Is
Your Inpatient Rehabilitation Program in Shape? Current Compliance
Issues- July 31,
2008
Legal
Electronic Health Records-
August 12, 2008
Medicaid
Integrity Program- August 14,
2008
An
Overview of the New e-Discovery Rule- August 21, 2008
Still
in the Dark? Reporting Meaningful Metrics to the Board- August 29, 2008
RACs/MIPs/Third-Party
Denials: Managing the Convergence of Compliance and Revenue Cycle
Management Process Improvement- September 3, 2008
Compliance
Effectiveness in the Era of Increased Regulatory
Enforcement- September 4,
2008
Practical
Stark Law Issues Including Operational Pitfalls and Fair Market Value
Documentation: Part 1-
September 9, 2008
Documentation
and Coding for Physician Practices- September 11, 2008
Practical
Stark Law Issues Including Operational Pitfalls and Fair Market Value
Documentation: Part 2-
September 23, 2008
Whistleblower
Claims in Healthcare: Part 1-
September 25, 2008
Whistleblower
Claims in Healthcare: Part 2-
October 8, 2008
Update
on Laboratory Compliance-
October 14, 2008
Part
1: 2009 OIG Work Plan for Hospitals- October 23, 2008
Part
2: 2009 OIG Work Plan for Physicians- October 24, 2008
An
Insider’s Guide to Workplace Investigations- October 30, 2008
Introduction
To Healthcare Compliance: Compliance 101- Coming Soon
Is Your Inpatient Rehabilitation Program
in Shape? Current Compliance Issues- July 31, 2008
 Jane Sections, FACHE, Principal, Center for
Health Innovation, Noblis (Me)
Tracy M. Field, Partner, Healthcare and Life Sciences Practice Groups,
Arnall Golden Gregory LLP
Mark A. Guza, Attorney at Law, Arnall Golden Gregory LLP
This webinar is designed to review the regulatory and medical necessity
considerations in reimbursement for hospital rehabilitation services.
The session will focus on the applicable legal standards and provide a
detailed review of managing and audit outcome, including practical
considerations in appeals or in deciding whether there is a need for
self-disclosure. Case studies will be reviewed, with discussion of
latest trends in rehab.
1. Hospital rehabilitation claims:
standards for reimbursement and case studies:
review standards for inpatient claims
review of standards for outpatient
claims
identifying risk areas: are you a target for
review?
2. Managing an adverse outcome of probe audits, OIG, MAC, or RAC
review:
medical necessity appeals: what’s
important to include in challenging denials
challenging statistical extrapolations to defeat
False Claims Act and financial liability
identifying circumstances to consider voluntary
disclosure
OIG audits and other considerations
3. Practical suggestions for implementing a successful compliance
program:
audit focus
managing “red flags”
policies and procedures; conclusion, including
review of case studies
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
CD-ROM Fax Order Form CCB and CLE Credits
Legal Electronic Health
Records- August 12,
2008
 Michelle Dougherty, Director, Practice
Leadership for the American Health Information Management Association
(AHIMA)
Rita Schichilone, Director, Practice Leadership, AHIMA
Organizations are investing in EHR applications with the focus on the
care delivery process. This session addresses critical issues for a
“compliant EHR”—one which helps supports compliance
with the organization’s business as well as clinical needs. EHR
systems must be supported by specific functionality to have properly
maintained business records in the support of regulatory, payment, and
litigation compliance.
Compliance professionals are often overlooked in the EHR selection
process, but their insights are critical in selecting and maintaining a
system that supports care delivery and the business needs of the
organization. This session will provide the background and tools to
assist compliance professionals in asking the right questions when
evaluating current or new applications.
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
Medicaid Integrity
Program- August 14,
2008
August 14, 2008 Medicaid Integrity
Program
 Jim Sheehan, Medicaid Inspector General, New
York State Office of the Medicaid Inspector General
Brian Flood, KPMG
This conference will prepare attendees to understand and respond to the
new CMS and state regulatory and enforcement actions in Medicaid and
Medicare. The presentation will cover:
CMS leadership views of the new government increase in Medicaid and
Medicare regulation, audit and enforcement.
