2015 QMCG Webinar Series

Transcription

1 2015 QMCG Webinar Series You are invited to participate in this monthly series of informative lunch-hour webinars, which will get you up to speed on the topics and issues affecting your business and allow you to earn continuing education credits at the same time. January 13 12:00 1:00 p.m. EST Medical Staff Leadership Series: Session 1 January 27 12:00 1:00 p.m. EST Medical Staff Leadership Series: Session 2 February 10 12:00 1:00 p.m. EST Medical Staff Leadership Series: Session 3 February 24 12:00 1:00 p.m. EST Medical Staff Leadership Series: Session 4 March 10 12:00 1:00 p.m. EST Important Updates for Community Health Needs Assessments April 14 12:00 1:00 p.m. EST Provider-based Status: The Importance of Proof May 12 12:00 1:00 p.m. EST Providers Obligations to Report and Refund Overpayment June 9 12:00 1:00 p.m. EST Advanced Practice Providers: A Look at Trends Regarding Scope of Practice July 14 12:00 1:00 p.m. EST Recent FTC Enforcement Actions in the Health Care Setting August 11 12:00 1:00 p.m. EST Getting Into Compliance with Compliance Program Requirements September 8 12:00 1:00 p.m. EST What s Happening with the National Practitioner Data Bank October 13 12:00 1:00 p.m. EST Dealing with Unprofessional Conduct in the Hospital Setting November 10 12:00 1:00 p.m. EST Medicare Billing: Inpatient vs. Outpatient Status December 8 12:00 1:00 p.m. EST You ve Implemented an EHR System, Now What? Don t Make These Common Mistakes WEBINARS Medical Staff Leadership Series Dates: January 13, January 27, February 10 & February 24, 2015; 12:00 1:00 p.m. EST Presented by: Catherine Ballard, Barbara Evert, Steve Kleinman, Jeremy Morris & Kim Parks Session 1 (of 4): The first session will address the role and responsibilities of the medical staff and its leaders and explore the interrelationship of the medical staff, the governing body, and administration. We will also discuss the potential liability issues that arise when these responsibilities are not met, as well as the immunities and protections that are available when they are. Session 2 (of 4): The second session will focus on credentialing and privileging issues. We will review and explain the internal credentialing process in order to be consistent with accreditation standards and to obtain helpful information, to provide direction on how to respond to credentialing inquiries from other health care entities, and to provide best practice tips with respect to both credentialing and privileging. The session will also focus on some of the bigger problem areas in credentialing such as incomplete applications, waivers and reapplications. Session 3 (of 4): The third session will deal with the concepts of informal and formal corrective action. It will also address best practices for dealing with hands on clinical care as contrasted with unprofessional behavior. It will look at resolution of these types of issues at the application stage as well as during the course of an appointment period. Finally, it will discuss the options that are available and the pros and cons of each (including reporting obligations). Session 4 (of 4): The final session discusses our predictions for We will address the ongoing evolution of physician employment, clinical integration, and the role of medical staff leadership, as well CMS focus with respect to quality of care and medical necessity and related compliance concerns. Ongoing federal initiatives, such as the Affordable Care Act, will also be covered. 1

2 Important Updates for Community Health Needs Assessments Date: March 10, 2015; 12:00 1:00 p.m. EST Presented by: Jim Flynn & Chris Kenney Tax-exempt hospitals are in the process of conducting their second CHNA since the 2012 effective date of the CHNA requirement. The IRS continues to provide guidance on anticipated regulations for conducting a CHNA and has proposed revisions to IRS form 990 reporting requirements for CHNA. This webinar will identify lessons learned from conducting the first CHNA, provide information on IRS updates, review proposed revisions to the 2014 IRS form 990, and provide practical tips for conducting the next CHNA. Provider-based Status: The Importance of Proof Date: April 14, 2015; 12:00 1:00 p.m. EST Presented by: Karen Smith & Beatrice Nokuri One of the biggest mistakes hospitals make is billing CMS for provider-based services before first ensuring compliance with all providerbased criteria. This session will look at how to document compliance with the provider-based criteria and explains what CMS looks for in approving a provider-based attestation. Providers Obligations