When

March 1-4, 2021

Where

Phoenix Convention Center
North Building

Presented by Seim Johnson with special guest speakers from the Centers for Medicare & Medicaid Services’ Provider Enrollment and Oversight Group

The Medicare Provider Enrollment Compliance Conference (MPECC), is a 3-1/2-day event providing the most comprehensive, in-depth, valuable guidance available on enrolling as a Medicare provider and/or supplier, maintaining enrollment privileges and the compliance risks associated with it.

MPECC features keynote sessions and panel discussions with Centers for Medicare & Medicaid Services (CMS) officials.

MPECC is presented by Dennis Grindle and Gretchin Heckenlively of Seim Johnson, the nation’s foremost experts on Medicare provider enrollment. Special guest speakers include leadership of the CMS Provider Enrollment and Oversight Group. You will get the most up-to-date guidance and hear directly from CMS on the latest changes to Medicare provider enrollment, including the new Final Rule on Program Integrity Enhancement to the Provider Enrollment Process.

This event also provides direct access to CMS officials, representatives from the Medicare Administrative Contractors (MACs), and the PECOS development contractor, at designated stations directly outside the meeting space.

Who Should Attend
► Billing, credentialing, and any other staff, at provider organizations responsible for completing the Medicare provider enrollment forms
► Provider and supplier organizations, including: physician practices, hospitals, home health agencies, SNFs, rural health clinics, federal qualified health centers, ambulatory surgery centers, independent diagnostic testing facilities, and many others
► Physicians and non-physician practitioners

Speakers

Zabeen Chong

Director, CMS Provider Enrollment and Oversight Group

Zabeen Chong serves as the Director for the Provider Enrollment and Oversight Group in the Center for Program Integrity at CMS. Zabeen is responsible for leading initiatives to streamline provider screening and enrollment for over two million providers and implementing policies and systems to prevent fraud and abuse in the Medicare and Medicaid programs. This includes the development of Medicare and Medicaid provider enrollment operating policy and procedures, enumeration of provider applicants, oversight of the Provider Enrollment Chain & Ownership System, and providing outreach and education to the provider community. She is also responsible for the identification of vulnerabilities and implementation of administrative action processes directed at protecting Medicare and Medicaid provider enrollment. Prior to her current position, she served as the Director of the Website Project Management Group in the Office of Communications at CMS where she led the redesign and implementation of new technologies onwww.medicare.gov and www.cms.gov as well as other web-based initiatives critical to advancing CMS’ mission and operations. Zabeen has a Master’s degree in Information Technology from the Johns Hopkins University and has worked at CMS for over 15 years.

Charles Schalm

Deputy Group Director, CMS Provider Enrollment and Oversight Group

Charles Schalm serves as the Deputy Director for the Provider Enrollment & Oversight Group at the Center for Program Integrity at CMS. He is responsible for overseeing the screening, enrollment, and implementation of enforcement actions for over two million providers and suppliers that serve over 59 million Medicare beneficiaries.

Prior to joining CMS in 2011, Charles spent over 10 years as a Program Integrity Director for federal Medicare contracts, and eight years in the private sector working with Medicaid managed care organizations in Pennsylvania and Michigan. Charles graduated from Duquesne University in Pittsburgh, PA where he studied business and forensic investigation. He previously served on the Western Pennsylvania Healthcare Drug Taskforce where federal agencies and private organizations came together to tackle the onset of the opioid epidemic. A frequent guest speaker at conferences, Charles represents CMS enrollment and enforcement initiatives, and promotes compliance within the Medicare and Medicaid programs.

Vani Annadata

Director of the Division of Enrollment Systems, CMS Provider Enrollment and Oversight Group

Vani Annadata serves as the Director of the Division of Enrollment Systems within the Provider Enrollment and Oversight Group in the Center for Program Integrity at CMS. She is responsible for overseeing the National Medicare Provider Enrollment System (PECOS), the National Plan & Provider Enumeration System (NPPES) and the provider enrollment screening system.  Vani has been with CMS for eight years.  She has an extensive background in software and systems development for over 15 years in private sector and holds a degree in Engineering.

Alisha Sanders

Director for the Division of Enrollment Operations, CMS Provider Enrollment and Oversight Group

Alisha Sanders services as the Director for the Division of Enrollment Operations within the Provider Enrollment and Oversight Group in the Center for Program Integrity at CMS. She is responsible for developing enrollment policies and procedures across the Medicare and Medicaid programs and working with the Medicare Administrative Contractors (MACs), State Medicaid programs and other stakeholders on provider enrollment and program integrity related issues.  Alisha has over 20 years’ experience in Medicare provider enrollment.

Kristin Cooper

Revocations Lead, Division of Enrollment Actions, CMS Provider Enrollment and Oversight Group

Kristin Cooper is the Revocations Lead in the Division of Enrollment Actions within the Provider Enrollment and Oversight Group in the Center for Program Integrity at CMS. She is responsible for the implementation of administrative actions such as revocation and deactivation. Kristin has been with CMS for 4 years, after graduating from the University of Maryland, Baltimore County with a degree in Health Administration and Public Policy in 2015.

Conference Schedule

Agenda is subject to change

February 28, 2021 5:00 - 6:00 pm
Registration and Check-in

Beat the rush in the morning and drop by the North Ballroom Lobby to register or check-in and pick up your badge.

