Gail Madison Brown

Chief Clinical Trials Officer, UTHSCSA

Gail Madison Brown is a registered nurse and an attorney with over 25 years of experience in health care. For the last 15 years she has focused on health care compliance and revenue cycle management operations. Gail’s experience ranges from starting new compliance programs and making improvements to existing programs for physician practices to large health care organizations. Gail also has provided numerous lectures to healthcare providers, executives and professional colleagues.

Gail Madison Brown will develop, implement, and oversee processes, systems, educational programs, and other activities necessary to support and grow clinical trials activities at the UT Health Science Center. The Chief Clinical Trails Officer (CCTO) provides overall strategic leadership in this area including planning, goal setting, and monitoring organizational performance to ensure cost effectiveness and high quality programs.



  •  Thursday, April 6, 2017
  • 10:00 AM PST | 01:00 PM EST,
  • 60 Minutes
  • ¤139.00
OIG Work Plan 2017 - Hospital and Physician Audit Activities

Our discussion will provide a summary of all audit and enforcement activities in the 2017 Work Plan, with a focus on new or revised hospital risk areas such as:

  •  Tuesday, April 18, 2017
  • 10:00 AM PST | 01:00 PM EST,
  • 60 Minutes
  • ¤139.00
Medicare Part C & D Compliance Requirements for FDR "1st Tier, Downstream and Related Entities". FDR and Sponsor Roles and Responsibilities

Our discussion will cover CMS compliance requirements for Medicare Parts C & D sponsors, as well as responsibilities of the sponsors FDR's "1st Tier, Downstream and Related Entities". We will discuss best practices for ensuring all criteria are met, documented and shared by the FDR's with their sponsors. Brief discussion regarding repercussions for non-compliance with the CMS requirements will be conducted. As well as advice on how to proactively negotiate compliance requirements into your managed care agreements.

  •  Thursday, May 11, 2017
  • 10:00 AM PST | 01:00 PM EST,
  • 60 Minutes
  • ¤139.00
CMS CERT "Comprehensive Error Rate Testing" -Effects on Reimbursement, Trendings and Prevention Strategies

CMS oversees the CERT program. The objective of the CERT program is to estimate the accuracy of the Medicare FFS program by conducting improper payment measurements.

  •  Tuesday, May 23, 2017
  • 10:00 AM PST | 01:00 PM EST,
  • 60 Minutes
  • ¤139.00
Claims Adjustment Reason Codes "CARC" and Remittance Advice Remark Codes "RARC" Impact - How to Effectively Manage Denials

Claim denials results in nonpayment, which in return results in a lack of cash flow. This impacts all healthcare providers, but may significantly impact smaller practices. Denials also affect practices, as additional resources and cost may be required to address denials. Even after much effort it may be too late to appeal a denial, resulting in a permanently denied claim. Attendees will learn how to better identify denials, understand CARC and RARC's and their impact on denials.





  • Recorded
  • View Anytime
  • ¤179.00
Office of Civil Rights "OCR" is sending Audit Screening Questionnaires to Covered Entities Now. Next Steps and How to Comply.

Participants will understand the importance of responding to the OCR pre-audit requests and how to respond. Our discussion will cover how to prepare for an anticipated OCR HIPAA privacy audit, by discussing how to conduct an internal self-assessment of your privacy program. We will discuss how to conduct the self-assessment, whether it be the need for policies, procedures or obtaining all of your business associates information.

  • Recorded
  • View Anytime
  • ¤179.00
OIG Work Plan 2017 - Hospital and Physician Audit Activities

Our discussion will provide a summary of all audit and enforcement activities in the 2017 Work Plan, with a focus on new or revised hospital risk areas such as:

  • Recorded
  • View Anytime
  • ¤179.00
Medicare Part C & D Compliance Requirements for FDR "1st Tier, Downstream and Related Entities". FDR and Sponsor Roles and Responsibilities

Our discussion will cover CMS compliance requirements for Medicare Parts C & D sponsors, as well as responsibilities of the sponsors FDR's "1st Tier, Downstream and Related Entities". We will discuss best practices for ensuring all criteria are met, documented and shared by the FDR's with their sponsors. Brief discussion regarding repercussions for non-compliance with the CMS requirements will be conducted. As well as advice on how to proactively negotiate compliance requirements into your managed care agreements.

  • Recorded
  • View Anytime
  • ¤179.00
CMS CERT "Comprehensive Error Rate Testing" -Effects on Reimbursement, Trendings and Prevention Strategies

CMS oversees the CERT program. The objective of the CERT program is to estimate the accuracy of the Medicare FFS program by conducting improper payment measurements.