Education event

Hospital Compliance Seminar
CMS release of 60-day final rule, Stark updates, observation changes, new relicensing survey

Register now
February 23, 2016 Long Beach

Overview

Staying compliant is all about following the law. So easy to say, but incredibly hard to do. Hospital compliance officers need to stay abreast of numerous new laws, regulations and judicial decisions impacting hospital operations — and make sure that all hospital employees and medical staff are on board, too.

It’s a big responsibility, but CHA’s expert faculty will simplify complex regulatory and legal actions into clear and practical terms, and offer guidance for implementation in the hospital environment.

Topics for this year’s program include:

  • CMS final 60-day rule for overpayments
  • Stark updates, including recent revisions to the regulations
  • Office of Inspector General’s Work Plan and key focus areas for 2016
  • More changes for patients under observation
  • Important case decisions compliance officers need to know about
  • Panel analysis and discussion of complex compliance issues

This one-day program is a must-attend for all hospital compliance professionals. Register now —  the first program is February 17.

Free California Hospital Compliance Manual

All participants will receive a free copy of CHA’s updated California Hospital Compliance Manual. Written by Hooper, Lundy & Bookman, PC, and CHA, the 2016 edition focuses on high-risk compliance issues and the key components of an effective compliance program. Numerous updates include changes to Medicare and Medi-Cal reimbursement requirements, information about compliance-related court decisions, changes to the federal physician self-referral (Stark) regulations and discussion of OIG fraud alerts, policy statements and policy reminders.

Program co-sponsored by:

Healthcare Financial Management Association Southern California Chapter

Agenda

8:00 – 9:00 a.m. | Registration/Check-in

9:00 a.m. – 12:00 p.m.

Stark Update – Relief for Hospitals

  • How the rules have changed
  • Self-disclosure — what we have learned
  • Penalties for technical violations
  • CJR (Comprehensive Care for Joint Replacement) program and waivers

CMS Finalizes 60-Day Overpayments Rule — Implications for Hospitals

  • Highlights of the key changes, how this will impact hospitals
  • When does the 60-day repayment rule apply?
  • The Kane case — when the clock starts
  • When to self-disclose or simply repay
  • Status of rule on reporting of disclosures

Two-Midnight Rule, NOTICE Act and Observation

  • Two-midnight rule update
  • New required handout for observation patients
  • How California observation rules are different

Complying with Licensing and Certification Requirements

  • How licensing, certification and accreditation differ
  • The survey process — what to expect
  • How to respond to deficiencies, timelines
  • Penalties for noncompliance — state and federal
  • State and federal challenges with co-location arrangements

12:00 – 1:00 p.m. | Hosted Luncheon

1:00 – 4:00 p.m.
Bringing Managed Care Contracts Under the Compliance Umbrella

  • Importance of close coordination between compliance and managed care staff
  • Areas of concern for contracting and contract compliance
  • Improving your contract management practices

Hot Spots in Compliance

  • OIG Work Plan — focus areas for 2016
  • Meaningful use audit
  • Reimbursement changes for new off-campus outpatient departments
  • Fraud investigations and FCA developments

Compliance Officer Panel Discussion

  • Point/counterpoint on persistent hospital compliance issues
  • Practices to stay ahead of the curve

Faculty

Lloyd A. Bookman is a founding partner in the Los Angeles law office of Hooper, Lundy & Bookman, PC  (HLB). Since 1979, Mr. Bookman has exclusively represented  health care providers in a wide variety of reimbursement, regulatory and transactional matters. Mr. Bookman is a nationally recognized Medicare and Medicaid expert and has served as lead counsel in numerous significant cases.

Patric Hooper is a founding partner in the Los Angeles office of HLB. Since 1976, he has specialized in litigation against the federal and state governments involving health care matters. He has been involved in hundreds of administrative and judicial proceedings throughout the country as the lead trial and appellate attorney. His cases include some of the most important and complex Medicare, Medicaid and CHAMPUS (TriCare) cases in the health care field.

Charles B. Oppenheim is a partner in the Los Angeles office of HLB and chairs the firm’s Business Department. He has been practicing health law for more than 20 years. Mr. Oppenheim’s practice includes all aspects of transactional, operational and regulatory health care law, including acquisitions, joint ventures and integrated delivery systems. He is a nationally recognized expert on anti-kickback and Stark Law issues.

