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                   CliniCal Billing &
                                                                                                 January 14th for
                                                                                                  Maximum Savings
PROUDLY PRESENTS



                   ReseaRCh ComplianCe
                   Bringing together Research Sites, Hospitals, and Trial Sponsors
                   to Discuss Billing and Research Compliance Best Practices
              March 6-8, 2011 · hUTTON hOTEL · NashviLLE, TENNEssEE
cONFErENcE                                Examine and discuss pressing issues Surrounding
chairPErsON                               Clinical Billing & Research Compliance such as:
             KELLY WiLLENBErG             •	   How	to	Work	Clinical	Trial	Policy,	the	NCD	and	the	development	of	a		
                                          	    coverage	analysis	into	your	business	processes
             President
             SYNERGISM, LLC               •	   Discern	whether	to	Bill	for	Items	and	Services	Under	Current		
                                          	    Guidance’s	through	Case	Examples
                                          •	   Utilize	an	Electronic	Clinical	Trial	Management	System	and	Flow	for		
sPEaKEr ParTiciPaTiON FrOM                	    Billing	Compliance	
ThE FOLLOWiNG OrGaNiZaTiONs:              •	   Learn	Recent	Developments	in	Billing	for	Research	Related	Services		
COVENANT HEALTH
                                          	    and	Understand	Health	Care	Reforms	Impact
HEALTH RESEARCH ASSOCIATION               •	   Gain	a	Greater	Understanding	of	the	Various	Ethical	Considerations		
                                          	    in	Clinical	Billing	Compliance
HOSPITAL CORPORATION OF AMERICA
                                          •	   Learn	Effective	Communication	Tactics	to	Coordinate	More		
MEADE AND ROACH
                                          	    Effectively	with	Research	Administrators,	Study	Coordinators	and		
MEDSTAR HEALTH                            	    your	IRB’s
OHIO STATE UNIVERSITY
                                          •	   Develop	a	Framework	for	the	Development	&	Implementation	of		
PIEDMONT HEALTHCARE, INC.                 	    Clinical	Research	Billing	Workflows
SHARP HEALTHCARE                          •	   Identify	the	Common	Areas	of	Risk	and	Issues	that	are	Usually	Cited		
SHERIDAN CLINICAL RESEARCH                	    in	an	Audit
SNR DENTON                                •	   Understand	Requirements	for	Managing	Conflicts	of	Interests		
SYNERGISM                                 	    between	Research	Physicians	and	Sponsors
UMDNJ                                     •	   and	much	more!
UNIVERSITY OF MARYLAND MEDICAL SYSTEM
                                        plUS!




UNIVERSITY OF UTAH SCHOOL OF MEDICINE           CHOOSE FROM TWO SpECially SElECTEd
VANDERBILT UNIVERSITY MEDICAL CENTER            pRE-COnFEREnCE WORKSHOpS On:
VIRGINIA COMMONWEALTH UNIVERSITY                · The Risky Business of Clinical Research Billing
                                                · Quirky Trials and Billing Compliance


SPONSORS:




 TO REgiSTER Call 866-207-6528 OR ViSiT US aT WWW.ExlpHaRMa.COM/Billing
Welcome to the
5th CliniCal Billing & ReseaRCh ComplianCe
dear Colleague,                                                                            RaVE REViEWS FROM paST CliniCal
                                                                                           RESEaRCH Billing & BUdgETS COMplianCE
I	am	once	again	thrilled	to	be	able	to	offer	you	the	opportunity	to	attend	                “The meeting exceeded my expectations!”
an	all	“billing	compliance”	conference.	As	someone	who	has	worked	in	                      Compliance Officer, Corporate Integrity,
billing	 compliance,	 I	 know	 it’s	 ever	 changing	 while	 exciting!	 You	 need	          OCHSNER HEALTH SYSTEM
“best	practices”	from	others	who	have	done	it	and	are	considered	experts.	
                                                                                           “Great event and speaker line-up! I liked the
ExL	Pharma	is	pleased	to	announce	the	5th	Annual	Clinical	Research	                        material covered and the group size for
Billing	Compliance	Conference.		This	unique	event	is	a	one	of	kind	event	                  networking and discussions”
for	the	billing	compliance	for	your	institution	or	office	practice.	Expert	                Research Compliance Coordinator,
speakers	will	show	you	how	they	have	improved	the	billing	process	to	                      PROviDENCE AK MEDiCAL CENTER
enhance	operational	effectiveness	and	increase	compliance	initiatives.		
The	program	features	perspectives	from	thought	leaders,	providing		you	                    “The event met my expectations and was
with	the	opportunity	to	learn	and	implement	current	strategies	to	im-                      very well conducted!”
                                                                                           Program Manager, Finance/Research Operations,
prove	your	clinical	research	billing	efforts.		Join	us	March	6-8th,	2011	in	
                                                                                           JAMES CANCER HOPSiTAL, OSU MEDiCAL CENTER
Nashville,	Tennessee	for	this	stimulating	event!
                                                                                           SpOnSORSHip and ExHiBiT OppORTUniTiES:
Sincerely,
                                                                                           Maximize your Marketing Efforts
                                                                                           increase your company’s direct exposure to targeted audi-
                                                                                           ences by partnering with exl. We provide unique, valuable
                                                                                           forums that display your products, highlight your services
                                                                                           and illustrate your expertise. exl events are designed to
Kelly Willenberg                         Bryon Main                                        help your company forge new partnerships with potential
President                                Managing Director                                 clients. To obtain more information about the accretive
SYNERGISM,	LLC	                     	    ExL	PHARMA                                        value in partnering with exl, please contact:
                                                                                           Lucas carrasco, Business develoPmenT mAnAgeR
pS- CCB CREdiTS Will BE OFFEREd!                                                           212-400-6231, lcarrasco@exlpharma.com


