Home Health Agencies: Regulatory and Enforcement Trends

Identifying Compliance Pitfalls and Minimizing Risk of Fraud and Abuse Investigations

Recording of a 90-minute CLE webinar with Q&A


Conducted on Tuesday, November 6, 2012

Recorded event now available

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Program Materials

This CLE webinar will provide guidance to healthcare counsel for withstanding heightened regulatory scrutiny and increased enforcement activity targeting home health operations. The panel will discuss steps home health agencies can take to minimize the risk of fraud and abuse investigations.

Description

The Affordable Care Act strengthened the powers of federal and state governments to address fraud and abuse in home health operations. The Centers for Medicare and Medicaid Services' new risk-based enrollment and revalidation screening procedures designate home health agencies as moderate or high risk.

Additionally, the Office of Inspector General has identified particular areas within the home health industry that are vulnerable to fraud and abuse and recently issued its Compliance Program Guidance for Home Health Agencies to encourage compliance.

Healthcare counsel should monitor the areas of home health operations that are currently targeted for enforcement, evaluate their clients' potential risks, and assist with developing effective compliance measures.

Listen as our authoritative panel examines recent regulatory and enforcement activity in the home health industry and discusses best practices to ensure compliance with federal fraud and abuse laws and minimize the likelihood of government investigations.

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Outline

  1. Areas targeted for fraud and abuse enforcement
    1. Billing/Coding/Documentation
    2. Marketing
    3. Overpayments
    4. Joint Ventures/Partnerships
  2. Lessons from recent actions and settlements for evaluating risks
  3. Compliance best practices

Benefits

The panel will review these and other key questions:

  • What areas of home health operations are more susceptible to potential fraud and abuse violations?
  • What considerations should counsel for home health agencies take into account when evaluating compliance efforts?
  • What lessons can be learned from recent actions and settlements for mitigating risk?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.

Faculty

Laura F. Laemmle-Weidenfeld
Laura F. Laemmle-Weidenfeld

Partner
Patton Boggs

Ms. Laemmle-Weidenfeld counsels clients on compliance-related issues, providing health care fraud and abuse regulatory...  |  Read More

Robert W. Markette, Jr.
Robert W. Markette, Jr.

Of Counsel
Benesch Friedlander Coplan & Aronoff

His clients include home health, hospice and private duty providers. He assists with Medicare and Medicaid compliance...  |  Read More

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