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Medicare and Medicaid Repayments and Disclosures
Meeting Refund and Reporting Obligations to Comply With Regulatory Requirements
January 9, 2019 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will guide healthcare counsel on the legal obligations, benefits, incentives, and risks of reporting and repaying improper Medicare and Medicaid payments. The panel will offer best practices for complying with the requirements for reporting and returning overpayments. Read More

Medicaid Audits: Challenging Statistical Sampling and Extrapolation
August 29, 2018 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will prepare counsel for Medicaid providers to effectively evaluate and challenge the use of statistical sampling and extrapolation in audits seeking to establish overpayment amounts for recoupment. Read More

Medicaid Managed Care: Compliance Under New Program Rules, Waiver Initiatives and Future C...
August 1, 2018 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will guide healthcare counsel on federal Medicaid managed care requirements and state level demands on participating managed care organizations. The panel will also discuss compliance with the law and potential changes to Medicaid managed care under the current administration. Read More

Medicare Advantage and Part D Changes: Benefits Flexibility, Payment Rules, and Decreased...
June 20, 2018 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will guide healthcare counsel on significant developments to Medicare Advantage (MA) and Part D. The panel will provide an overview of the changes, discussing how these changes will impact healthcare payers. The panel will also offer insight into what payers and their counsel must do... Read More

Medicare and Medicaid Audits Using Statistical Sampling and Extrapolation: Challenging Met...
June 14, 2018 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will prepare counsel for healthcare providers to understand the demands of Medicare and Medicaid compliance audits and overpayment investigations. The panel will review sampling process and outline approaches for providers and their counsel to challenge overpayment extrapolations. Th... Read More

Complying With the New CMS Emergency Preparedness Rule for Medicare and Medicaid Providers...
Navigating Requirements for Risk Assessment, Communication, Training and More for Particip...
January 25, 2017 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide counsel to Medicare and Medicaid providers and suppliers with guidance on the new Centers for Medicare & Medicaid Services (CMS) emergency preparedness regulations. The panel will outline compliance strategies for the current regulatory environment. Read More

New Medicare Merit-Based Incentive Payment System: Navigating Changes Under MACRA
Overcoming Challenges in Transforming Payment and Care Delivery Models
September 28, 2016 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide guidance to healthcare counsel on the new Merit-Based Incentive Payment System (MIPS) and the challenges presented by the significant change in the Medicare payment model. The panel will also offers strategies to prepare for the fast-approaching system change. Read More

Medicare Provider Enrollment: Strategies for Denials, Revocations and Appeals
Challenging Adverse Enrollment Determinations and Ensuring Billing Privileges Amid Expande...
January 7, 2016 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide guidance to healthcare counsel on appealing Medicare enrollment denials and revocations. The panel will dicuss the impact of the CMS final rule that expanded its authority to revoke billing privileges and what healthcare providers and suppliers should do in light of the... Read More

Modernizing Medicaid Managed Care: Navigating CMS' Long-Awaited and Overhauled Proposed Re...
Calculating Medical Loss Ratio, Complying with Network Adequacy Standards, Setting Capitat...
July 21, 2015 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide healthcare counsel with an in-depth review of the Centers for Medicare & Medicaid Services' (CMS) newly proposed regulation revision that overhauls Medicaid managed care. The panel will analyze who will be impacted--and how, and addresses the likelihood of the rule being... Read More

Medicare Value-Based Payment and Quality Reporting for Physician Services: Navigating Rece...
Leveraging Incentive Payment Opportunities, Avoiding Reimbursement Penalties and the Futur...
April 23, 2015 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide guidance to healthcare counsel and reimbursement professionals on the key changes to the CMS Quality Reporting and Incentive Programs and what those changes mean for healthcare providers. The panel will offer best practices for maximizing Medicare reimbursement in a comp... Read More

Medicare Appeals for Healthcare Providers: Understanding the Appeals Process and the Impac...
Maximizing Reimbursement Performance and Mitigating Risk
February 5, 2015 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide healthcare counsel with a review of the Medicare Part B appeals process, the impact of the backlog, and the effect of CMS' 68% solution. The panel will drill down into the issues on which the Medicare Administrative Contractors (MACs) are focusing. The panel will provide... Read More

Navigating Reverse False Claims and Medicare Overpayments Amid Strict Enforcement of the 6...
December 17, 2014 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide guidance to healthcare counsel on reverse false claims enforcement trends and overpayment requirements. The panel will examine the impact of recent developments, including recent cases and government policies, and offer best practices for navigating reverse false claims. Read More

Medicare and Medicaid Repayments and Disclosures
Meeting Refund and Reporting Obligations to Comply with FERA, FCA and the ACA
November 5, 2014 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide guidance for healthcare counsel on the legal obligations, benefits, incentives and risks of reporting and repaying improper Medicare payments. The panel will examine the impact of the Affordable Care Act and CMS's proposed overpayment rule, and outline practical steps to... Read More

Clinical Trials and Medicare Secondary Payer Rules: Best Practices for Compliance
Navigating Complex MSP Rules and Reporting Requirements for Research Sponsors and Clinical...
October 29, 2013 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will prepare healthcare counsel to apply Medicare Secondary Payer (MSP) rules to research sponsors and clinical sites. The panel will also provide guidance on MSP reporting requirements as well as practical contracting approaches. Read More

MACs, MICs, RACs and ZPICs: Latest Developments
Preparing for Medicare and Medicaid Audits and Appealing Unfavorable Results
October 3, 2012 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will provide guidance for healthcare counsel on preparing for Medicare and Medicaid compliance audits and appealing unfavorable audit results. Read More

Medicare Secondary Payer Rules and Clinical Trials
Navigating MSP Rules and Reporting Requirements for Research Sponsors and Clinical Sites a...
August 8, 2012 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will prepare healthcare counsel to apply Medicare secondary payor (MSP) rules to research sponsors and clinical sites, and provide guidance on the new MSP reporting requirements and practical contracting approaches. Read More

Medicare Reimbursement in 2012
Navigating Significant Changes in Reimbursement Methods
February 14, 2012 CLE CLE On-Demand, Download
This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

This CLE course will prepare counsel for healthcare providers to navigate and comply with significant and complex changes to Medicare reimbursement under healthcare reform. Read More