WHO SHOUld aTTEnd?                                                                         audience Breakdown at the 2010 Clinical
                                                                                           Research Billing & Budgets Compliance:
This	event	is	designed	for	professionals	employed	by	academic	health	cen-
ters,	hospitals,	university	medical	centers,	pharmaceutical	&	medical	de-
vice	companies	within	the	following	areas:
                                                                                                                                              6%
•	   Clinical	Billing                   This	program	is	also	of	interest	to:                                                                               21%
•	   Clinical	Trials	Management                                                                                              18%
                                                                                                                                             goveRnmenT



•	   Clinical	Finance                   •	   Investigator	Sites                                              32%
                                                                                                                                                          seRviCe PRovideR
                                                                                                                            PhARmACeuTiCAl




•	   Contracts	&	Budgeting              •	   IRB’s
                                                                                                            RseARCh siTes




                                                                                                                                                          ConsulTAnT &

•	   Research	Compliance                •	   CRO’s	                                              23%
•	   Quality	Management	&	Control       •	   Data	Management	Providers
                                                                                                hosPiTAls


                                                                                                            ACAdemiC




•	   Research	Coverage	Analysis         •	   Site	Management	Consultants
•	   Grants
•	   Research	Administration
•	   Compliance	Operations
•	   Site	Relations


VEnUE inFORMaTiOn:                                              Experience	a	sophisticated	and	comfortable	Nashville,	Tennessee	lodging	destination	-	where	
                                                                four-star	luxury	adopts	a	stylish	and	accommodating	new	spirit.	Hutton	Hotel		offers	a	striking	
                                                                contrast	to	the	conventional	cluster	of	West	End	and	downtown	Nashville	hotels,	pairing	atten-
                                                                tive	service	with	elegant,	contemporary	design.	Treat	yourself	to	welcoming	Nashville	luxury	
                                                                hotel	lodging,	where	warm	hospitality	finds	a	new	perspective.

                                                                •	 Located	in	the	heart	of	Nashville,	Tennessee
                                                                •	 Convenient	to	the	city’s	renowned	music	scene	and	landmark	attractions
                                                                •	 High-speed	wired	and	wireless	Internet	access	for	all	guests
                                                                •	 State-of-the-art	fitness	center	with	Pre-Cor	equipment,	LCD	panels,	and	more
                                                                •	 Complimentary	Business	Center	services	with	24-hour	access
                                                                •	 13,600	square	feet	of	elegantly-appointed	space	for	meetings
HUTTOn HOTEl. 1808 WesT end Avenue,                             Please	call	866-894-4609	for	reservations	and	mention	you	are	part	of	the	ExL	Pharma	Room	
nAshville, Tn, 37203 · Phone: 615-340-9333                      Block.		Room	block	cut-off	is	February	20,	2011.
pRe-ConFeRenCe WoRKshops · sunday, march 6 th 2011
8:30 conference registration and continental Breakfast
pRE-COnFEREnCE WORKSHOp a:
9:00 The risky Business of clinical research Billing: The cTP, coverage analysis and Being Practical in Operations
This	session	will	provide	the	definition	of	the	Clinical	Trial	Policy,	the	NCD,	the	development	of	a	coverage	analysis	and	how	to	work	this	into	your	normal	
workflow.	We	will	provide	examples	of	tools	and	templates	and	how	to	actually	perform	a	coverage	analysis.	
•	The	Clinical	Trial	Policy,	Reference	Sheets	                         	       •	Breaking	down	Local	Coverage	Determination	(LCD’s)	by	procedure																														
•	Creating	a	Medicare	Coverage	Analysis	and	billing	plan	              	       •	Billing	Guides
•	Discuss	the	regulation	of	clinical	research	including	oversight	     	       •	Implement	a	process	for	coordination	and	communication	of	information	to
	 regulatory	agencies,	the	scope	of	laws	and	regulations,	and	         	       			ensure	research	services	are	correctly	identified	and	not	billed	to	payor
	 human	subject	protection
Ryan Meade, Partner, MEADE & ROACH - Kelly Willenberg, President, SYNERgiSM, LLC

12:00 Lunch for Wor ks h o p At t e n d e e s


pRE-COnFEREnCE WORKSHOp B:
1:00 Quirky Trials and Billing compliance
This	session	will	discuss	all	of	the	varying	issues	with	the	complex	types	of	studies	that	are	increasingly	more	difficult	to	bill.	We	will	work		
through	the	study	types	listed	and	discuss	how	to	discern	whether	you	can	bill	for	items	and	services	under	the	guidelines.	We	will	provide		
samples	and	use	cases	where	there	have	been	issues	in	regards	to	billing	compliance.
•	Device	Trials	       	            •	Phase	I	Trials
•	Investigator	Initiated	           •	HUD’s	
•	Off	label	Use	       	            •	Compassionate	Use
•	Inpatient	Trials	 	               •	Complicated	Studies	Done	Across	Different	Hospital	Areas
Kathleen R Hurtado, R.Ph, President and CEO, HEALTH RESEARCH ASSOCiATiON,
AN AffiLiATE Of THE UNivERSiTY Of SOUTHERN CALifORNiA
Deena Bernstein, Director of Clinical Research, SHERiDAN CLiNiCAL RESEARCH

