The Health Insurance Portability and Accountability Act (HIPAA) sets the standard for sensitive patient data protection. Companies that deal with protected health information (PHI) must have physical, network, and process security measures in place and follow them to ensure HIPAA Compliance. Covered entities (anyone providing treatment, payment, and operations in healthcare) and business associates (anyone who has access to patient information and provides support in treatment, payment, or operations) must meet HIPAA Compliance. Other entities, such as subcontractors and any other related business associates must also be in compliance.
Attendees will come away with the ability to recognize the purpose and value of Quality Risk Management QRM. Explain the level of risk based on severity, occurrence, and detectability and how the QRM process is used to make decisions.
In addition, they will be able to identify key QRM terminology and recognize the four (4) key components of Quality Risk Management. Finally, they will have a strong understanding of the key concepts associated with the risk management risk tools and their application.
Areas Covered in the Session:-
Why You Should Attend:-
Who Should Attend:-
Pharma companies use Learning Management Systems (LMS) as a vital tool for demonstrating to regulatory authorities that they are maintaining and ensuring their staff training efforts are up-to-date. Most LMS systems frequently claim unlimited functionality and scalability but have limitations that companies should be aware of in order for them to overcome and be able to use effectively. One of the most problematic areas in most LMS systems is the development of the training curricula. Every system presents its own unique challenges and eats into time which one does not anticipate. Moreover, many of us have training as an ancillary responsibility and we do not have the luxury of time to create and maintain a complex array of curricula.
Join this 90-minute webinar if you want to capitalize on the benefits of an LMS and avoid the pains. This course will take you through the creation of a job function curriculum with the help of LMS as well as provide you with the tools required to build effective curricula for the pharmaceutical industry.
Learning Objectives:-
Areas Covered in the Session:-
Who Should Attend:-
This course will be of benefit to training employees, both individual contributors, and management, who are responsible for the creation and management of Pharma training curricula such as:
In medical coding and billing our claims sent to insurance carriers have to tell the story of what services and/or procedures were performed to treat a patient and the medical necessity the services and procedures reported. Very often circumstances arise in which we need to communicate to the insurance company that there is specific information we need to share with them for them to understand the story behind the claim. This is where the use of modifiers comes in. Modifiers tell the insurance company information that they need to further understand why a service or procedure is being reported and allows them to process the claim for reimbursement. There are also insurance company policies along with coding manual guidelines that require modifiers when certain scenarios occur. Providing the appropriate modifier(s) allows medical claims to be processed quickly so providers are not waiting for their payments. Avoiding the denial of claims is a necessary part of any revenue cycle.
Key Points:-
Who Will Benefit?
Medical offices, billing companies, insurance companies, consulting firms.
Excel expert David Ringstrom, CPA is fond of stating "Either you work Excel, or it works you!" In this fast-paced presentation, David will share over two dozen ways that you can reclaim part of your day from Excel. You'll uncover mouse techniques, keyboard shortcuts, hidden menus, and even ways to create your own custom keyboard shortcuts in Excel.
Restore the classic print preview screen in Excel 2010 and later, undo or redo multiple actions at once, and even learn how to have Excel read words and numbers aloud to you. There's even a shortcut for toggling the Locked property of worksheet cells that you want to protect or unprotect.
David will teach primarily from Excel 2010 but will demonstrate new features in Excel 2013 when warranted, as well as disclose any differences in Excel 2007. The coverage of Excel 2003 will be limited to questions raised by the audience.
Areas Covered in the Session:-
Why you should Attend:
Who Will Benefit:-
This 90-minute webinar will be addressing how practice/business managers (or compliance offers) need to get their HIPAA house in order as HIPAA HITECH is now fully enforced with bipartisan support and the government is not using kid gloves anymore.
It will also address major changes under the Omnibus Rule, Trump (or Biden) administration, new congressional mandates, and any other applicable updates for 2021 and beyond along with changes relating to COVID-19 and Information Blocking under the Cures Act (do’s and don’ts). There are an enormous amount of issues and risks for covered entities and business associates these days - we will speak to the most common violations and fines - and how to best avoid fines and headaches.
