Education event

Hospital Compliance Seminar
New IRS and state financial assistance policy requirements, breach reporting law, disclosures and the 60-day rule

Register now
February 3, 2015 Long Beach
February 10, 2015 Sacramento

Overview

Today’s health care executive wears many hats. None can compare to the compliance officer, who has a role to play in most areas of hospital operations. With this level of responsibility, it is important to stay abreast of new laws, regulations and judicial decisions. This year’s program will provide compliance professionals with information and practical guidance to stay compliant within our increasingly complex health care delivery system.

Topics for this year’s program include:

  • How to comply with new IRS and state financial assistance and community health needs assessment requirements
  • New law on privacy breach reporting, impact of court decisions
  • 60-day rule for Medicare/Medi-Cal overpayments, refunds
  • Office of Inspector General’s Work Plan and key focus areas for 2015
  • Steps to improve your compliance program, achieve buy-in across the organization
  • Panel analysis and discussion of complex compliance issues

This one-day program is a must-attend for all hospital compliance professionals. Register now — first program is February 3.

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 2015 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 and the state’s Hospital Fair Pricing Policies (charity care) law, and the recently released IRS rule on financial assistance policies.

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.
Medicare/Medi-Cal Overpayments, Refunds and Disclosures

  • Sixty-day rule — when the clock starts
  • Internal investigations — when is this needed, simple errors vs. violations
  • Legal protections — attorney-client privilege and work product
  • How far to look back
  • What you should do with what you find

Complying with New IRS and State Financial Assistance Policy Requirements

  • New timelines, content and translation requirements for patient notices
  • Calculating the “amount generally billed” (AGB)
  • Expanded definition of “extraordinary collection activities” (ECAs)
  • SB 1276 changes regarding “high medical cost” patients, payment plans
  • IRS and OSHPD enforcement activities, CDPH penalties

Breathing New Life Into Your Compliance Program

  • Reviewing your program — the seven elements of compliance
  • Achieving buy-in, active participation across the organization
  • Team approach — developing policies, implementation, monitoring
  • In paper and practice — being accountable to your policies

12:00 – 1:00 p.m. Hosted luncheon

1:00 – 4:00 p.m.
New Considerations in Breach Reporting

  • Appellate courts narrow definition of “medical information”
  • Damage awards now tied to whether an unauthorized person viewed the information
  • New law expands privacy breach reporting window
  • Preemption: federal vs. state laws now a bigger factor in reporting

Hot Spots in Compliance

  • OIG Work Plan — key focus areas, two-midnight rule, swing beds
  • Meaningful Use audits — more enforcement ahead
  • Anesthesia — impact of double-billing allegation
  • Supplemental Medicare Review Auditors — what to expect
  • Short stays — auditors and high error rates
  • Provider-based status — what auditors will look for, new data collection requirements for off-campus services
  • Recent key False Claims Act decisions

Point-Counterpoint — Compliance Panel Discussion

  • Case scenarios on common, but complicated compliance areas
  • Analysis and practical guidance for persistent and emerging issues
  • Ask the experts — bring your tough questions for the panel

Faculty

Lloyd A. Bookman is a founding partner in the Los Angeles law office of Hooper, Lundy & Bookman, PC (HLB). He has specialized in Medicare and Medicaid reimbursement and compliance since 1979. Mr. Bookman also represents health care providers in fraud and abuse matters involving false claims and anti-kickback issues, in self-referral matters — serving as counsel in civil and administrative litigation and investigations — and as special counsel in criminal matters.

Patric Hooper is a founding partner in the Los Angeles office of HLB and a former Deputy Attorney General with the California Department of Justice. Mr. Hooper regularly advises health care organizations regarding reimbursement, certification and licensure issues associated with business transactions and combinations, fraud and abuse issues and on state anti-kickback and referral issues.

Hope R. Levy-Biehl is a partner in the Los Angeles office of HLB and co-chair of 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 the corresponding notification requirements.

Felicia Y. Sze is a partner in HLB’s regulatory department and is based in the firm’s San Francisco office. She is a recognized expert in Medicaid and Medicare reimbursement matters. Ms. Sze advises health care providers regarding regulatory compliance and represents providers in disputes with managed care entities and government payors. She also represents  providers on public policy issues and defends providers against administrative actions.

Joseph R. LaMagna is an associate in the San Diego office of HLB. His practice focuses on health care-related litigation and advising clients regarding regulatory compliance. Mr. LaMagna represents clients in provider disputes with payors and health care fraud and abuse, including government investigations, responding to subpoenas and CIDs, and making self-disclosures.

Lynn Grieves is the chief compliance officer for CHOC Children’s Health System, a non-profit, two-hospital system located in Orange County, California.  Mr. Grieves possesses over 20 years of experience in the health care industry with his time focused in the areas of health care compliance, audit, regulatory matters, risk assessments, business planning and project management.

Sites

February 3
Hilton Long Beach and Executive Meeting Center
701 West Ocean Boulevard
Long Beach, CA 90831
(562) 983-3400

February 10
Sacramento Convention Center

1400 J Street
Sacramento, CA 95814
(916) 808-5291

Tuition/CEs

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 2015 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 non-member California hospitals.

Cancellation Policy/Late Payment: A $50 non-refundable 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 — The Compliance Certification Board (CCB) has approved this event for up to 6.6 CCB CEUs. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this program content or of the program sponsor.

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 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 2015 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. Changes to the state’s Hospital Fair Pricing Policies law and the recently released IRS financial assistance policy requirements are also addressed along with an expanded discussion of the federal civil monetary penalties law. 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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