4:00 cLose of pre-co n f e r e n c e Wo r ks h o p dAy



      main ConFeRenCe · monday, march 7th 2011
8:00 conference registration and continental Breakfast                                 10:45           Panel Discussion on Physician issues and challenges
8:30	 chairperson’s Welcome and Opening remarks                                                        in Billing compliance
Kelly Willenberg, President, SYNERgiSM, LLC
                                                                                                 •	 Keeping	abreast	of	the	rapidly	changing	rules	in	billing	compliance
8:45	 recent Developments in Billing For research related                                        •	 Educating	Physicians	on	new	guidances
      services                                                                                   •	 Oversee	the	compliance	of	physicians	and	health	care	practitioners
        •	   Understand	care	reform	and	how	it	will	impact	the	billing	of		            PANEL MODERATOR: Ryan Meade, Partner, MEADE & ROACH
        	    services	for	clinical	research                                            PANELiSTS: Local Physicians to be determined
        •	   Recall	new	directives	in	billing	Medicare		
        	    for	research	related	services                                             11:30						Ethical considerations in Billing compliance
        •	   Understand	your	responsibilities	for	liability	reporting
                                                                                                 •	   Review	ethical	considerations	in	clinical	trial	billing	from	an	
David vulcano, Assistant Vice President & Responsible Executive,                                 	    historical	perspective
Clinical Research, HOSPiTAL CORPORATiON Of AMERiCA                                               •	   Identify	particular	areas	of	clinical	trial	billing	that	present	ethical		
	                                                                                                	    issues	for	investigators,	research	staff,	and	research	subjects	
9:30	 CaSE STUdy                                                                                 •	   Using	case	analyses,	apply	a	combination	of	ethical	considerations		
        Use of an Electronic clinical Trial Management                                           	    in	clinical	trial	billing	and	regulatory	requirements	to	arrive	at		
        system and Flow of Billing compliance                                                    	    effective	compliance	strategies
                                                                                       Quincy J. Byrdsong, EdD, CiM, CiP, CCRP
        •	   Historical	background,	research	billing	compliance	prior	to		             Executive Director of Research Administration, Virginia Commonwealth
        	    purchase	of	electronic	clinical	trial	management	(CTM)	system             UNivERSiTY MEDiCAL CENTER
        •	   Enhancement	of	purchased	CTM	system	and	integration	with	EPIC		
        	    billing	system	for	robust	billing	compliance	                             12 : 30         Lu n c h fo r co n f e r e n c e At t e n d e e s
        •	   Resulting	billing	compliance	process: 	from	protocol	billing	plan	to		
        	    electronic	journal	entry                                                  1:30						Billing compliance and the irB
        •	   Continued	challenges	for	billing	compliance	automation
Karen Mottola, M.A., C.C.R.C., C.P.C., Clinical Research Compliance Officer,                     •	   Impact	of	Billing	Compliance	on	IRBs
UNivERSiTY Of UTAH SCHOOL Of MEDiCiNE                                                            •	   Federal	Regulations
                                                                                                 •	   Effective	communcation between	Research	Administrators,	Study		
                                                                                                 	    Coordinators	and	the	IRB	Administrator
10:15         net Working & r e f r e s h m e n t B r eA k                                       •	   Importance	of	the	sample	Informed	Consent	prior	to	IRB	review
                                                                                                 •	   Contract	/	Billing	changes	after	IRB	approval
                                                                                       Becky West, MS, CIP, IRB Administrator, COvENANT HEALTH
main ConFeRenCe · monday, march 7th 2011
2:15 Effective communication, Training and Leadership                                 4:30	 changes of scope: The clinical Trial study Budget and
     amongst your research compliance Team                                                  Billing compliantly
Speaker to be announced                                                                         •	   Monitoring	the	process	of	amendments	and	protocol	changes	
3:00          net Working B r eA k & r e f r e s h m e n t Br e A k                             •	   Delivering	a	methodology	for	editing	coverage	analysis
                                                                                                •	   Maintaining	control	over	budget	variances
3:30	 The significance of a Billing compliance Program at an                                    •	   Collaborating	with	sponsors	for	a	win-win	situation	
      academic Medical center – The Growth and Growing Pains                          Warren E. Beck, Associate Vice Chancellor for Health Affairs
                                                                                      Sr. VP of Finance – vANDERBiLT UNivERSiTY, MEDiCAL CENTER
        •	   Creation	of	a	billing	compliance	program
        •	   Systems	and	processes	for	the	methodology	of	the	program
                                                                                      5 : 15 dAy o n e co n c Lu d e s
        •	   Conclusion	as	to	why	it	was	established	in	the	Department	of		
        	    Finance	and	has	remained	in	Finance
Lisa Murtha, Partner, SNR DENTON US, LLP


       main ConFeRenCe · tuesday, march 8th 2011
8:30 	 chairpersons recap of Day One
Kelly Willenberg, President, SYNERgiSM, LLC                                           11:30          CHOiCE OF TWO SESSiOnS

8:45 Best Practices and Lessons Learned in Development &                              conflict of interest and Physician Billing
     implementation of clinical research Billing Workflows                                      •	   Requirements	for	managing	of	conflicts	of	interests	between		
                                                                                                	    research	physicians	and	sponsors
        •	    Gain	insights	into	how	colleagues	develop	&	run	their	clinical		                  •	   Anti-Kickback	Statute	and	the	often	unseen	conflicts
        	     research	billing	operations                                                       •	   Survey	of	approaches	to	mitigating	conflicts
        •	    Learn	about	shared	pitfalls	and	common	challenges	and	how	they		        Angelique Dorsey, JD, CHRC, Research Compliance Director,
        	     are	managed	by	your	peer	institutions                                   MEDSTAR HEALTH
        •	    Compare	workflows,	policies	and	documents	and	contribute	to	a		
        	     forms	library	hosted	on	the	Synergism	website	for	year-round		          inTERaCTiVE ROUndTaBlE diSCUSSiOn
        	     access	to	resources	that	may	help	you	further	develop	your	clinical		   Living and Breathing Billing compliance in Practice –
        	     research	operations	                                                    how coordinators Deal with the issues ?
Sonia Kleiner-Arje, CHRC, Executive Director,
OffiCE Of CLiNiCAL RESEARCH ADMiNiSTRATiON, UMDNJ

9:30	 Tactical Framework for a clinical Trial Billing audit                           12 : 30        Lu n c h fo r co n f e r e n c e At t e n d e e s

