Education event

Hospital Compliance Seminar
Topics include enhanced civil and criminal liabilities, breach investigation process, increased claims scrutiny and more

Register now
February 6, 2018, Pasadena
February 21, 2018, Sacramento

Overview

The stakes surrounding compliance issues have been raised. Federal penalties have increased across the board for fraud and abuse, HIPAA and EMTALA violations — and individuals and organizations now may be held civilly and criminally liable per the Yates Memo. 

These and other important updates make it critical to know what has changed to ensure your organization is compliant. CHA’s Hospital Compliance Seminar will review changes in state and federal law and provide the necessary information to protect your hospital and staff.

Topics to be covered this year include:

  • Managing the self-audit process, reporting and refunding obligations
  • Implications of the Yates memo for employees and organizations
  • Privacy issues surrounding health information exchange
  • Updates to the CDPH privacy breach investigation process
  • Emerging trends in managed care and increased claims scrutiny
  • Office of Inspector General’s Work Plan for 2018
  • Updates to Medicare and Medicaid programs

This one-day program is a must-attend for all hospital compliance professionals. Register now —  first program is Feb. 6.

Free California Hospital Compliance Manual

All participants will receive a free copy of CHA’s updated 2018 California Hospital Compliance Manual, 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

9:00 a.m. – 12:00 p.m.

Investigations

  • Self-audits, reporting and refunding obligations — managing the process to promote compliance and protect the organization
  • New trends — parallel investigations spun out of FCA
  • Implications of the Yates memo, corporate investigations and individual exposure — when civil actions can turn criminal

 Health Information Privacy and Security

  • Health information exchange and emerging issues
  • CDPH — updates on privacy breach investigations
  • AB 1688 — New state law on records retention

Emerging Trends in Managed Care ​

  • New teams/partnerships — DOJ and health plans 
  • Increased scrutiny of claims and encounter data submissions 
  • Case escalation to FCA cases emerging from investigations —Medicare Advantage claims
  • Compliance enforcement, fraudulent billing
  • AB 72 — State law on surprise billing 

12:00 – 1:00 p.m. | Hosted Luncheon

 1:00 – 4:00 p.m.

Compliance Officer Panel Discussion  

  • Reporting and refunding
  • Internal audits and investigations, billing problems
  • And more topics to be announced

Office of Inspector General’s Work Plan for 2018​

Medicare and Medicaid Updates ​

  • Meaningful use and electronic health records audit
  • Potentially preventable condition audits
  • Worksheet S-10, reporting of uncompensated  care
  • Emergency Preparedness CoPs, Interpretive Guidelines
  • 340B program updates — status of lawsuit and pending legislation, compliance with new modifiers and implications for hospitals

Faculty

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

Lloyd Bookman is a partner in HLB’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.

Patric Hooper is a partner in HLB’s Los Angeles office. 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.

Joseph LaMagna is a partner in HLB’s San Diego office. The focus of his practice includes litigation, defense of audits and government investigations, and representing hospitals and other providers in payment disputes with managed care entities and other payors.

Stephen K. Phillips is partner in HLB’s San Francisco office. His practice is focused on health care technology and privacy transactions, compliance counseling and other business transactions. He is the chair of the firm’s Technology Practice Group.

Amanda L. Hayes-Kibreab is a partner in HLB’s Los Angeles office. Her practice is focused on complex business litigation, arbitration and dispute resolution on behalf of providers, with a particular emphasis on managed care litigation.

Precious Murchison Gittens is a partner in HLB’s Washington, D.C. office. She is a former federal prosecutor and is co-chair of the firm’s Fraud & Abuse Practice Group. She is certified in Healthcare Compliance (CHC) by the Compliance Certification Board (CCB). Ms. Gittens advises organizations on compliance matters, including the development, implementation, and evaluation of compliance plans. She also advises clients concerning false claims, anti-kickback and self-referral matters, and self-disclosures to the Office of Inspector General.

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, and serves as a liaison between CHA and federal agencies, including the Centers for Medicare & Medicaid Services.

Sites

February 6
Hilton Pasadena
168 S. Los Robles Ave
Pasadena, CA 91101
(626) 577-1000

February 21
Sheraton Grand Sacramento

1230 J Street (13th & J)
Sacramento, CA 95814
(916) 447-1700

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 2018 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 — 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 event content or of the event sponsor.

Health Care Executives — CHA is authorized to award 5.5 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 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 2018 California Hospital Compliance Manual, written by Hooper, Lundy & Bookman, PC, and CHA.

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

Commands