 2015)
Are you an AIHC Member?
 AIHC Member ID #: ____________
CREDIT CARD PAYMENTS MAY BE FAXED TO 330-952-0716 OR CALL TOLL FREE TO REGISTER BY PHONE 866-571-5635
 Amount approved on Credit Card $____________
Charge My Credit Card: [ ] VISA
[ ] MasterCard
[ ] Discover
Card #:_______________________________________________________3 digit Security Code________ Exp. Date:________
Credit Card Billing Address:________________________________________________________________________________
PRINT Name as it appears on the card: _______________________________________________________________________
Authorized Signature & Date: ______________________________________________________________________________
Paying by Corporate Check? Amount Due: ____________
Please make checks payable to: AIHC
Mail to: American Institute of Healthcare Compliance 431 W. Liberty Street Medina, OH 44256
PHONE: 330-241-5635 / FAX: 330-952-0716
Please visit our website at www.aihc-assn.org for more information about our company.
Inquiries should be made to Contact Us
How did you hear about us?
□ Mailing □ Email □ Co-worker □ AIHC web site □ AHIMA web site □ Facebook □ Other____________
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org
American Institute of Healthcare Compliance, Inc.
Membership Application / Required for non-members enrolling in this program
(Membership is included in price of tuition for NEW MEMBERS ONLY)
Job/Position (title & brief description):
Are you certified by any organization? Please indicate certification and company name:
Are you a licensed clinical professional? Please check all appropriate boxes:
 MD/DO
 Physician Assistant
 Chiropractor
 Nurse Practitioner/Midwife
 Doctor of Podiatric Medicine
 Registered Nurse
 Physical Therapist
 Licensed Practical Nurse
 Occupational Therapist
 Medical Assistant
 Speech-Language Pathologist
 Other: (specify)
 Kinesiotherapist
_______________________________
OIG Exclusion:
Have you ever been . . . .
1) Notified that you were under investigation for; investigated for; charged with; or convicted of any offense relating to
Medicaid or Medicare fraud?
2) Have you ever been on the OIG exclusion list?
Membership Requirement (Restriction)
AIHC membership is open to the public, health care workers and administrators as well as certified healthcare auditors,
collectors and compliance officers. To uphold to a higher standard, AIHC follows the guidelines recommended by the Office
of the Inspector General (OIG) regarding retention of excluded individuals.
For many years the Congress of the United States has worked diligently to protect the health and welfare of the nation's elderly
and poor by implementing legislation to prevent certain individuals and businesses from participating in Federally-funded
health care programs. The OIG, under this Congressional mandate, established a program to exclude individuals and entities
affected by these various legal authorities, contained in sections 1128 and 1156 of the Social Security Act, and maintains a list
of all currently excluded parties called the List of Excluded Individuals/Entities. (See OIG website at www.oig.hhs.gov)
No individual whose name appears on the OIG Excluded Individuals Entities List may hold membership in AIHC; and any
member whose name is added to this list will have his/her membership status revoked without refund.
“My signature below indicates I have read this restriction to membership and attest that I am not currently on the OIG
exclusion list at the date this application has been submitted for membership to the American Institute of Healthcare
Compliance.”
_________________________________________________
Signature
____________________
Date
2015 Professional Healthcare Auditor Conference / Cleveland, OH – www.aihc-assn.org