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  • Fraud and Abuse - Year in Review - On Demand Recording

    Recorded On: 03/14/2019

    • Review of noteworthy settlements and enforcement activity in 2018 • Discussion of last year's significant health care fraud court decisions (including an Escobar update) • Proactive compliance measures to take in 2019 in light of fraud and abuse enforcement trends

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    • Review of noteworthy settlements and enforcement activity in 2018
    • Discussion of last year's significant health care fraud court decisions (including an Escobar update)
    • Proactive compliance measures to take in 2019 in light of fraud and abuse enforcement trends

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Health Care Liability and Litigation Practice Group

    Partner(s):

    • Fraud and Abuse Practice Group

    R. Ross Burris

    Shareholder

    Polsinelli PC
    Atlanta, GA
    Bio

    Lindsey Lonergan

    Deputy General Counsel

    Navicent Health
    Macon, GA
    Bio

    Rebekah N. Plowman

    Partner

    Arnall Golden Gregory
    Atlanta, GA
    Bio

  • The Medicare Shared Savings Program: Recent Rulemaking and Trends - On Demand Recording

    Recorded On: 02/27/2019

    Heather Grimsley and Elizabeth November from the Centers for Medicare & Medicaid Services will join us for this webinar to provide an in-depth look at “Pathways for Success,” the final rule on the Medicare Shared Savings Program (MSSP) published in December 2018

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Heather Grimsley and Elizabeth November from the Centers for Medicare & Medicaid Services will join us for this webinar to provide an in-depth look at “Pathways for Success,” the final rule on the Medicare Shared Savings Program (MSSP) published in December 2018

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Accountable Care Organization

    Heather Grimsley

    Director

    Division of ACO Finance & Data Analytics (DAFDA)
    Performance-Based Payment Policy Group
    Center for Medicare at the Centers for Medicare & Medicaid Services

    Elizabeth November

    Health Insurance Specialist

    Performance-Based Payment Policy Group
    Center for Medicare at the Centers for Medicare & Medicaid Services

    Brian Bauer (Moderator)

    Attorney

    Hall Render Killian Heath & Lyman
    Troy, MI
    Bio

  • Highlights of the 2019 Medicare Physician Fee Schedule - On Demand Recording

    Recorded On: 02/19/2019

    This webinar will be comprised of a panel of four experts covering the following hot topics: 1. Streamlining evaluation and management Medicare payment and reduction of clinical burden 2. Practice flexibility provisions for radiology assistants and Medicare payment changes for the delivery of outpatient therapy services as well as reporting changes therapy services 3. Changes to Medicare payment for technology-based services, telehealth services and expansion of payment for telehealth 4. Appropriate Use Criteria for advanced diagnostic imaging

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    This webinar will be comprised of a panel of four experts covering the following hot topics:

    1.  Streamlining evaluation and management Medicare payment and reduction of clinical burden
    2.  Practice flexibility provisions for radiology assistants and Medicare payment changes for the delivery of outpatient therapy services as well as reporting changes therapy services
    3.  Changes to Medicare payment for technology-based services, telehealth services  and expansion of payment for telehealth
    4.  Appropriate Use Criteria for advanced diagnostic imaging

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Regulation, Accreditation, and Payment

    Partner(s):

    •  Physician Organizations

    Timothy P. Blanchard, MHA, JD

    Partner

    Blanchard & Manning, LLP
    Bio

    Lori A. Wink

    Attorney

    Hall Render Killian Heath & Lyman PC
    Milwaukee, WI
    Bio

    Amy M. Joseph

    Partner

    Hooper, Lundy & Bookman, PC
    Boston, MA
    Bio

  • Beyond Advance Directives: What Attorneys Need to Know About Advance Care Planning - On Demand Recording

    Recorded On: 02/13/2019

    * What advance care plans (POLST/MOLST, advance directives, DNRs) are and how they fit into CMS COPs * Identifying a surrogate decision maker for an incapacitated patient or resident * Ethical issues: handling conflicts and facility religious or ethical objections to resident requestsary

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    • What advance care plans (POLST/MOLST, advance directives, DNRs) are and how they fit into CMS COPs 
    • Identifying a surrogate decision maker for an incapacitated patient or resident 
    • Ethical issues: handling conflicts and facility religious or ethical objections to resident requests

