Education event

Hospital Compliance Seminar
Expert speakers to address physician relationships, pharmacy compliance, Medicare changes, data mining, enforcement trends, opioid abuse and more

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February 7, 2019, Sacramento
​February 20, 2019, Costa Mesa

Overview

Penalties for compliance violations are escalating, legal definitions continue to shift, scrutiny around substance abuse-related issues has increased, and many gray areas in the law expose hospitals to risk.

Understanding changing state and federal laws is more critical than ever – we can help you chart a course to keep your hospital compliant. Join us at CHA’s Hospital Compliance Seminar and get up to speed on compliance hot spots, including:

  • Physician Relationship Compliance Issues – including fair market valuations and Stark updates
  • Pharmacy Compliance – essentials from the Compliance Officer perspective
  • Medicare Policy Updates – including revised Conditions of Participation and the proposed appeals rule
  • Data Mining – how big data can be leveraged as a compliance, and enforcement, tool
  • Telehealth – identifying problem spots and preparing for more detailed oversight
  • Opioid Abuse – new prescribing provisions, and more
  • Consent and Privacy – going back to basics to analyze murky situations
  • Trends and Court Cases – False Claims Act cases in a post-Escobar environment, enforcement trends and more

Stay ahead of the curve and learn where trends are leading this complicated area of the law.

This one-day program is a must-attend for all hospital compliance professionals and in-house legal counsel. 

Free California Hospital Compliance Manual + PDF

All participants will receive a free copy of CHA’s updated 2019 California Hospital Compliance Manual, print and PDF versions, written by Hooper, Lundy & Bookman, PC, and CHA.

Program Co-sponsored by:
Healthcare Financial Management Association, Southern California Chapter

Program Supported by:
Healthcare Financial Management Association, Northern California Chapter

Agenda

8:30  – 11:45 a.m.

State Fraud and Abuse Update and Trends                                                                

  • Emerging liability under the California Insurance Fraud Prevention Act
  • False Claims Act cases in a post-Escobar environment
  • Other fraud and abuse case law updates
  • Update on audits and the 60-day rule
  • Dual investigations, DOJ’s revised focus on individual wrongdoers

Federal Regulatory Update – What Should Be on Your Radar?

  • Key areas of focus for Medicare auditors
  • Implications of CMS audits of hospital-reported uncompensated care
  • Updates to Medicare CoPs for hospitals and other providers
  • Significant changes in Medicare payment policy and compliance implications
  • California wildfires: federal waivers, lessons learned for compliance personnel
  • California impact of proposed rule on immigration, government program benefits

Consent/Privacy: Refresher and Update

  • Informed consent fundamentals: when, who and what
  • Common myths and questions
  • Quick reference tools: who can consent for minors and incapacitated adults
  • Consent and privacy laws
  • Updates on California Consumer Privacy Act, CDPH breach regulations

11:45 a.m. – 12:45 p.m. Hosted Luncheon

12:45 – 4:00 p.m.

Compliance Officer Panel

Pharmacy and Pharmaceuticals: What the Compliance Officer Needs to Know

  • Controlled substance handling and diversion
  • Board of Pharmacy self-assessment requirements
  • Consequences of inaccurate claims, prescriber exclusion, overpayments
  • Compounding regulations
  • Compliance risks under the 340B, federal and state government enforcement actions

The Two Sides of Data Mining: Compliance Tool, Enforcement Tool

  • Using data to identify outliers, unexpected changes, unusual trends
  • High risk areas in coding and billing, encounter data
  • Data mining by Medicare auditors, Medi-Cal, private companies/whistleblowers
  • How hospitals can use data to improve claims accuracy

Physician Relationship Compliance Issues

  • Stark and anti-kickback regulatory and case law update
  • Enforcement trends: latest from government officials and whistleblowers’ counsel
  • Fair market valuation for physician compensation; what is commercially reasonable?
  • Lessons learned from the self-referral disclosure protocol
  • Common issues and how to handle them

Sites

February 7
Hilton Sacramento Arden West

2200 Harvard Street
Sacramento, CA 95815
(916) 922-4700

February 20
Hilton Orange County/Costa Mesa
3050 Bristol Street
Costa Mesa, CA 92626
(714) 540-7000

Faculty

From the law offices of Hooper, Lundy & Bookman, PC:

Lloyd Bookman is a partner in Hooper, Lundy & Bookman’s Los Angeles office. Since 1979, his practice has focused exclusively on the representation of health care providers in a wide variety of complex reimbursement, regulatory and transactional matters. He is a nationally recognized expert on Medicare and Medicaid reimbursement and has served as lead counsel in many highly significant cases.

Jordan Kearney is an associate in HLB’s San Francisco office in the firm’s Fraud and Abuse Practice Group. Her practice focuses on regulatory and litigation counseling for a range of providers, including hospitals, long-term care providers,
home health and hospice companies, and pharmaceutical and medical device companies. Her areas of focus include government investigations, fraud and abuse laws, compliance counseling and Medicare/Medicaid reimbursement issues.

Nina Adatia Marsden is a senior counsel in Hooper, Lundy and Bookman’s regulatory department. Ms. Marsden has a broad range of experience assisting health care providers, including hospitals, pharmacies, and laboratories, with licensure and certification, regulatory compliance, operational issues, and ownership changes.  Additionally, she is experienced in dealing with Medicare reimbursement issues and regularly assists clients in preparing appeals to the Provider Reimbursement Review Board.

Charles B. Oppenheim is a partner in the Los Angeles office of HLB and chairs the firm’s business department. His practice includes all aspects of transactional, operational and regulatory healthcare law, including mergers & acquisitions, affiliations, joint ventures and the formation of integrated delivery systems, including 1206(l) medical foundations. A nationally-recognized expert on anti-kickback and Stark Law issues, Mr. Oppenheim also provides counseling to a variety of healthcare provider clients, and has recognized expertise in healthcare gainsharing, pay-for-performance and clinical co-management agreements. 

Additional Faculty:

Alyssa Keefe is California Hospital Association’s vice president of federal regulatory affairs and is responsible for policy development and analysis of federal regulation impacting California hospitals and health systems. She also serves as a liaison between CHA and federal agencies, including the Centers for Medicare & Medicaid Services.

Lois Richardson has served as CHA’s legal resource for more than 20 years, primarily as legal counsel and vice president of legal publications and education. She is the author of numerous CHA publications, including the Consent Manual, California Hospital Compliance Manual, and California Health Information Privacy Manual. Lois has also served as the executive director for the California Society for Healthcare Attorneys since 2000. 

Tuition/CEs

Presentations will be available online only. 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 $365
** Nonmembers $565

California HFMA members may register at the CHA member rate.

Tuition includes CEs, lunch and a free copy of CHA’s updated 2019 California Hospital Compliance Manual + PDF.

*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. (Amount of CE offered subject to change.)

Compliance — This education activity has been submitted to the Compliance Certification Board (CCB)® and is currently pending their review for continuing education.

Health Care Executives — CHA is authorized to award 6.0 hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants must log into their MyACHE account and select ACHE Qualified Education Credit.

Legal — CHA is a State Bar of California-approved MCLE provider. This participatory activity has been approved for 6.0 hours of MCLE credit.

Nursing — Provider approved by the California Board of Registered Nursing, CEP 11924, for 7.2 Contact Hours.

Free Manual + PDF

All attendees will receive a CHA 2019 Compliance Manual – both print and PDF versions.
All participants will receive a free copy, both print and electronic, of CHA’s updated 2019 California Hospital Compliance Manual, written by Hooper, Lundy & Bookman, PC, and CHA.

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

Commands