This presentation will help you understand the strategies for patient enrollment & navigation and there by reduce the risk of caring for the uninsured.
These slides were part of a South Central Alabama Development Commission Facebook live training 08/21/20 describing the State Health Insurance Services provided by that agency.
This presentation will help you understand the strategies for patient enrollment & navigation and there by reduce the risk of caring for the uninsured.
These slides were part of a South Central Alabama Development Commission Facebook live training 08/21/20 describing the State Health Insurance Services provided by that agency.
Advanced Strategies for Trial Attorneys: Resolve Liens, Ensure Medicare Compl...SynergySettlementServices
A complimentary and quick-hitting webinar covering some of the most complex issues that trial attorneys face when resolving catastrophic personal injury cases. Our panel of national experts will share tips & techniques along with best practices to make sure your firm and its clients are protected against common potential malpractice mistakes.
For attorneys who must litigate the Affordable Care Act, familiarization of its rules can be daunting and unforgiving. Personal instinct and legal experience in fields outside of health law can often be of little value, as contemporary health care law often appears to contradict business law. Drawing from a variety of legal concepts, this seminar will explain what happens when the worlds of health care and litigation collide. The lessons to be learned are to proceed with caution, and remember to honor and obey the newly laid hierarchy at the heart of this epic (and very long) reform law.
Health Reform Alert - Implementation Guidance FAQsCBIZ, Inc.
The ACA’s governing agencies (Labor, HHS and IRS) have issued their 18th set of implementation FAQs, further defining certain aspects of the Affordable Care Act, as well as how the law coordinates with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). Following are highlights of this guidance.
Learn more at www.cbiz.com
Boston Medicare and Medicaid Attorneys Cohen & Oalican discuss the impact of the Uniform Probate code as it impacts Advanced Directives.
http://www.cohenoalican.com
Elucidates the governing laws (U.S., Canada, U.K), restrictions and extensions of the advance-directives (living wills) in obstetrics. DOI: 10.13140/RG.2.1.3671.4321
The Affordable Care Act: Taking a New Approach to DamagesRachel Hamilton
Presented at ACI's 13th Annual Advanced Forum on Obstetric Malpractice Claims by Caryn L. Lilling Mauro Lilling Naparty LLP and Thomas R. Shimmel Kitch Drutchas Wagner Valitutti & Sherbrook.
A comprehensive guide to the laws governing surrogacy arrangements in North Transatlantic (the UK, the USA, and Canada). DOI: 10.13140/RG.2.1.4485.2888
This presentation was given on 12/14/21 to help professional and lay caregivers understand how to help seniors in issues involving public benefits, including Social Security, SSI, Medicare, Institutional Medicaid and Medicare Savings Programs.
Reorienting the Safety Net for the Remaining Uninsured: California's County I...Health Access California
Health Access California presents their March 2015 report: "Reorienting the Safety-Net for the Remaining Uninsured: Findings From a Follow-Up Survey of County Indigent Health Programs," which shows wide variation among county programs for low-income uninsured residents, and marked trends after the Affordable Care Act.
Advanced Strategies for Trial Attorneys: Resolve Liens, Ensure Medicare Compl...SynergySettlementServices
A complimentary and quick-hitting webinar covering some of the most complex issues that trial attorneys face when resolving catastrophic personal injury cases. Our panel of national experts will share tips & techniques along with best practices to make sure your firm and its clients are protected against common potential malpractice mistakes.
For attorneys who must litigate the Affordable Care Act, familiarization of its rules can be daunting and unforgiving. Personal instinct and legal experience in fields outside of health law can often be of little value, as contemporary health care law often appears to contradict business law. Drawing from a variety of legal concepts, this seminar will explain what happens when the worlds of health care and litigation collide. The lessons to be learned are to proceed with caution, and remember to honor and obey the newly laid hierarchy at the heart of this epic (and very long) reform law.
Health Reform Alert - Implementation Guidance FAQsCBIZ, Inc.
