De-Mystifying the Compliance Manual
In the past few years, HRSA has transitioned its compliance efforts from requiring FQHCS to utilize multiple guidance documents to ensure adherence to health center program requirements to issuing the Health Center Program Compliance Manual (the Manual), a consolidated resource to assist FQHCs in understanding, demonstrating, and operationalizing compliance.
The Manual, which supersedes most (but not all) prior guidance, incorporates a new approach to everyday compliance by addressing:
- Each requirement’s statutory and regulatory basis
- Key elements of compliance that form the framework of every health center’s project
- Documentation necessary for verification of compliance
- Areas where health centers maintain discretion
To assist in evaluating compliance, HRSA has also issued a Site Visit Protocol (the SVP), which aligns with the Manual and reflects a more objective assessment tool. Both the Manual and the Protocol are currently being used by HRSA for on-site reviews of grantees and FQHC look-alike entities (Operational Site Visits - OSVs) as well as for desk audits of project and designation renewal applications.
Is your health center prepared for the recent changes to compliance with HRSA requirements and the compliance assessment processes – both on-site and through the grant application? Have you reviewed the newest HRSA guidance with an eye towards shoring up your own operations and, as necessary, establishing your HRSA compliance work-plan? Specifically,
- Do you have HRSA-compliant written agreements in place for in-scope services provided by contract and/or formal referral?
- Are your providers appropriately credentialed and privileged and does your quality improvement system meet all current standards?
- Have you fully implemented the sliding fee discount program requirements?
- Have your billing and collection policies struck the balance between maximizing reimbursement and maintaining optimum access?
- Is your financial management system sufficient for federal accountability purposes?
- Is your Board of Directors exercising required authorities and meeting its composition requirements, and do you have documentation to verify compliance?
Join FTLF for this hands-on training covering:
- The Chapters of the Compliance Manual, including the elements of each, the documentation required to verify compliance, and areas where health centers retain explicit discretion and flexibility;
- The on-site evaluation tool - the Site Visit Protocol - including assessment methodologies designed for various elements;
- Updates to the OSV and Service Area Competition (SAC) and Look-Alike Renewal Designation (RD) review processes;
- Key hotspots under the new guidance; and
- Compliance tips from our presenters’ years of experience working first-hand with health centers.
- Health Center Executive Staff
- Clinical Leadership
- Quality and Credentialing/Privileging Staff
- Financial Leadership and Staff
- Compliance Officers
- Board members
- Other Staff assisting with HRSA compliance and/or OSV preparation
Given the possible consequences of non-compliance, including 1-year project periods for non-compliance with a single element and potential loss of 330-grant funds, it is critical that every health center be and remain vigilant whether you are expecting an OSV, submitting your SAC / RD application, or looking to bolster current operations as part of ongoing compliance efforts.
After this training, you will be able to:
- Understand the elements of the HRSA programmatic requirements addressed in the Manual and the SVP.
- Identify the specific steps necessary to demonstrate compliance and areas where health centers retain discretion.
- Discuss the newest developments in the OSV and application review processes from an insider’s perspective.
NOTE: The sessions listed below will be addressed in the workshop and will be provided via pre-recorded webinar prior to the on-site training. Please review the webinars prior to arrival and come prepared with your questions! The webinars can be accessed by clicking the gray "Take Course" button on either the "Overview" or "Register" tab once you have registered for the course.
