This webinar will provide an in-depth understanding of the Federal False Claims Act, Federal Anti-Kickback, and Stark laws, and discuss how marketing activities can trigger either or both.This program will review the Federal False Claims Act and its various elements. It will examine what it covers and how it works, what is required to prove a false claim, who can bring an action under the Act, its damages, ..
Disruptive activity by practitioners in the hospital takes many forms. When it happens, it is important that the hospital and/or the medical staff take appropriate steps to see that it does not affect patient care or disrupt operations.Most disciplinary policies are progressive. A progressive policy applies increasingly more severe sanctions to additional incidents of bad behavior. It is very im..
Because the Anti-Kickback Statute is so broad it what it proscribes, healthcare organizations, conducting what would be normal marketing activities in other industries, have run afoul of the Statute on numerous occasions. The Statute and the regulations only tell part of the story. This program will review not only the Statute and its safe harbors, but will provide an in-depth overview of OIG guidance and a..
A Leer, A Pat, A Joke, A Gesture, An Innuendo, A Kiss: Are You Prepared To Be the Next Social Media Blitz, Identified on #MeToo, or a Headline in the Newspaper?
Harvey Weinstein, Matt Lauer, Charlie Rose, Al Franken, Garrison Keillor, members of Congress, and various State lawmakers have been accused of sexual harassment and/or sexual assault. But there is a difference between pulling one’s pants down in front of a female colleague at work and touching a woman on her buttocks during a photo op—isn’t there? What is that difference? Are both examples considered sexua..
A whistleblower or qui tam action can provide financial rewards to individuals who provide information that a company, hospital or individual has defrauded the government. The primary statutes under which this relief may be sought are the federal and state False Claims Acts (“FCAs”). State and federal governments pay hundreds of billions of dollars each year for pharmaceutical drugs, medical devices, hospit..
Infection Prevention Across the Construction Continuum: The Need for Planning for Renovation and Maintenance
Healthcare facilities continue to undergo a transformation as service lines and patient populations change. Construction, renovation, and maintenance of facilities provide legal, regulatory, business and ethical responsibilities to design, construct and maintain a safe environment for patients, their family, staff, and practitioners. An infection prevention risk assessment document provides guidelines for m..
As case managers, we must be aware of the myriad of compliance issues that we must adhere to in our daily practice. Never has this been more important to our work as case managers then it is now. Our ability to remain compliant has become an element of audits from accrediting bodies such as the Joint Commission as well as the Centers for Medicare and Medicaid Services (CMS). It is the right thing to do for ..
E-Mailing, Texting, and the Use of Personal Devices by Health Care Professionals – HIPAA and Privacy Myths vs Reality
This informative webinar begins with the most basic of questions: Does the HIPAA Privacy Rule permit health care providers to use e-mail to discuss health issues and treatment with their patients?Find out the answer and examine how the privacy rules of HIPAA allow covered entities and health care providers to communicate electronically, such as through e-mail or texting, with their patients and with o..
This program will review the current rules and regulations from the Conditions of Participation (CoP) for Discharge Planning. The CoP is the legal and regulatory requirements that hospitals and case management professionals must follow in order to be compliant in their role as discharge planners. This will be followed by a review of the changes to the Conditions of Participation for Discharge Planning that ..
This webinar is an informative trip into the world of sexual misconduct in the various mental health professions. Learn the most common, strict laws that apply to protect the patient, the staff of the therapist, and sometimes even the therapists themselves from sexual misconduct. Examine case law from the courts where state licensure boards have sanctioned the therapist for crossing that sacred line between..
Access point case managers reside in emergency departments, admitting offices and transfer centers. Among their roles is to ensure that patients are placed in the right level of care upon admission. With the advent of the 2-midnight rule, this role has never been more important. In addition, they are vital in assisting in readmission reduction, discharge planning, and patient flow.In this webinar, we will e..
This webinar provides an overview of core privacy requirements of HIPAA. Then, the subject moves to the social media activities of healthcare practitioners. This webinar provides a brief summary of those basic HIPAA privacy protections then goes into detail on the many ways a health care provider may run afoul of the privacy exceptions via the use of social media. This may occur both when a healthcare pract..
While the basics of HIPAA privacy are well known, and while health care practitioners know how to maintain privacy and to keep the information confidential, fear exists in not knowing the many exceptions enjoyed by law enforcement as used for government or public purposes. These exceptions not only allow but require a health care practitioner to release information. Uncertainty exists when faced with a high..
It sometimes becomes necessary for the medical staff to recommend to the governing board that the medical privileges of a practitioner either be removed or denied. Before such an adverse action is taken, it is very important that the practitioner is afforded due process. That requires planning. It is extremely important to have set the stage properly. This session will provide the perspective of a hearing o..
When contemplating the use of a supplier you would normally have many requirements and expectations that must be met. These include technical, regulatory, quality, responsiveness, location, readiness, and those less defined but critical. One of the tools at your disposal to verify the supplier’s acceptability is to audit its operation. This webinar is designed to provide the participants a working knowledge..