Risk Assessment Update (Audio Conference)

AUDIOCONFERENCE ON CD OR AUDIO ARCHIVE

Sponsored by Healthcare Compliance Professional’s Guide to Risk Assessments

presented on October 3, 2007

Traditionally, risk management only examined financial transactions or personal injury litigation. oday’s compliance officers and risk managers must prepare their organization to target new, costly concerns arising from:

• The Stark II Phase III final rule which takes effect December 4, 2007
• Proposed Stark Law changes included in the Medicare Physician Fee Schedule update slated to take effect January 1, 2008
• Increased focus on Medicaid enforcement as seen by the January 1, 2007 implementation of the Deficit Reduction Act

If these emerging risk areas weren’t enough, there’s still EMTALA, Anti-Kickback Statute, and other priorities which must be addressed to keep your facility in compliance.

Tools to identify and manage current high-risk areas

Listen to Robert A. Wade, Esq., Partner, Baker and Daniels, LLP, Debi Weatherford, Audit Director, CHAN Healthcare Auditors, and Lena Robins, Senior Counsel, Foley & Lardner LLP for Risk Assessment Update: Overcome new challenges from Stark, Medicaid, and  the DRA, , a 90-minute audioconference where you will learn the top risk areas for healthcare organizations—and strategies for measuring and managing these risks.

At the end of this audioconference, you will be able to:

• Recognize the risk areas in physician financial arrangements
• Explain how to identify risk areas related to Medicaid enforcement
• Identify potential risks related to conflicts of interest
• Perform the corrective actions needed within the risk areas

AGENDA

• Topics to be discussed for each emerging risk area include:
• Where is the risk?
• Why is it a risk?
• How do you detect or audit it?
• What are the corrective actions needed?
• Top risk areas
• Physician financial arrangements (Stark)
• Emerging concerns
• Exceptions
• Annual reviews
• Resources for review
• Medicaid enforcement
• Quality of care 
• Pay-for-performance
• False claims
• Quality reporting initiatives
• Conflicts of interest
• Excluded providers
• EMTALA
• Key definitions
• Difficulties detecting EMTALA concerns
• EMTALA transfer audit tool
• Question & Answer Session

MEET THE SPEAKERS

Robert A. Wade, Esq., Partner, Baker and Daniels, LLP. Robert concentrates his practice in representing a variety of health care clients. His specialization includes representing clients with respect to the Stark Law, Anti-Kickback Statute, False Claims Act, and Emergency Medical Treatment and Active Labor Act. Robert is a nationally-recognized expert in all aspects of health care compliance and he has experience in representing clients with respect to issues being investigated by the Department of Justice and the Office of Inspector General.

Lena Robins, Senior Counsel, Foley & Lardner LLP. Lena is senior counsel with Foley & Lardner LLP and previously served as an attorney with the Office of General Counsel at the U.S. Department of Health and Human Services. Lena currently specializes in regulatory matters arising under Medicare, Medicaid, and other third-party payment programs. She assists healthcare providers and pharmaceutical and medical device manufacturers, with a variety of reimbursement matters relating to coverage and payment. In addition, she and also counsels on federal and state fraud issues, such as anti-kickback, self-referral, the False Claims Act and regulatory compliance.

Debi Weatherford, Audit Director, CHAN Healthcare Auditors, Atlanta, GA.  Debi Weatherford has more than 20 years of experience with leading healthcare organizations. She is a member of the AHIA/HCCA focus group tasked with addressing compliance auditing and monitoring directives through white papers, articles, and educational initiatives.

WHO SHOULD LISTEN?

• Compliance officers
• Auditors
• Directors of internal audit
• Directors of compliance
• Chief compliance officers
• Chief audit executives
• Chief risk officers
• CFOs
• In-house counsel

NEW PURCHASE OPTION: Audio Archive

In addition to the regular participation option for HCPro audioconferences—audio CD, we are pleased to offer a new option, an audio archive. An audio archive allows you to download the program and play it back at your convenience on your computer or MP3 player. Purchase a CD, or audio archive of the program and listen when you can.

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