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* Call Us: +1 833 990 1500 (Toll Free) (Mon - Fri, 7am - 3pm EST) * Email Us : info@medical-webinars.com No products in the cart. $0.00 Cart * Home * About Us * Webinars * Auditing Webinars * Billing Webinars * Clinical Documentation Improvement Webinars * Compliance Webinars * Medical Coding Webinars * Practice Management Webinars * Revenue Cycle Management Webinars * Speakers * Contact * My account Menu * Home * About Us * Webinars * Auditing Webinars * Billing Webinars * Clinical Documentation Improvement Webinars * Compliance Webinars * Medical Coding Webinars * Practice Management Webinars * Revenue Cycle Management Webinars * Speakers * Contact * My account Search HIPAA COMPLIANCE FOR REMOTE WORKERS – RECORDED WEBINAR + PRESENTATION Recorded Webinar Covid-19 suddenly made widespread maintenance, transmission and receipt of protected health information (PHI) by people working remotely from home a new reality – and exposed that PHI to significant HIPAA breach risks. Protocols to protect PHI during remote work had to be developed quickly on the fly with little time to train or properly equip workforce members. It’s not surprising that many remote work HIPAA protocols are incomplete and slapdash patchworks because covered entities faced unprecedented patient surges and focused on meeting vital patient care obligations. Business associates had to continue serving covered entities while quickly hit by unexpected stay-at-home orders and social distancing requirements in the office. Remote work is not going away. Employers discovered they can save money by having some jobs performed remotely at least part-time and the new Omicron Coronavirus strain piling quickly on the Delta Coronavirus strain is sending people back home again or delaying their return to the office. Surveys indicate remote work will continue to grow when the pandemic ends but privacy and security data protections are still inadequate. This webinar summarizes remote work HIPAA compliance lessons learned during the pandemic. WHY YOU SHOULD ATTEND Attend this webinar to see how your remote work PHI safeguards measure up to hard-learned best practices throughout the healthcare industry. Cyber-criminal attacks on the healthcare industry have increased dramatically during the pandemic. PHI in remote workplaces is low-hanging fruit for criminals and unsecure remote workplaces give criminals access to the wider organization. Remote work is not going away – so make sure to protect PHI maintained, transmitted, created and received by remote workforce members. AREAS COVERED IN THE SESSION * The New Normal in Healthcare * Remote Work * Hybrid – Remote and Office Workplaces * HIPAA Rules for Remote Work * Key Privacy and Security Rule Safeguards * Remote Work Protocols * Securing the Remote Workplace * Remote Workforce Guidelines * Remote Work Technology Considerations WHO WILL BENEFIT * Health Care Provider compliance officials * Health Plan compliance officials * Business Associate compliance officials * Covered entity and business associate C-suite and board of director members responsible for HIPAA compliance and data privacy oversight * In-house and outside health law counsel * -------------------------------------------------------------------------------- SPEAKER Paul R. Hales, J.D. is widely recognized for his expert knowledge and ability to explain the HIPAA Rules clearly in plain language. Paul is an attorney licensed to practice before the Supreme Court of the United States and a graduate of Columbia University Law School with an international practice in HIPAA privacy and security. He is the author of all content in The HIPAA E-Tool®, an Internet-based, complete HIPAA compliance solution with separate editions for Covered Entities, Business Associates, Health Plans and Third Party Administrators. Venue: Recorded Webinar ENROLLMENT OPTION * * Recorded Webinar + Presentation $99.00 HIPAA Compliance for Remote Workers – Recorded Webinar + Presentation quantity Enroll/Buy Now RELATED EVENTS Compliance Webinars Live Webinar THE FEDERAL FALSE CLAIMS ACT: ENFORCEMENT AND RECENT UPDATES The session will provide an overview of the Federal Civil False Claims Act (FCA) and how it works. It will also provide an assessment of enforcement activities, showing how healthcare providers may be at risk. In addition, the session will review recent cases and show how they potentially impact healthcare providers. We will start with a review of the Federal False Claims Act and discuss how it works and how it is being used to fight health care fraud. We will discuss how the various health care fraud task forces use the Federal False Claims Act and its whistleblower provisions to identify and prosecute health care fraud. The webinar will take the Federal False Claims Act apart and show step by step how an action is filed, how the government responds and how the courts interpret various elements of the Act. We will discuss proof, damages under the Act and how the whistleblower is rewarded for bringing a successful case. The session will also provide an overview of the Anti-Kickback Statute (AKS) and review what it prohibits, as well as a general review the AKS available safe harbors. It will also show how violation of the AKS can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially impact participants. We will provide an in-depth review of the AKS, focusing on what is prohibited under the Act and what the exceptions are. We will also review the case law, particularly the early case law that sets the stage and basis for how the courts interpret the law. We will also review the changes made to both the False Claims Act and the AntiKickback Statute made by the Affordable Care Act. Finally, the webinar will review various cases to show how easy it is to run afoul of the Statute, and how the courts view compliance with it. In addition, we will discuss the latest updates to both the False Claims Act and the Anti-Kickback Statute. Who Can Benefit Hospital executives, particularly CEOs, COOs, CFOs, CNOs, and CMOs, Other healthcare provider