The ACA’s governing agencies (Labor, HHS and IRS) have issued their 18th set of implementation FAQs, further defining certain aspects of the Affordable Care Act, as well as how the law coordinates with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). Following are highlights of this guidance.
Learn more at www.cbiz.com
Boston Medicare and Medicaid Attorneys Cohen & Oalican discuss the impact of the Uniform Probate code as it impacts Advanced Directives.
http://www.cohenoalican.com
Elucidates the governing laws (U.S., Canada, U.K), restrictions and extensions of the advance-directives (living wills) in obstetrics. DOI: 10.13140/RG.2.1.3671.4321
The Affordable Care Act: Taking a New Approach to DamagesRachel Hamilton
Presented at ACI's 13th Annual Advanced Forum on Obstetric Malpractice Claims by Caryn L. Lilling Mauro Lilling Naparty LLP and Thomas R. Shimmel Kitch Drutchas Wagner Valitutti & Sherbrook.
A comprehensive guide to the laws governing surrogacy arrangements in North Transatlantic (the UK, the USA, and Canada). DOI: 10.13140/RG.2.1.4485.2888
This presentation was given on 12/14/21 to help professional and lay caregivers understand how to help seniors in issues involving public benefits, including Social Security, SSI, Medicare, Institutional Medicaid and Medicare Savings Programs.
Reorienting the Safety Net for the Remaining Uninsured: California's County I...Health Access California
Health Access California presents their March 2015 report: "Reorienting the Safety-Net for the Remaining Uninsured: Findings From a Follow-Up Survey of County Indigent Health Programs," which shows wide variation among county programs for low-income uninsured residents, and marked trends after the Affordable Care Act.
Are you aware of Medicare Fraud and Abuse?Jessica Parker
Most physicians strive to work ethically, provide high-quality medical care to their patients, and submit proper claims for payment. Trust is at the core of the physician-patient relationship. The Federal Government also places enormous trust in physicians. Medicare and other Federal health care programs rely on physicians’ medical judgment to treat patients with appropriate, medically necessary services.
goes thru new healthcare law (PPACA) by section. all information is correct and factual to best of my research. gives great background education on economics of healthcare and covers how massachusetts and europe/canada are doing w/ "reforms". I am against this law, but most information is just plain fact.
501(r) regulations will soon take effect for not-for-profit hospitals nationwide. Are you ready? These complex IRS rules outline how providers ensure access, provide charity assistance and properly collect uncompensated care. The rules can affect your revenue cycle, financial assistance and collections, as well as your Form 990 and tax exemption status.
Chapter 2Fraud and Abuse StarkPhysician Self-Referral and EstelaJeffery653
Chapter 2
Fraud and Abuse: Stark/Physician Self-Referral and Anti-Kickback
Learning Objectives
Physician Self-Referral (Stark) Law and Anti-Kickback Statute (AKS)
Services, individuals, organizations, and transactions affected by these laws.
Specific behaviors prohibited.
Exceptions and “safe harbors” for avoiding liability.
Anticipating and preventing violations.
Physician Self-Referral Law (Stark)
Initial law (Stark I) sponsored by Congressman Pete Stark enacted in 1989 and applied only to clinical laboratory services.
Omnibus Budget Reconciliation Act of 1993 (Stark II) expanded law to additional 10 types of clinical services.
Patient Protection and Affordable Care Act of 2010 added restrictions on physician-owned hospitals and required the issuance of a self-referral disclosure protocol.
Stark Prohibition
“... If a physician (or an immediate family member of such physician) has a financial relationship with an entity ..., then the physician may not make a referral to the entity for the furnishing of designated health services for which payment otherwise may be made” under Medicare (also applicable to Medicaid). (underlining added).