- Introduction to the Health Center Program Compliance Manual and HRSA Review Process
- Working within the “Box”: Key Elements and Requirements of Scope of Project
Monday, March 25, 2019
9:00 am - 5:00 pm
|9:00 am - 9:15 am||Introduction to the Training|
|9:15 am - 10:45 am||The "Community" in Community Health Center: The Governing Board of Directors (Chapters 19 & 20)|
|10:45 am - 11:00 am||Break|
|11:00 am - 12:30 pm||The Heart of Your Health Center Project: Need, Services, & Continuity of Care - Part 1 (Chapters 3, 4, 6, 7, 8, & 14)|
12:30 pm - 1:30 pm
Lunch (provided by FTLF)
|1:30 pm - 2:15 pm||The Heart of Your Health Center Project: Need, Services, & Continuity of Care - Part 2|
|2:15 pm - 3:15 pm||Quality is Key! (Chapter 10)|
|3:15 pm - 3:30 pm||Break|
|3:30 pm - 5:00 pm||Personnel Dynamics - Ensuring Appropriate Management and Staff (Chapters 5 & 11)|
|5:00 pm||Happy Hour|
Tuesday, March 26, 2019
9:00 am - 5:00 pm
|9:00 am - 10:45 am||Internal Controls and Ensuring Fiscal Viability: Part 1 (Chapters 12, 13, 15, & 17)|
|10:45 am - 11:00 am|
|11:00 am - 12:30 pm||Internal Controls and Ensuring Fiscal Viability: Part 2|
|12:30 pm - 1:30 pm||Lunch (provided by FTLF)|
|1:30 pm - 3:30 pm||Ensuring the Core Mission: Making Care Affordable While Maximizing Reimbursement (Chapters 9 & 16)|
|3:30 pm - 3:45 pm||Break|
|3:45 pm - 4:30 pm||It's All up with Data (Chapter 18)|
|4:30 pm - 5:00 pm||Questions & Wrap-Up|
Hyatt Place Washington DC/Georgetown/West End 2121 M St NWWashington, DC 20037(202) 838-2222
Kimpton Hotel Palomar DC 2121 P Street NWWashington, DC 20037Hotel: (202) 448-1800 | Reservations: (877) 866-3070
The Wink - Washington, DC 1143 New Hampshire Ave NWWashington, DC 20037(202) 775-0800
The St. Gregory Hotel - Dupont Circle 2033 M Street NWWashington, DC 20037(202) 530-3600
Kimpton Hotel Madera 1310 New Hampshire Avenue, NWWashington, DC 20036Hotel: (202) 296-7600 | Reservations: (800) 430-1202
The Embassy Row Hotel2015 Massachusetts Avenue, NWWashington, DC 20036Hotel: (202) 265-1600 | Reservations: (855) 893-1011
The Dupont Circle Hotel1500 New Hampshire Avenue, NWWashington, DC 20036(202) 483-6000
Hilton Garden Inn - Washington DC/Georgetown Area2201 M Street NWWashington, DC 20037(202) 974-6010
Embassy Suites - Georgetown1250 22nd Street, NWWashington, DC 20037(202) 857-3388
The Wink - Washington, DC
Marty has dedicated his entire career to serving the needs of health centers both inside government and out. From 1998 through 2004, Marty directed the Health Center Federal Tort Claims Act medical malpractice program, writing much of the policy that is in effect today. Marty Bree has more than thirty years of experience working with health centers and the FTCA Program. [Full Bio]
Serving as Managing Partner of the firm since 2003, and a member of the Health Law and Federal Grants practices since 1992, Ted is a national authority in the area of federal grants, particularly in the health and community service spheres. He advises clients on all aspects of program requirements, including issues such as cost-based reimbursement, governance and the never-ending list of grant administration matters. Ted’s expertise in financial, cost reporting, reimbursement, and administrative issues is widely recognized and he routinely handles government audits, internal investigations, and litigation. [Full Bio]
A partner at the firm, Marcie specializes in health care law, particularly in the areas of federal grants, grant-related requirements and grants management related to the federal health center program. Health centers turn to Marcie as a resource for knowing not only the letter of the law, but also the likely interpretation of requirements by federal policymakers, including the Health Resources and Services Administration (HRSA). [Full Bio]
Participants can earn up to 15.6 CPE credits in Specialized Knowledge and Applications upon completion of all course requirements.
- Prerequisites: None
- Target Audience: Health Center Executive Staff, Clinical Leadership, Quality and Credentialing/Privileging Staff, Financial Leadership and Staff, Compliance Officers, Board members, Other Staff assisting with HRSA compliance and/or OSV preparation
- Advanced Preparation: None
- Program Level: All
- Delivery Method: Group-Live
Feldesman Tucker Leifer Fidell LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website www.nasbaregistry.org (formerly www.learningmarket.org).
- 15.60 CPEFTLF is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors.
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