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Kelly Grahovac

Kelly Grahovac

General ManagerThe van Halem Group

Kelly Grahovac serves as the General Manager for The van Halem Group where she focuses on audits, compliance, education, and resolving complex issues for clients in the post-acute care space. Kelly has over 20 years of experience working at one of the nation’s leading Medicare contractors and with The van Halem Group and is a known lecturer in the HH&H and HME industry, speaking at national conferences, state associations, and for private events. In addition, Kelly is a common contributor to a variety of industry publications and serves as a board member for both the South Carolina Medical Equipment Suppliers Association (SCMESA) and the Big Sky Association for Medical Equipment Suppliers (AMES). Kelly also serves on the National Supplier Clearinghouse Advisory Committee (NSCAC). 

 

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
Tue Mar 0311:15 AM – 12:45 PM122 A-C

AU05: Provider Enrollment Success…Does Your HME Make the Cut?

Whether you are new to the DMEPOS landscape, are planning to expand operations, or are even an existing supplier, keeping your provider enrollment fil…Whether you are new to the DMEPOS landscape, are planning to expand operations, or are even an existing supplier, keeping your provider enrollment file accurate and current is key to successful operations. An application denial can delay business ope…Whether you are new to the DMEPOS landscape, are planning to expand operations, or are even an existing supplier, keeping your provider enrollment file accurate and current is key to successful operations. An application denial can delay business operations while a PTAN revocation can completely stall cash flow. And, as the next round of competitive bidding approaches, suppliers that do not have proper licensure and reporting in PECOS may find themselves inable to meet program qualifications, leaving them disqualified to submit and participate in the program. The CMS considers provider enrollment a method to control fraud and abuse, which means it is even more critical to understand the information being reported…or not. In this session, resident provider enrollment experts Kelly Grahovac, Denise Leard, Lisa Wells, and Tim Safley will explain how to complete and report changes on your enrollment file to ensure interruptions to operations and cash flow don’t affect your HME business. Getting your business accredited is only step one. Learn how you can prepare for your CMS site inspection and pass with flying colors! Ensure your organization meets competitive bidding program qualifications. Time will also be spent reviewing common denial and revocation reasons.Show MoreClick the title to see all details

Panel (3 or more speakers; 90 min)Session TypeAudits and ComplianceSession Track
Kelly Grahovac
Denise Leard
Lisa Wells
Timothy Safley
Kelly Grahovac
Kelly GrahovacGeneral Manager, The van Halem Group
Denise Leard
Denise LeardShareholder/Attoney, Brown & Fortunato
Lisa Wells
Lisa WellsSenior Vice President, Med-South, Inc. & Affiliates
Timothy Safley
Timothy SafleyOwner, Safley Health Care Consulting
Kelly Grahovac
Kelly GrahovacGeneral Manager, The van Halem Group
Denise Leard
Denise LeardShareholder/Attoney, Brown & Fortunato
Lisa Wells
Lisa WellsSenior Vice President, Med-South, Inc. & Affiliates
Timothy Safley
Timothy SafleyOwner, Safley Health Care Consulting
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?:Lisa Wells, Denise Leard
Please include five learning objectives::Develop your "CBP Ready" enrollment file; Develop a 'game plan' for future site inspections; Explain the appropriate responses for proper reporting on the CMS-855S form; Identify common mistakes that result in denials, deactivations and revocations; recog