This webinar will provide an in-depth review of enforcement actions taken by the HHS OIG over the previous two months. We will also briefly review the Anti-Kickback Statute (“AKS”), discuss any new safe harbors, and OIG Advisory Opinions that have been issued. Learning ObjectivesProvide attendees with an understanding of the Federal AKSProvide a perspective of how the Inspector General’s (OIG) office views ..
If you are in healthcare or work with those in healthcare, you need to understand HIPAA, the broadest and all-encompassing healthcare law of the 1990s and 2000s. From its Security Rules to Business Associate Agreements, from its COVID-based telehealth provisions to its antidiscrimination laws, HIPAA goes well beyond the common view that it is a law of “additional paperwork, whispering names in waiting rooms..
Access Point Case Management: Managing Your Routes of Entry While Maintaining Compliance with the 2-Midnight Rule
In this webinar we will explore the unique roles of the ED and admitting office and transfer center case managers and social workers and how an initial assessment and clinical review can better ensure that patient are placed in the correct setting right from the get-go. We will review the 2-midnight rule and the part that case management plays in managing it. This can better ensure a reduction in use of Con..
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. It will also provide the basic building blocks you will need to develop and maintain your company’s precious commodity, your reputation and eliminate exposure to fraud charges based on marketing practices. It will also cov..
Whether your employer is a clinic, a hospital, home health, or long term care; whether you are an MD, RN, an occupational therapist, a receptionist, or in the C-Suite, approximately 5% - 10% of your patients may be gay, lesbian, or bisexual. Additional patients may be transgender, intersex, or questioning their gender identity or sexual orientation. The healthcare needs of LGBT patients may appear to be the..
This program will review the compliance issues that most greatly impact your practice such as the 2-midnight Rule, the NOTICE Act, HINNs, the important message and others. The joint commission is now monitoring these issues when they have deemed status from medicare, so your compliance is critical to a good joint commission survey outcome.This program will help you to identify where you may have compliance ..
We will begin with a review of the prior rules and from there we will discuss the most recent changes from the Medicare program and how they will impact the roles of the RN case manager and the social worker. Learn how to be sure that your processes address the complexities of the new healthcare environment and that your role as a case manager or social worker is designed and staffed to meet the changes ahe..
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 set the stage properly. This session will provide the perspec..
Healthcare Data Analytics: Methods of Matching Scarce Resources with Uncertain Patient Demand, Optimized Budgeted Nursing Staffing with Random Patient Demand
Because of the inevitable variability of the patient census (uncertainty), the planned (budgeted) staffing is usually: (i) either not enough to deliver proper quality of care or (ii) is excessive, resulting in idle time for some employees and/or pay under contractual obligation for the idle time.This webinar is providing a methodology called the ‘newsvendor’ framework ..
This 90-minute webinar will discuss how practice/business managers (or compliance offers) can get their HIPAA house in order before an audit.It will also address changes under the Omnibus Rule, new congressional mandates, and any other applicable updates for 2023 and beyond along with changes relating to Covid and Information Blocking under the Cures Act (do’s and don’ts).There are an enormous amount of iss..
This program will discuss the Federal Anti-Kickback Statute, what it prohibits, its penalties, its scope and its exceptions. It will also discuss how the Medicare and Medicaid Patient and Program Protection Act of 1987 changed the Act and how it is administered. It will also discuss how the 1987 Act added protections for entities covered by the AKS. The program will also review guidance from the Department ..
The session will provide an overview of the Anti-Kickback Statute (AKS) and review what it prohibits, as well as review the Statute’s available safe harbors. It will also show how violation of the AKS can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially imp..
We will review the elements of the physician employment agreement that can cause the greatest problems, focusing on the pitfalls and the complications that can develop when the parties do not fully understand what is being agreed to. Such items as corporate practice, term and termination, termination for cause, duties of the physician, call, non-compete clauses, and compensation are all items that should be..
This webinar will be addressing the Roles and Responsibilities of a HIPAA Privacy and Security Officer There are an enormous amount of issues and risks for covered entities and business associates these days – we will speak to the most common violations and fines – and how to best avoid fines and headaches.HIPAA includes a Security Rule that establishes safeguards for organizations holding electronically-st..
This webinar will focus on cases and enforcement actions taken by the HHS OIG and its law enforcement partners in 2023. We will also briefly review the Anti-Kickback Statute (“AKS”), discuss safe harbors, particularly the new proposed safe harbor for coordinated care and associated value-based arrangements, and OIG Advisory Opinions that have been issued in 2023, as well as pertinent cases involving the AKS..