Hospital Management
Medical Staff and Telemedicine: Meeting CMS Conditions of Participation and the Joint Commission Standards
Any hospital that accepts Medicare and Medicaid payments must comply with the regulations known as Conditions of Participation. The Centers for Medicare and Medicaid Services (CMS) hospitalCoPs have sections on all aspects of patient care including medical staff and telemedicine. The medical staff section includes information on credentialing and privileging requirements, implementing Medical Staff (MS) byl..
The Disruptive Practitioner: A Danger to the Hospital's Operation
Most disciplinary policies are progressive. A progressive policy applies increasingly more severe sanctions to additional incidents of bad behavior. It is very important that the organized medical staff have a disruptive practitioner policy. This webinar will discuss the development of such a policy, including what it should include and how it should be implemented. It is also important to understand what c..
Paying for Referrals: A Danger to Your Freedom
The session will provide an overview of the Anti-Kickback Statute (AKS) and review what it prohibits, as well as review the Statute’s available safe harbors. It will also show how violation of the AKS can raise FCA concerns, and it will provide an assessment of enforcement activities, showing how participants may be at risk. In addition, the session will review recent cases and show how they potentially imp..
Complying with OCR Section 1557: Discrimination, Interpreters, Required Signs,and More
This webinar will discuss a law that applies to all hospitals, including critical access hospitals, and other healthcare providers such as physician offices and nursing homes. The law addresses nondiscrimination, required signs and notices, interpreters, a civil rights law for healthcare providers and others and more under Section 1557 of the Affordable Care Act. It forbids discrimination based on sex, race..
The Federal Anti-Kickback Statute And Stark Law: What Physicians, Hospitals and Other Providers Need to Know
This webinar will focus on the Anti-Kickback Statute (AKS) and Stark Law (Stark), the federal anti-referral legislation, with an in-depth discussion of each and their relationship with the federal False Claims Act. It will also provide a review of enforcement priorities by the Office of the Inspector General (OIG) and Department of Justice (DOJ), as well as cases that are pertinent to these enforcement acti..
Nursing : CMS CoP Standards for Hospitals
Every hospital that accepts Medicare and Medicaid reimbursement must follow the CMS (Center for Medicare and Medicaid Services) Conditions of Participation (CoPs) and it must be followed for all patients. This program will cover the nursing services section in the hospital CoP manual. Facilities with Deemed Status accredited by the Joint Commission, Health Care Facility Accreditation Program, CIHQ, and DNV ..
How to Stay Compliant: A Deep Dive into Recent Anti-Kickback Statute Enforcement Actions?
This webinar will provide an in-depth review of recent enforcement actions taken by the HHS OIG. We will also briefly review the Anti-Kickback Statute (“AKS”), discuss any new safe harbors, and OIG Advisory Opinions that have been issued. Areas Covered The AKS New Anti-Kickback Safe HarborsNew OIG Advisory OpinionsEnforcement Actions taken by OIGWho Should AttendHospital executives, particularly CEOs, COOs,..
CMS Hospital QAPI Standards 2025
Quality Assessment and Performance Improvement (QAPI) Conditions of Participation deficiencies are the third most frequently cited of the 24 Conditions for Medicare-certified hospitals. CMS believes that a hospital with a well-designed and well-maintained QAPI program, fully engaged in hospital-wide continuous assessment and improvement efforts can significantly enhance its ability to provide high quality a..
Workplace Violence: CMS and Joint Commission Standards
Workplace Violence has escalated over the past 15 years, especially in the healthcare arena. Such violence is directed at providers and staff, but also towards family members and others, with injuries frequently occurring to bystanders such as healthcare providers. In November 2022, the Centers for Medicare and Medicaid (CMS) issued a memo regarding workplace safety, addressing care in a safe environme..
A Guide to HIPAA and Health Information Privacy
If you are in healthcare or work with those in healthcare, you need to understand HIPAA, the broadest and all-encompassing healthcare law of the 1990s and 2000s. From its Security Rules to Business Associate Agreements, from its COVID-based telehealth provisions to its antidiscrimination laws, HIPAA goes well beyond the common view that it is a law of “additional paperwork, whispering names in waiting rooms..
Access Point Case Management: Managing Your Routes of Entry While Maintaining Compliance with the 2-Midnight Rule
In this webinar we will explore the unique roles of the ED and admitting office and transfer center case managers and social workers and how an initial assessment and clinical review can better ensure that patient are placed in the correct setting right from the get-go. We will review the 2-midnight rule and the part that case management plays in managing it. This can better ensure a reduction in use of Con..
Healthcare Data Analytics: Methods of Matching Scarce Resources with Uncertain Patient Demand, Optimized Budgeted Nursing Staffing with Random Patient Demand
Because of the inevitable variability of the patient census (uncertainty), the planned (budgeted) staffing is usually: (i) either not enough to deliver proper quality of care or (ii) is excessive, resulting in idle time for some employees and/or pay under contractual obligation for the idle time.This webinar is providing a methodology called the ‘newsvendor’ framework ..
HIPAA 2023 - Compliance Requirements, Do's and Don'ts
This 90-minute webinar will discuss how practice/business managers (or compliance offers) can get their HIPAA house in order before an audit.It will also address changes under the Omnibus Rule, new congressional mandates, and any other applicable updates for 2023 and beyond along with changes relating to Covid and Information Blocking under the Cures Act (do’s and don’ts).There are an enormous amount of iss..
Marketing to Medicare or Medicaid Beneficiaries - What You Can and Cannot Do
This program will discuss the Federal Anti-Kickback Statute, what it prohibits, its penalties, its scope and its exceptions. It will also discuss how the Medicare and Medicaid Patient and Program Protection Act of 1987 changed the Act and how it is administered. It will also discuss how the 1987 Act added protections for entities covered by the AKS. The program will also review guidance from the Department ..
Nurse To Nurse Bullying: A Sepsis In Healthcare
Nurse-to-nurse bullying threatens the safety and well-being of patients and nurses. The misconduct is a major problem for all nurses and causing 60% of new nurses to leave their first nursing position and 1 in 3 nurses to quit the profession. Sometimes the bullying is so subtle it is almost invisible yet causes cumulative damage to the targeted nurse as well as those nurses who witness the behavior. The Joi..