Hospital Management
The Anti-Kickback Statute: 2023 - Year in Review
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..
The Anti-Kickback Statute: Enforcement Actions Over the Past Two Months
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 ..
The Disruptive Physician Practitioner: A Danger to the Hospital’s Operation
Most disciplinary policies are progressive. A progressive policy applies increasingly more severe sanctions to additional incidents of bad behavior. It is very important that the organized medical staff have a disruptive practitioner policy. This webinar will discuss the development of such a policy, including what it should include, and how it should be implemented. It is also important to understand what ..
The Federal False Claims Act: Enforcement and Recent Updates
The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works. It will also provide an assessment of enforcement activities, showing how healthcare providers may be at risk. In addition, the session will review recent cases and show how they potentially impact healthcare providers.We will start with a review of the Federal False Claims Act and discuss how it works and how..
Two sides of the same coin - Understanding The Importance of our Fear and Value System
In this interactive and informative session, participants will:Understand the Science of EmotionsUse the Optimal Health Pyramid as a Framework to Evaluate Health Learn the Funnel Theory of Fear Understand the Difference Between Values and Identity Much time is spent on understanding our physical health and the role of disease. Less time is spent understanding our mental health and even fewer appreciate the ..
Utilization Management: Rules, Regulations, and How To’s
The Centers for Medicare and Medicaid Services (CMS) provides us with two conditions of Participation that apply to the work of case management professionals. These include the Conditions of Participation for Discharge Planning and the Conditions of Participation for Utilization Review. This webinar will focus on these rules as they apply to the role of utilization review. In order for case management depar..
Best Practice Case Management Roles and Functions: How to Optimize RN and Social Worker Skill Sets
This session will discuss the roles and functions of staff in a case management department that are needed to support the department’s goals through collaborative professional processes. The skill sets and characteristics for the role of the RN case manager and the social worker will be reviewed, as well as identifying the most contemporary functions needed to respond to changes brought on by healthcare ref..
Beyond HIPAA: Patient Medical Records and Client Confidentiality in Mental Health
Learn to identify and apply differing and conflicting rules with respect to the specific health care practitioner, the specific health care facility practice, and the emerging rules and regulations for electronic medical records confidentiality, security, and disposition. In addition to these clinical requirements of a specific profession, additional state laws set forth the content and retention of other t..
Breach Response Training
The topic is breaches of the impermissible use or disclosure of protected health information and for state law, personal information. A breach risk assessment is required with 4 questions that must be addressed. We will review the breach risk assessment, identifying a breach, no breach is too small to review and report, and what to do when a major breach (500 records) or more is involved. With a major b..
Care Coordination: An Important Case Management Role for Managing Cost and Length of Stay
In an era of value-based purchasing, this role is more important than ever in managing metrics such as the Efficiency Measure and Readmission Reduction. It is also critical in a bundled payment environment or accountable care organization. Learn how to incorporate this role into your daily routine using best practice strategies.This program will review the elements that most greatly impact cost and length o..
Case Management: Find and Fix Your 2019 Compliance Gaps
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 than 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 ..
Compliance Measures for Case Management Professionals
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 ..
Compliance Measures for Case Management Professionals in the Acute Care Setting
This program will review the compliance issues that most greatly impact your practice as a case management professional such as the 2-midnight rule, the NOTICE Act, HINNs, The Important Message, and others. Do you have a utilization review committee and is it compliant with the Conditions of Participation for Utilization Review? Are you compliant with the Federal rules for discharge planning? Case managemen..
Compliance with the OSHA Bloodborne Pathogens Standard in Healthcare Settings
Healthcare facilities struggle with compliance for the OSHA Bloodborne Pathogens Standard, especially with the newer requirements from the Needlestick Safety and Prevention Act. This session will be delivered by a former OSHA National Bloodborne Pathogens Coordinator and will give you first-hand experience regarding some of the mistakes that healthcare facilities make that result in citations and fines. It ..
Coronavirus and Influenza
As this promotion reached our website, the Coronavirus is sweeping around the globe. Millions are quarantined in Chinese cities, where untold thousands are infected and the acknowledged death toll is climbing into four figures. Thousands of passengers and crew members are under lockdown on luxury cruise ships off the coasts of Japan and New Jersey. And the first cases have been reported in New York City.Ens..