Back to Speakers
Mary Ellen Conway

Mary Ellen Conway

PresidentCapital Healthcare Group

Mary Ellen Conway is a nurse healthcare consultant and President of Capital Healthcare Group, a consulting company providing assistance to providers in the post acute arenas of home care, hospice, DME and pharmacy. As the former Chief Compliance Officer for a national provider located in Miami, she was responsible for compliance with products for treating diabetes and its comorbidities. She is know for her expertise in licensure and regulatory matters as well as accreditation and compliance.

Tue Mar 0310:00 AM – 11:00 AM122 A-C

AU01: 2026 TPE Update

With the relatively high DMEPOS CERT Error rate and the prevalence of Fraud, Waste and Abuse in our industry, audits will not go away anytime soon. Ta…With the relatively high DMEPOS CERT Error rate and the prevalence of Fraud, Waste and Abuse in our industry, audits will not go away anytime soon. Targeted Probe and Educate is the program pimarily used by the DME MACs for auditing. This session wil…With the relatively high DMEPOS CERT Error rate and the prevalence of Fraud, Waste and Abuse in our industry, audits will not go away anytime soon. Targeted Probe and Educate is the program pimarily used by the DME MACs for auditing. This session will cover the process used by all four DME MACs.  Learn what current items are that the DME MACs are auditing and compare the processes that CGS and Noridian use. Hear what each is focusing on and where they are seeing success. Understand what you need to know about ech round and the consequences.Show MoreClick the title to see all details

Collaborative (2 speakers; 60 min)Session TypeAudits and ComplianceSession Track
Mary Ellen Conway
Mary Ellen ConwayPresident, Capital Healthcare Group
Kelly Grahovac
Kelly GrahovacGeneral Manager, The van Halem Group
Allow Registration:No
Capacity Unlimited:Yes
Do you feel as though there is a topic missing?:No
If yes, who would you recommend as your fellow panelist?:You assign
Please include five learning objectives::1. Understand the process for TPEs, what each “round” involves, how to mitigate your risks and how to respond. 2. Learn what the DME MACs report as the products being audited, their volume of TPEs and what their reasons for denials have been. 3. Review th