[3647] Preventing The Revocation Of Your Agency From The Medicare Program | Tips on Avoiding an Adverse Action and on Responding to Such an Event
A 2022 TAHC&H Member Webinar - Now Available to All!
Presentation Info:
- TAHC&H Virtual Event | 2022 Monthly Member Webinars | Recorded for On-Demand Access
- Presentation Date | August 3, 2022
Program Description: Two years ago, the number of reasons that CMS can cite when revoking a Medicare
provider’s billing privileges was greatly expanded. Since that time, CMS contractors have been aggressively revoking providers on a near-constant basis.
How can your agency avoid being revoked? How should your agency respond if your billing privileges are terminated or revoked? What impact can these
actions have on a home health or hospice agency? In this webinar, attorneys Jennifer Papapanagiotou and Ashley Morgan will discuss the current
revocation actions being pursued by the government how your agency can reduce its risk of being subjected to such an adverse action.
HCSSA Topic(s) Addressed:
- §558.259[d][4]agency responsibilities
- §558.260[a][3]basic principles of management in a licensed health-related setting
- §558.260[a][6]risk assessment and management
- §558.260[a][7]financial management
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Continuing Education for Nurses
- 1.0 Contact Hr(s)
- This program awards CNE until 08.03.2024
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
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
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Jennifer Papapanagiotou and Ashley Morgan | Liles Parker Attorneys & Counselors at Law
About the Presenter(s):
Jennifer Papapanagiotou's practice focuses on compliance, regulatory and transactional matters for
a wide array of health care providers, including home health and hospice agencies. She has extensive experience in analyzing proposed and existing business arrangements
for compliance with federal and state fraud and abuse laws, and drafting a wide variety of legal agreements. Ms. Papapanagiotou is knowledgeable in all aspects of state
licensing for home health and hospice providers, and in Medicare and Medicaid enrollment, including initial enrollment, changes of ownership and appeals of revocation
actions. Finally, she assists clients with compliance plans, forming new businesses, and addressing Medicare and Medicaid program coverage and reimbursement issues.
About the Presenter(s):
Ashley 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.
[3647] Preventing The Revocation Of Your Agency From The Medicare Program | Tips on Avoiding an Adverse Action and on Responding to Such an Event