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Post-Acute and Long Term Services

    Amy Vandenbroucke

    JD and Executive Director

    National POLST Paradigm
    Washington, DC 
    Bio

    Charlie Sabatino

    Director

    ABA Commission on Law and Aging
    Washington, DC 
    Bio

  • 3D and Bio-printing in Healthcare - On Demand Recording

    Recorded On: 01/10/2019

    Has your hospital or AMC considered using 3D printed devices in patient care? What are the regulatory considerations? Does the AMC become a manufacturer if it creates and uses a 3D printed device? What risks does the AMC taking on when manufacturing and using a 3D printed device. What contracts will be in place? Does the AMC need to purchase product liability insurance? This webinar will provide an overview of the regulatory, contractual and risk considerations when a provider manufactures and/or uses a 3D prined device.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Has your hospital or AMC considered using 3D printed devices in patient care? What are the regulatory considerations? Does the AMC become a manufacturer if it creates and uses a 3D printed device? What risks does the AMC taking on when manufacturing and using a 3D printed device. What contracts will be in place? Does the AMC need to purchase product liability insurance? This webinar will provide an overview of the regulatory, contractual and risk considerations when a provider manufactures and/or uses a 3D printed device.

    Level of Difficulty:  Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Academic Medical Centers and Teaching Hospitals Practice Group

    Elizabeth Kelly (Moderator)

    Associate

    Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, PC
    Boston, MA
    Bio

    Gerald Sullivan

    Senior Attorney

    U.S. Attorney’s Office in the Eastern District of Pennsylvania
    Pennsylvania, PA
    Bio

    Paul S. Gadiock

    Senior Attorney

    Arent Fox LLP
    Washington, DC
    Bio


    Matt Jacobson

    Associate

    Reed Smith, LLP
    Washington, DC
    Bio

  • New Year: New Medicare Advantage, Part D, and Medicaid Managed Care - On Demand Recording

    Recorded On: 01/08/2019

    Medicare Advantage and Medicare Part D Medicaid managed care

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Topic: Medicare Advantage and Medicare Part D Medicaid managed care

    We will discuss recent changes to the Medicare Advantage and Part D programs and the Medicaid managed care program.  The presentation will focus on ways in which Federal policy has changed in the Trump administration's first two years.  The speakers will also weigh in on how Federal policy may evolve in the final two years of President Trump's first term.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Health Plan

    Partner(s):

    • Payers, Plans, and Managed Care

    Emily A. Moseley

    Member

    Strategic Health Law
    Chapel Hill, NC
    Bio

    Annie Hsu Shieh

    Senior Compliance Counsel

    Central Health Plan of California
    Diamond Bar, CA
    Bio

    Jeremy Earl (Moderator)

    Partner

    McDermott Will & Emery
    Washington, DC
    Bio

    Jen McDowell

    Assistant General Counsel

    Express Scripts
    St. Louis, MO
    Bio

  • Review of “Primarily Engaged” Requirements and Provider-Based Departments - On Demand Recording

    Recorded On: 12/14/2018

    Join our panel of legal experts on this December 14, 2018 webinar for a discussion of the “primarily engaged” in inpatient services criteria and scrutiny of provider-based departments. The panel will explore best practices for ongoing compliance with CMS primarily engaged and provider-based requirements and risks of non-compliance. The discussion will also address site-neutral provider-based regulations for off-campus hospital departments and any updates for provider-based departments in light of the final 2019 OPPS rule​.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Join our panel of legal experts on this December 14, 2018 webinar for a discussion of the “primarily engaged” in inpatient services criteria and scrutiny of provider-based departments.  The panel will explore best practices for ongoing compliance with CMS primarily engaged and provider-based requirements and  risks of non-compliance.   The discussion will also address site-neutral provider-based regulations for off-campus hospital departments and any updates for provider-based departments in light of the final 2019 OPPS rule.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Hospitals and Health Systems Practice Group

