 |
| Return to NAHC homepage. |
|
Session Details - Legal and Regulatory Issues
|
Education Sessions |
 |
 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Course Schedules |
|
|
|
|
|
|
|
|
|
|
104. Legal and Regulatory Issues
Understanding Unions and the National Labor Relations Board
Through this program participants will be provided insight into why workers unionize and how unions operate to solicit members and organize a workforce. Participants will also learn how the NLRB functions, and how to avoid incurring unfair labor practice charges.
Objectives:
- Explain how unions operate.
- Discuss why workers unionize.
- Identify how the National Labor Relations Board is structured and how it functions.
Faculty: Joseph Maddaloni, MPA, JD, Partner, Porzio, Bromberg & Newman, PC, Morristown, NJ; John Buck, BS, Executive Director, Visiting Homemaker Service of Hudson County, Jersey City, NJ
Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
204. Legal and Regulatory Issues
Regulatory Compliance: A Constant State of Readiness
This presentation will describe strategies that will assist your agency to maintain a constant state of readiness for any regulatory body. Compliance doesn't have to be dull and boring. Management, field staff, and office staff all have responsibilities for participation and implementation.
Objectives:
- Identify regulatory compliance issues in your agency.
- Describe activities to improve/maintain readiness.
- Explain the implementation constant readiness program.
Faculty: Sandra Gilmore, PT, MPA, Compliance Coordinator, Legacy Visiting Nurse Association, Portland, OR
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
304. Legal and Regulatory Issues
Compliance & Your Agency: Is Your Compliance Program Really Working?
Are you and your agency's compliance program ready if the government is conducting focused reviews in target areas or walks in your door because there has been a complaint? Learn from a consulting perspective what are the hot issues and trends seen nationally in all types of agencies.
Objectives:
- Discuss the current compliance and regulatory trends in home care and hospice.
- Identify some of the legal Do's and Don'ts of compliance regarding relationships with referral sources.
- Explain the compliance code of conduct, culture, process, and philosophy from a provider's perspective.
Faculty: Mary Lenzini, RN, BSN, MA, CHCE, President/CEO, Visiting Nurse Association of Southeastern Connecticut, Waterford, CT; Robin Seidman, RN, BSN, MSN, MBA, LNCC, Senior Manager, Simione Consultants, LLC, Westborough, MA; Jeanette Schreiber, JD, MSW, Partner, Wiggin and Dana LLP, New Haven, CT
Course Level: Advanced; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
404. Legal and Regulatory Issues
The Medicare Prescription Drug Program
CMS has come to appreciate that home health care providers are in an ideal position to help Medicare beneficiaries and their families navigate the health system and to recognize the new Medicare Prescription Drug benefit. This CMS Region 10 Provider Services Branch program offers information and training on the new Medicare Prescription Drug Program.
Objectives:
- Explain the New Medicare Preventive Benefits available in 2005 and the New Medicare Prescription Drug Benefit – Part D available in 2006.
- Discuss the PDAP (Prescription Drug Assistance Program) – a web-based prescription cost comparison tool.
- Review the Medicare Modernization Act (MMA) 641 Demonstration Program that offers access to prescriptions for seriously and chronically ill Medicare Beneficiaries.
- Review the Medicare Prescription Drug Discount Card available now as a transition to the Prescription Drug Benefit.
Faculty: Toni Lysen, Professional Relations Liaison, Centers for Medicare and Medicaid Services (CMS), Seattle, WA
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
701. Legal and Regulatory Issues
The New Medicare Appeals System: How to Successfully Advocate in the New Structure
The Medicare appeals system has been completely reformed within the last several months. There are new steps in the appeals process, limitations on the introduction of evidence, deadlines for decision making, and new provider rights for direct appeals. In addition, the system of hearings before Administrative Law Judges (ALJ) has been replaced with a new ALJ hearing before judges that are Medicare specialists. This program provides everything home health agencies and hospices need to know to continue the successes they've had in Medicare coverage appeals.
Objectives:
- Recognize the new appeal structure under Medicare.
- Identify the new rights and restrictions on administrative appeals for Medicare beneficiaries and providers of services.
- Discuss advocacy strategies to maximize the opportunities for success in the administrative appeals.
Faculty: William A. Dombi, JD, Vice President, Center for Health Care Law, NAHC, Washington, DC; Mary St. Pierre, BSN, MGA, Vice President for Regulatory Affairs, NAHC, Washington, DC
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
801. Legal and Regulatory Issues
A Complete and Total Tutorial on Medicare Patient Notices
Home health agencies and hospices must provide a variety of notices to patients relative to Medicare services on coverage denial, reduction, or termination. Home health agencies alone must provide four different notices in writing. Hospices must provide written notice any time a physician ordered service will not be provided as a Medicare covered service. The rules are complex and confusing, but the consequences of noncompliance can be serious. This program provides a comprehensive explanation of the notice responsibilities when the patient is enrolled in Medicare as a fee-for-service beneficiary or Medicare Advantage enrollee. Attendees will receive a detailed roadmap on these notice obligations.
Objectives:
- Recognize the various notice responsibilities regarding Medicare coverage and service determinations.
- Identify when and how to issue notices to patients subject to a denial, reduction, or termination of home health and
hospice services.
- Discuss the interrelationship between the various notices and other patient communications.
Faculty: Mary St. Pierre, BSN, MGA, Vice President for Regulatory Affairs, NAHC, Washington, DC; William A. Dombi, JD, Vice President, Center for Health Care Law, NAHC, Washington, DC
Course Level: Intermediate; 1.8 nursing CEs (MNA Approval Pending); 1.0 CPEs (NASBA/SKA)
|
