Stephen Bittinger, partner with K&L Gates in the firm’s Charleston office and a member of the health care/FDA practice group, is presenting with us on the brief history of use of big data in investigating and proving False Claims Act liability. He will offer an explanation of the government agencies and contractors involved in gathering health care data for investigation of fraud and abuse. We will look into the increased risk of fraud investigations due to regulatory changes implemented in response to COVID-19, and give practical ways to use data to reduce risk of investigation and liability.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents on these new updates. On November 20, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule related to the Medicare Physician Self-Referral Law (Stark Law). Nearly simultaneously, the Office of the Inspector General, Department of Health and Human Services (HHS-OIG), released a Final Rule, which amends various safe harbors to the Federal Anti-Kickback Statute (AKS). The changes appear to be based, in large part, on value-based healthcare delivery and payment systems. The purpose of this presentation is to highlight the key changes, along with the similarities and differences in the language between the two Final Rules.
Catherine Short converses with Bob Chaput, Founder and Executive Chairman of the Board of Clearwater, a provider of healthcare compliance and cyber risk management software and consulting services, on the topic of “Healthcare’s Enterprise Cyber Risk Management Imperative.” Healthcare organizations continue to see escalating numbers of cyberattacks. It is no longer a matter of if your organization will be targeted, but when. What is at stake? Everything.
Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies to address a current hot topic, “Appropriate Use Criteria: What you Need to Know.” 2021 is also going to be an official CMS testing year for AUC/CDS implementation. This episode will identify specific areas of concern for your organization regarding AUC/CDS implementation, help you to facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed, and assist in designing actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted.
Catherine Short speaks with Dr. Chris Hobson, Chief Medical Officer for Orion Health. The topic of today’s program is “Why payers can’t ignore the interoperability rules and should comply sooner rather than later.” The Interoperability and Patient Access final rule approved by CMS and ONC is intended to advance patient participation through access to their health information and to drive advanced interoperability and innovation across the U.S. These rules will have significant impact on payer organizations who are currently facing unprecedented times.
Rebecca L. Rakoski, co-founder and managing partner at XPAN Law Group, presented the webinar Vendor Management In Healthcare: The High Cost of Failing to Triage Your Vendors on November 5. In anticipation of this webinar, Rebecca answered many commonly asked questions on our blog.
Compliance with hand hygiene is more important than ever. A hand hygiene program in a healthcare facility is an important step that conveys competency, professionalism and respect. Proper hand hygiene affords patients and healthcare providers protections and the focus is even more important due to COVID-19.
The Families First Coronavirus Response Act (FFCRA) was signed into law in response to COVID-19, and took effect on April 1, 2020. The FFCRA provides paid leave to eligible employees through the creation of the Emergency Paid Sick Leave Act and the Emergency Family and Medical Leave Expansion Act.
As the COVID-19 crisis continues to evolve, healthcare compliance officers need to have a plan for the next stage. Unprecedented issues associated with a pandemic create risks for individuals, businesses, and especially healthcare organizations. Individual employees must put forth effort to avoid burnout, stay focused and productive, and tend to mental health.