    Sandra M. DiVarco

    Partner

    McDermott Will & Emery LLP
    Chicago, IL
    Bio

    Mark Faccenda

    Partner

    Norton Rose Dullbright
    Washington Dc
    Bio

  • The PRRB Rules 2.0 and Electronic Filing System - On Demand Recording

    Recorded On: 12/06/2018

    This webinar is a must for anyone practicing before the PRRB to learn about the two recent blockbuster developments. First, on August 22, 2018 the CMS Office of Hearings and Case and Document Management System, PRRB Module, went live. Second, on August 29, 2018 PRRB Rules 2.0 became effective. This webinar will provide what you need to know to get up to speed on electronic filing and case management compliance with PRRB Rules 2.0.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    This webinar is a must for anyone practicing before the PRRB to learn about the two recent blockbuster developments. First, on August 22, 2018 the CMS Office of Hearings and Case and Document Management System, PRRB Module, went live. Second, on August 29, 2018 PRRB Rules 2.0 became effective. This webinar will provide what you need to know to get up to speed on electronic filing and case management compliance with PRRB Rules 2.0.

    Level of Difficulty: Advanced

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Regulation, Accreditation, and Payment Practice Group

    Kenneth R. Marcus, JD

    Partner

    Honigman Miller Schwartz and Cohn LLP
    Detroit, MI
    Bio

    Lisa Ogilvie-Barr

    Director

    Division of Hearings and Decisions
    Office of Hearings
    Centers for Medicare & Medicaid Services

    Christine M. Blowers, CGAP

    Director

    Division of Systems & Case Management
    Office of Hearings
    Centers for Medicare & Medicaid Services
    Baltimore, MD

  • Modernizing the Stark Law: Anti-Kickback Statute and Beneficiary Inducement CMPs for Value-Based Care - On Demand Recording

    Recorded On: 11/29/2018

    Recent Efforts to Modernize the Stark Law, Anti-Kickback Statute and Beneficiary Inducement CMPs for Value-Based Care

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Topic: Recent Efforts to Modernize the Stark Law, Anti-Kickback Statute and Beneficiary Inducement CMPs for Value-Based Care

    Possible reform of the healthcare regulatory framework is on the horizon.  Join our panel of legal and industry experts on this November 29, 2018 webinar for a discussion of recent solicitations by CMS and HHS OIG for suggested modifications to the Stark Law, Anti-Kickback Statute and Beneficiary Inducement CMPL to foster a system of value-based care and care coordination.  Our experts will discuss the recent requests for information (“RFIs”) from CMS and HHS OIG and related legislative efforts focusing on: (i) regulatory areas identified in the RFIs, (ii) industry proposals to modernize the Stark Law, the Anti-Kickback Statute and Beneficiary Inducement CMPL and (iii) practical impact of proposed developments in the legal framework.

    Level of Difficulty:  Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Hospitals and Health Systems Practice Group

    ​Nesrin G. Tift

    Member

    Bass Berry & Sims PLC
    Nashville, TN
    Bio

    Shira Hollander

    Senior Associate Director, Policy Development

    American Hospital Association
    Washington, D.C. 
    Bio

  • Survey and Certification Issues for Co-Located Clinics—Provider-Based and Freestanding - On Demand Recording

    Recorded On: 11/27/2018

    Medicare certification issues in co-locating provider-based hospital outpatient clinics with freestanding clinics.

    Time: 90 minutes
    Session Format: On Demand Recording
    CLE Credit Available:  No

    For on-demand webinar recordings, streaming access is available for 12-months from the date of the live webinar.  After 12-months, on-demand webinar recordings are available through the AHLA Health Law Archive.

    Topic: Medicare certification issues in co-locating provider-based hospital outpatient clinics with freestanding clinics.

    In the past few years, the rules and enforcement activities surrounding co-location of hospital outpatient provider-based departments (“HOPDs”) with other providers and suppliers have been evolving. This webinar will provide an overview of the current state of affairs regarding HOPD co-location and an overview of important updates to CMS’ guidance on this topic. Hospital executives and in-house and outside counsel representing hospitals are encouraged to attend.

    Level of Difficulty: Intermediate

    • AHLA Member: $99
    • Non-AHLA Member: $149

    Content Lead:

    • Regulation, Accreditation, and Payment Practice Group

    David R. Wright

    Acting Deputy Center Director

    Center for Clinical Standards and Quality
    Centers for Medicare & Medicaid Services
    Baltimore, MD

    ​Colin P. McCarthy, JD

    Attorney

    McGuireWoods LLP
    Richmond, VA