        •	    Elements	of	an	effective	audit	program
        •	    Identify	the	common	areas	of	risk	and	issues	that	are	usually		         1:30 Nih/Grant requirements, Patient & sponsor Billing
        	     cited	in	an	audit                                                            compliance and Other responsibilities
        •	    Summarize	what	some	of	the	strategic	options	are	for	reducing		
        	     risk                                                                              •	   NIH	Grant	Requirements;	Strategies	for	Compliant	GrantActivities
        •	    Challenges	in	billing	audits                                                      •	   Setting	up	and	managing	an	effective	billing	compliance	system;		
        •	    Targeted	audits	by	patient	enrollment,	third	party	payer,		                       	    Case	Study
        	     or	study	sponsor                                                                  •	   Other	Responsibilities	of	the	Clinical	Trial	Administrative	Office
        •	    Audit	Scope	and	Objectives                                              Robert Di vito, JD, CHRC, PiEDMONT HEALTHCARE, iNC.
fred Herman, Research Compliance Manager,
UNivERSiTY Of MARYLAND MEDiCAL SYSTEM
Kevin Eskew, Managing Director, Healthcare, SNR DENTON US LLP                         2 : 15 n e tWo r k i n g & r e f r e s h m e n t B r eA k

10:15         net Working & r e f r e s h m e n t B r eA k
                                                                                      2:45 Puzzled: ask the Proficient Professional Your Questions
10:45         CHOiCE OF TWO SESSiOnS                                                       on Billing compliance

The Billing of Device Trials and Pre-Determination                                    CHAiR:
        •	    Review	the	Medicare	Billing	Rules	for	Investigational	Devices           Kelly Willenberg, President, SYNERgiSM, LLC
        •	    Review	Commercial	Payer	positions	on	paying	for		
        	     Investigational	Devices                                                 PANELiSTS:
        •	    Understand	the	role	of	Pre-Determination	in	Investigational		
                                                                                      Deena Bernstein, Director of Clinical Research,
        	     Device	Studies
                                                                                      SHERiDAN CLiNiCAL RESEARCH
        •	    Learn	about	peer	processes	and	workflows	for		
        	     pre-determination	of	clinical	trials.	                                  Kathleen R Hurtado, R.Ph, President and CEO, HEALTH RESEARCH
                                                                                      ASSOCiATiON, AN AffiLiATE Of THE UNivERSiTY Of SOUTHERN
Jennifer Lanter, BSN, RN, CCRC, MSPH; Associate Director of the
                                                                                      CALifORNiA
Research Billing Office, OHiO STATE UNivERSiTY (tENtAtIVE)

coding and Billing – The secrets of the Trade                                         4 : 0 0 co n f e r e n c e co n c Lu d e s
        •	    Billing	Medicare	for	anything	on	a	clinical	trial	patient
        •	    Billing	Medicare	for	anything	on	a	IDE	Device	trial;	same	rules?
        •	    How	do	Medicare	Advantage	patients	fit	in?	Are	they	included?
Terry Ann Cox, Clinical trials Financial Analyst, SHARP HEALTHCARE
5 CliniCal Billing &
        th

 ReseaRCh ComplianCe
Five Ways to Register:
                                    Fees for attending the 5th Clinical Billing &
Fax:    888-221-6750
                                    Research Compliance
Mail:   ExL Events, inc.
        555 8th avenue, suite 310   rEGisTEr BY JaNUarY 21sT, 2010 TO TaKE aDvaNTaGE OF OUr
        New York, NY 10018          EarLY PricE DiscOUNTs:
Phone: 866-207-6528                 academic, Non-Profit, Government rates
Online: www.exlpharma.com           main Conference only                                                        $995
                                    main Conference, plus one Workshop                                          $1195
Email: register@exlpharma.com       main Conference, plus both Workshops                                        $1395

                                    corporate rates:
                                    main Conference only                                                        $1695
                                    main Conference, plus one Workshop                                          $1895
 MEdia paRTnERS                     main Conference, plus both Workshops                                        $1995

                                    aFTEr JaNUarY 21sT, PriciNG is as FOLLOWs:
                                    academic, Non-Profit, Government rates
                                    main Conference only                                                        $1195
                                    main Conference, plus one Workshop                                          $1395
                                    main Conference, plus both Workshops                                        $1595

                                    corporate rates:
                                    main Conference only                                                        $1895
                                    main Conference, plus one Workshop                                          $2095
                                    main Conference, plus both Workshops                                        $2295




                                    GrOUP DiscOUNT PrOGraM:
                                    For every three simultaneous registrations from your company, you will
                                    receive a fourth complimentary registration to the program. To take advan-
                                    tage, please register online or call 888-207-6528.

                                    make checks payable to exl events, inc. and write code P244 on your
                                    check. You may also use visa, masterCard, discover or American express.
                                    Payments must be received by February 22, 2010



                                    CANCELLATiONS: if you need to cancel your registration for an upcoming ExL con-
                                    ference, please note the following policies derived from the Start Date of the event:
                                    four weeks or more: A full refund (minus a $95 processing fee), or a voucher to
                                    another ExL event valid for two years from the voucher issue date.

                                    ONE TO fOUR WEEKS: A 50% refund, or a voucher to another ExL event valid for
                                    two years from the voucher issue date.

                                    WiTHiN THE LAST WEEK: A voucher to another ExL event valid for two years from
                                    the voucher issue date.