to Report and Refund Overpayment Date: May 12, 2015; 12:00 1:00 p.m. EST Presented by: Diane Signoracci Hospitals face increasing legal pressure to self-report and refund overpayments. This presentation will discuss the Health Care Reform Act and other laws that impose refund obligations upon providers, the penalties for non-compliance with those laws, and the procedures that providers may undertake to promote compliance with those laws. Advanced Practice Providers: A Look at Trends Regarding Scope of Practice Date: June 9, 2015;12:00 1:00 p.m. EST Presented by: Steve Kleinman Advanced practice providers (APPs) are trending toward independent practice. In this webinar, we will look at scope of practice issues both clinically and from a prescribing standpoint in various settings where APPs provide care. Recent FTC Enforcement Actions in the Health Care Setting Date: July 14, 2015; 12:00 1:00 p.m. EST Presented by: Jeremy Morris As health care entities continue to consolidate, the Federal Trade Commission has stepped up its enforcement efforts in the health care setting. This session will focus on the FTC s recent enforcement actions involving health care providers in an effort to gain a better understanding of potentially problematic arrangements and how to avoid them. Getting into Compliance with Compliance Program Requirements Date: August 11, 2015; 12:00 1:00 p.m. EST Presented by: Jim Flynn, Chris Kenney & Shannon DeBra Effective March 23, 2013, Medicare and Medicaid certified Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) are required to have an "effective" compliance program in place. With resources already stretched, developing or updating a comprehensive compliance program can be challenging. This session will help you to meet this federal mandate without breaking your budget. Presenters with considerable experience in this arena will provide you with solid advice and cost-effective tips to help you comply with this requirement. What s Happening with the National Practitioner Data Bank Date: September 8, 2015; 12:00 1:00 p.m. EST Presented by: Catherine Ballard Given the earlier hubbub that CMS was proposing changes to the National Practitioner Data Bank Guidebook, we thought it wise to 2

3 schedule a time in the fall to talk about the status. If there are no new changes, we will be going over current obligations and what we have seen happening in case law interpreting the Data Bank. If there are new changes, we will be reviewing them. Dealing with Unprofessional Conduct in the Hospital Setting Date: October 13, 2015; 12:00 1:00 p.m. EST Presented by: Steve Kleinman How do you handle physicians that exhibit disruptive conduct? We will identify the types of conduct that are disruptive and provide practical advice and options available to medical staffs to respond to disruptive conduct. Medicare Billing: Inpatient vs. Outpatient Status Date: November 10, 2015; 12:00 1:00 p.m. EST Presented by: Diane Signoracci The Medicare 2014 Hospital Inpatient Payment Rule radically changed the requirements for inpatient reimbursement adopting a Two- Midnight Benchmark/Presumption and imposing new written physician order standards as a condition of payment. Hospitals and physicians need to understand the new admission standards to avoid significant reductions to inpatient revenues. You ve Implemented an EHR System, Now What? Don t Make These Common Mistakes Date: December 8, 2015; 12:00 1:00 p.m. EST Presented by: Jenny Nelson Carney In this webinar, we will discuss the common pitfalls of electronic health records systems and provide strategies for addressing these issues. The presenters will also discuss mechanisms for optimizing your EHR in order to strengthen compliance with HIPAA and patient confidentiality laws. SPEAKERS CATHERINE M. BALLARD is a partner and vice-chair of the Health Care group at Bricker & Eckler LLP and Executive Director for QMCG. Her practice focuses on the day-to-day operations of health care facilities, as well as those facilities dealings with administrative agencies, private accrediting agencies, and court proceedings. She works with clients in the areas of hospital/medical staff integration; quality assessment assessment/performance improvement/peer review; medical staff/app governing documents; Medicare conditions of participation and private accreditation; physician recruitment/employment; provider scope of practice; and general patient care. SHANNON K. DEBRA is of counsel and a member of the Bricker & Eckler LLP Health Care group. Previously, Shannon served as Chief Compliance Officer for UC Health and Senior Counsel to the Inspector