Melody W. Mulaik will lead two presentations on June 23, 2022, at the Revenue Cycle and Compliance Summit: 1,2,3’s of Auditing: How to Ensure Ongoing Proactive Coding & Documentation Audits for Reimbursement and Compliance and The “Other” Compliance Challenges: Credentialing, Credit Balance, Appropriate Use Criteria (AUC), and More!
1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “HIPAA and Beyond: Documentation Retention & Legal Holds.” Rachel joins our host, Catherine Short to review a multitude of laws, including HIPAA, requires certain types of documents be kept for a certain period of time. How does document retention play out for public companies subject to SOX and what should companies do in the event of a legal hold or a preservation request? This presentation addresses laws that are relevant to healthcare industry participants, as well as compliance suggestions, and steps to take when either a legal hold or a preservation request arrives.
Responding to and Defending Government Investigations: What to do When the Government “Knocks” On Your Door
Michael Denbow, a member (partner) in the Louisville office of Stite & Harbison, PLLC will lead the presentation Responding to and Defending Government Investigations: What to do When the Government “Knocks” On Your Door at the Revenue Cycle and Compliance Summit on June 23, 2022.
Raymond Ribble is the CEO and Founder at SPHER, Inc. a market-leading compliance analytics, cyber-security solution addressing: HIPAA compliance, State Privacy Laws, and ePHI security threats and our presenter for this webinar. Snooping and Insider threats are exactly why user monitoring and ePHI access strategies are vital to the security of sensitive patient information and data protection. While it is an unsettling thought, not all cybersecurity incidents are traced from employee negligence. With so much attention and money surrounding cybersecurity in the healthcare industry, malicious employees may decide to purposefully disclose patient information. Since employees and contractors may have knowledge of your network setup, vulnerabilities, and access codes, snooping employees with malicious intent hold the key to exposing your organization to a series of unwanted risks and threats.
1st Talk Compliance features guest Kathleen W. McNicholas, MD, JD, CHC, CCEP, Consultant and Patient Advocate with Medical Legal Patient Advocacy Inc., on the topic of “Medical Error & Patient Advocacy – How Can We Have More Candor?” Kathleen joins our host, Catherine Short to review medical error and provide an approach to harmed patients. The CANDOR program of Communication and Optimal Resolution will be explained. CANDOR is well established and has been successfully adopted by many medical centers. Without CANDOR in place, patients may benefit from the use of the principles and the help of a board-certified patient advocate.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents this very timely subject for us. Durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) includes an “entity or individual, including a physician or a Part A provider, which sells or rents Part B covered items to Medicare beneficiaries.” There are special payment rules associated with DMEPOS. DMEPOS products have to meet quality standards, DMEPOS suppliers need to be accepted by Medicare to participate (similar to providers), and are subject to fraud, waste, and abuse laws. The purpose of this webinar to provide an overview of participation and quality requirements, relay the latest compliance and requirements updates, and address False Claims Act cases involving DMEPOS companies.
First Healthcare Compliance hosts Catherine Walters, Esq., Partner at BYBEL RUTLEDGE LLP a management-side labor and employment attorney representing employers of all sizes, for an interactive discussion on “Employment and Labor Law Round-up With 2022 Forecast and Other HOT Topics.” During 2021 as the COVID pandemic raged on and the new Administration faced unprecedented challenges, extensive changes occurred in the employment and labor law landscape, and even more extensive changes are anticipated for 2022. This program will provide a quick update of 2021’s most important developments and forecast what employers can expect in 2022. Attend this program to catch up on the Biden Administration’s progress on its labor agenda, relevant Supreme Court decisions and how they affect employers, DOL agency activities, issues to worry about in 2022 and other hot topics, including OSHA, vaccination rules/policies, wage and hour issues, remote workplace tips, cannabis, restrictive covenants, to name a few.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX and Bruce Lynskey, Co-Founder, Director, and Chief Executive Officer at ePrevenir will be presenting with us. Negotiating occurs in every facet of business and law. From contractual negotiations through settlement negotiations, it is a delicate dance. There are a variety of classic negotiation techniques, which include extreme posturing and “anchoring”. Healthcare and cybersecurity present unique challenges because of the looming exposure to a government investigation and either a civil and/or criminal action, even if a settlement is reached between two private parties. The purpose of this presentation is to provide approaches when negotiating contracts, settlements, and other items, which arise in healthcare and the cybersecurity industries.
Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX and Don Barbo, Managing Director with VMG Health are presenting this timely webinar. On January 19, 2021, a new era was ushered in as the CMS Stark Law Final Rule and the HHS-OIG Anti-Kickback Statute Final Rule became effective. The impetus behind the new Final Rules is value-based care and care coordination. In light of the advent of Value-Based Arrangements, which include Value-Based Enterprises, as well as the continuing importance of fair-market value and commercial reasonableness, this presentation focuses on these aspects of the respective Final Rules, which must be read in conjunction with each other. Additionally, a portion of the presentation will be dedicated to the nuances of balance sheets, income statements, and valuations in relation to both the healthcare industry and the aforementioned laws.