                                    To receive a refund or voucher, please fax your request to 888-221-6750.
                                    Please Note: Speakers and agenda are subject to change without notice. In the event of a
                                    speaker cancellation, every effort to find a suitable replacement will be made.
5th annual
                                                                                                                                                                                                                                                                                                                                                                                                       PROUDLY PRESENTS
                                                                                                                                                                                                                                                                                                                                                                                                                          CliniCal Billing &
                                                                                                                                                                                                                                                                                                                                                                                                                          ReseaRCh ComplianCe
                                                                                Exp. Date:




                                                                                                                                                                                                                                                          PLEASE MENTION PRIORITY CODE: P244




                                                                                                                                                                                                                                                                                                                                                                                                                          Bringing together Research Sites and Trial
                                                                                                                                                                                                                                                          555 8th Avenue, Suite 310




                                                                                                                                                                                                                                                                                                                                                                                                                          Sponsors to Discuss Billing and Research
                                                                                                                                                                                                                                                                                                                                                                                                                          Compliance Best Practices
                                                                                                                                                                                                                                                          New York, NY 10018




                                                                                                                                                                                                                                                                                                                                                                                                            REGISTER EARLY          March 6-8, 2011
                                                                                                                                                                                                                                                                                                                                                                                                           AND SAVE!                hUTTON hOTEL
                                                                                                                                                                                                                                                                                                                                                                                                          Reserve your place by     NashviLLE, TENNEssEE
                                                                                                                                                                                                                                                                                                                                                                                                          January 14th for
                                                                                                                                                                                                                                                                                                                                                                                                           Maximum Savings
                                                                                                                                                                                                                                                                                                                                                                                                                                                  iNTrODUciNG OUr
                                                                                                      Name on Card
                                                                                Card Number




                                                                                                                                                                                                                                                                                                                                                                                                                                                  chairPErsON FOr
                                                                                                                                                                   Signature




                                                                                                                                                                                                                                                                                                                                                                                                                                                  2010:
                                                                                                                                                                                                                                                                                                                                                                                                        SpEaKER paRTiCipaTiOn
                                                                                                                                                                                                                                                                                                                                                                                                        FROM THE FOllOWing                                    KELLY WiLLENBErG,
                                                                                                                                                                                                                                                                                                                                                                                                        ORganiZaTiOnS:                                        President,
                                                                                                                                                                                                                                                                                                                                                                                                                                                              SYNERGISM, LLC
                                                                                                                                                                                        Please contact me: I’m interested in marketing opportunities at this event




                                                                                                                                                                                                                                                                                                                                                                                                        COVENANT HEALTH
                                        register@exlpharma.com




                                                                                                                                                                                                                                                                                                                                                                                                        HEALTH RESEARCH ASSOCIATION
                                                                                                                                                                                                                                                                     I wish to receive email updates on ExL Pharma’s upcoming events
                                                                 www.exlpharma.com


                                                                                              Yes! Register me for the Conference and Workshop:




                                                                                                                                                                                                                                                                                                                                                                           Zip
                                                                                                                                                                                                                                                                                                                                                                                                        HOSPITAL CORPORATION OF AMERICA
                                                                                                                                                                                                                                                                                                                                                                                                        MEADE AND ROACH
                         888-221-6750




                                                                                                                                                                                                                                                                                                                                                                                                                                                  SPONSORS:
                                                                                                                                                                                                                                                                                                                                                                                                        MEDSTAR HEALTH
                                                                                                                                                                                                                                                                                                                                                                                                        OHIO STATE UNIVERSITY




                                                                                                                                                                                                                                                                                                                                                                           State
                                                                                                                                                                                                                                                                                                                                       Title




                                                                                                                                                                                                                                                                                                                                                                                           Fax
                                                                                                                                                                                                                                                                                                                                                                                                        PIEDMONT HEALTHCARE, INC.
                                                                                                                                                                                                                                                                                                                                                                                                        SHARP HEALTHCARE
                                                                                                                                                                                                                                                                                                                                                                                                        SHERIDAN CLINICAL RESEARCH



                                                                                                                                                  Register me for the conference only
                                                                                                                                                                                                                                                                                                                                                                                                        SNR DENTON
                                                                                                                                                                                                                                                                                                                                                                                                        SYNERGISM


                                              New York, NY 10018
                                                                                                                                                                                                                                                                                                                                                                                                        UMDNJ
TO R E G I S T E R


                                              555 8th Avenue,
                                                                                                                                                                                                                                                                                                                                                                                                        UNIVERSITY OF MARYLAND MEDICAL SYSTEM


                                              ExL Events, Inc.
                     866-207-6528
                                                                                                                                                                                                                                                                                                                                                                                                        UNIVERSITY OF UTAH SCHOOL OF MEDICINE




                                              Suite 310
                                                                                                                                                                                                                                                                                                                                                                                                        VANDERBILT UNIVERSITY MEDICAL CENTER
                                                                                                                                                                                                                                                                                                                                                                                                        VIRGINIA COMMONWEALTH UNIVERSITY




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5th Annual Clinical Billing & Research Compliance, March 2011, Nashville

