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Mary Daulong

PT, CHC, CHP

President and CEO | Business & Clinical Management Services, Inc

Mary Daulong, PT, CHC, CHP, has a very diverse physical therapy practice background that includes private practice ownership. She established her compliance consulting firm in 2000, and has been dedicated to working with healthcare professionals in the areas of federal and state compliance, off-site audits and on-site surveys, and payment and coverage policy consultation, including billing, coding, and documentation. Her company also provides compliance policies and procedures manuals specifically for outpatient therapy services and provider enrollment services.

Mary has been certified in healthcare compliance since 2002, and is also certified as a HIPAA professional. She has been an active member of the APTA for more than forty years, during which she actively participated and chaired numerous committees at the national and component levels. She has also presented courses and webinars at the state and national levels for more than thirty years with rave reviews.

SESSIONS

Friday, September 20, 2019

Medicare’s Targeted Probe and Education Review: Why Would They Pick You?

11:30 AM–12:30 PM

Instruction Level: Intermediate

This course will address Medicare’s most recent approach to clinical record audits: the targeted probe and education review. During the session, compliance expert Mary Daulong, PT, CHC, CHP, will discuss audit methodology as well as provide an explanation as to what may precipitate provider selection; what drives the error rate appraisal; and what can be done to improve error rates. Attendees will also learn the consequence of audit failure.

Objectives

  1. Express the purpose and methods of Medicare’s audits;
  2. Identify areas of vulnerability when submitting claims and documentation
  3. Implement corrective action relating to vulnerabilities.
  4. Defend claim denials with sound resources.

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