Hope R. Levy Biehl is a partner in the Los Angeles office of HLB and chairs the firm’s Regulatory Department. Her practice focuses primarily on assisting providers and suppliers with regulatory compliance, licensure and certification, payment and operational issues. Ms. Levy Biehl frequently assists health care clients in complying with regulatory requirements governing the protection, privacy and security of health information, and evaluating and assisting with potential breaches and corresponding notification requirements.

Felicia Y. Sze is a partner in the San Francisco office of HLB. Her practice is focused on Medicaid, Medicare and managed care reimbursement and regulatory compliance for health care providers. Ms. Sze represents health care providers on public policy issues, including challenges to the validity of rate reductions or regulations, drafting proposed legislation and  rulemaking comments. She also actively defends providers against administrative actions.

Katrina A. Pagonis is a senior counsel in the San Francisco office of HLB where she focuses her practice on representation of health care providers in matters relating to health care reform, as well as regulatory compliance more generally. Ms. Marsden regularly advises clients related to the Affordable Care Act and Health Insurance Exchanges, including Covered California and the Federally-Facilitated Exchanges.

Nina Adatia Marsden is a senior counsel in the Los Angeles office of HLB, practicing  in the firm’s regulatory department. Ms. Marsden has a broad range of experience dealing with Medicare reimbursement issues and regularly assists clients in preparing appeals to the Provider Reimbursement Review Board.

Hospital compliance officers, to be announced, will also participate.

Sites

February 17
DoubleTree by Hilton Sacramento
2001 Point West Way
Sacramento, CA 95815
(916) 929-8855

February 23
Hyatt Regency Long Beach

200 S. Pine Avenue
Long Beach, CA 90802
(562) 491-1234

Tuition/CEs

New: Presentations will be available online only
To conserve resources and protect the environment, CHA will no longer provide printed presentations. You will receive an email before the event with instructions on how to download the presentations to your laptop/tablet for viewing on-site or to print and bring with you. Be sure to download the materials in advance; WiFi access on-site may be limited.  

Tuition

* Members $345
** Nonmembers $545

Members of the co-sponsoring organization may register at the CHA member rate.

Tuition includes CEs, lunch, course materials and a free copy of CHA’s updated 2016 California Hospital Compliance Manual.

*Members are CHA member hospitals, CHA associate members and government agencies. **Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals.

Cancellation Policy/Late Payment: A $50 nonrefundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session and emailed to education@calhospital.org. No refunds will be made after these dates. Substitutions are encouraged. Please note: payment is due one day prior to the program. Payments not received by the seminar date will be subject to a 10% late fee. In the unlikely event the program is cancelled, CHA will fully refund paid participants within 30 days.

Special Accommodations or Questions: If you require special accommodations pursuant to the Americans with Disabilities Act, or have other questions, please call (916) 552-7637.

Continuing Education

Full attendance at the educational session is a prerequisite for receiving professional continuing education credit. Attendees must sign in at the seminar and, when required, include their professional license number. Certificates of attendance will be emailed.

Compliance — This program has been approved for 6.6 Compliance Certification Board (CCB) Continuing Education Units. Granting of prior approval in no way constitutes endorsement by CCB of the program content or the program sponsor.  CCB program code # CAHA-062A. (Note: CE recipients are solely responsible for retaining a copy for their records and for reporting credits to CCB)

Health Care Executives — CHA is authorized to award 5.5 hours of preapproved ACHE Qualified Education credit (non-ACHE) continuing education credit for this program toward advancement, recertification or reappointment in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

Legal — CHA is a State Bar of California-approved MCLE provider. This participatory activity has been approved for 5.5 hours of MCLE credit.

Nursing — Provider approved by the California Board of Registered Nursing, CEP 11924, for 6.6 Contact Hours.

Free Manual

All participants will receive a free copy of CHA’s updated California Hospital Compliance Manual. Written by Hooper, Lundy & Bookman, PC, and CHA, the 2016 edition focuses on high-risk compliance issues and the key components of an effective compliance program.

This year’s updates reflect changes to Medicare and Medi-Cal reimbursement requirements, including those stemming from the IPPS, OPPS and PFS rules. Information about compliance-related court decisions, changes to the federal physician self-referral (Stark) regulations and discussion of OIG fraud alerts, policy statements and policy reminders has been added. A model compliance plan that hospitals can adapt to fit their operations is also included on the free CD.

For more information, or to purchase additional manuals, click here.

 

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