Catalog Number : cca1696
Title : Meeting the Challenge of the Red Flag Rule
Speaker : Duane Abbey

Webplay Recording Date : 5-6-2010
Webplay Price : $ 200 for two weeks viewing

Target Audience:

• All personnel involved with coding, billing, and reimbursement activities
• Chargemaster Coordinators
• Compliance Personnel
• Financial Analysts
• Coding Personnel
• Utilization Review Personnel
• Interested Nursing Staff
• Financial Analysts
• Charge Capture Specialists
• other interested clinical and administrative personnel.

Nurses and physician are encouraged to attend.

Webinar Level: Intermediate/Advanced

Prerequisites for Participating:

General knowledge of healthcare providers including coding, billing and reimbursement activities.

Webinar Objectives:

• To understand the Red Flag Rule as issued by the Federal Trade Commission
• To review key statements from the appropriate Code of Federal Regulation sections
• To appreciate the applicability of the Red Flag Rule to various types of healthcare providers including hospitals, clinics and physicians
• To understand the need to analyze specific operations relative to Red Flag directives
• To appreciate the importance of written policies and procedures for dealing with Red Flag Rule compliance
• To review a systematic process of developing a compliance program that substantiates a healthcare providers’ commitment to the Red Flag Rule requirements
• To assess internal and external sources of issues involving identity theft for healthcare providers
• To appreciate the financial liabilities associated with the Red Flag Rule
• To appreciate how the Red Flag Rule is associated to various HIPAA privacy rules and regulations

The following are a few of the topics to be discussed:

• Introduction
  • Overview of the Red Flag Rule
  • Questions Relating to Applicability of the Red Flag Rule Healthcare Providers
  • Potential Financial Liabilities
  • Applying Standard Compliance Approaches to the Red Flag Rule
• The Red Flag Rule
  • Key Aspects of the Red Flag Rule
  • Important Terminology
  • CFR Language Applying to Healthcare Providers
  • Mechanics of the Red Flag Rule
• Systematic Approach for Complying with the Red Flag Rule
  • Identify Possible Red Flags
  • Conduct a Risk Assessment for Identified Issues
  • Develop Processes for Detecting Red Flags
  • Develop Response Mechanisms for Identified Triggers
  • Developing Policies and Procedures
  • Conducting Training
  • Documenting Activities to Establish Compliance
• Red Flag Rule and HIPAA Privacy
• Case Studies and Sources for Further Information

Attendance Certificate:

Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.