General, U.S. Department of Health and Human Services in Washington, D.C. She regularly works with health care providers on health care regulatory and fraud and abuse matters. BARBARA HARBOR EVERT, MD, is the Vice President of Medical Affairs at Grady Memorial Hospital and Dublin Methodist Hospitals and has been involved in quality and peer review activities for over 20 years. She is a Diplomat of the American Board of Quality Assurance/Utilization Review with sub-specialization in risk management, a Fellow in the American Institute of Healthcare Quality, and a member of OAFP, OSMA and AMA. JAMES F. FLYNN is a partner and chair of the Bricker & Eckler Health Care group. His general health care practice focuses on transactional, reimbursement-related, health planning and long-term care matters, including experience in physician contracting, joint ventures, federal and state regulatory issues, fraud and abuse, False Claims Act, certificate of need, community health needs assessments, corporate compliance, corporate organization and governance, Medicare and Medicaid reimbursement, and federal and state administrative appeals. CHRISTINE KENNEY is the Director of Regulatory Services for QMCG. She has 30 years of experience in health care planning and policy development, federal and state regulations, certificate of need regulations, nursing home licensure, and Medicare and Medicaid certification. Additionally, she has expertise in state survey process and enforcement, settlement agreements, county homes, hospital registration, hospital skilled nursing unit regulations, and state compliance for solid organ and bone marrow transplantation, cardiac catheterization, open heart surgery and pediatric intensive care services. ALLEN R. KILLWORTH is a partner in Bricker & Eckler's Health Care group, with a practice focusing on the day-to-day operations of a variety of health care facilities as well as those facilities' dealings with administrative agencies and court proceedings. Allen previously served as an attorney in the general counsel's office of a fully integrated health system in southwest Ohio. 3

4 STEPHEN R. KLEINMAN is a partner in Bricker & Eckler's Health Care group and represents health care providers and suppliers including hospitals, long-term acute care hospitals, long-term care facilities, ambulance companies, physician groups, durable medical equipment providers, developmental disability service providers and physician hospital organizations. He represents clients in administrative proceedings before various licensing agencies and boards and assists clients in Medicare and commercial insurance reimbursement issues, regulatory compliance matters and litigation. JEREMY R. MORRIS is a member of Bricker & Eckler's Health Care group, assisting clients with health facility regulations, medical staff issues, operational requirements and drafting transaction documents. Jeremy is the former Associate Counsel for Litigation at King s Daughters Medical Center, a tertiary care, regional referral center located in Ashland, Kentucky. In this role, Jeremy was responsible for oversight of all Medical Center litigation, including claims of professional negligence, medical staff disputes and employment matters. JENNIFER NELSON CARNEY is a partner at Bricker & Eckler LLP. Her practice focuses on assisting health care clients in navigating all aspects of facility operations, including Medicare and Medicaid work (to include provider enrollment, COPs and RAC appeals); patient care and medical staff policies and procedures; ODH and accrediting body survey and certification issues; and EHR implementation, optimization, and Meaningful Use, as well as a variety of federal and state regulatory issues. BEATRICE M. NOKURI is a member of Bricker & Eckler's Health Care group and graduated cum laude from Capital University Law School in May She received her Bachelor of Science in Nursing from Berea College in Kentucky and worked as a registered nurse for over nine years. During her tenure at Capital Law, Beatrice was a research assistant for Dean Richard Simpson and the Strategic Planning Committee; an extern with the Ohio Hospital Association; and a Class Captain for the Class of 2012 Students Giving Back to Students Campaign. KIMBERLY S. PARKS is a member of Bricker & Eckler's Health Care group. Her previous experience includes serving as general counsel for both a community hospital and a regional hospital/health system. Kim's practice focuses on hospital and medical staff matters including medical staff governing documents, patient care matters and accreditation. Kim also assists clients