Is your revenue cycle under increased attack? Are your providers working harder and collecting less? Payers are increasingly using downcoding and other subtle tactics to reduce your revenue — often without practices realizing until it’s too late. Traditional canned reports can’t keep up. This session shows practice leaders how to build targeted emails, dashboards, and spreadsheets that help busy managers spot revenue leaks before they become financial floods. Attendees will explore practical strategies to track and respond to downcoding, denial trends, and other hidden threats to your practice’s finances. Through an interactive discussion and real-world examples from practices across the country, attendees will see how to identify, fix, and follow up on current challenges in revenue cycle management. They will leave with concrete ideas and tools to monitor the right indicators at the right time, and to respond proactively to today’s revenue cycle threats and opportunities.  

• Analyze revenue cycle data sources to detect early indicators of leaks from downcoding, denials, underpayments, and other payer behaviors 
• Organize dashboards, emails, and spreadsheets that surface key metrics in real time
• Test new tracking and reporting approaches from real-world examples at other practice

 

Nate Moore, CPA, MBA, FACMPE speaks, consults, records, and writes about business intelligence in medical practices throughout the country.  Nate’s two books are MGMA best sellers.  Nate’s weekly BIG Ideas from the Business Intelligence Guy podcast has plenty of ideas to your practice better.  His consulting focuses on using SQL Server to mine and leverage medical practice data into actionable knowledge. 

 

 

The health law regulatory environment continues to change rapidly. This health law update will cover major regulatory, enforcement, and reimbursement developments. The presentation will highlight intensified federal and state fraud‑and‑abuse enforcement, emerging liability risks (e.g., AI technologies), and continued financial pressures due to the evolving legal landscape.

Learning Objectives: By the end of this presentation, participants will be able to:

• Identify key recent developments in health care laws, regulations, and reimbursement policies impacting provider and physician organizations, including federal and state enforcement trends.
• Assess emerging legal and regulatory risks associated with new technologies, including artificial intelligence and digital health tools.
• Evaluate how ongoing legal and policy changes may contribute to financial and operational pressures for medical practices operating in Washington and Oregon.
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Andrew Schillinger is a health care attorney with Foster Garvey PC where he advises organizations across the health care landscape. His work spans hospital systems, physician groups, academic medicine networks, and a broad range of clinical therapy practices.

Andrew’s practice focuses on guiding health care organizations through complex regulatory, compliance, and transactional matters. He regularly advises on Medicare and Medicaid reimbursement, fraud and abuse laws, and enforcement issues involving the Anti‑Kickback Statute, False Claims Act, and the Physician Self‑Referral Law (Stark Law). He also counsel’s clients on EMTALA obligations, HIPAA and other privacy and security requirements, health care contracting, and graduate medical education programs.

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Mikaela Louie assists health care facilities and providers with managing the regulatory environment, allowing them to focus on offering quality care and access to their patients and communities.

Mikaela’s practice is devoted to helping hospitals and health care providers on a wide range of matters, including regulatory compliance, health information privacy, data security, fraud and abuse, contracting, licensing, certificates of need, and governance. She also has experience representing health care providers at all levels of the Certificate of Need process, including related litigation.

Prior to joining Foster Garvey PC, Mikaela was a judicial extern for Justice Mary Yu of the Washington State Supreme Court. Before law school, she worked as a consultant and trainer for a variety of health care institutions from FQHCs to government health agencies and private hospital systems.

 

 

Cybersecurity can often feel overwhelming, overly technical, or disconnected from day-to-day healthcare operations. This session takes a different approach—focusing on what healthcare leaders actually need to know to protect their organizations, their teams, and their patients in an increasingly digital world.

 

Delivered by a former FBI agent with firsthand experience investigating real cybercrimes, this session brings clarity to a topic that is too often buried in jargon. Through compelling, real-world case examples, you’ll see exactly how cyberattacks happen, why healthcare organizations are prime targets, and where common vulnerabilities exist—often in places leaders don’t expect.

This session isn’t about firewalls and code—it’s about leadership, awareness, and smart decision-making. Walk away with the confidence to ask better questions, guide your team more effectively, and protect what matters most.

What You’ll Take Away:

• A Clear View of Your Risk Landscape: Understand where healthcare organizations are most vulnerable—from employee behavior to remote work environments—and why attackers target them.

• Real-World Lessons from FBI Cases: Learn how cybercriminals think, operate, and exploit gaps—so you can anticipate and prevent similar threats in your organization.