7:00 am - 07:50 am

Registration and Check-In


7:50 am - 8:00 am

Welcome

Dennis Grindle

8:00 am - 10:30 am

Medicare Provider Enrollment Basics

Gretchin Heckenlively

10:30 am - 10:45 am

Coffee Break


10:45 am - 12:15 pm

Medicare Provider Enrollment Basics (continued)

Gretchin Heckenlively

12:15 pm - 1:45 pm

Lunch (on your own)


1:45 pm - 3:45 pm

Know the Enrollment Risks and Consequences – and How to Mitigate Them

Dennis Grindle and Gretchin Heckenlively

3:45 pm - 4:00 pm

Afternoon Refreshment Break


4:00 pm - 5:15 pm

Uncover Medicare Billing Compliance Pitfalls Hidden in Enrollment Forms

Dennis Grindle

5:15 pm - 5:30 pm

Q&A Session


7:00 am - 7:50 am

Registration and Check-In


7:50 am - 8:00 am

Welcome to CMS Officials

Dennis Grindle

8:00 am - 10:00 am

CMS Keynote: Present and Future of Provider Enrollment

Zabeen Chong and Charles Schalm

10:00 am - 10:30 am

Meet with Your Medicare Administrative Contractor (MAC), CGI Federal (PECOS), and CMS


10:30 am - 12:00 pm

CMS Keynote (Continued)


12:00 pm - 1:30 pm

Lunch (on your own)


1:30 pm - 2:30 pm

Guidance on CMS’ New Final Rule on Program Integrity Enhancements to the Provider Enrollment Process

Charles Schalm and Kristin Cooper

2:30 pm - 3:30 pm

Medicare Revalidations: Steps to Take to Protect Your Medicare Billing Privileges

Gretchin Heckenlively

3:30 pm - 4:00 pm

Meet with Your Medicare Administrative Contractor (MAC), CGI Federal (PECOS), and CMS


4:00 pm - 5:00 pm

Panel Q&A: Ask Your Toughest Questions

Zabeen Chong, Charles Schalm, Dennis Grindle, and Gretchin Heckenlively

5:00 pm - 6:30 pm

Welcome Reception


8:00 am - 10:00 am

PECOS I&A Surrogacy Access: What You Need to Know to Get Your Organization and Practitioners Established

Gretchin Heckenlively and Vani Annadata

Breakout Session: Room North 120A
8:00 am - 10:00 am

Medicare’s Provider-Based Regulations

Dennis Grindle and Alisha Sanders

Breakout Session: Room North 120B
10:00 am - 10:30 am

Meet with Your Medicare Administrative Contractor (MAC), CGI Federal (PECOS), and CMS


10:30 am - 11:30 am

Preventing the Most Common Medicare Enrollment Gaffes

Dennis Grindle and Gretchin Heckenlively

11:30 am - 1:00 pm

Lunch (on your own)


1:00 pm - 3:00 pm

Expert Guidance on Completing Form CMS-855B

Dennis Grindle, Gretchin Heckenlively and CGI representative

3:00 pm - 3:30 pm

Meet with Your Medicare Administrative Contractor (MAC), CGI Federal (PECOS), and CMS


3:30 pm - 4:15 pm

Expert Guidance on Completing Form CMS-855S

Dennis Grindle, Gretchin Heckenlively and CGI representative

4:15 pm - 5:00 pm

Panel Q&A: Ask Your Toughest Questions

Zabeen Chong, Charles Schalm, Dennis Grindle, and Gretchin Heckenlively

8:00 am - 10:15 am

Expert Guidance on Completing Form CMS-855I&R

Dennis Grindle and Gretchin Heckenlively

10:15 am - 10:30 am

Coffee Break


10:30 am - 12:00 pm

Expert Guidance on Completing Form CMS-855A

Dennis Grindle and Gretchin Heckenlively

12:00 pm

Adjourn


Registration

$ 1,295

Early Bird Registration

Through February 1, 2021

 

Register Now

$ 1,495

Regular Registration

After February 1, 2021

Plan Your Trip

The Medicare Provider Enrollment Compliance Conference will be held at the Phoenix Convention Center, North Building, in downtown Phoenix, Arizona. The General Sessions will be held in the North Ballroom – 120A. Breakout Sessions will be in the North Ballroom – 120A and 120B.

Venue

Phoenix Convention Center

The convention center is just four miles from Sky Harbor International Airport. You’ll have multiple transportation options, including shuttles, taxis, sedans or the Metro Light Rail, which has dedicated stops at the Convention Center.

Once you’re here you can walk to almost everything you’ll need. Walk a few blocks in any direction and you’ll find dining, entertainment, shops and cultural attractions. You’ll find downtown Phoenix a walkable welcoming city.

100 N 3rd St Phoenix, AZ 85004

Nearby Accomodation

Hotels

There are more than 3,000 hotel rooms in downtown Phoenix that are within walking distance of our front doors and more than 6,000 hotel rooms located along the light rail system. Getting to your hotel via the Light Rail is fast and easy as it directly serves the Convention Center and Sky Harbor International Airport.

When you register for the conference, be sure to book your hotel. We recommend using a website, such as TripAdvisor, to search for the hotels nearest the Convention Center.

100 N 3rd St Phoenix, AZ 85004

Dining

There are more than 150 restaurants within walking distance of the convention center. A half dozen restaurants within walking distance have appeared on national food shows. Plus, you’ll find some local gems serving fresh farm to table options. Ask an Ambassador or Venue Host for suggestions to one of the many options available.