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  • 2014 Updates on the Medicare Claims Appeals Process, OMHA Settlement Conference Facilitation Pilot Project, and CMS Settlement Offers to Acute Care and Critical Access Hospitals

    Recorded On: 01/28/2015

    This webinar is sponsored by the Regulation, Accreditation, and Payment (RAP) Practice Group.

    This webinar will cover the appeal delays providers and practitioners in the Office of Medicare Hearings and Appeals (OMHA) have been experiencing. This discussion will include the following:


    • A description of how the Medicare claims appeals process is supposed to work;
    • A description of the current delays in OMHA, including reasons for the delays as given by OMHA;
    • A discussion and update regarding the lawsuits that have been filed in response to the delays experienced in OMHA, including a discussion of the likelihood of similar legal actions;
    • A discussion of the settlement conference facilitation project instituted by OMHA and a firsthand account of how that process works in practice;
    • A discussion of the practical guidance given by OMHA for increasing the expedience of appeals, as well as tips from the speakers themselves; and
    • A discussion of the recent settlement offer from the Centers for Medicare & Medicaid Services to acute care and critical access hospitals regarding outstanding appeals of denials based on the appropriateness of inpatient admissions.

    Sponsoring AHLA Group:

    • Regulation, Accreditation, and Payment Practice Group

    Jason M. Green

    Chief Advisor and Deputy Ethics Counselor

    Office of Medicare Hearings and Appeals
    U.S. Department of Health & Human Services
    Washington, DC
    Bio

    Raymond Lindholm

    Associate

    Nelson Mullins Riley & Scarborough LLP
    Atlanta, GA

    R. Ross Burris

    Shareholder

    Polsinelli PC
    Atlanta, GA
    Bio

    Distance Learning Event Recordings

    Recordings of past webinars, roundtable discussions, and educational calls are not eligible for Continuing Legal Education (CLE) credit. CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser. 

  • Bring Your Own Device: BYOD Policy Implementation, Legal Concerns, and Best Practices - On Demand Recording

    This webinar is brought to you by the Health Information and Technology Practice Group and is co-sponsored by the In-House Counsel; Labor and Employment; Medical Staff, Credentialing, and Peer Review; Physician Organizations; Regulation, Accreditation, and Payment; and Teaching Hospitals and Academic Medical Centers Practice Groups.

    Time: 90 minutes
    Format: On-Demand

    Mobile devices are ubiquitous in health care due to their convenience, flexibility, and ease of use. Doctors are remotely accessing electronic health records (EHR) through iPads and smartphones in providing patient care. Studies indicate that although a large majority of health care organizations permit their employees and medical staff to use their own mobile devices for work purposes, far fewer require employees to read and sign a Bring Your Own Device (BYOD) policy. Fewer still employ technical measures to limit or restrict the download of protected health information (PHI). Although mobile devices have the potential to improve collaboration, workflow, patient safety, and drive down health care costs, concerns regarding the safety, privacy, security and e-discovery implications of using mobile devices in the health care environment must be addressed.



    This webinar will:

    • Provide an overview of the legal and regulatory framework for mobile devices;
    • Discuss recent enforcement actions by the Office of Civil Rights and relevant court cases;
    • Highlight BYOD policy drafting considerations;
    • Discuss cultural and political considerations and challenges to a successful BYOD policy implementation;
    • Discuss technical issues that may pose challenges to BYOD implementation; and
    • Provide best practices for implementation, management, and enforcement.

    Sponsoring AHLA group:

    • Health Information and Technology Practice Group

    Co-sponsoring AHLA group:

    • In-House Counsel Practice Group
    • Labor and Employment Practice Group
    • Medical Staff, Credentialing, and Peer Review Practice Group
    • Physician Organizations Practice Group
    • Regulation, Accreditation, and Payment Practice Group
    • Teaching Hospitals and Academic Medical Centers Practice Group

    Steven Aiello

    Technical Architect

    AHEAD
    Detroit, MI

    Tatiana Melnik

    Attorney

    Melnik Legal
    Tampa, FL

    Meredith Phillips

    Chief Information Privacy & Security Officer

    Henry Ford Health System
    Detroit, MI

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chartfor details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser. 

  • Rules, Tools, and Fools: “Hot Buttons” in Physician Compensation Planning Series- Part III: Introduction to Health Care Real Estate Lease Toolkit

    This series is brought to you by the Fair Market Value Affinity Group of the Hospitals and Health Systems Practice Group, and is co-sponsored by the Fraud and Abuse, and In-House Counsel Practice Groups.

