Hospitals, Medical Staffs and the New National Practitioner Data Bank Reporting Issues

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Elizabeth Snelson, Esq.
Event Date : 04/18/2019
Time: All Day Long
Duration :60 minutes

Since the early 1990s, hospitals have been required to report certain adverse actions taken against physicians to the National Practitioner Data Bank. Also, hospitals must file a National Practitioner Data Bank report on any physician’s surrender of privileges if an investigation is underway, when no action has been taken by the hospital medical staff. This … Continue reading Hospitals, Medical Staffs and the New National Practitioner Data Bank Reporting Issues

Paying for Referrals: A Danger to Your Freedom

$251$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 04/10/2019
Time: All Day Long
Duration :60 minutes

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 … Continue reading Paying for Referrals: A Danger to Your Freedom

Arthroscopy & Replacement of Hip and Knee

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Event Date : 05/22/2019
Duration :60 minutes

Joint replacements and arthroscopic surgery are two areas that insurance carriers spend a lot in reimbursement for their members. Because of this, insurance carriers are continually changing guidelines and policies on the coverage of these procedures. Center for Medicare or Medicaid Services (CMS) recognizes that joint replacement surgery is reserved for patients whose symptoms have not responded to … Continue reading Arthroscopy & Replacement of Hip and Knee

Credentialing 101: How to Organize Your Data?

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Stephanie Thomas, CPC, CANPC
Event Date : 05/21/2019
Duration :60 minutes

Compliance with CMS regulations requires the credentialing process to begin with a completed application and attestation to its correctness signed/dated by the practitioner. There are many things to do for accurately keeping track of your provider’s numerous credentialing and enrollment obligations. If something left undone, or if the information is not 100% accurate, they can be denied … Continue reading Credentialing 101: How to Organize Your Data?

Fundamentals in Utilization Management for the Acute Care Setting

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Toni G. Cesta, PhD., RN, FAAN
Event Date : 04/17/2019
Time: All Day Long
Duration : 60 minutes

In this jam-packed program you will learn how to stream-line your utilization management process as well as understand the Conditions of Participation for Utilization Review and how they impact on your work as a case manager. We will discuss the differences between utilization review and utilization management. The process for incorporating medical necessity into the … Continue reading Fundamentals in Utilization Management for the Acute Care Setting

New Medicare Enrollment Application: CMS-855 Forms

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Duane C. Abbey, PhD
Duration : 90 Minutes

Enrolling with the Medicare program involves the various CMS-855 forms. There are now seven different forms that must be used by different providers of healthcare services or products. These forms are long, detailed and sometimes confusing. Not only must they be filed initially for given provider, they must be maintained and updated as appropriate. Due … Continue reading New Medicare Enrollment Application: CMS-855 Forms

HIPAA Compliant Fundraising: What You Need to Know & What You Need to Do in 2019

$251$449
Format :ON-DEMAND WEBINARS
Presenter :Joel L. Simon
Duration :60 minutes

The Health Insurance and Portability Act of 1996 (HIPAA) and Health Information Technology for Economic and Clinical Health Act of 2003 (HITECH) strictly govern how health information is used or disclosed. Among the many areas impacted by these rules (billing, marketing, research, IT security, etc.) is fund raising. The rules significantly impact the methods and practice … Continue reading HIPAA Compliant Fundraising: What You Need to Know & What You Need to Do in 2019

How to Negotiate on Out of Network Claims

$251$449
Format :On-Demand Webinar
Presenter :Stephanie Thomas, CPC, CANPC
Time: All Day Long
Duration :60 minutes

Getting paid on Out of Network claims (OON) is one of the greater difficulties every healthcare service provider face. And if the regular roadblocks were already not enough, the payers are now continually pushing to constrain OON reimbursement rates. You need to improve the bottom line, which can only be achieved by maximizing reimbursements and … Continue reading How to Negotiate on Out of Network Claims

OIG: Trends, Reports and Issues: FY2019

$251$449
Format :On-Demand Webinar
Presenter : Duane C. Abbey, PhD
Time: All Day Long
Duration : 90 Minutes

This webinar addresses a review of OIG Work Plan issues for hospitals, clinics and other health care providers with particular emphasis on coding, billing and reimbursement. FY2019 Work Plan issues are addressed in the context of OIG Work Plan issues from FY2014 through FY2018. Pertinent reports issued by the OIG are also discussed particularly in … Continue reading OIG: Trends, Reports and Issues: FY2019

HIPAA Audit and Enforcement Updates for 2019

$251$449
Format :On-Demand Webinar
Presenter : Jim Sheldon Dean
Event Date : 03/12/2019
Time: All Day Long
Duration : 90 Minutes

The random HIPAA Compliance Audit program had a year of trial audits in 2012. The US Department of Health and Human Services reviewed the results of that work and performed a second round of audits, this time including HIPAA Business Associates, beginning in 2016 and concluding in 2017. The law calls for a permanent Audit … Continue reading HIPAA Audit and Enforcement Updates for 2019

Telemedicine: Coding, Billing and Compliance

$251$449
Format :ON-DEMAND WEBINAR
Presenter : Duane C. Abbey, PhD
Event Date : 05/23/2019
Duration : 90 Minutes

Telemedicine services continue to grow both in volume and breadth of coverage. Much of the guidance for telemedicine or telehealth services comes from the Medicare program and changes occur almost every year.  Hospitals large and small participate in telemedicine services although in different capacities. Making certain that all the rules and regulations are faithfully followed … Continue reading Telemedicine: Coding, Billing and Compliance

Stark, Anti-Kickback and The False Claim Act: Basis for an Action under the Federal False Claims Act

$251$449
Format :On-Demand Webinar
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Event Date : 03/05/2019
Time: All Day Long
Duration :60 minutes

This webinar will provide an in-depth understanding of the Federal False Claims Act, Federal Anti-Kickback Statute and Stark II, and discuss how a violation of the Anti-Kickback and/or Stark can be the basis for a whistle-blower action under the False Claims Act. It will also provide an assessment of enforcement activities, showing how participants may … Continue reading Stark, Anti-Kickback and The False Claim Act: Basis for an Action under the Federal False Claims Act

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