with Medicare provider enrollment and advanced practice provider matters. DIANE M. SIGNORACCI is a partner with Bricker & Eckler and a member of the Health Care group. She practices in the areas of health care compliance, billing investigations and audits, provider reimbursement, health care regulation, with emphasis on Medicare reimbursement of hospital providers, physician recruitment issues and litigation involving health care fraud, Qui Tam defense and contracting issues. She is also experienced in negotiation and preparation of numerous types of managed care and technology contracts. She is a frequent speaker on health related topics, including current Office of the Inspector General investigations of health care providers, hospital charges and discounts, employee education under the Deficit Reduction Act of 2005, hospital acquisition of physician practices, qui tam litigation and organizational compliance programs, and Medicare and Medicaid managed care contracting. KAREN D. SMITH is a partner in Bricker & Eckler's Health Care group with a general health care law practice, emphasizing general corporate, federal and state regulatory issues, including Stark Law, fraud and abuse, HIPAA, Medicare and Medicaid provider enrollment issues, Medicare provider based issues, Medicare/Medicaid compliance issues and physician contracting (employment, recruitment and services agreements). She facilitates ongoing regulatory compliance with federal and state agencies, the Ohio Department of Health, the Centers for Medicare and Medicaid Services, and the Ohio Department of Job and Family Services; assists hospitals in drafting all forms of physician contracts, including recruitment services and employment contracts and advises them with respect to state and federal laws, including Stark Law and the fraud and abuse laws. Karen also advises hospitals with respect to HIPAA, Medicare and Medicaid provider enrollment issues and Medicare provider based regulation. REGISTRATION Complete the registration form and return by , mail or fax. For questions, please call or [email protected]. MAIL FAX [email protected] QMCG, Attn: Traci Graham 100 South Third Street Columbus, Ohio PRICING Registrants are categorized as Standard or Supporting Organization. Members of the Ohio Hospital Association and physicians and staff of OhioHealth are considered Supporting Organization Members and receive a 10 percent discount on registration. Discounts are also offered for purchases of six or more webinars, the complete series, or the complete Medical Staff Leadership Series. 4

5 INDIVIDUAL WEBINAR $100 / Standard $90 / Supporting Organization MEDICAL STAFF LEADERSHIP SERIES (ALL 4) $380 / Standard $302 / Supporting Organization REGISTRATION FOR SIX OR MORE Subtract $100 from total / Standard Subtract $150 from total / Supporting Organization REGISTRATION FOR ALL 14 $1200 / Standard $940 / Supporting Organization PAYMENT Please make checks and money orders payable to QMCG. Sorry, no credit cards accepted. WEBINAR LOGIN AND MATERIALS Webinar login information and handouts will be ed to the primary contact 1-2 business days before the webinar. CONTINUING EDUCATION CREDITS Continuing education credits offered for each course listed below are pending and subject to change. Date of Webinar Webinar CME CPHRM NAMSS HRCI 1/13/2015 Medical Staff Leadership Series #1 1/27/2015 Medical Staff Leadership Series #2 2/10/2015 Medical Staff Leadership Series #3 2/24/2015 Medical Staff Leadership Series #4 3/10/2015 CME: Continuing education for physicians and nurses CPHRM: Continuing education credits for the ASHRM designations of Fellow (FASHRM) and Distinguished Fellow (DFASHRM) and towards the renewal of the Professional in Healthcare Risk Management (CPRHM) designation. NAMSS: Continuing education credits for medical staff and credentialing profession NAMSS certifications HRCI: Continuing education credits for human resources professionals 5 Important Updates for Community Health Needs Assessments 4/14/2015 Provider-based Status: The Importance of Proof 5/12/2015 6/09/2015 7/14/2015 8/11/2015 9/08/ /13/2015 Providers Obligations to Report and Refund Overpayments Advanced Practice Providers: A Look at Trends Regarding Scope of Practice Recent FTC Enforcement Actions in the Health Care Setting Getting into Compliance with Compliance Program Requirements What s Happening with the National Practitioner Data Bank Dealing with Unprofessional Conduct in the Hospital Setting 11/10/2015 Medicare Billing: Inpatient vs. Outpatient Status 12/08/2015 You ve Implemented an EHR System, Now What? Don t Make These Common Mistakes