    This webinar will introduce an online toolkit to assist counsel in addressing concerns and drafting documents for legally compliant hospital-physician real estate leases. This program will include:


    • Overview of the legal and regulatory considerations for hospital-physician leases with focus on the fair market value regulatory standards for such leases;
    • Lessons from recent case law; and
    • Tools and takeaways for preparing physician-hospital real estate leases.

    Sponsoring AHLA Groups:

    • Fair Market Value Affinity Group
    • Hospitals and Health Systems Practice Group

    Co-sponsoring AHLA Groups:

    • Fraud and Abuse Practice Group
    • In-House Counsel Practice Group

    Monte O. Crockett

    Senior Counsel

    Intermountain Healthcare
    Salt Lake City, UT
    Bio

    Andrew Dick

    Attorney

    Hall Render Killian Heath & Lyman PC
    Indianapolis, IN
    Bio

    Dean Hobart

    Healthcare Appraisal Director

    National Property Valuation Advisors
    Chicago, IL
    Bio

    Shane P. Goss

    Managing Director

    Huron Consulting Group
    Chicago, IL
    Bio

    Recordings of past webinars, roundtable discussions, and educational calls are not eligible for Continuing Legal Education (CLE) credit. CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser. 

  • Proving “Reasonable” UCR Payments - On Demand Recording

    This roundtable discussion is brought to you by the Payers, Plans, and Managed Practice Group.

    Curtis Leavitt, health care litigation partner with Kennaday, Leavitt & Daponde, will discuss his experience in handling litigation between health plans and non-contracted providers regarding the payment of usual, customary, and reasonable (UCR) rates. While most jurisdictions use UCR as the standard for payment for non-contracted providers for commercial enrollees, determining what is a reasonable payment is tricky. Mr. Leavitt will share his approach to handling UCR litigation, including pre-litigation evaluation, discovery, and evidentiary, expert and trial considerations a health plan can use to win UCR battles with providers and to defend against payment scrutiny by regulators.

    Sponsoring AHLA Groups:

    • Payers, Plans, and Managed Practice Group

    Curtis Leavitt

    Partner

    Kennaday, Leavitt & Daponde PC
    Sacramento, CA

    On-Demand+CLE Webinars

    On-Demand+CLE webinars are eligible for Continuing Legal Education (CLE) credit and are approved in every state with mandatory CLE requirements for attorneys unless otherwise specified. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    On-Demand Webinars

    Offerings designated as “On-Demand" differ from those designated as “On-Demand+CLE" in that they are CLE-ineligible. However, CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State for details regarding specific state guidelines.

    Other, Non-CLE Credits

    AHLA On-Demand+CLE webinars are only approved for CLE credits unless otherwise stated. To obtain other credit types (Continuing Professional Education, Compliance Certification Board, Nursing Home Administrator, etc.) participants may apply directly their desired licensing body, but approval is not guaranteed and is at the discretion of said licensing body and subject to its rules and regulations.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser. 

  • Top Ten Legal and Compliance Issues in Managed Care Contracting for Long Term Care Providers

    Recorded On: 01/13/2015

    This webinar is brought to you by the Post-Acute and Long Term Care Services Practice Group and is co-sponsored by the Health Care Liability and Litigation; Health Information and Technology; Hospitals and Health Systems; In-House Counsel; Payers, Plans, and Managed Care; and Regulation, Accreditation, and Payment; and Teaching Hospitals and Academic Medical Centers Practice Groups.

    Managed care arrangements with post-acute providers are rapidly evolving due to the Qualified Health Plans on the Marketplace (Exchanges), Accountable Care Organizations (ACOs), changes to payment arrangements, and the focus on quality and costs. To stay current with these trends and to obtain favorable contracts and minimize risk, long term care providers and their counsel need to understand the key issues with these changes as well as the meaning of key contract provisions. Using an entertaining "Top 10" presentation format that will include comments from the plan, provider, and post-acute perspective, this session will explain "the behind the scenes" of contracting (i.e. credentialing, approaches, and products) and how to read a managed care contract including identifying provisions that have financial, clinical, and operational implications and illustrating favorable and unfavorable contract language. Post-acute providers and counsel and health care, plan counsel and management personnel will find this session provides insight into the issues in the post-acute contracting world they can use in their discussions with providers and health plans.

    Topics planned to be covered during this webinar include:


    • Credentialing and licensing by plan sponsors - how and why it is important;
    • Focus and oversight by plans on post-acute quality and why it matters;
    • What to look for in a managed care contract and what various business line addenda mean?
    • How can providers and plans be better partners?
    • Provider payment issues with plan payments;
    • What is the latest on issues of exclusivity and selective contracting?
    • Trends with building networks to contract with managed care companies; and
    • The status of Medicaid managed care contracting in various states?