I will speak on specific experiences from over 20 years of experience in working as an outsourced compliance auditor, expert witness on multiple HIPAA cases, and thoroughly explain how patients are now able to get cash remedies for wrongful disclosures of private health information.
More importantly, I will show you how to limit those risks by simply taking proactive steps and utilizing best practices.
Areas Covered in the Session:-
Why you should Attend:-
Join me in this 90-minute webinar to explore what's new with HIPAA both from a regulation standpoint (new requirements) and an enforcement standpoint.
This once rarely enforced law has changed and you need to know what's going on! Protect your practice or business! This day's trial attorney poses a higher risk than the Federal government!
What changes under the Trump or Biden administration and other congressional mandates can we expect? What changes have occurred relating to COVID19 and HIPAA and will they be permanent?
What are the changes regarding the Cures Act and Information Blocking? State laws are now in place increasing liability for patient remedies! What factors might spurn a lawsuit or a HIPAA audit? …are you doing these things?
Why are the Feds enforcing after all these years? We will be discussing 2021 changes taking place in Washington with the Health and Human Services regarding the bipartisan backed enforcement of the HIPAA laws already on the books (as well as some detailed discussions on the audit process) and some current events regarding HIPAA cases (both in courtrooms and from live audits).
Who Will Benefit:-
In this session, Mr. Wolfe will provide an overview of key developments in physician compensation in 2020.
Areas Covered in the Session:-
Why you should Attend:-
It has been a whirlwind year for physician compensation in the U.S. Since last year, the government has issued new proposed Stark and Anti-Kickback rules, declared a public health emergency, paused elective procedures, and issued Stark blanket waivers to assist providers in their response to the pandemic.
At the same time, the federal, state, and local governments have all issued numerous guidelines, directives, and waivers that have directly and indirectly impacted physician compensation. Going forward, key changes to the allocation of wRVUs under the proposed 2021 Medicare Physician Fee Schedule (MPFS) could have a major impact on physician compensation.
Health care leaders will need to continue to be vigilant as they navigate this dynamic regulatory environment.Mr. Wolfe will discuss compliance strategies, the current state of the fraud and abuse laws, the mechanics and potential sunset of key actions (including the Stark blanket waivers), the impact of proposed changes to the physician fee, strategies for managing risk related to the MPFS changes, and other hot topics.
Who Will Benefit:-
This is a must-attend for every nurse, physician, or healthcare provider who has direct patient care. Did you know the highest number of deficiencies for hospitals being out of compliance with the hospital CoP manual is in the area of patient rights? Patient rights should be on the radar screen for every hospital in 2020! The highest number was in the area of restraint and seclusion, followed by care in a safe setting, grievances, privacy, advance directives, confidentiality, admission status notification, and visitation and consent. There are over 9,000 deficiencies in patient rights.
This program will cover in detail the CMS patient rights requirements which include grievances, right to get notice of patient rights, the exercise of rights, visitation, informed consent, privacy, confidentially of medical records, safety, advance directives, interpreters, abuse and neglect, infant security, plan of care, visitation rules, support person rights, consent, and staffing levels. CMS added a detailed section on ligature risks and the requirements for caring for suicidal patients to prevent strangulation and this will be discussed. A change was made to the restraint and seclusion section that went into effect on November 29, 2019, and interpretive guidelines in 2020.
Most every hospital in the U.S. accepts Medicare reimbursement and as such must be in compliance with the CMS Conditions of Participation (CoPs). This program will also discuss important CMS memos which include one on confidentiality and privacy for hospitals. Privacy and confidentiality are important especially as the revised HIPAA and the increased penalties being levied against hospitals in the past year.
Objectives:-
Agenda:-
This program will cover the following:
Who Will Benefit?
For years the IRS has struggled with independent contractor and tax collection.
In assessing opportunities to close the tax gap (taxes due but not reported or paid), one of the greatest opportunities comes from expanding the information reporting on taxpayers by payors - 1099. This time-consuming reporting obligation can be streamlined in a number of ways. Join us to learn more.
Areas Covered in the Session:-
Why you Should Attend:-
What are the rules regarding paying and IRS reporting on Independent Contractors? How do I avoid the IRS CP-2100 (B-Notices)? What if my vendor claims exemption; must I obtain a W-9 anyway? What are the best practices? How can I minimize the risk of improper exemption claims by my vendors? Get the answers to these and related questions to reduce your risk of huge penalties from the IRS.
