UCR Rate Litigation: Health Plan Strategies for Minimizing Financial and Legal Risks - audioconference


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AIS's 2009 Directory of Health Plans

Managed Medicare & Medicaid Factbook: 2009

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The Next Generation of DM: 2009 and Beyond

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49 Steps to Implement Sarbanes-Oxley Best Practices
63 Billing and Coding Strategies for Avoiding Medicare False Claims
A Comprehensive Guide to Managing Never Events and Hospital-Acquired Conditions
A Guide to Auditing and Monitoring HIPAA Privacy Compliance
A Guide to Complying With Stark Physician Self-Referral Rules

High-Risk Areas in Medicare Billing

  AIS's HIPAA Compliance Center
Medicaid Compliance News
Medicaid Compliance Strategies for Hospitals, Health Systems and Other Providers
Part D Appeals & Grievances: Strategies for Minimizing Compliance Risks
RACs: Strategies to Reduce Your Risk and Successfully Appeal Payment Denials
Report on Medicare Compliance
Report on Patient Privacy
Report on Research Compliance
Vendor Gifts and Relations

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Newsletters

The HCCA-AIS MEDICAID COMPLIANCE NEWS, monthly news and valuable how-to strategies for identifying and reducing the top Medicaid compliance risks. Co-published by the Health Care Compliance Association (HCCA) and AIS. 12 issues annually ($417 per year; HCCA member discount available); subscriptions include print copy and e-mail delivery of the newsletter.
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REPORT ON MEDICARE COMPLIANCE, the industry's top source of news and analysis on Medicare compliance, fraud and abuse, billing errors, and a range of complex compliance issues. Includes unique strategic guidance not available anywhere else ... from the desk of veteran compliance reporter Nina Youngstrom, who has written this newsletter since 1992. 45 issues annually ($648 per year) or 2-month intro ($92 for 8 issues); both include print copy and e-mail delivery.
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REPORT ON PATIENT PRIVACY (and AIS’s HIPAA Compliance Center), a highly practical print and Web service that will help your organization safeguard patient privacy and data security — and reduce your chances of fines and penalties, private lawsuits and public relations nightmares. Annual subscriptions include 12 issues of the industry-leading newsletter Report on Patient Privacy, and access to a regularly updated Web site — with 31 narrative sections written by experts (and packed with sample forms, policies, procedures and other practical tools you can adapt to your privacy and security compliance), a convenient listing of links to official documents pertaining to HIPAA privacy and security, and searchable archives of Report on Patient Privacy. ($429)

REPORT ON RESEARCH COMPLIANCE, co-published by the National Council of University Research Administrators (NCURA) and AIS, provides the best information there is to help institutions avoid the negative publicity, financial setbacks, and management problems that compliance requirements can create.12 issues annually, plus weekly e-mail newletters and unlimited access to a password-protected Web site. ($379 for NCURA members, $479 for non-members.)
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Web Services &
Looseleaf Guides


A COMPREHENSIVE GUIDE TO MANAGING NEVER EVENTS AND HOSPITAL-ACQUIRED CONDITIONS provides guidance on patient safety and preventable adverse events to help you reduce risks, prevent lost reimbursement, increase quality of care and improve outcomes. Written by three top patient safety leaders — Robert F. Bunting, Jr., Jay Schukman, MD, and Wesley B. Wong, MD — this resource is the first of its kind to chronicle the efforts of the past decade to address the challenge of patient safety. Subscription includes a looseleaf guide, companion CD and one biannual update. ($287)
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A GUIDE TO COMPLYING WITH STARK PHYSICIAN SELF-REFERRAL RULES is a comprehensive looseleaf service written by a team of experienced health care attorneys. It features easy-to-follow explanations of the prohibitions and exceptions under the Stark rules, chapters devoted to the special Stark interests of different stakeholders, summaries of Stark Advisory Opinions issued by the OIG, and copies of regulations and other formal documents. Subscription includes quarterly updates and news summaries (in print and CD formats). ($524 annually).
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HIGH-RISK AREAS IN MEDICARE BILLING is a comprehensive Web site with sophisticated compliance auditing tools for hospitals and health systems. Co-published by Strategic Management Systems, Inc. — one of the nation’s leading compliance consulting firms — and AIS, the site organizes (by high-risk area) hundreds of checklists, policies, best practices and other tools in downloadable formats that can be adapted by subscribers. Also includes a valuable monthly newsletter. ($687 per year)
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Books, Directories & Reports