New CMS Medicaid Integrity Group (MIG) activity to hire
“Review-of-Providers” and
“Audit-and-Identification-of-Overpament” Medicaid Integrity
Contractors (MICS)
New CMS Medicare Integrity Programs changes with the new Zone Program
Integrity Contractors and the new Recovery Audit Contractors
(RACs)
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
An Overview of the New e-Discovery
Rule- August 21,
2008
 Ronald J. Hedges, Member, Business Litigation
Practice Group,
Nixon Peabody LLP; former United States Magistrate Judge, United States
District Court for the District of New Jersey
Michelle L. Dougherty, Director, Practice Leadership, AHIMA
This presentation will provide an overview of the 2006 Amendments to the
Federal Rules of Civil Procedure on e-discovery and review of how the
law has developed under the amendments over the last year. In addition,
this session will provide a summary of what the states are doing.
The court systems have changed their rules for the discovery of
electronically stored information, including issues such as compliance
with litigation holds, spoliation of evidence, potential sanctions, and
safe harbors. As health care organizations become more entrenched in
technology and migrate toward electronic health records, the new rules
can have an impact on an organization’s ability to respond to
litigation in a complete and efficient manner. Proper awareness
preparation and compliance are critical to effectively mitigating the
financial and litigation risks.
The new e-discovery rule has a number of compliance aspects. Healthcare
organizations have vast amounts of electronically stored information
that must be identified, properly managed, retained, and destroyed in
compliance with the organization’s policies. Compliance
professionals will be a critical component of the organizations’
multi-disciplinary litigation response program to ensure adherence to
critical processes. This session helps professionals understand the
rule, highlights the important compliance issues, and outlines a
litigation response plan.
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
Still in the Dark? Reporting Meaningful
Metrics to the Board-
August 29, 2008
 José A. Tabuena, VP Integrity and
Compliance/Corporate Secretary, MedicalEdge Healthcare Group, Inc.
Eric Klavetter, Compliance & Privacy Officer, Mayo Clinic
To assist the board in its role of oversight and monitoring of the
ethics and compliance program, compliance officers strive to provide
vital information and to engage the board of directors in a productive
discussion. Board members are extremely busy and should not be burdened
with too much detail and all the complexities faced by the program.
But, do the typical summaries of compliance training completion rates,
hotline call summary data, coding accuracy rates (for healthcare), etc.,
provide a meaningful story on the state of the program? Measuring
program performance is a challenging task and the board needs to know
the efficiency, responsiveness, and the degree to which the compliance
program is meeting its objectives.
In this session, we will discuss various types of quality non-financial
performance data that can provide valuable insights into the operations
and impact of the compliance program. Ideas on metrics that are
predictive and actionable will be explored. Also, approaches will be
covered for presenting such metrics in a manner that is simple,
humorous, yet memorable to board members with short attention spans.
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
RACs/MIPs/Third-Party Denials: Managing
the Convergence of Compliance and Revenue Cycle Management Process
Improvement- September 3,
2008
 Michael Berger, Director, Healthcare Consulting
Group’s Revenue Cycle Operations, Management & Operations
Improvement Section, Parente Randolph, LLC
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
Compliance Effectiveness
in the Era of Increased Regulatory Enforcement- September 4, 2008
 John A. Beattie, CPA, CFE Principal, Healthcare
Consulting Practice, Parente Randolph, LLC
Steve Miller Esq.,
Chief Compliance Officer, Capital Health Care
Significant regulatory enforcement initiatives are planned by the
government in the coming months. Recovery Audit Contractors and Medicaid
Integrity Contractors are the agents who will be using data mines and
investigating exceptions to uncover fraud, waste, and abuse in Medicare
and Medicaid. In addition, some states are deputizing private attorneys
to help them root out fraud and abuse. Compliance effectiveness has
always been important, and its significance has been heightened even
further as a result of the evolving regulatory landscape. This audio
conference will address which elements providers should be focused on to
ensure they have an effective, results-driven compliance program. You
will learn how to:
Define effectiveness
Use indicia and measures of effectiveness
Conduct a compliance effectiveness evaluation
using the “two by three” model
Understand data mining and the evolving role of
the compliance officer
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
Practical Stark Law
Issues Including Operational Pitfalls and Fair Market Value
Documentation: Part 1-
September 9, 2008
 Robert Wade, Partner, Baker & Daniels LLP,
and creator of Captain Integrity
It’s all about money. Most criminal and civil prosecutions of
medical providers and referring physicians concern whether the financial
arrangements between the provider and referring physicians are
commercially reasonable and fair market value. Documenting financial
arrangements to be fair market value can be challenging. However, if
each financial arrangement between the provider and referring physician
has not been documented to be commercially reasonable and fair market
value, the arrangement could be subject to question and even criminal
prosecution. During this presentation, you will learn documentation
techniques that you can apply to financial arrangements, including
employment medical directorships, on-call arrangements, leasing of real
estate and equipment, etc. Bob Wade is a nationally recognized expert in
fair market value documentation who assists clients in the documentation
process. He developed documentation protocols while serving as the
general counsel and compliance officer for a large hospital system.
