Preparing for New Off-Campus HOPD Requirements

Mandy Mori, Senior Manager

Mandy has worked in the health care industry since 2003, with an emphasis on working with health care executive leaders to drive strategic planning, service line optimization, and create sustainable financial growth.

Mandy brings a unique blend of business development expertise across a broad spectrum of service lines that is balanced by her expertise in operational improvement, revenue cycle, and physician relations. She specializes in assisting clients with strategic analysis and development of internally integrated and externally oriented strategic plans that assess market demand, identify service gaps, and build clarity on the long-range strategic direction.

Prior to joining Moss Adams, Mandy worked at some of the largest integrated health systems in the country and most recently led strategic planning for a $1.5 billion network of services for a health system in Northern California, driving growth and profitability in cardiovascular, oncology, orthopedics, digestive health, acute rehabilitation, wound care, and hyperbaric medicine. Her experience in working with health systems and physician groups give her the versatility and understanding of both sides of the aisle to help clients find solutions to the problems they face. 

Marisol Cooke, Director

Marisol has worked in the health care industry since 2007. She provides regulatory compliance in the health care and life sciences industries. She’s a trusted compliance advisor with experience developing and implementing regulatory and privacy programs for high-profile organizations. Marisol helps reduce and mitigate legal risks. Her experience includes leading the assessment of a health care organization’s global compliance program, ensuring alignment and compliance with the Office of Inspector General, Department of Justice, and Health Care Compliance Association Office of Inspector General (HCCA-OIG) Measuring Compliance Program Effectiveness. She’s led health care and life sciences companies in their regulatory operations transformation, including strategy workshops, process maps, roles and responsibilities, and standard operating procedures. Before joining the firm, Marisol worked for a top 10 accounting firm, served as a chief compliance officer for two health care organizations, and consulted for a Big Four firm.

Brian Restivo, Principal

Brian is a principal with Baker Tilly’s healthcare practice. He brings more than 10 years of experience in governmental reimbursement for three large integrated health systems to the firm. Experience Responsible for the leadership and strategic vision of corporate reimbursement, charge analysis and net revenue, including three direct management level reports and 20 indirect reports System lead for more than $250 million of federal COVID-19 funding, including CARES Act Provider Relief Funds, FEMA and Ohio Coronavirus Funds Subject matter expert on Medicare and Medicaid cost reporting and governmental reimbursement matters Responsible for providing oversight of the completion of eight year-end third party cost reports Worked collaboratively with the Graduate Medical Education Office to optimize cap building scenarios, affiliation agreements and completing financial analysis of adding new residency programs Interpreted and shared knowledge with hospital and system leadership on Medicare regulations for new teaching hospitals, critical access hospitals, sole community hospitals, urban hospitals and rural hospitals Responsible for preparation or supervision of multiple exhibits of third party cost reports for nine hospitals Created data warehouse to improve analyzing and reporting of data for the purposes of completing cost reports, audits, budgets and other third party governmental analysis Redesigned Disproportionate Share (DSH) processes to improve efficiency and increase reimbursement

Upon completion of this program, participants will be able to:

• Identify regulatory requirements impacting off-campus hospital outpatient departments, including provider-based attestation obligations and emerging billing transparency requirements.
• Differentiate between on-campus and off-campus outpatient locations and evaluate operational considerations associated with location classification and provider-based status.
• Assess potential compliance, enrollment, and billing risks associated with location-specific identifiers, provider-based documentation, and claim submission processes.
• Evaluate governance, documentation, and operational strategies that support organizational readiness for evolving Medicare and commercial payer requirements.

Advance preparation is not required. There is no cost to attend this webinar. 

CPE credit: One (1) hour total credit   
Level: Overview
Field of study: Specialized Knowledge
Target Audience: Health care professionals

A certificate of completion will be emailed to you four to six weeks after the event.    

For more information regarding administrative policies such as complaint and refund policies, please email [email protected]

Baker Tilly is registered with the National Association of State Boards of Accountancy as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: nasbaregistry.org.