Education event

Hospital Compliance Seminar
New breach reporting law, disclosures and the 60-day rule, charity care policy requirements

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:

  • New law on privacy breach reporting, impact of court decisions
  • How to comply with new state charity care policy requirements
  • 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.

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 SB 1276 — New Charity Care Policy Requirements

  • SB 1276 changes regarding “high medical cost” patients
  • New definition of “reasonable payment plan”
  • Incorporating Covered California into your notices, applications
  • 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

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. 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.

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.

A hospital compliance officer will also participate.

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 — Application has been made to the Health Care Compliance Certification Board for approval to award Health Care Compliance Association continuing education credit for this seminar.

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 (charity care) law and an expanded discussion of the federal civil monetary penalties law are also provided. 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.

Commands