executives, Healthcare provider board members, Attorneys representing health care providers and practitioners, and Chief compliance officers. Background Recent cases and/or enforcement actions involving the FCA raise serious concerns regarding compliance issues with hospital, physician practices and other healthcare entities. Recoveries under the FCA are at an all-time high, and the percentage of actions involving healthcare organizations has been increasing at exponential rates. Why Should You Attend This session is designed for healthcare executives, attorneys and consultants who advise health care executives and others who want to learn about the False Claims Act. The health care executive, physician or other health care provider, should be very concerned about the potential for enforcement actions under the FCA. This is important because under recently enacted health care laws, enforcement and health care fraud task forces have been greatly enhanced. Recovery under the FCA last year resulted in over $3.1 billion being recovered for the federal government, $24.2 billion since the law was revised to make it more relator friendly in 1986. In FY 2020, the Department of Justice (DOJ) opened 1,148 new criminal health care fraud investigations. Federal prosecutors filed criminal charges in 412 cases involving 679 defendants. A total of 440 defendants were convicted of health care fraud related crimes during the year. Also, in FY 2020, DOJ opened 1,079 new civil health care fraud investigations and had 1,498 civil health care fraud matters pending at the end of the fiscal year. Federal Bureau of Investigation (FBI) investigative efforts resulted in over 407 operational disruptions of criminal fraud organizations and the dismantlement of the criminal hierarchy of more than 101 health care fraud criminal enterprises. In FY 2020, investigations conducted by HHS’s Office of Inspector General (HHS-OIG) resulted in 578 criminal actions against individuals or entities that engaged in crimes related to Medicare and Medicaid, and 781 civil actions, which include false claims and unjust-enrichment lawsuits filed in federal district court, civil monetary penalties (CMP) settlements, and administrative recoveries related to provider selfdisclosure matters. HHS-OIG also excluded 2,148 individuals and entities from participation in Medicare, Medicaid, and other federal health care programs. Since 1986, whistleblowers have been awarded nearly $4 billion and whistleblowers are where a majority of the FCA suits originate. Several recent cases involving healthcare providers have resulted in huge settlements. If that is not enough to get your attention, consider the recent cases finding that the “responsible corporate officer doctrine” allows the government to hold hospital CEOs and others directly responsible for the fraud. In a recent case, executives paid $1 million to settle allegations of fraud and were excluded from participation in federal health care programs. You will want to attend this webinar to learn how to protect your healthcare providers. Objectives of the Presentation Provide attendees with an understanding of the Federal False Claims Act. Provide a perspective of how the courts and the Department of Justice (DOJ) view compliance with the Federal False Claims Act. Discuss recent enforcement actions taken by the DOJ. Show how the courts deal with violations of the Federal False Claims Act. Areas Covered in the Presentation A review of the Federal False Claims Act, its history, how it works, its proof requirements, pleading requirements and damages. New enforcement actions and penalties under the Affordable Care Act. A review of recent cases involving the False Claims Act. 03/30/2023 Enroll/Buy Now Compliance Webinars Live Webinar UTILIZATION MANAGEMENT: RULES, REGULATIONS AND HOW-TO’S The Centers for Medicare and Medicaid Services (CMS) provides us with two Conditions of Participation that apply to the work of case management professionals. These include the Conditions of Participation for Discharge Planning and the Conditions of Participation for Utilization Review. This webinar will focus on these rules as they apply to the role of utilization review. In order for case management departments to be compliant with these regulations, RN and social work case managers must understand these ‘rules of the road’ for utilization review and work within their boundaries. In this jam-packed program you will learn how to stream-line your utilization management process as well as understand the Conditions of Participation for Utilization Review and how they impact on your work as a case manager. We will discuss the differences between utilization review and utilization management. The process for incorporating medical necessity into the process of utilization management will be explained. This will be followed by a discussion of the compliance components for utilization review including the utilization management plan, the utilization management committee, Condition Code 44, and the two-midnight rule. How to incorporate the two-midnight rule into your utilization management process. Also explained will be the various types of clinical reviews performed by the case manager. The various types of Hospital-Issued Notices of Non-Coverage (HINNs) will be described with examples of how they are used. You will learn whether or not your utilization management committee is effective and compliant. Webinar Objectives Learn what medical necessity is and how it applies to utilization management. Learn how to effectively complete a clinical review. Understand the compliance issues related to utilization management and how they apply to your daily practice. Discuss utilization at all hospital access points Review the various required documents to be shared with patients and families Describe the utilization committee and a utilization management plan Webinar Highlights The differences between utilization review and utilization management The definition of medical necessity How to balance financial and clinical medical necessity Compliance as it relates to