Hospital and Healthcare Regulatory Compliance Training - Live Webinars, Recordings & CDs

This webinar will review not only the Anti-Kickback Statute and its safe harbors, but will provide an in-depth overview of OIG guidance and advisory opinions dealing with marketing activities, as well as a review of case law regarding marketing behavior.

This case management webinar will explore how an initial assessment and clinical review can better ensure that patient is placed in the correct setting right from the get-go which is a very unique role played by ED and admitting office, transfer center case managers and social workers. The 2 midnight rule and the part that case management plays in managing it will also be reviewed. It will give idea about reducing the use of Condition Code 44 or self-denials when patients get admitted to the incorrect level.

This webinar will discuss the standards of practice defined for social worker and nurse case managers and how it is applied to the contemporary roles and in turn how it can be applied to the everyday functions and activities social workers and nurses perform to complete their job. It will cover the various roles such as Patient flow, utilization & resource management, denial management, variance tracking, Transitional and discharge planning, Quality Management, Psychosocial assessment and counseling.

There are several steps that must be taken to determine if an incident is a breach, and whether or not that breach is reportable. Determining whether to report or not is not necessarily straightforward, but there are guidelines to follow to help at every step of the way. If the evaluation of necessity to report is not done correctly, you may not make the right decisions about reporting and be subject to penalties for non-compliance upon an investigation of a breach by HHS. Penalties for non-compliance can up to millions of dollars in cases of willful negligence, so it is essential to evaluate incidents to see if they are reportable breaches, and act properly on the evaluation.

This webinar will provide an in-depth understanding of the Federal False Claims Act, Federal Anti-Kickback and Stark laws, and discuss how marketing activities can trigger either or both.

Skilled auditors require a method that aligns what they experienced during the reviewing process with what they compose during the writing process. This report writing workshop will provide foundation resources that participants can continually turn to during intense, complex audit engagements.

For FY2022 there are 191 new PCS codes! Hospital Coding and CDI professionals need to review key aspects to the Official Guideline changes. Understanding the FY2022 new ICD-10-PCS codes changes and the clinical meaning including new devices and new technology are vital for coding accuracy. Coding personnel must learn coding rules, as well as what documentation is required to submit PCS codes and how they affect the ICD-10-PCS tables.

HIPAA regulations pertaining to the relationships of business entities that share PHI are now being enforced. HIPAA Business Associates are covered directly under the Privacy Rule’s use and disclosure limitations, the Security Rule’s safeguard provisions, and the Breach Notification Rule’s notification requirements. HIPAA Business Associates are responsible for their own compliance with the regulations, and may be held directly liable for any violations of the regulations. Whether your organization is a Business Associate or a Covered Entity that hires HIPAA Business Associates, you have significant obligations in compliance that you overlook at your peril.

This program will review the compliance issues that most greatly impact your practice such as the 2-midnight rule, the NOTICE Act, HINNs, the important message from Medicare and others. The Joint Commission is now monitoring these issues when they have deemed status from Medicare, so your compliance is critical to a good Joint Commission survey outcome. This program will help you to identify where you may have compliance practice gaps as well as how to fix them.

The purpose of this webinar is to provide a high-level review of the Official Guidelines for Coding and Reporting FY2022 (General Guideline Changes and Chapter Specific Guidelines) to prepare for a new fiscal year of coding changes and meeting compliance, which begins on October 1, 2021. Also, we will present critical instruction on the new ICD-10-CM codes for FY2022 useful for medical practices and facilities for correct billing and reimbursement. There are 159 new codes, 25 deletions, and 27 changes! We'll go over some case studies to analyze and code with ICD-10-CM, which will help you improve your knowledge and skills.

In this training program, attendees will discover how to create a record of disruptive behavior and the efforts taken by the organization to combat the problem. The webinar will also illustrate why such disruptive behavior can be a continuing problem; and therefore, why appropriate documentation is imperative.

This training program will list and enumerate relevant laws, regulations and standards required for health equity and patient-centered care of LGBT patients. It will discuss opportunities to collect LGBT–relevant data and information during the healthcare encounter and help chart strategic community outreach efforts to the LGBT population.

HCC education to coding staff and providers can help them understand the necessary documentation specificity and improve audit results. It’s important to know the Documentation and Coding tips that will help you know when to query the provider and improve accuracy. Which provider specialties are acceptable under the CMS-HCC model to document and submit ICD-10-CM codes? Information will be shared on CMS RADV and OIG audits and compliance scrutiny so that your office/department can be proactive.

This webinar will explain the Civil Monetary Penalties Law (CMP) and its mandatory and permissive exclusions and penalties. It will also cover obligations under EMTALA, violations of the Anti-Kickback Statute and Stark including amendments under the PPACA.

This is the second part of a three-part CDI series. This webinar program will look closely at the components of inpatient (IP) and outpatient (OP) documentation. We will review some examples of diagnostic discrepancies for improvement through querying the provider. You will learn about documentation process improvement. In addition, we will recap the steps and effective communication for a healthcare system to take to help improve IP and OP CDI.

This training program will provide a comprehensive look at the changes in the new access rights under HIPAA and CLIA regulations and prepare attendees for the process of incorporating the changes into how they do business in their facilities. It will also explain how the HIPAA audit and enforcement activities are now being increased and what needs to be done to survive a HIPAA audit.

Promoting employees from within is not without its risk and if not handled properly can result in potential legal liability. This webinar will offer attendees an understanding of what should be accomplished when promoting current employees to management or supervisory positions.

The "Welcome to Medicare" visit and Annual Wellness Visits (AWV) are important screening services available to Medicare beneficiaries at no cost. More and more practitioners are providing these services, often missing key elements to support the codes. In this session, we will look these services and discuss the typical problems providers are struggling to document when performing these visits.

New guidelines for office and outpatient Evaluation and Management (E/M) codes 99202-99215 were effective on January 1, 2021. This is biggest change in E/M coding and documentation since the 1995 and 1997 guidelines were published. Learn everything you need to know about documenting and coding under these new guidelines.

The current guidelines for documentation of office and outpatient visits were implemented in the early 90’s and have become cumbersome and outdated for the current medical provider. For 2021 CMS and the AMA have joined together to create and implement new documentation guidelines for office and outpatient visits that must be used starting January 1, 2021.