  • 1. REGISTER EARLY 5 annual th AND SAVE! Reserve your place by CliniCal Billing & January 14th for Maximum Savings PROUDLY PRESENTS ReseaRCh ComplianCe Bringing together Research Sites, Hospitals, and Trial Sponsors to Discuss Billing and Research Compliance Best Practices March 6-8, 2011 · hUTTON hOTEL · NashviLLE, TENNEssEE cONFErENcE Examine and discuss pressing issues Surrounding chairPErsON Clinical Billing & Research Compliance such as: KELLY WiLLENBErG • How to Work Clinical Trial Policy, the NCD and the development of a coverage analysis into your business processes President SYNERGISM, LLC • Discern whether to Bill for Items and Services Under Current Guidance’s through Case Examples • Utilize an Electronic Clinical Trial Management System and Flow for sPEaKEr ParTiciPaTiON FrOM Billing Compliance ThE FOLLOWiNG OrGaNiZaTiONs: • Learn Recent Developments in Billing for Research Related Services COVENANT HEALTH and Understand Health Care Reforms Impact HEALTH RESEARCH ASSOCIATION • Gain a Greater Understanding of the Various Ethical Considerations in Clinical Billing Compliance HOSPITAL CORPORATION OF AMERICA • Learn Effective Communication Tactics to Coordinate More MEADE AND ROACH Effectively with Research Administrators, Study Coordinators and MEDSTAR HEALTH your IRB’s OHIO STATE UNIVERSITY • Develop a Framework for the Development & Implementation of PIEDMONT HEALTHCARE, INC. Clinical Research Billing Workflows SHARP HEALTHCARE • Identify the Common Areas of Risk and Issues that are Usually Cited SHERIDAN CLINICAL RESEARCH in an Audit SNR DENTON • Understand Requirements for Managing Conflicts of Interests SYNERGISM between Research Physicians and Sponsors UMDNJ • and much more! UNIVERSITY OF MARYLAND MEDICAL SYSTEM plUS! UNIVERSITY OF UTAH SCHOOL OF MEDICINE CHOOSE FROM TWO SpECially SElECTEd VANDERBILT UNIVERSITY MEDICAL CENTER pRE-COnFEREnCE WORKSHOpS On: VIRGINIA COMMONWEALTH UNIVERSITY · The Risky Business of Clinical Research Billing · Quirky Trials and Billing Compliance SPONSORS: TO REgiSTER Call 866-207-6528 OR ViSiT US aT WWW.ExlpHaRMa.COM/Billing
  • 2. Welcome to the 5th CliniCal Billing & ReseaRCh ComplianCe dear Colleague, RaVE REViEWS FROM paST CliniCal RESEaRCH Billing & BUdgETS COMplianCE I am once again thrilled to be able to offer you the opportunity to attend “The meeting exceeded my expectations!” an all “billing compliance” conference. As someone who has worked in Compliance Officer, Corporate Integrity, billing compliance, I know it’s ever changing while exciting! You need OCHSNER HEALTH SYSTEM “best practices” from others who have done it and are considered experts. “Great event and speaker line-up! I liked the ExL Pharma is pleased to announce the 5th Annual Clinical Research material covered and the group size for Billing Compliance Conference. This unique event is a one of kind event networking and discussions” for the billing compliance for your institution or office practice. Expert Research Compliance Coordinator, speakers will show you how they have improved the billing process to PROviDENCE AK MEDiCAL CENTER enhance operational effectiveness and increase compliance initiatives. The program features perspectives from thought leaders, providing you “The event met my expectations and was with the opportunity to learn and implement current strategies to im- very well conducted!” Program Manager, Finance/Research Operations, prove your clinical research billing efforts. Join us March 6-8th, 2011 in JAMES CANCER HOPSiTAL, OSU MEDiCAL CENTER Nashville, Tennessee for this stimulating event! SpOnSORSHip and ExHiBiT OppORTUniTiES: Sincerely, Maximize your Marketing Efforts increase your company’s direct exposure to targeted audi- ences by partnering with exl. We provide unique, valuable forums that display your products, highlight your services and illustrate your expertise. exl events are designed to Kelly Willenberg Bryon Main help your company forge new partnerships with potential President Managing Director clients. To obtain more information about the accretive SYNERGISM, LLC ExL PHARMA value in partnering with exl, please contact: Lucas carrasco, Business develoPmenT mAnAgeR pS- CCB CREdiTS Will BE OFFEREd! 212-400-6231, lcarrasco@exlpharma.com WHO SHOUld aTTEnd? audience Breakdown at the 2010 Clinical Research Billing & Budgets Compliance: This event is designed for professionals employed by academic health cen- ters, hospitals, university medical centers, pharmaceutical & medical de- vice companies within the following areas: 6% • Clinical Billing This program is also of interest to: 21% • Clinical Trials Management 18% goveRnmenT • Clinical Finance • Investigator Sites 32% seRviCe PRovideR PhARmACeuTiCAl • Contracts & Budgeting • IRB’s RseARCh siTes ConsulTAnT & • Research Compliance • CRO’s 23% • Quality Management & Control • Data Management Providers hosPiTAls ACAdemiC • Research Coverage Analysis • Site Management Consultants • Grants • Research Administration • Compliance Operations • Site Relations VEnUE inFORMaTiOn: Experience a sophisticated and comfortable Nashville, Tennessee lodging destination - where four-star luxury adopts a stylish and accommodating new spirit. Hutton Hotel offers a striking contrast to the conventional cluster of West End and downtown Nashville hotels, pairing atten- tive service with elegant, contemporary design. Treat yourself to welcoming Nashville luxury hotel lodging, where warm hospitality finds a new perspective. • Located in the heart of Nashville, Tennessee • Convenient to the city’s renowned music scene and landmark attractions • High-speed wired and wireless Internet access for all guests • State-of-the-art fitness center with Pre-Cor equipment, LCD panels, and more • Complimentary Business Center services with 24-hour access • 13,600 square feet of elegantly-appointed space for meetings HUTTOn HOTEl. 1808 WesT end Avenue, Please call 866-894-4609 for reservations and mention you are part of the ExL Pharma Room nAshville, Tn, 37203 · Phone: 615-340-9333 Block. Room block cut-off is February 20, 2011.