Learn the rules requiring W-9 documentation and 1099 reporting. Learn how to establish an independent contractor relationship with the right documentation. Understand the rules and keep your company in compliance.
Ensure that your records will stand the scrutiny of an IRS 3rd Party Documentation and Reporting audit. Avoid the onerous penalties for noncompliance and build the best defense against the 972-CG Notice of Proposed Penalty Letter.
Who Will Benefit:-
Business Associate HIPAA violations are in the spotlight - and in the crosshairs of OCR regulators and class-action lawyers. Covered Entities can be directly and equally liable for costs of violations by their Business Associates due to the little-known Federal Common Law of Agency incorporated in the HIPAA Enforcement Rule.
This webinar is for HIPAA Business Associates (BAs) and Covered Entities (CEs). CEs and BAs can prevent these dangers easily by following simple HIPAA Rules that are often overlooked or misunderstood.
The dangers of BA HIPAA violations are emphasized dramatically by numerous class action lawsuits underway across the country following HIPAA breaches by BAs that exposed the Protected Health Information (PHI) of tens of millions of patients.
BAs are liable for complying with the HIPAA Rules and CEs must document satisfactory assurances that their BAs comply with HIPAA before disclosing PHI to a BA or allowing a BA to create, receive, maintain or transmit PHI on their behalf. The chain of compliance and liability follows PHI from a CE to its BA and down through the BA’s Subcontractors.
Areas Covered in the Session:-
This webinar explains how to understand and follow HIPAA Rules for BAs clearly and logically according to the following agenda:
Why you should Attend:-
CEs can find themselves fully liable for HIPAA violations committed by BAs and BAs for violations committed by Subcontractors under a little known Federal agency law. However, risks associated with BA HIPAA compliance can be managed calmly and confidently by following the HIPAA Rules that are easy to follow, step-by-step as this webinar explains.
BAs should attend this webinar to see exactly what to do to comply with HIPAA. They are liable for compliance with the entire HIPAA Security Rule and parts of the HIPAA Privacy and Breach Notification Rules. But it is easy to be unsure about what BAs must do to comply with their Privacy and Breach Notification Rule requirements.
CEs should attend to see what to look for in Due Diligence and how to obtain the necessary satisfactory assurances that a BA is complying with HIPAA.
Who Will Benefit:-
Families First Coronavirus Response Act, Employee Expanded Family Medical Leave Rights - What is the Impact with FMLA Leave Policies?
Now that the New Family First Coronavirus Response Act (FFCRA) is in place it is critical for Employers and Leaders to be knowledgeable about the impact and the compliance consequences. Although there are many updates provided by many different resources, it is imperative that Employers and Leaders count on the experts to explain health resources and compliance experts to assist them with the regulations since they are happening and changing daily.
The FFCRA was based on the FMLA with added amendments to accommodate the changes and resources for the COVID-19. It established paid sick leave under certain criteria and an expanded leave to accommodate employees who are unable to work due to school closures.
Moreover, as Employers mistakenly shut down training costs, they are doing a disservice to the company and to their employees. Research has proven that compliance training is the lowest cost/high-value risk management Strategy. Training Leaders has provided a huge resource on how companies can prepare for the transition during and after the COVID-19 Pandemic.
This training will teach all attendees the critical information needed to mitigate all the requirements to stay afloat and to communicate effectively to employees to ensure accurate information on health, safety, paid leave and other resources offered to survive this crisis.
Course Objectives:-
There are so many competing resources that can impact how communication is handled and most of the communication is life-threatening for businesses and employees. Let’s count on the HR and Compliance subject matter experts (SME) to provide the Employers and employees with the necessary communication needed. Most HR professionals are in need of accurate, timely, and relevant information to ensure the continuation of a safe workplace.
Course Outline:-
Why Should You Attend:-
Participants will learn valuable information to maintain their businesses and employees during this crisis. Employers are obligated to provide a workplace environment that safe and free from hazards. Participants will be able to lead their employers and their employees through this crisis and gain valuable skills.
Who Will Benefit:-