• Leadership’s Role in Cybersecurity Culture: Discover how to influence staff awareness, accountability, and behavior to create a stronger first line of defense.

• Response Readiness: Know what to do—and what not to do—if a cyber incident occurs, so you can act quickly, minimize damage, and support recovery.

 

FBI Special Agent (Ret.) - "FBI John",  John Iannarelli was an FBI Special Agent for more than 20 years, during which time he served as the FBI’s National Spokesperson, was a member of the FBI Cyber Division Executive staff, was on the FBI SWAT team, and was an Assistant Special Agent in Charge overseeing all Criminal, Cyber, and Counter Intelligence Investigations.

A frequent on-air law enforcement contributor for the national news media, John is an NSA Certified Speaking Professional (CSP®) who presents on safety and security topics in both the cyber and physical worlds.

He shares his extensive experience through intriguing storytelling and his unique sense of humor, ensuring audiences are informed and entertained. John has presented to Fortune 500 companies, domestic and international audiences, the United Nations, and even at the Vatican, where he met personally with Pope Francis, sharing his insights and recommendations.

 

 

 

Elizabeth A. Delahoussaye, RHIA, CHPS, Chief Privacy Officer, Sharecare brings nearly 30 years of healthcare experience to her role as Chief Privacy Officer at Sharecare. She has been recognized by Becker’s Hospital Review as one of the Women in Health IT to Watch and, in 2022, as one of the Women Power Players in Health IT. She is also an active leader in the industry, serving as President of the Tennessee Health Information Management Association (July 2024–June 2025) and currently as a member of AHIMA’s House of Delegates.

At Sharecare, Elizabeth oversees privacy practices across the enterprise, helping healthcare organizations and patients navigate today’s complex data landscape with confidence and trust

 

 

Healthcare environments are built on trust, compassion, and accessibility—but those same qualities can also create unique vulnerabilities. This powerful, real-world session moves beyond headlines to equip healthcare leaders with the insight and practical strategies needed to protect their teams, patients, and facilities in the face of an active shooter threat.

Led by a seasoned former FBI agent and law enforcement professional with firsthand experience responding to multiple high-profile mass casualty events, this session offers a rare, behind-the-scenes perspective into how these incidents unfold—and, more importantly, how they can be prevented or mitigated.

Through compelling case studies and expert analysis, attendees will gain a deeper understanding of behavioral warning signs, pre-incident indicators, and the critical moments where intervention can make the difference between escalation and prevention.

This session delivers actionable guidance you can bring back to your organization—helping you strengthen policies, train staff, and foster a culture of vigilance without fear.

What You’ll Take Away:

• Early Intervention Strategies: Learn how to recognize behavioral red flags and warning indicators that may signal a potential threat—before it becomes a crisis.

• Preparedness Planning for Healthcare Settings: Understand how active shooter scenarios uniquely impact hospitals and clinics, and how to prepare your teams accordingly.

• Real-Time Response Tactics: Gain clear, practical steps your staff can take during an incident to protect themselves and others.

• Leadership Confidence in Crisis Situations: Walk away better prepared to lead decisively under pressure and implement protocols that save lives.

 

 

Join Heather Edwards, Director of Risk Management from Physicians Insurance, as she brings into focus why addressing and providing guidance on social media usage by staff is no longer optional but essential in healthcare leadership. In an increasingly connected world where online conversations have influence, recognizing the impact of social media is critical to managing risk and reputation and staying ahead of issues that can carry over from the digital landscape to have very real-world implications.

Heather Edwards, RN, CPH, is a healthcare risk management professional with more than two decades of clinical and quality experience. As Director of Risk Management at Physicians Insurance, she works with physicians, healthcare leaders, and medical practices to identify emerging risks, strengthen patient safety practices, and reduce professional liability exposure.

In her current role, Heather provides education, consultation, and resources to healthcare organizations on topics such as malpractice prevention, documentation practices, patient safety, and operational risk mitigation. She regularly works with healthcare teams to implement proactive strategies that support safer care delivery and reduce liability risk.

Heather is a Registered Nurse (RN) and holds the Certified Professional in Healthcare Quality (CPHQ) credential. She is passionate about helping healthcare organizations build cultures of safety and resilience while navigating an increasingly complex healthcare risk and regulatory environment.

Session 3-02

 

Session 3-03