    Sponsoring AHLA Groups:

    • Post-Acute and Long Term Care Services Practice Group

    Co-sponsoring AHLA Groups:

    • Health Care Liability and Litigation Practice Group
    • Health Information and Technology Practice Group
    • Hospitals and Health Systems Practice Group
    • In-House Counsel Practice Group
    • Payers, Plans, and Managed Care Practice Group
    • Regulation, Accreditation, and Payment Practice Group
    • Teaching Hospitals and Academic Medical Centers Practice Group

    Lisa A. Hathaway

    Assistant General Counsel

    Blue Cross Blue Shield of Florida
    Jacksonville, FL

    Christopher C. Puri

    Counsel

    Bradley Arant Boult Cummings
    Nashville, TN

    Distance Learning Event Recordings

    Recordings of past webinars, roundtable discussions, and educational calls are not eligible for Continuing Legal Education (CLE) credit. CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser. 

  • CMS and Accrediting Entities: The Deeming Authority Relationship and How It Can Impact Health Care Organizations

    Recorded On: 01/09/2015

    This webinar is brought to you by the Accreditation, Certification, and Enrollment Affinity Group of the Regulation, Accreditation, and Payment Practice Group and is co-sponsored by the Hospitals and Health Systems; Medical Staff, Credentialing, and Peer Review; and Teaching Hospitals and Academic Medical Centers Practice Groups.

    This webinar is brought to you by the Accreditation, Certification, and Enrollment Affinity Group of the Regulation, Accreditation, and Payment Practice Group and is co-sponsored by the Hospitals and Health Systems; Medical Staff, Credentialing, and Peer Review; and Teaching Hospitals and Academic Medical Centers Practice Groups.

    Sponsoring AHLA Groups:

    • Accreditation, Certification, and Enrollment Affinity Group
    • Regulation, Accreditation, and Payment Practice Group

    Co-sponsoring AHLA Groups:

    • Hospitals and Health Systems
    • Medical Staff, Credentialing, and Peer Review
    • Teaching Hospitals and Academic Medical Centers Practice Groups

    Sandra M. DiVarco

    Partner

    McDermott Will & Emery LLP
    Chicago, IL

    Patrick Horine

    Chief Executive Officer

    DNV Healthcare Inc.
    Cincinnati, OH

    Distance Learning Event Recordings

    Recordings of past webinars, roundtable discussions, and educational calls are not eligible for Continuing Legal Education (CLE) credit. CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State Chart for details regarding specific state guidelines.

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser.

  • Academic Medical Centers under the Spotlight: New Sunshine Act Questions for Teaching, Research, and Patient Care

    This webinar is brought to you by the Teaching Hospitals and Academic Medical Centers Practice Group and is co-sponsored by the Hospitals and Health Systems; Physician Organizations; and Regulation, Accreditation, and Payment Practice Groups.

    For years, collaboration among physicians, teaching hospitals, and biopharmaceutical and medical device manufacturers has been a key driver in the development and delivery of life-saving treatments. Increasing concerns over conflicts of interest that may influence physician decision-making and raise health care spending, however, have focused more attention on the financial relationships between these important members of the research community. With the recent release of payment data pursuant to the Physician Payment Sunshine Act, these relationships are under more scrutiny than ever.

    Please join us for an engaging program that will provide practical guidance on critical Sunshine Act questions for teaching hospitals and academic medical centers, including:


    • What payment information must be reported and how will those obligations flow through sponsored research projects;
    • How are teaching and research institutions using this payment information;
    • Developing a strategy for research and teaching institutions to educate faculty, patients, and the public about the Sunshine Act;
    • Responding to media inquiries and other requests for information about payment data; and
    • Long term implications for collaboration between manufacturers and academic medical centers.

    Sponsoring AHLA Group:

    • Teaching Hospitals and Academic Medical Centers Practice Group

    Co-sponsoring AHLA Groups:

    • Hospitals and Health Systems Practice Group
    • Physician Organizations Practice Group
    • Regulation, Accreditation, and Payment Practice Group

    Douglas Brown

    Director of Data Sharing and Partnership Group

    Centers for Medicare & Medicaid Services
    Baltimore, MD

    Heather H. Pierce

    Senior Director, Science Policy and Regulatory Counsel

    Association of American Medical Colleges
    Washington, DC

    Andrew D. Ruskin

    Partner

    Morgan Lewis & Bockius LLP
    Washington, DC

    Recordings of past webinars, roundtable discussions, and educational calls are not eligible for Continuing Legal Education (CLE) credit. CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State Chartfor details regarding specific state guidelines.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser. 

  • Town Hall on Ebola-Related Health Law Issues

    Think through the issues that will be at the top of mind for many of your clients as the Ebola crisis plays out over the next couple of months.

