Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Gina L. Campanella, Esq., FACHE
Duration :90 Minutes

CMS finalized a number of significant changes to the Stark Law, now that these changes have gone into effect. Health care organizations should be monitoring and auditing their existing arrangements to ensure they are compliant with Stark’s technical requirements and key tenets of defensibility (e.g., fair market value, commercial reasonableness, and not taking into account designated health service … Continue reading Healthcare Fraud & Abuse, Stark and Anti-Kickback Issues

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

2019 HIPAA Audit and Enforcement Updates

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Jim Sheldon-Dean
Duration :90 minutes

The US Department of Health and Human Services has recently updated the penalty levels for HIPAA violations and indicated a new emphasis on the culpability of organizations in the event of rule violations. If you have taken steps to be in compliance, you will be treated less severely than if you have ignored compliance. Penalties … Continue reading 2019 HIPAA Audit and Enforcement Updates

Access Point Case Management and The 2 Midnight Rule

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Toni G. Cesta, Ph.D., RN, FAAN
Duration :60 minutes

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 … Continue reading Access Point Case Management and The 2 Midnight Rule

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

Avoidable Delay Management: Tools for Managing Cost and Length of Stay

$251$449
Format :ON-DEMAND WEBINAR
Presenter :Toni G. Cesta, Ph.D., RN, FAAN
Duration :60 minutes

This webinar will focus on the role of the case manager in identifying avoidable delays. Capturing avoidable delays is the process used to ensure that patients experience good flow through the hospital stay and that delays are reduced or eliminated. We will review the common categories used to aggregate these delays and report on them. … Continue reading Avoidable Delay Management: Tools for Managing Cost and Length of Stay

Make Your Process Lawsuit Proof – Medical Staff Fair Hearings from A Hearing Officer’s Perspective

$251$449
Format :ON-DEMAND WEBINAR
Presenter :William Mack Copeland, MS, JD, PhD, LFACHE
Duration :60 minutes

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 … Continue reading Make Your Process Lawsuit Proof – Medical Staff Fair Hearings from A Hearing Officer’s Perspective

Optimizing Appeal Process: Effective Claim Denials Management

$251$451
Format :On-Demand Webinar
Presenter :Lynn M. Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Duration :60 minutes

Reduce the risk of claim denial due to lack of specificity or erroneous billing. This presentation will show attendees effective appeals for the most current denials being received by practices today and give you proven examples of appeals. We will also look at effective denials management in busy medical practices. When correctly-submitted claims are inappropriately … Continue reading Optimizing Appeal Process: Effective Claim Denials Management

Physician Practice Options: Self Employment vs. Hospital / Foundation Affiliation

$251$359
Format :ON-DEMAND WEBINAR
Presenter :Debra Phairas
Duration :60 minutes

“The Times They Are A-Changing” There are many practice opportunities for physicians to consider for the future. Will you remain in solo practice? Merge with others to form a bigger single specialty, multi-specialty group or ACO?  Join a Foundation or University Affiliation? This workshop will present a balanced discussion of options and issues for physicians … Continue reading Physician Practice Options: Self Employment vs. Hospital / Foundation Affiliation

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

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

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