49 STEPS TO IMPLEMENT SARBANES-OXLEY BEST PRACTICES IN PRIVATE AND NONPROFIT HEALTH CARE ENTITIES, a highly practical book — written by experienced compliance experts at Strategic Management Systems, Inc., led by former HHS Inspector General Richard P. Kusserow — that identifies and describes steps your organization can take to adopt what have become consensus best practice standards for adhering to this landmark corporate responsibility law. Includes a companion CD with templates that can be customized by your organization. ($385)


63 BILLING AND CODING STRATEGIES FOR AVOIDING MEDICARE FALSE CLAIMS is a comprehensive collection of highly practical articles on false claims cases, government billing and coding investigations, and a wide range of Medicare billing and coding problems to avoid. This report will guide you around many of the most common pitfalls in Medicare billing and coding, cost report errors, bad documentation, DRG upcoding, and other problems that can result in enormous fines and penalties against your organization. ($69) PDF version also available via e-mail.


A GUIDE TO AUDITING AND MONITORING HIPAA PRIVACY COMPLIANCE, how-to-do-it guidance on installing effective HIPAA auditing and monitoring systems including practical templates, tools and documents on a companion CD. ($285)
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MEDICAID COMPLIANCE STRATEGIES FOR HOSPITALS, HEALTH SYSTEMS AND OTHER PROVIDERS, a collection of articles and sample policies focusing on the various Medicaid compliance issues and initiatives mandated by state and federal enforcing and monitoring agencies. Also includes steps health care compliance officers can take to limit their risks in this area of growing concern. ($84) PDF version also available.
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PART D APPEALS & GRIEVANCES: STRATEGIES FOR MINIMIZING COMPLIANCE RISKS
examines key issues surrounding Part D appeals and grievances. This report, based on a January 25, 2007, audioconference, shares expert advice on how to structure an effective appeals and grievances procedure — one that will help you avoid becoming a target of CMS enforcement. ($137) PDF version also available.
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RACs: STRATEGIES TO REDUCE YOUR RISK AND SUCCESSFULLY APPEAL PAYMENT DENIALS is a comprehensive report that offers guidelines on areas ripe for review and strategies on how to effectively appeal recovery audit contractor (RAC) payment denials. Learn about keys to success, including auditing and evaluating particular areas before the RACs do, establishing processes for records requests and appeals, and reducing your risk exposure. ($84) PDF version also available.
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VENDOR GIFTS AND RELATIONS: EFFECTIVE STRATEGIES FOR HEALTH SYSTEMS AND HOSPITALS, a report that shows you how to identify and manage potential gift conflicts, avoid possible compliance minefields and make sure patient care decisions are not influenced by vendor gift-giving. It provides guidance in the applicable laws and regulations, and offers samples of policies and real-world experiences of compliance officers who have successfully implemented these programs. ($84) PDF version also available.
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Live Meetings & Audioconferences

Meetings are listed below in reverse chronological order,
with the most recent first.

