Part I: Compliance and Ethics Programs for Longterm Care Facilities
Longterm care facilities are required to operate compliance and ethics programs under regulations issued by the Centers for Medicare & Medicaid Services (CMS) in 2016. The requirement took effect in November 2019. This webinar will provide an overview of the required components of a compliance and ethics program, as well as describing guidance issued by the Department of Health and Human Services Office of Inspector General (HHS OIG) on nursing home compliance programs. We will also provide practical tips for developing and implementing compliance programs that effectively identify, prioritize, and respond to financial, legal, and operational risks. We will highlight how compliance programs can help longterm care facilities ensure that their organization is effectively carrying out new longterm care requirements of participation – for example, those relating to care planning, infectious disease control, and others.
The regulatory landscape for providers of post-acute care has changed dramatically in recent months. New requirements of participation for longterm care facilities, promulgated by the Centers for Medicare & Medicaid Services (CMS) in 2016, have been implemented in three phases, with the last and arguably most significant set of changes implemented in November 2019. On October 1, 2019, and January 1, 2020, respectively, CMS implemented new “patient-driven” Medicare payment methodologies for skilled nursing facility services (SNF) and for home health services.
This series of four sixty-minute webinars will provide information and guidance to post-acute care providers on emerging topics relating to the revised requirements of participation and Medicare payment methodologies. Three of the webinars will focus on provider policies that will be under increased scrutiny as a result of the revised requirements of participation: compliance and ethics programs, emergency preparedness plans, and policies and procedures related to patient/resident privacy and information. One webinar will provide an overview of the Patient-Driven Payment Methodology (PDPM) for SNF services and the Patient-Driven Groupings Methodology (PDGM) for home health services, as well as identifying key compliance risks associated with the implementation of these methodologies. Each webinar will provide practical advice on how longterm care facilities and other post-acute care providers can most effectively develop and implement policies to respond to the new or revised requirements, and to strengthen the patient experience and patient care.
- CEOs and Leadership
- Operations Staff
- Finance and Billing Staff
- Compliance Officers and Risk Managers
- Quality Officers and Managers
After this webinar, you will be able to:
- Assess whether your organization’s compliance and ethics program aligns with current requirements and recommendations for longterm care facilities
- Create a compliance and ethics work plan with specific activities designed to improve your organization’s program
- Develop a process to regularly identify and prioritize substantive compliance risks facing your organization
SUSANNAH VANCE GOPALAN
Susannah is a Partner in the firm’s health law practice group where she focuses on health care litigation and regulatory counseling, with a focus on Medicaid and Medicare payment, financing, and compliance issues. Susannah brings regulatory expertise to bear when advising clients and pursuing litigation on their behalf. She has experience negotiating Medicaid waivers and managed care arrangements on behalf of providers, provider associations, and governmental entities. She represented a group of providers in reaching a settlement in major Medicaid litigation. [Full Bio]
As Partner and Compliance Counsel with the firm’s health law practice group, Dianne advises health centers on implementing effective compliance programs and on addressing top compliance risk areas. Dianne counsels health centers and other organizations on developing compliance programs that include the OIG’s seven elements, respond to identified compliance risk areas, and reflect the organization’s culture. Dianne also advises health centers and other organizations on patient privacy and confidentiality, including the HIPAA Privacy Rule and 42 CFR Part 2. She has experience responding to privacy and security incidents, including determining whether there has been a breach, notifying patients and the government, and creating corrective action plans. [Full Bio]
Certificates of Attendance: We verify attendance upon completion of a webinar (live or recorded version) and will only issue certificates in the name of the account holder enrolled in the course. If you need to document attendance for someone other than the account holder, we provide blank Certificates of Attendance for a supervisor to sign and certify that a different individual viewed the course.
Group Attendance: Due to the online nature of webinars, we cannot verify participation by more than one person. For groups, we provide an attendance record form and blank Certificates of Attendance to record attendance at a group viewing session and document each individual's participation. We recommend that a supervisor or colleague sign the certificate to certify attendance.
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- 1.00 Certificate of Attendance
This webinar is complimentary: there is no registration fee, but you will need to create an account in our system. To register, click the gray Enroll button above. To register for the full webinar series, click here.
The webinars in this course are only available individually or as an entire webinar series. Registering for this webinar grants you complimentary access to both the live and on-demand versions. You will have access to the recordings for 180 days after the conclusion of Part IV.
VIEWING THE RECORDING
The on-demand version of each webinar will be available in your account within two (2) business days of each live session. Once posted to your account, you can view each webinar anytime on-demand during the access period. For additional information on viewing and accessing webinars, view our full terms and conditions here.
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