How Should Your Agency React When Something Goes Wrong?


[W3231] What the Heck! How Should Your Agency React When Something Goes Wrong?
Steps you should take to reduce your level of risk and make any necessary disclosures to the government.

Presentation Info:

  • Presentation Date: June 6, 2018
  • 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 06/06/2020

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 the Texas Nurses Association - Approver, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.

HCSSA Topic(s) Addressed:

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

Program Description: Mistakes happen. What should you do if an “excluded” party is advertently hired? How should overpayments be handled? What are your obligations is you uncover evidence of patient abuse? How should you respond if you learn that one your marketing personnel has been engaging in improper or illegal solicitation activities? How should you react if a physician demands a “fee” in order to receive referrals? Join us as we discuss these issues and more! Attorneys Michael Cook and Heidi Kocher will discuss the steps you should take to reduce your level of risk and make any necessary disclosures to the government.

Program Learning Outcome:

  • Participants will actively participate in the learning activity and indicate an intent to change or enhance their practice by identifying methods of disclosing potential violations of federal laws regarding health care programs, the process for submitting the disclosures, and advantages and disadvantages of submitting a disclosure.

TAHC&H Faculty/Presenters: Heidi Kocher and Michael Cook| Liles Parker Attorneys & Counselors at Law

About the Presenter:
Heidi Kocher
is a partner with Liles Parker and has over 20 years of experience in health care legal and compliance related issues, including serving as a compliance director, chief privacy officer and interim chief compliance officer at a medical device manufacturer. In addition, she has represented and advised physician groups, home health agencies, DME companies, pharmacies, non-profit organizations, and licensed individuals. Her experience includes implementing the various requirements and aspects of a Corporate Integrity Agreement, responding to and defending audits from Medicare, Medicaid and private insurers up through the ALJ level, guiding clients through voluntary self-disclosures and seeking advisory opinions from the OIG. She also has significant reimbursement experience, addressing coverage policy issues, challenging denials, recoupments, and loss of billing privileges, obtaining HCPCS codes, and other reimbursement related issues.

About the Presenter:
Michael H. Cook
is a Partner and Co-chair of the Health Care Group at the law firm of Liles Parker, PLLC. Michael has more than 40 years of experience as a health care attorney in the regulatory, reimbursement, business, and policy areas. He has lectured and published frequently on topics of interest to health care providers and has served on a number of industry and government task forces and commissions. Michael has presented on the Comprehensive Joint Replacement Program Initiative to the National Association of Home Care and Hospice and the Kentucky Association of Health Care Facilities, and the TAHC&H, and on CJR/Bundled Payment Impact on Post -Acute Providers -- Navigating Alternative Payment Systems for the American Health Lawyers Association, sits on the Board of the Virginia Department of Medical Assistance Services (Medicaid), and served on a health care work group on delivery system reform for the campaign of Secretary Clinton for President.

[W3231] What the Heck! How Should Your Agency React When Something Goes Wrong?

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