Two Day Conference – All About Compliance.

CJ Wolf is an experienced compliance officer, medical coder, and healthcare educator with over 24 years of professional experience. Dr. Wolf currently teaches at two universities, provides consulting services, and creates online learning experiences for medical coders at codermedschool.com. He has worked full-time in various coding, billing, and compliance roles for Intermountain Healthcare, MD Anderson Cancer Center, and the University of Texas System, and also as Chief Compliance Officer for an international medical device company.

Heather Greene has over 20 years of experience in a variety of health information management (HIM) roles, including as a coding instructor and a HIM manager. She is an educational specialist at AAPC concentrating on inpatient coding. Greene provides education to students and clients regarding coding, medical documentation, and HIM functions nationally. Additionally, she is a frequent speaker/author on HIM topics for various organizations, including AAPC and AHIMA. Greene has a bachelor's degree in HIM and an MBA.

Karen represents institutional health care providers in matters of quality management, medical staff, state licensure and Medicare certification, survey compliance, EMTALA, Joint Commission accreditation, patient consent, end-of-life, and many other regulatory matters touching clinical operations. She has substantial experience handling contested matters before administrative bodies including hospital, surgery center and managed care peer review panels, Medicare QIOs, and many state professional boards, and when possible, resolving such matters short of hearing. Karen spends each spring immersed in state legislative issues affecting providers. In all these areas, Karen works with a wide range of providers including urban, academic, community, and rural hospitals, clinician practices, outpatient clinics, and surgery centers. 

Dr. Singh is a trained clinician, coder, auditor, and experienced healthcare management professional, with more than 18 years of health information management (HIM), Medicare, managed care, and regulatory experience. As a seasoned clinician, Dr. Singh is always determined to meet higher goals and is committed to improving the health of patients, as well as helping medical providers manage health information coding data, minimize errors, and reduce waste. He drives healthcare forward every day with a focus on improving the overall quality of healthcare delivery to patients, as well as a focus on the Institute for Healthcare Improvement (IHI) Triple Aim. Dr. Singh has helped several providers operationalize their risk adjustment programs, optimizing risk scores to recapture strategies and enabling them to succeed in their risk-sharing, value-based care arrangements. Dr. Singh has a passion for value-based care and risk adjustment, finding ways to leverage the hidden power of healthcare data and help physicians deliver better care while reporting diagnosis data accurately. Over the past several years, he has worked as a consultant on numerous projects, acting as a subject matter expert for risk adjustment for encounter data submissions, risk adjustment operations and process improvement, HCC suspect analytics, and other coding compliance expertise. Dr. Singh has worked with Medicare Advantage health plans and ACOs, EMR companies, risk adjustment vendors developing NLP-based solutions, AI companies developing advanced HCC analytics solutions, and several billing, coding, and revenue cycle management entities. He has also engaged with physician practices, providing them with risk adjustment education and quality- and value-based care-focused managed care expertise, as well as helped several clients clean up their HCC coding recapture workflows, resolved RAPS and EDPS submission-related problems, and leverage the clinical documentation improvement process to recapture appropriate and accurate HCC risk scores.

Michael Miscoe has over 30 years of experience in healthcare coding and over 20 years as a forensic coding/compliance expert and consultant. He has provided forensic analysis and testimony as an expert witness on a wide range of coding and compliance issues in civil and criminal cases on behalf of providers and payers. Mr. Miscoe’s law practice concentrates on representation of healthcare providers involved in post-payment disputes with commercial and government payers. He has an extensive national speaking background and has been published in numerous publications on a variety of coding, compliance, and health law topics. He is the past president of AAPC’s National Advisory Board, is a member of AAPC’s Legal Advisory Board, and is chair of AAPC’s Ethics Committee.

Michelle focuses her practice on the regulatory and structuring aspects of hospital mergers, acquisitions, and integrations. Her experience includes obtaining attorney general and federal approvals for complex transactions and/or conversion from nonprofit to for-profit status, and issues of successor liability. She also advises on corporate governance and medical staff governance in connection with changes of control or ownership. Williams represents clients undergoing CMS, EMTALA, and state surveys, Medicare terminations and regulatory review, and advises on hospital authority law, voluntary disclosures, corporate integrity agreements, and qui tam defense. Since 2012, Michelle has been recognized by The Best Lawyers in America® in healthcare law. Chambers USA has listed Williams as a leading healthcare lawyer since 2008. Prior to joining Baker Donelson, Williams was a commissioner on the Advisory Committee on Childhood Vaccines, advising the U.S. Secretary of Health & Human Services on the National Vaccine Injury Compensation Fund. She was a former in-house counsel at University Hospitals of Cleveland and the former Mount Sinai Hospital and has been on-loan in-house counsel to general academic medical centers.

Paige was a founding member of Compliagent in 2012. She applies broad experience developing, implementing and auditing compliance programs for healthcare providers. Paige is well-versed in all aspects of regulatory issues integral to risk management for healthcare providers, including HIPAA/HITECH, Medicare conditions of payment and participation, state licensing requirements, the Stark Law, and the Anti-Kickback Statute. In addition to developing and implementing compliance and risk management programs, Paige also conducts compliance effectiveness reviews for clients with mature compliance programs and has managed multiple engagements for clients subject to Corporate Integrity Agreements (CIA). Paige is a graduate of the University of Chicago and is certified in Healthcare Compliance (CHC) by the Compliance Certification Board (CCB).

Trent is a licensed attorney with over a decade of experience in legal and compliance roles. He has been licensed to practice law in Ohio since 2013. Trent currently serves as Vice President and General Counsel at I Am Boundless, where he facilitates and supports the implementation of the legal department and enterprise-wide compliance, privacy, risk, and quality processes. He is also responsible for providing legal advice to the Board of Trustees, the CEO and President and responsible for analyzing legal risks, and managing the organization's legal, compliance, internal audit, quality, and risk management programs. Prior to joining I Am Boundless, Trent worked as the General Counsel and Compliance Officer at Equitas Health. In this role, he provided legal advice and managed the compliance department. He also managed organizational insurance and risk management programs and played a significant role in building contracts management. Trent was also responsible for maintaining a close and collaborative relationship with senior leaders and key administrative staff while being financially literate on general issues of accounting, finance, and revenue at Equitas Health. Trent received his Juris Doctorate from Cleveland-Marshall College of Law at Cleveland State University. He served as the Editor-in-Chief of the Journal of Law and Health in 2012-2013. Trent has presented at several conferences, including several AHLA Annual Meeting, OACHC Conferences, and a Foley Webinar, on topics such as 340B Compliance, Federally Qualified Health Centers, Compliance, and sponsorship vs. mentorship.