    A distinguished group of panelists discuss the legal issues that are emerged out of the Ebola crisis. The initial presentations are brief and to the point. The panelists touch on the updated guidelines from the Centers for Disease Control and Prevention (CDC) for health care workers treating the Ebola virus, and identify and highlight important issues that the health care community must address.

    AHLA Sponsoring Group:

    • Public Interest Committee

    Jane Jordan

    Deputy General Counsel/Chief Counsel for Health Affairs

    Emory University
    Atlanta, GA
    Bio

    Matthew Penn, JD, MLIS

    Director, Public Health Law Program

    Office for State, Tribal, Local and Territorial Support
    Centers for Disease Control and Prevention
    Atlanta, GA
    Bio

    Gene Matthews, JD, MPH

    Director, Southeastern Region Leaders

    The Network for Public Health Law Senior Fellow
    North Carolina Institute for Public Health
    University of North Carolina Gillings School of Global Public Health
    Chapel Hill, NC
    Bio

    David S. Cade (Moderator)

    Shareholder

    Polsinelli PC
    Former Deputy General Counsel of the U.S. Department of Health & Human Services
    Washington, DC

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser.

  • What’s Your Elevator Speech? Key Tips and Strategies for Health Care Attorneys

    Recorded On: 10/24/2014

    Get started on your path to success! Learn career tips and strategies from experienced health lawyers…

    This Brown Bag webinar is co-sponsored by AHLA's Young Professionals Council; Diversity+Inclusion Council; Mentoring Committee; and Women's Network.

    Get started on your path to success! Learn career tips and strategies from experienced health lawyers, who are all AHLA members and leaders, and who have been 'in your shoes.'

    This webinar will include speakers who have been or are in firms, in-house, solo practice, and government settings. They will offer guidance on how to develop and highlight your unique skills in job interviews, in your own organization, and your professional network.

    • AHLA Members: Complimentary
    • Non-Members: Complimentary

    Sponsoring AHLA Groups:

    • AHLA's Young Professionals Council
    • Diversity+Inclusion Council
    • Mentoring Committee
    • Women's Network

    ​Christi J. Braun

    UF Health Science Center


    Gainesville, FL

    Thomas M. Donohoe

    Shareholder

    Hall Render Killian Heath & Lyman PC
    Denver, CO
    Bio

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser.
  • Managing Expectations and Workplace Culture: Frank Conversations for Young Professionals

    Frank discussion about the workplace, workloads, work/life balance, and expectations…

    This Brown Bag webinar is co-sponsored by AHLA's Young Professionals Council; Diversity+Inclusion Council; Mentoring Committee; and Women's Network.

    Walk through several real-life hypotheticals and listen and learn as our panelists have a frank discussion about the workplace, workloads, work/life balance, and expectations. Find out the answers to questions like: When you start working, how do you know what the 'hours' are? How do you know how the employer feels about your working from home, if necessary? How do you find mentors in your workplace? What are some ways that you (as you mature in your practice) can help younger lawyers learn the ropes?

    Whether you are a law student, young attorney in the early years of your practice, or a more seasoned professional who is new to health law, you will find this spirited discussion interesting and useful from those who have been “in your shoes."

    • AHLA Members: Complimentary
    • Non-Members: Complimentary

    Sponsoring AHLA Groups:

    • AHLA's Young Professionals Council
    • Diversity+Inclusion Council
    • Mentoring Committee
    • Women's Network

    ​William W. Horton, Esq.

    Partner

    Jones Walker LLP
    Birmingham, AL
    Bio

    Joan P. Dailey

    DHHS Office of the General Counsel

    Washington, DC

    Jennifer C. Hutchens

    Robinson Bradshaw & Hinson

    Charlotte, NC

    Ariana Ornelas

    Hooper Lundy & Bookman PC

    Washington, DC

    David S. Cade (Moderator)

    Shareholder

    Polsinelli PC
    Former Deputy General Counsel of the U.S. Department of Health & Human Services
    Washington, DC

    Recordings of past webinars, roundtable discussions, and educational calls are not eligible for Continuing Legal Education (CLE) credit. CLE credit may be obtained by applying directly to the attorney's state accrediting body, but approval is not guaranteed and is at the discretion of said accrediting body and subject to its rules and regulations. Please refer to the Distance Learning CLE State Chart

    For additional information about Distance Learning-related credits, please email the Practice Groups staff at pgsce@healthlawyers.org.

    It is recommended that you use a high speed/broadband internet connect (Wifi is not recommended), a PC with Windows and Internet Explorer 9.0 or higher. If you are using a Mac, please use the Safari web browser.