Both
Parts I & II Members:
$290 Non-Members: $370
Single session: Price Members:
$175 Non-Members: $215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
2008 Documentation and Coding for
Physician Practices-
September 11, 2008
 Alice Anne Andress, CCS-P, CCP, Director
Physician Services, Parente Randolph, LLC
This conference will address the documentation guidelines for evaluation
and management (E&M) services and the components involved in E&M
coding and billing.
Documentation is the concrete evidence that illustrates and
substantiates what was done and why. The documentation is the ultimate
justification for payment. Risk areas of the patient encounter form will
be discussed as it relates to coding and documentation. The great
“puzzle” of documenting the key components of E&M
services will be provided with an explanation of how all the pieces fit
to ensure compliance with billing guidelines. Various scenarios will be
presented to assist in understanding the pitfalls of improper coding.
Pattern billing, code steering, and the importance of proper linking of
diagnosis codes will round out the session.
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online CD-ROM Fax Order Form CCB and CLE Credits
Practical Stark Law Issues Including
Operational Pitfalls and Fair Market Value Documentation: Part
2- September 23,
2008
 Robert Wade, Partner, Baker & Daniels
LLP
The Stark Law is one of the most confusing and intricate statutes that
impacts providers and referring physicians. Although understanding when
the Stark Law is implicated is fairly clear, conforming financial
arrangements to all of the requirements of an applicable exception can
be extremely challenging, especially in a busy healthcare environment.
In this presentation, you will learn not only the elements of the widely
used exceptions under the Stark Law, but you will also learn about the
operational challenges to conform the financial arrangements to an
exception, not only at the commencement of the arrangement, but also
throughout the term of the arrangement. You will learn helpful insights
from Robert Wade, a nationally recognized expert on the Stark Law, who
also implemented operational procedures when he was the general counsel
and compliance officer for a large hospital system.
Both
Parts I & II Members:
$290 Non-Members: $370
Single session: Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
Whistleblower Claims in Healthcare:
Part I: The Compliance Perspective- September 25, 2008
Carmen Wolf, Principal, BlickenWolf LLC
Patrick Coffey, Partner, Locke Lord Bissell & Liddell
Linda Wawzenski, Assistant
United States Attorney, Deputy Chief, Civil Division,
United States Attorney’s
Office
This webinar offers an opportunity to listen and participate in a
panel discussion about Whistleblowers and the False Claims Act (FCA)
investigations and litigation - and how Compliance Officers and outside
counsel can best communicate with management teams, compliance
committees, and Board of Directors to protect the organization, maintain
appropriate confidentiality, and work successfully to revise the risk of
exposure to FCA controversies. Join representatives from outside
counsel, compliance officers from both a community hospital and a
healthcare system, and a healthcare consultant specializing in defense
of FCA proceedings, special investigations, voluntary disclosures, and
corporate integrity agreements. This webinar will allow you to gain
valuable information and insight about educating employees about FCA,
key elements of an effective compliance strategy to avoid aggravating
the risk of FCA attacks, the importance of compliance assessments and
how to respond to internal disclosures and/or whistleblower
complaints.
