Medicare Provider Enrollment Changes: 100 New Ways To Lose Your Billing Privileges


[W3377] Medicare Provider Enrollment Changes: 100 New Ways To Lose Your Billing Privileges
Hear about the dramatically increased reporting obligations of Medicare, Medicaid, and CHIP providers and suppliers.

TAHC&H WEBINAR: This webinar was presented on 02/05/2020 and is now available for on-demand access.

Presentation Info:

  • Presentation Date: February 5, 2020
  • TAHC&H Event: TAHC&H Monthly Webinars

Education-Training Credits:

  • TX HCSSA Administrator/Alternate Continuing Education
    • 1.0 Clock Hr
CE Approval Statements:
· This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.

HCSSA Topic(s) Addressed:

  • §558.259[d][4]agency responsibilities
  • §558.260[a][6]risk assessment and management
  • §558.260[a][7]financial management

Program Description: On September 10, 2019, the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) published a Final Rule in the Federal Register entitled, “Medicare, Medicaid, and Children’s Health Insurance Programs; Program Integrity Enhancements to the Provider Enrollment Process.” Under the Final Rule, the reporting obligations of Medicare, Medicaid, and CHIP providers and suppliers will dramatically increase when they:

  • file a new enrollment application,
  • revalidate their enrollment,
  • need to file a change of information,
  • or need to notify the agency of a change in ownership.

During this session, attorneys Jennifer Papapanagiotou and Lorraine Rosado take a “first look” at the impact of the Final Rule on the obligations of providers and suppliers. They also review CMS’ new revocation and denial authorities, and discuss a number of the challenges that home health and hospice agencies may soon face. This webinar recording is 60 minutes and includes a brief Q & A session.

Program Learning Outcome: Participants will actively engage in the discussion and indicate an intent to change or enhance their practice by identifying how the HHS/CMS Final Rule changes will affect their agency practices.

TAHC&H Faculty/Presenters: Jennifer Papapanagiotou, JD and Lorraine Rosado, JD | Liles Parker Attorneys & Counselors at Law

About the Presenter:
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:
Lorraine Rosado
is a key member of Liles Parker’s healthcare team and has been an attorney at the firm for nearly six years. She defends healthcare providers facing overpayment claims and counsels clients nationwide on compliance with healthcare statutes, regulations, and contract matters. She has represented providers in panel qualification and termination matters. She has extensive experience working on complex cases involving both Federal and State violations of the False Claims Act, including whistleblower cases. She is skilled in administrative litigation and appeals.

Lorraine has handled claims disputes involving most major healthcare payors, including Medicare, Medicaid, TRICARE, various BlueCross BlueShield entities, and UnitedHealthcare. She is experienced working on large, complex administrative appeals of extrapolated alleged overpayments assessed by Centers for Medicare and Medicaid Services (CMS) contractors, including Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), Recovery Audit Contractors (RACs), and Medicaid Integrity Contractors (MICs).

[W3377] Medicare Provider Enrollment Changes: 100 New Ways To Lose Your Billing Privileges

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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