Current Enforcement Environment Facing TX HCSSA Agency Owners, Staff & Affiliated Professionals


[W3184] Current Enforcement Environment Facing TX HCSSA Agency Owners, Staff & Affiliated Professionals
The importance of compliance and the likely penalties of non-compliance with the law.

TAHC&H WEBINAR: This webinar was presented on 03/06/2019. Subscribers receive 24/7 on-demand access from both home and office during the subscription period shown at the bottom of this page.

Presentation Info:

  • Presentation Date: March 6, 2019
  • TAHC&H Event: TAHC&H Monthly Webinars

Education-Training Credits:

  • TX HCSSA Administrator/Alternate Continuing Education
    • 1.0 Clock Hrs
  • Continuing Education for Nurses
    • 1.0 Contact Hr(s)
    • This program awards CNE until 03/06/2021

CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
· Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151

HCSSA Topic(s) Addressed:

  • §558.259[d][4]agency responsibilities
  • §558.260[a][6]risk assessment and management

Program Description: In this session, we will go review the types of civil and criminal cases brought against Texas home health, hospice and personal care agencies, their owners, staff and affiliated professionals. We will also discuss the statutory violations that have repeatedly led to criminal prosecutions in Texas. Finally, we will discuss steps you can take to reduce your level of statutory and regulatory risk. In this webinar, attorneys Paul Weidenfeld and Robert W. Liles will discuss the importance of compliance and the likely penalties of non-compliance with the law.

Program Learning Outcome:

  • Participants will actively participate in the learning activity and indicate an intent to change or enhance their practice by ensuring that all claims are properly documented, coded, and billed in compliance with state and federal healthcare laws.

TAHC&H Faculty/Presenters: Paul Weidenfeld, JD and Ashley Morgan, JD | Liles Parker Attorneys & Counselors at Law

About the Presenter:
Paul Weidenfeld
brings a unique perspective to False Claims Act cases, Fraud Investigations and Qui Tam, or whistleblower, lawsuits which is partly the result of his rare combination of having BOTH extensive litigation experience (more than 50 trials and 25 appellate) AND subject matter expertise (10 years as a fraud prosecutor, 2 years as the DOJ Healthcare Fraud Coordinator, and experience as a partner in a major healthcare law firm). Virtually every litigation decision in these complex cases requires an understanding of the persons and agencies involved, an understanding of the law, and an ability to predict how the litigation will actually evolve in the legal system — and there is no one better suited to help in this process. Finally, Paul’s experiences have taught him that there is no one-size-fits-all in the world of settlement or conflict resolution, and he is well known for his ability to find innovative solutions to difficult litigation problems.

About the Presenter:
Ashley Hudson Morgan
is an Associate Attorney in Liles Parker’s Washington, DC office where she focuses her practice on regulatory health care compliance matters, fraud and abuse, and reimbursement issues. Ashley represents health care providers across the country in connection with a wide variety of health law issues including coverage disputes, documentation concerns, compliance, medical board complaints, and exclusion / termination issues. Ashley has worked with an assortment of providers including dentists, home health companies, hospice agencies, primary care and specialty physicians, mental health professionals, physical therapists, and licensed acupuncturists.

Ashley has handled claims disputes with major payors including Medicare, Medicaid, various BlueCross BlueShield entities, and UnitedHealthcare. She has extensive experience working on administrative appeals of large alleged extrapolated overpayments assessed by the Centers for Medicare and Medicaid Services’ (CMS) contractors including, Zone Program Integrity Contractors (ZPICs), Unified Program Integrity Contractors (UPICs), and Medicare Administrative Contractors (MACs) and by private payors. Ashley has also successfully defended providers against medical board and nursing board complaints.

Ashley is a Certified Medical Compliance Officer and helps clients implement effective compliance programs and provides counsel on mandatory state and industry-specific policies and procedures. In this capacity, Ashley provides on-site walk-throughs to review OSHA compliance and performs training for staff members on HIPAA and other mandatory compliance regulations. Ashley is also a Certified Professional Coder in addition to a Certified Medical Reimbursement Specialist and conducts GAP Analyses of provider’s medical record documentation to determine areas for improvement with any CMS or private payor documentation requirements.

[W3184] Current Enforcement Environment Facing TX HCSSA Agency Owners, Staff & Affiliated Professionals

Subscribers to this webinar receive 24/7 on-demand access for one (1) month. When subscribing to this webinar along with other programs totaling 12 hours or more, the access period increases to six (6) months.

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