Both
Parts I & II Members:
$290 Non-Members: $370
Single session: Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
Whistleblower Claims in Healthcare:
Part II: The Enforcement Perspective- October 8, 2008
Carmen Wolf, Principal, BlickenWolf LLC
Patrick Coffey, Partner, Locke Lord Bissell & Liddell
Linda Wawzenski, Assistant
United States Attorney, Deputy Chief, Civil Division,
United States Attorney’s
Office
This webinar continues the panel discussion and offers various
enforcement perspectives of the current environment for whistleblower
and false claims investigations and enforcement involving health care
organizations. Participate in the discussion about common problems
contributing to whistleblower claims and the better practices for
avoiding these controversies. An Assistant United States Attorney and
health care fraud coordinator with the U.S. Attorney’s Office in
Chicago will interact and engage with outside counsel, a compliance
officer and a healthcare consultant about current enforcement trends,
how to prepare and respond to enforcement issues, what we should expect
going forward in light of the Deficit Reduction Act, and other
healthcare enforcement initiatives.
Both
Parts I & II Members:
$290 Non-Members: $370
Single session: Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
2008 MACS and RACS: What It Means For The
Lab - October 14,
2008
John Beattie, CPA, CFE Principal, Parente Randolph, LLC
Frank Mesaros, Interim Compliance Officer, Sanford University
In this presentation you will learn about Medicare Administrative
Contractors (“MAC’s”) and the MACs process both Part A
and B claims allowing for increased program integrity. The full
fee-for-service workload is scheduled to be transitioned to the MACs by
October 2009. Learn what these transitions mean for lab billing and
Advance Beneficiary Notices. The new ABN notice will become mandatory as
of September 1, 2008. Review how the form has changed and how it impacts
laboratory services. Learn about RAC medical necessity audits and how to
be proactive in assessing this risk area.
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
Part 1: 2009 OIG Work Plan for
Hospitals- October 23,
2008
Be prepared for the year ahead by taking advantage of the HCCA’s
presentation of the 2009 OIG Work Plan for Hospitals. Outstanding
speakers combine with engaging interaction for a serious, in-depth look
at the OIG’s key compliance concerns for fiscal year 2009. If
you’re looking for OIG Work Plan coverage that is substantial and
to-the-point don’t miss this conference
Both
Parts I & II Members:
$290 Non-Members: $370
Single session: Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
Part 2: 2009 OIG Work Plan for
Physicians- October 24,
2008
For useful, direct, specific commentary on the 2009 OIG Work Plan as it
relates to physicians, join compliance officers across the country who
relies on HCCA’s long-standing and widely respected overview.
Physician practice experts will discuss the latest and most pressing
compliance concerns for physicians in the OIG Work Plan. You’ll
walk away with a strong understanding of the OIG’s key concerns,
as well as best practices for staying in compliance.
Both
Parts I & II Members:
$290 Non-Members: $370
Single session: Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
An Insider’s Guide to Workplace
Investigations- October 30,
2008
 Meric Craig Bloch, Vice
President–Corporate Compliance, Adecco S.A.
This conference examines management techniques and processes needed to
create a workplace investigations unit. It is intended to help you build
and run a successful and valuable corporate resource. Particular
attention is directed to establishing investigative protocols and best
practices that will survive the scrutiny of business leaders, affected
employees, and third parties.
Mr. Bloch acts as the compliance officer for Adecco’s operations
in North America, the world’s leader in human resources and
staffing services. Mr. Bloch is the author of Work Place
Investigations. He will present this conference in partnership with
EthicsPoint.
Members: $175 Non-Members:
$215
Add $200 to join HCCA and receive member rates
Register Online Printable Brochure with Fax
Registration CCB and CLE Credits
Introduction to Healthcare Compliance:
Compliance 101- Coming
soon
 Debbie Troklus, CHC, University of Louisville
School of Medicine
Greg Warner, Mayo Clinic
An in-depth look at effective compliance
implementation and the management of ongoing operations.
Provides a thorough understanding of the seven
elements and the method to incorporate them into your compliance
program
Provides an opportunity to interact with other
compliance professionals to discuss compliance operations
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