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The First Healthcare Compliance team aspires to excellence in healthcare compliance education, and we’re honored to serve as a trusted resource for thousands of compliance professionals, healthcare administrators, providers, and business associates throughout the United States. Our growing Editorial Council provides collaborative expertise in a broad range of complex topics. Please join us in welcoming […]
Catherine Short speaks with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “The No Surprises Act – What You Need to Know.” Effective January 1, 2022, the No Surprises Act has implications for patients, providers, and insurance companies alike. The impetus behind the legislation, as well as the regulations, is to prevent patients from receiving bills for certain services that were performed or delivered by providers out of their plan’s network. The scope is limited and providers and plans alike need to take steps to understand the appeal process when a payment or claim is challenged. The purpose of this episode is to provide a brief overview of the evolution of the United States’ healthcare system and its relevance to the No Surprises Act. From there, the No Surprises Act and regulations will be explained, along with the appeal process. Finally, compliance tips will round out the show.
What does it mean to be selected as a Compliance Super Ninja? At First Healthcare Compliance we’re fortunate to work with some of the smartest and hardest working compliance professionals in the United States. Even during challenging times we’re amazed by their resilience and pursuit of success in compliance management. Each month our Client Services […]
Catherine Short speaks with Rebecca L. Rakoski, managing partner at XPAN Law Partners and Saj Naseem, Chief Information Security Officer (CISO) from NJ Courts on the topic of “Why Healthcare Organizations Need to Take a New Approach to Cybersecurity & Data Privacy Training.” On this episode, we will discuss how training, using traditional methods can cause greater liability and threats to an organization.
Catherine Short converses with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C. and Don Barbo, Managing Director with VMG Health, on the topic of “New Stark Law and AKS Final Rules -Valuation Considerations.” 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, we will focus on these aspects of the respective Final Rules, which must be read in conjunction with each other.
Raymond Ribble, founder of SPHER, Inc., presented the webinar “Healthcare Cybersecurity Awareness Training” recently. Ray returned to answer many commonly asked questions from the webinar.
Donald A. Balasa, JD, MBA, Chief Executive Officer and Legal Counsel of the American Association of Medical Assistants (AAMA) leads this timely and informative webinar. The medical assisting profession has risen to the occasion as the United States and the world have been dealing with the most serious health crisis in the last 100 years. Medical assistants have been asked by public health officials, managers of health systems, and licensed providers to assume expanded roles and perform tasks beyond their normal scope of work.
Donald A. Balasa, JD, MBA, CEO and Legal Counsel at American Association of Medical Assistants (AAMA), will present the webinar “Expanded Roles and Duties for Medical Assistants during the COVID-19 Era” on April 13th. Mr. Balasa answered these questions in anticipation of the webinar.
Donald A. Balasa, JD, MBA, Chief Executive Officer and Legal Counsel of the American Association of Medical Assistants (AAMA) leads this timely and informative webinar. The medical assisting profession has risen to the occasion as the United States and the world have been dealing with the most serious health crisis in the last 100 years. Medical assistants have been asked by public health officials, managers of health systems, and licensed providers to assume expanded roles and perform tasks beyond their normal scope of work. Because of the breadth of their education and training, medical assistants have been able to adapt quickly to these new responsibilities. Medical assistants have been called upon to work in nontraditional settings under the authority and supervision of a dedicated array of clinicians and administrators with whom they had not previously practiced (e.g., pharmacists).The purpose of this webinar is to identity the laws that establish the scope of practice for medical assistants, and to delineate the expanded tasks that medical assistants may be delegated under these laws. The legal principles placing limitations on the scope of work for medical assistants will be explained, and the expanded functions that are not delegable to medical assistants will be set forth.
