Medicare Compliance and Risk Management
Audit Prevention Techniques for SNFs
Product Description:
AUDIO CONFERENCE ON CD OR ON-DEMAND
Sponsored by: Medicare Boot Camp®—Long-Term Care Version
Presented on Tuesday, April 19, 2011
Will your compliance program stand up to OIG scrutiny?
Under The Patient Protection and Affordable Care Act (PPACA), long-term care facilities are expected to establish a credible, effective compliance program by 2013. Now is the time to prepare.
Join experts Nancy Beckley and Maureen McCarthy, RN, BS, who will help you meet the requirements of the PPACA mandate and prevent other regulatory scrutiny through risk assessment, voluntary correction of overpayments, and implementation of auditing/monitoring policies. You will walk away with practical ideas to achieve compliance, as well as ways to use data that you collect to improve quality of care at your facility.
At the conclusion of this program, participants will be able to:
- Identify the requirements of the PPACA mandatory compliance program initiative
- Interpret the compliance program guidance for skilled facilities
- Perform a comprehensive risk assessment at your facility
- Initiate or augment an existing compliance program to avoid survey deficiencies
- Develop a thorough auditing and monitoring process to evaluate the effectiveness of your compliance program
TAKE A LOOK AT THE AGENDA
- Long-term care compliance and risk management
- Compliance programs and enforcement
- Current OIG targets for long-term care
- PPACA requirements
- Four components of a strong compliance program
- Compliance committee
- Education and training
- Quality assurance
- Utilization review
- Risk assessment
- Timely risk assessments
- Ongoing surveillance
- Routine monitoring of common problem areas
- Auditing and Monitoring
- Reporting mistakes
- Voluntary refunds vs. voluntary disclosures
- Correcting mistakes
- Live question and answer session
MEET THE SPEAKERS
Nancy J. Beckley, president, Nancy Beckley & Associates, LLC. In her current role, Beckley leads a consulting firm dedicated to serving the compliance and regulatory needs of outpatient therapy providers with a focus on Medicare compliance. She has more than 25 years of experience in health systems management and consulting and has worked with integrated multi-provider health systems, academic medical centers, inpatient rehab hospitals and units, specialty rehab providers focusing on rehab agencies and CORFs, physician practices and physical therapists in private practice.
Maureen McCarthy, RN, BS, director of Medicare Compliance & Education, National Healthcare Associates; President, Celtic Consulting, LLC. McCarthy has been an RN for 25 years, with experience as an MDS coordinator, director of nursing, rehab director, and Medicare specialist. She combines the clinical documentation with the financial reimbursement piece in order to provide guidance to her clients on how to document accurately and gain increased reimbursement. Celtic Consulting provides training on nursing documentation, Medicare billing, the medical record review process, as well as the MDS and care planning.
BONUS MATERIALS INCLUDED IN YOUR MATERIAL PACKET
In addition to the expertise and information presented during this audio conference, you'll also receive these helpful “take-aways” provided within your materials pack:
- Copy of Federal Register Model Compliance Guidance
- Sample Code of Conduct
- Sample Audit Plan
- Executive Summary of the OIG's report Questionable Billing by Skilled Nursing Facilities.
WHO SHOULD LISTEN?
Administrator, MDS coordinator, DON, ADON, compliance officer, business office manager, compliance committee, CNO, CEO, risk manager, physical therapy director, social worker, case manager, director of therapy.
ON-DEMAND
Purchase a CD or an audio on-demand of the audio conference and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.
Product Types : Departments :