  • 3. pRe-ConFeRenCe WoRKshops · sunday, march 6 th 2011 8:30 conference registration and continental Breakfast pRE-COnFEREnCE WORKSHOp a: 9:00 The risky Business of clinical research Billing: The cTP, coverage analysis and Being Practical in Operations This session will provide the definition of the Clinical Trial Policy, the NCD, the development of a coverage analysis and how to work this into your normal workflow. We will provide examples of tools and templates and how to actually perform a coverage analysis. • The Clinical Trial Policy, Reference Sheets • Breaking down Local Coverage Determination (LCD’s) by procedure • Creating a Medicare Coverage Analysis and billing plan • Billing Guides • Discuss the regulation of clinical research including oversight • Implement a process for coordination and communication of information to regulatory agencies, the scope of laws and regulations, and ensure research services are correctly identified and not billed to payor human subject protection Ryan Meade, Partner, MEADE & ROACH - Kelly Willenberg, President, SYNERgiSM, LLC 12:00 Lunch for Wor ks h o p At t e n d e e s pRE-COnFEREnCE WORKSHOp B: 1:00 Quirky Trials and Billing compliance This session will discuss all of the varying issues with the complex types of studies that are increasingly more difficult to bill. We will work through the study types listed and discuss how to discern whether you can bill for items and services under the guidelines. We will provide samples and use cases where there have been issues in regards to billing compliance. • Device Trials • Phase I Trials • Investigator Initiated • HUD’s • Off label Use • Compassionate Use • Inpatient Trials • Complicated Studies Done Across Different Hospital Areas Kathleen R Hurtado, R.Ph, President and CEO, HEALTH RESEARCH ASSOCiATiON, AN AffiLiATE Of THE UNivERSiTY Of SOUTHERN CALifORNiA Deena Bernstein, Director of Clinical Research, SHERiDAN CLiNiCAL RESEARCH 4:00 cLose of pre-co n f e r e n c e Wo r ks h o p dAy main ConFeRenCe · monday, march 7th 2011 8:00 conference registration and continental Breakfast 10:45 Panel Discussion on Physician issues and challenges 8:30 chairperson’s Welcome and Opening remarks in Billing compliance Kelly Willenberg, President, SYNERgiSM, LLC • Keeping abreast of the rapidly changing rules in billing compliance 8:45 recent Developments in Billing For research related • Educating Physicians on new guidances services • Oversee the compliance of physicians and health care practitioners • Understand care reform and how it will impact the billing of PANEL MODERATOR: Ryan Meade, Partner, MEADE & ROACH services for clinical research PANELiSTS: Local Physicians to be determined • Recall new directives in billing Medicare for research related services 11:30 Ethical considerations in Billing compliance • Understand your responsibilities for liability reporting • Review ethical considerations in clinical trial billing from an David vulcano, Assistant Vice President & Responsible Executive, historical perspective Clinical Research, HOSPiTAL CORPORATiON Of AMERiCA • Identify particular areas of clinical trial billing that present ethical issues for investigators, research staff, and research subjects 9:30 CaSE STUdy • Using case analyses, apply a combination of ethical considerations Use of an Electronic clinical Trial Management in clinical trial billing and regulatory requirements to arrive at system and Flow of Billing compliance effective compliance strategies Quincy J. Byrdsong, EdD, CiM, CiP, CCRP • Historical background, research billing compliance prior to Executive Director of Research Administration, Virginia Commonwealth purchase of electronic clinical trial management (CTM) system UNivERSiTY MEDiCAL CENTER • Enhancement of purchased CTM system and integration with EPIC billing system for robust billing compliance 12 : 30 Lu n c h fo r co n f e r e n c e At t e n d e e s • Resulting billing compliance process:  from protocol billing plan to electronic journal entry 1:30 Billing compliance and the irB • Continued challenges for billing compliance automation Karen Mottola, M.A., C.C.R.C., C.P.C., Clinical Research Compliance Officer, • Impact of Billing Compliance on IRBs UNivERSiTY Of UTAH SCHOOL Of MEDiCiNE • Federal Regulations • Effective communcation between Research Administrators, Study Coordinators and the IRB Administrator 10:15 net Working & r e f r e s h m e n t B r eA k • Importance of the sample Informed Consent prior to IRB review • Contract / Billing changes after IRB approval Becky West, MS, CIP, IRB Administrator, COvENANT HEALTH
  • 4. main ConFeRenCe · monday, march 7th 2011 2:15 Effective communication, Training and Leadership 4:30 changes of scope: The clinical Trial study Budget and amongst your research compliance Team Billing compliantly Speaker to be announced • Monitoring the process of amendments and protocol changes 3:00 net Working B r eA k & r e f r e s h m e n t Br e A k • Delivering a methodology for editing coverage analysis • Maintaining control over budget variances 3:30 The significance of a Billing compliance Program at an • Collaborating with sponsors for a win-win situation academic Medical center – The Growth and Growing Pains Warren E. Beck, Associate Vice Chancellor for Health Affairs Sr. VP of Finance – vANDERBiLT UNivERSiTY, MEDiCAL CENTER • Creation of a billing compliance program • Systems and processes for the methodology of the program 5 : 15 dAy o n e co n c Lu d e s • Conclusion as to why it was established in the Department of Finance and has remained in Finance Lisa Murtha, Partner, SNR DENTON US, LLP main ConFeRenCe · tuesday, march 8th 2011 8:30 chairpersons recap of Day One Kelly Willenberg, President, SYNERgiSM, LLC 11:30 CHOiCE OF TWO SESSiOnS 8:45 Best Practices and Lessons Learned in Development & conflict of interest and Physician Billing implementation of clinical research Billing Workflows • Requirements for managing of conflicts of interests between research physicians and sponsors • Gain insights into how colleagues develop & run their clinical • Anti-Kickback Statute and the often unseen conflicts research billing operations • Survey of approaches to mitigating conflicts • Learn about shared pitfalls and common challenges and how they Angelique Dorsey, JD, CHRC, Research Compliance Director, are managed by your peer institutions MEDSTAR HEALTH • Compare workflows, policies and documents and