Catalog Number : cca1765
Title : Developing a Critical Access Hospital Compliance Plan
Speaker : Duane Abbey

Webplay Recording Date : 7-14-2011
Webplay Price : $ 200 for two weeks viewing

Webinar Overview:

What are the major issues for CAHs in order to maintain compliance? What kinds of future issues should we anticipate? Come join this important Webinar on compliance for Critical Access Hospitals where these questions will be addressed along with many others

Target Audience:

• All personnel involved with billing, and reimbursement activities
• Chargemaster Coordinators
• Compliance Personnel
• financial analysts
• 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 Objectives:

• Appreciate the PPACA (Patient Protection and Affordable Care Act) requirement for all healthcare providers to have compliance plans
• Understand the broad spectrum of compliance areas to which hospitals, systems, physicians and clinics are subjected
• Understand the severity of current compliance issues, the auditing process, and associated penalties
• Review issues relating to RAC, OIG and Medicare audits
• Appreciate the importance of written policies and procedures for coding, billing and the Chargemaster
• Review those areas that are currently active and those that might become active for CAHs
• Appreciate the need to look forward to future compliance issues including developing RAC audits
• Appreciate the need for a systematic approach to analyze, assess and take action relative to coding, billing and reimbursement issues
• Understand how a coding, billing and reimbursement program interfaces to the hospital corporate compliance plan

A few of the Topics that will be covered:

• Introduction
  • Healthcare Compliance Overview
  • Importance of Understanding and Meeting Rule/Regulations
  • Statutory vs. Contractual Compliance
  • Systematic Approach to Maintaining Compliance
  • Brief Review of Recent Congressional Legislation
    • PPACA 2010
    • Increasing Emphasis on Fraud and Abuse
  • OIG Audits and OIG Work Plans
  • RAC Audits
  • CAH Concepts and Requirements
• Fraudulent Practices
  • Covered vs. Non-Covered Services
  • Use of Advance Beneficiary Notices
  • Medical Necessity Issues
  • Proper Coding and Billing
  • Chargemaster Compliance Issues
• Regulatory Areas
  • HIPAA
  • CAH CoPs
  • Conditions for Payment (CfPs)
  • Provider-Based Rule
  • Others
• Developing Coding, Billing and Reimbursement Compliance Program
  • Systematic Approach
  • Developing Coding and Billing Policies and Procedures
  • Establishing an Auditing Program
  • Conducting Training
• Compliance Areas and Special Considerations
  • RAC Audit Issues
  • OIG Work Plans
  • Recent Legislation
• Case Studies

CEU and Attendance Certificate:

• Nursing participants: Instruct-online has approved this program for 1.8 contact hours, Iowa Board of Nursing Approved Provider Number 339

• All other participants: Must attend the entire Webinar and complete a Webinar critique to receive a 1.5 Hour Attendance Certificate for each program.

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.