Hospital and Healthcare Regulatory Compliance Training - Live Webinars, Recordings & CDs

The Medicare/Medicaid Fraud and Abuse Anti‑Kickback Statute (the “Statute”) is alive, still with us and as viable as ever. The Statute provides that the offer or payment, as well as the solicitation or receipt, of “any remuneration” in exchange for referrals of any good, facility, service, or item for which payment may be made in whole or in part under Medicare/Medicaid is prohibited.

Social determinants of health (SDOH) are the economic and social conditions that influence individual and group differences in health status. They are conditions in which people are born, grow, live, work and age and may impact a wide range of health, functioning, and quality-of-life outcomes and risks. More healthcare data is needed to assist in identifying these contributing factors; thus, health information professionals can assist by assigning ICD-10-CM codes.

Each year the Center for Medicare and Medicaid Services (CMS) approves updates to the ICD-10-CM of diagnosis codes to become effective for medical claims beginning on October 1st. The changes must be implemented by all medical providers in order to have medical claims submitted and reimbursed in a timely manner. This webinar will highlight the 2021 changes to ICD-10-CM for attendees.

In this care coordination training you will learn how to apply the key strategies for reducing your hospital’s cost and length of stay. Also you will learn how to appreciate the role of interdisciplinary care rounds by identifying your hospital’s strength and weakness related to care coordination.

Each year the American Medical Association (AMA) makes changes to the CPT® manual that become effective for dates of service January 1st. This year is no exception with 307 total changes that include 207 new codes, 48 revised codes, and 52 deleted codes.

Coding for shoulder arthroscopy can be difficult and confusing but the 2021 CPT® changes may help to make it a little easier. There are new descriptions for debridement of the should and new instructions for the removal of loose or foreign bodies. Case studies will be looked at for accurate coding.

This training will prepare hearing officer for corrective actions and how to prepare for the hearing. It will cover application process for new applicants which include prior practice, references, prior adverse actions and liability settlements. Attendees will learn elements of good, clear and concise bylaws, fair hearing plans and other policies.

This healthcare coding webinar will provide an overview of ICD-10-CM, the format and guidelines. It will also explain the differences between ICD-9 and ICD-10 to help you understand how it will affect your work and as well as your co-workers and providers.

This ICD-10-CM webinar will cover day-to-day complex challenges for coding professionals and CDI professionals, which includes advanced areas of the coding guidelines, coding conventions, strategies to address documentation issues and query best practices. It will also review challenging CDI, coding and audit case scenarios and review query examples, coding references and clinical indicators on common diagnoses considered as complications/comorbidities (CC) and major complications/comorbidities (MCC).

This session focuses on the issues of managing release health information when it may involve substance use disorder treatment information. We will explain how HIPAA relates to information management and release and explain the processes required for various releases of information under the HIPAA rules, including release according to individual access requests, and under consents and HIPAA authorizations.

Managing case management outcomes and the creation of tool with which to study those outcomes is an important component of the work that case management professionals must engage in. This data helps us to better understand where we are doing well and where we might need to improve. Case management report cards are also a useful tool for reporting data to the Utilization Committee, a requirement under the CMS Conditions of Participation for Utilization Review.

For healthcare facilities and long-term care facilities looking to promote employee safety in the workplace, this webinar will provide essential information on structuring your employee health program as per Center of Disease Control (CDC), Occupational Health and Safety Administration (OSHA), Centers for Medicare and Medicaid Services (CMS), and the National Institute for Occupational Safety and Health (NIOSH) recommendations.

This webinar presents the current WHO guidance on laboratory testing of patients meeting the suspect case definition for COVID-19. The guidance covers both nucleic acid amplification tests, serological surveys and viral sequencing.

The OCR announced it would lift penalties around telehealth use during the COVID-19 pandemic, its officials released clarifications around HIPAA compliance. The OCR notification of enforcement discretion applies to all HIPAA-covered healthcare providers that use telehealth services during this emergency. However, the notice explained that a health insurance company that pays for telehealth services is not covered by the enforcement discretion. Thus, payors may restrict certain platforms used for telehealth communication.

This webinar will discuss the risks in IV sterile compounding and how to mitigate those risks. We will review the safety requirements in USP <797> and USP <800>, to ensure the safe compounding of CSPs and protection of the patient and compounding staff.

The program will take the PPP and show step by step who is eligible, how to apply, the information required to apply, how much to apply for, what is included in payroll costs and the loan forgiveness features of the program. We will also discuss Emergency Economic Injury Disaster Loans (EEIDL).

The challenge for HIPAA privacy and security, cyber security and information security professionals is not alleviated with the OCR’s relaxed standards, during COVID-19. Hackers are using the COVID-19 crisis to steal information, at an alarming rate. Providers are now serving their patients at home, which have weakened security measures in place. Patients and providers information is now at risk as hackers target through telehealth portals.

This webinar will discuss how to properly handle NIOSH listed drugs as per USP <800> requirements from receiving to disposal, including storage, dispensing, manipulation and compounding. Including the proper PPE, deactivation/decontamination required for each handling process.

This webinar will cover the new paradigms for designing safe patient care in hospitals using healthcare systems engineering methodology such as the one used at Mayo Clinic. It will discuss how to predict harm to patients proactively and how to plan for Zero Harm at little or no cost resulting in high return on investment. It will cover real healthcare examples from the instructor’s experience based on his book Safer Hospital Care.

CMS has changes to evaluation management coding for 2020 and 2021. The 2020 changes are significant and include new services and expansion of existing services. The changes finalized for 2021 include major changes to the physician requirements for documentation related to evaluation management coding.