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DRA Demands on Outpatient Rehab Departments:

The Seven Steps to a Proper Compliance Program

AUDIOCONFERENCE ON TAPE OR CD

Sponsored by The How-To Manual for Rehab Documentation, Second Edition

presented on March 14, 2007

Don’t put your facility at risk for noncompliance and hefty fines—ensure your outpatient rehab department is in compliance with the Deficit Reduction Act (DRA)

The DRA requires all facilities that accept more than $5 million of Medicaid reimbursement to have a compliance program. That means today, more than ever before, your rehab facility’s reimbursement future is riding on the effectiveness of compliance programs implemented throughout every one of its departments.

The DRA’s focus on compliance has other agencies, such as the Office of Inspector General (OIG) and CMS, on the watch for proper compliance as well. Having a proper corporate compliance program in place may be the only thing preventing your facility from being at risk for fines or possibly losing Medicare or Medicare certification.

More than just best practice …

7 PROVEN STEPS TO A PROPER COMPLIANCE PROGRAM

Devoted specifically to corporate compliance for outpatient rehab facilities, this 90-minute program will help you understand how to implement a proper compliance program—or firm up your current program—in outpatient rehab under the DRA.

Reduce risk of violations and eliminate fraud that could lead to audits or paying back reimbursement

Our experts explain in simple language how, if implemented correctly, compliance programs can improve operations and, more importantly, weed out those providers who are less than ethical. At the end of this audioconference, you walk away with the advice, strategies, and tools you need to:

1. Describe what the Deficit Reduction Act is, where it came from and what it’s intended to accomplish
2. State some examples of recent cases involving rehab facilities and what could have happened if they had a compliance program in place
3. Describe what goes into an effective compliance program and why it’s necessary in today’s health care environment to evaluate your program or develop one
4. Develop a written list of high-, medium-, and low-risk compliance tasks from published guidelines
5. List ways in which training may take place
6. Document steps for investigation, correction, and avoiding sanctions at your facility 

NOTE: This is an intermediate-level program. Participants listening to this audioconference should already have a basic understanding of Medicare and Medicaid enforcement and some basic idea about compliance programs.

BONUS MATERIALS INCLUDED IN YOUR MATERIAL PACKET!

In addition to the expertise and advice presented during this audioconference, you'll also receive a slide presentation of the program materials along with tools and “take home” items including:

• Sample corporate compliance policies & procedures
• Sample compliance reporting posters and reporting cards
• The Office of Inspector General guidance
• The DRA language
• The Federal False Claims Act
• The Medicaid Integrity Program Document
• An effectiveness audit checklist
• A Compliance Task List (by month)
• Examples of HIPAA posters 

These materials are provided with PDF links.

TAKE A LOOK AT OUR AGENDA

• DRA
• What it means
• When it went into effect
• What it means to rehab providers
• How it affects compliance programs
• DRA effect
• Environment before DRA
• Leading up to the DRA
• Current and past perspectives on rehab
• Quality of Care
• DRA Medicaid initiatives
• If you don’t fall into “5M Club” why do you need a program?
• CMIP
• Meaningful changes
• What is a compliance program
• The seven steps from the OIG’s Compliance Guidance
• How to build a compliance program
• Budget
• Seven steps breakdown
• Other steps
• Updating existing programs or using existing information
• Conclusion
• Benefits
• Question & Answer Session

FEATURED SPEAKERS

Tessa Chenaille, CHC, CHP, is the President and C.E.O. of Chenaille Compliance Consulting, LLC. Ms. Chenaille brings with her over 20 years experience in the health care field. She provides compliance and HIPAA consulting services for skilled nursing facilities, outpatient rehab facilities, home health agencies, physician practices, and other settings.

Maredith Spector, PT, MS, CHC, is the Compliance Manager for Carlson Therapy Network, a group of private practice therapy clinics located primarily in Connecticut.  She has over 30 years of experience as clinician, clinical education coordinator, academic instructor, and manager in a variety of settings.

WHO SHOULD LISTEN?

• Clinic directors/owners
• Boards of directors
• Office managers
• Billing directors
• CFOs
• HR directors and compliance officers
• Privacy officers
• PTs, OTs, and SLPs

Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

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