THE TOP 5 PART D AUDIT RISKS: HOW YOU CAN AVOID BECOMING A CMS TARGET, a 90-minute audioconference on May 28, 2009. Dorothy DeAngelis and Richard Merino of FTI Consulting will outline the areas CMS is now stressing in its Part D audits, and what preventive steps you should take to reduce your chances of strict penalties and sanctions. ($329)
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COMPLYING WITH THE NEW FEDERAL SECURITY BREACH NOTIFICATION LAW: STRATEGIES FOR HIPAA COVERED ENTITIES, a recording of a 90-minute audioconference held on May 5, 2009. Learn from veteran health care privacy and security attorney Reece Hirsch, a partner in the San Francisco office of the law firm of Morgan, Lewis & Bockius LLP, what the components of your federal security breach compliance program should be — and what new steps your organization should take immediately following a security breach — to comply with the rigorous new federal security breach notification law. ($329)
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MAJOR NEW HIPAA REQUIREMENTS: HOW TO COMPLY WITH STRONG PRIVACY AND SECURITY MEASURES SIGNED BY PRESIDENT OBAMA, a recording of a 90-minute audioconference held on March 11, 2009. Veteran HIPAA attorney Reece Hirsch outlines specific steps your organization must take to incorporate the groundbreaking new federal law — which contains the most significant changes to federal health care privacy and security law since the enactment of HIPAA — into your existing compliance program. ($329)
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RECONCILING PART D ENROLLMENT DATA: STRATEGIES TO AVOID BECOMING AN ENFORCEMENT TARGET, a recording of a 90-minute audioconference held on January 13, 2009. Learn the details of effective strategies to improve your enrollment and membership reconciliation processes and ensure that they are in compliance with CMS requirements, from three experts with Global Pharmaceutical Solutions (GPS) — Managing Partner Erin Costell, and Senior Consultants Marye Issacs and Julian Nadolny. ($329)
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STRATEGIES TO PREVENT AND SUCCESSFULLY APPEAL RAC PAYMENT DENIALS, a recording of a 90-minute audioconference held on November 18, 2008. Learn what your organization should do to prepare for RAC audits and which strategies have been used with terrific success to reverse unfavorable outcomes and to prevent future risk exposure — from two industry leaders with vast experience in representing hospitals and health systems during RAC audits: Diane Cahalan, a director in PricewaterhouseCoopers LLP’s (PwC) Health Industries Advisory Practice, and Lawrence Vernaglia, a partner with Foley & Lardner LLP. ($329)
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VACCINE COVERAGE AND BILLING STRATEGIES UNDER PART D, a 90-minute audioconference on September 25, 2008. Patrick Liedtka, associate director of vaccine public policy in the Merck Vaccines and Infectious Diseases division at Merck & Co., will provide valuable intelligence about CMS’s new vaccine coverage and administration billing requirements and options. Learn how to cover and bill for vaccines correctly to avoid CMS sanctions and enforcement action. ($329)
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UPCOMING CMS MEDICAID AUDITS: STRATEGIES FOR MINIMIZING YOUR CHANCES OF ADVERSE FINDINGS, a CD of a 90-minute audioconference held on June 19, 2008. Attorneys Judith Waltz and Daniel Reinberg of Foley & Lardner LLP provide practical strategies for identifying specific Medicaid risks, and preparing for the inevitable CMS Medicaid Integrity Program audits and aggressive Medicaid enforcement that is on the way. ($329)
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VENDOR GIFTS AND RELATIONS: HOW TO REVISE YOUR HOSPITAL’S STRATEGIES AS THE FEDS CRACK DOWN, a CD of a 90-minute audioconference held on March 25, 2008. Learn how to identify and manage potential vendor gift conflicts, to avoid possible compliance minefields and ensure patient care decisions are not influenced by vendor gift-giving. Speakers are: Donald E. Koenig, Jr., vice president and assistant general counsel of corporate responsibility and enterprise risk management for Catholic Healthcare Partners (CHP) in Cincinnati, and Nickie Braxton, corporate compliance officer for Hartford (Conn.) Hospital/Hartford Health Care Corp. ($329)
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IDENTITY THEFT AND HEALTH CARE: 5 IMMEDIATE STEPS TO TAKE IN THE EVENT OF A SECURITY BREACH, a CD of a 90-minute audioconference held on May 16, 2006. Privacy and data security specialist Reece Hirsch details the steps you can take to limit your liability in the event of a breach, as well as strategies that can help you avoid damaging security breach incidents. ($292)

Place an order or get more information at 800-521-4323



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