utilization management Conditions of participation for utilization review Components of a compliant utilization review plan Components of a compliant utilization review committee Condition Code 44 Provider Liable Guidelines for utilization review surveys Guidelines for admission and continued stays Clinical aspects affecting medical necessity Three types of utilization management Utilization management and access point case management Sample utilization management reports The two-midnight rule and utilization management Hospital Issued Notices of Non-Coverage – HINNs Denial management as a component of utilization management Who Should Attend Director of Case Management Director of Social Work Case Managers Social Workers Vice President of Case Management Physician Advisor Emergency Department physicians Directors of Nursing Directors of Compliance Directors of Finance Directors of Nursing 03/31/2023 Enroll/Buy Now Compliance Webinars Live Webinar FOUNDATIONS IN CASE MANAGEMENT: MEDICARE REIMBURSEMENT, VALUE-BASED PURCHASING, BUNDLED PAYMENTS AND MORE This program will provide a foundation of knowledge and understanding of the DRG system used as the structure for reimbursement under the Medicare and Medicaid programs. Included in this will be a review of the DRG relative weights, case mix index and expected lengths of stay. Medical record coding will be explained in the context of how hospitals get reimbursed. This will be followed by a discussion of managed care and managed care contracting as well as the various managed care products currently on the market. Also, included will be a discussion on bundled payments and what case management professionals need to know to assist their organizations in controlling cost and length of stay in a bundled payment environment where patients may access care and use resources at any touch point on the continuum. A review of the state of the art in case management from both the acute care and community sides will also be discussed as well as the emerging trends that correlate directly with changes in health care reimbursement over time. Webinar Objectives Understand the components of the Medicare Prospective Payment System including DRGs and its relevance to case management. Describe value-based purchasing and case management. Review the elements of bundled payments including managing cost and length of stay Discuss managed care contracting. Understand how Case Management can be applied across the continuum and how reimbursement has shaped those trends. Webinar Highlights Diagnosis related groups (DRG) Medicare Medicaid Managed care definition Managed care contracting Case rate, per diem and % of charges contracts Managed care products Bundled payments – Mandatory and voluntary Managing cost across the continuum Who Should Attend RN Case Managers Social Workers Directors of Case Management Directors of Social Work Post-Acute Care Providers Home Care Physician Advisors Directors of Finance Hospitalists Directors of Nursing 04/07/2023 Enroll/Buy Now Compliance Webinars Live Webinar MEDICARE’S MEDICAL RECORDS REQUIREMENTS: WHAT ELSE DO YOU NEED TO KNOW ABOUT RECORD KEEPING? This webinar covers the following objectives regarding medical records requirements and Medicare’s unique record keeping requirements: To identify sources of legal and contractual requirements for the retention and disposition of medical records; To understand different requirements and applications of retention and disposition of electronic medical records; To review examples of what information is mandated by state laws to be included in a medical record; To distinguish between medical records requirements of a health care facility versus medical records requirements of a specific health care practitioner; To know about professional wills and business succession plans for the health care practitioner, including solo practice and group or facility practice; To describe how to make revisions to closed medical records, and; To cover Medicare’s medical records requirements. Individual health care practitioners in private practice and medical records directors at health care facilities may be confused on how long to retain medical records in a complex health services environment with many different health care practitioners. If or when a length of time is established, the practitioners and directors need to know whether and how to dispose of medical records. For example, does having digital records require records to be kept indefinitely, or does it simply allow it? Even if you can keep a medical record indefinitely in an electronic format, is it wise to do so? There are differing and conflicting sources of requirements for the retention and disposition of medical records, which may vary based upon the specific health care practitioner. Attendees will review special rules existing regarding the confidentiality, security, retention, and disposition of electronic medical records. Attendees to this webinar will learn to identify and apply these differing and conflicting rules with respect to the specific health care practitioner, the specific health care facility practice, and the emerging rules and regulations for electronic medical records confidentiality, security, and disposition. This advanced webinar also educates Medicare health care providers, including physicians, non-physician practitioners, hospitals, other health care providers, and suppliers on the updated federal regulations for medical record keeping. This webinar gives information on updated documentation maintenance and access requirements for billing services to Medicare patients. This webinar also answers how long to keep the documentation and who is responsible for providing access. 04/12/2023 Enroll/Buy Now * About Us * Contact * Privacy Policy * Refunds & Cancellations * Order Processing & Shipping Guidelines * Frequently Asked Questions * Terms & Conditions Menu * About Us * Contact * Privacy Policy * Refunds & Cancellations * Order Processing & Shipping Guidelines * Frequently Asked Questions * Terms & Conditions © 2023 Medical Webinar. All rights reserved