contribute to a forms library hosted on the Synergism website for year-round inTERaCTiVE ROUndTaBlE diSCUSSiOn access to resources that may help you further develop your clinical Living and Breathing Billing compliance in Practice – research operations how coordinators Deal with the issues ? Sonia Kleiner-Arje, CHRC, Executive Director, OffiCE Of CLiNiCAL RESEARCH ADMiNiSTRATiON, UMDNJ 9:30 Tactical Framework for a clinical Trial Billing audit 12 : 30 Lu n c h fo r co n f e r e n c e At t e n d e e s • Elements of an effective audit program • Identify the common areas of risk and issues that are usually 1:30 Nih/Grant requirements, Patient & sponsor Billing cited in an audit compliance and Other responsibilities • Summarize what some of the strategic options are for reducing risk • NIH Grant Requirements; Strategies for Compliant GrantActivities • Challenges in billing audits • Setting up and managing an effective billing compliance system; • Targeted audits by patient enrollment, third party payer, Case Study or study sponsor • Other Responsibilities of the Clinical Trial Administrative Office • Audit Scope and Objectives Robert Di vito, JD, CHRC, PiEDMONT HEALTHCARE, iNC. fred Herman, Research Compliance Manager, UNivERSiTY Of MARYLAND MEDiCAL SYSTEM Kevin Eskew, Managing Director, Healthcare, SNR DENTON US LLP 2 : 15 n e tWo r k i n g & r e f r e s h m e n t B r eA k 10:15 net Working & r e f r e s h m e n t B r eA k 2:45 Puzzled: ask the Proficient Professional Your Questions 10:45 CHOiCE OF TWO SESSiOnS on Billing compliance The Billing of Device Trials and Pre-Determination CHAiR: • Review the Medicare Billing Rules for Investigational Devices Kelly Willenberg, President, SYNERgiSM, LLC • Review Commercial Payer positions on paying for Investigational Devices PANELiSTS: • Understand the role of Pre-Determination in Investigational Deena Bernstein, Director of Clinical Research, Device Studies SHERiDAN CLiNiCAL RESEARCH • Learn about peer processes and workflows for pre-determination of clinical trials. Kathleen R Hurtado, R.Ph, President and CEO, HEALTH RESEARCH ASSOCiATiON, AN AffiLiATE Of THE UNivERSiTY Of SOUTHERN Jennifer Lanter, BSN, RN, CCRC, MSPH; Associate Director of the CALifORNiA Research Billing Office, OHiO STATE UNivERSiTY (tENtAtIVE) coding and Billing – The secrets of the Trade 4 : 0 0 co n f e r e n c e co n c Lu d e s • Billing Medicare for anything on a clinical trial patient • Billing Medicare for anything on a IDE Device trial; same rules? • How do Medicare Advantage patients fit in? Are they included? Terry Ann Cox, Clinical trials Financial Analyst, SHARP HEALTHCARE
  • 5. 5 CliniCal Billing & th ReseaRCh ComplianCe Five Ways to Register: Fees for attending the 5th Clinical Billing & Fax: 888-221-6750 Research Compliance Mail: ExL Events, inc. 555 8th avenue, suite 310 rEGisTEr BY JaNUarY 21sT, 2010 TO TaKE aDvaNTaGE OF OUr New York, NY 10018 EarLY PricE DiscOUNTs: Phone: 866-207-6528 academic, Non-Profit, Government rates Online: www.exlpharma.com main Conference only $995 main Conference, plus one Workshop $1195 Email: register@exlpharma.com main Conference, plus both Workshops $1395 corporate rates: main Conference only $1695 main Conference, plus one Workshop $1895 MEdia paRTnERS main Conference, plus both Workshops $1995 aFTEr JaNUarY 21sT, PriciNG is as FOLLOWs: academic, Non-Profit, Government rates main Conference only $1195 main Conference, plus one Workshop $1395 main Conference, plus both Workshops $1595 corporate rates: main Conference only $1895 main Conference, plus one Workshop $2095 main Conference, plus both Workshops $2295 GrOUP DiscOUNT PrOGraM: For every three simultaneous registrations from your company, you will receive a fourth complimentary registration to the program. To take advan- tage, please register online or call 888-207-6528. make checks payable to exl events, inc. and write code P244 on your check. You may also use visa, masterCard, discover or American express. Payments must be received by February 22, 2010 CANCELLATiONS: if you need to cancel your registration for an upcoming ExL con- ference, please note the following policies derived from the Start Date of the event: four weeks or more: A full refund (minus a $95 processing fee), or a voucher to another ExL event valid for two years from the voucher issue date. ONE TO fOUR WEEKS: A 50% refund, or a voucher to another ExL event valid for two years from the voucher issue date. WiTHiN THE LAST WEEK: A voucher to another ExL event valid for two years from the voucher issue date. To receive a refund or voucher, please fax your request to 888-221-6750. Please Note: Speakers and agenda are subject to change without notice. In the event of a speaker cancellation, every effort to find a suitable replacement will be made.
  • 6. 5th annual PROUDLY PRESENTS CliniCal Billing & ReseaRCh ComplianCe Exp. Date: PLEASE MENTION PRIORITY CODE: P244 Bringing together Research Sites and Trial 555 8th Avenue, Suite 310 Sponsors to Discuss Billing and Research Compliance Best Practices New York, NY 10018 REGISTER EARLY March 6-8, 2011 AND SAVE! hUTTON hOTEL Reserve your place by NashviLLE, TENNEssEE January 14th for Maximum Savings iNTrODUciNG OUr Name on Card Card Number chairPErsON FOr Signature 2010: SpEaKER paRTiCipaTiOn FROM THE FOllOWing KELLY WiLLENBErG, ORganiZaTiOnS: President, SYNERGISM, LLC Please contact me: I’m interested in marketing opportunities at this event COVENANT HEALTH register@exlpharma.com HEALTH RESEARCH ASSOCIATION I wish to receive email updates on ExL Pharma’s upcoming events www.exlpharma.com Yes! Register me for the Conference and Workshop: Zip HOSPITAL CORPORATION OF AMERICA MEADE AND ROACH 888-221-6750 SPONSORS: MEDSTAR HEALTH OHIO STATE UNIVERSITY State Title Fax PIEDMONT HEALTHCARE, INC. SHARP HEALTHCARE SHERIDAN CLINICAL RESEARCH Register me for the conference only SNR DENTON SYNERGISM New York, NY 10018 UMDNJ TO R E G I S T E R 555 8th Avenue, UNIVERSITY OF MARYLAND MEDICAL SYSTEM ExL Events, Inc. 866-207-6528 UNIVERSITY OF UTAH SCHOOL OF MEDICINE Suite 310 VANDERBILT UNIVERSITY MEDICAL CENTER VIRGINIA COMMONWEALTH UNIVERSITY Telephone Company Address Name Email Dept. City TO REgiSTER Call 866-207-6528 OR ViSiT US aT WWW.ExlpHaRMa.COM/Billing