“Physician”
The person making the referral may be a(n)
MD
Osteopath
Dentist
Podiatrist
Optometrist, or
Chiropractor
“Immediate family member”
Besides the referring physician herself, this person may be a
spouse;
parent, child, or sibling (by birth or adoption);
stepparent, stepchild, step-brother, or step-sister;
father-in-law, mother-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law;
grandparent or grandchild; or
spouse of a grandparent or grandchild.
“Entity”
The entity with which there is a financial relationship must be one that bills CMS for designated health services (DHS) or that furnishes all or most of the components of the DHS.
This includes the person or entity that actually performs the DHS, or presents a claim for DHS services to the Medicare program.
7
“Financial relationship”
Direct or indirect ownership of an entity:
Equity stock, interest in a limited liability company, holding debt in an entity.
Direct or indirect compensation from an entity:
Physician’s compensation from an entity, lease between physicians and health care facilities, medical director agreements, and independent contract with physicians.
“Designated health services” (I)
Clinical laboratory services.
Physical therapy services.
Occupational therapy services.
Outpatient speech-language pathology services.
Radiology and certain other imaging services.
Radiation therapy services and supplies.
“Designated health services” (II)
Durable medical equipment and supplies.
Parenteral and enteral nutrients, equipment, and supplies.
Prosthetics, orthotics, and prosthetic devices and supplies.
Home health services.
Outpatient prescription drugs.
Inpatient and outpatient hospital services.
Penalties for Stark Violations
Payment for services in response to prohibited referral must ...
Long Term Care Litigation - Conference Materials Rachel Hamilton
Gain the competitive advantage in increasingly high-stakes long term care defense at ACI’s 3rd Annual Forum on Preventing and Defending Long Term Care Litigation, the only conference that brings together a supreme in-house presence on the faculty, the top defense firms, and experienced jurists from around the country. Designed for both networking and masters-level strategy sharing, this is the leading forum in which to learn winning strategies to comply with the dense thicket of laws and regulations facing the LTC industry, avoid costly litigation altogether and to mount a complete and formidable defense if forced to do so.
Patient Brokering: SB1228 and Changes in California's Regulation of Addiction...Epstein Becker Green
Patient brokering, the practice of recruiting people in need of treatment for substance use disorders in exchange for kickbacks, has been a troubling practice in California, leading to concerns of patient endangerment and fraud.
This webinar will examine the implications of SB1228 and its impending changes to the rules governing marketing practices in residential and outpatient treatment, as well as sober living recovery residences. Also addressed will be problematic current practices and the future of compliant marketing relationships.
Presented by attorney Paul D. Gilbert of Epstein Becker Green and Harry Nelson of Nelson Hardiman.
Part of a "first Thursdays" fall webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/is-your-organization-at-risk-for-patient-brokering-preparing-for-sb1228-and-impeding-changes-in-californias-regulation-of-addiction-treatment-marketing/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
The Road Ahead for Health Care ComplianceFrank Sheeder
The Health Care Reform Package has significant implications for health care compliance professionals. This presentation addresses many of the issues that they will be compelled to face right away, and in the next several years.
Commercial Payor Behavioral Health Audits: How to Avoid Getting Wiped OutEpstein Becker Green
The number of commercial payor audits of behavioral health facilities has been steadily rising, forcing closures of multiple treatment facilities, straining resources, and setting up an increasingly contentious conflict between treatment providers and payors.
This webinar will examine the most common issues arising in payor audits (including medical necessity; patient financial responsibility; and other issues asserted to constitute fraud, waste, or abuse) and the common arguments used as grounds for the nonpayment or recoupment of fees by insurers. The presenters will also review responsive strategies in commercial payor audits and examine defensive strategies and best practices to avoid fraud, waste, and abuse.
Presented by:
Paul D. Gilbert – Member, Epstein Becker Green
John A. Mills – Partner, Nelson Hardiman
Part of a "first Thursdays" fall webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
More info: https://www.ebglaw.com/events/how-to-avoid-getting-wiped-out-by-the-wave-of-commercial-payor-behavioral-health-audits-medical-necessity-and-waivers-of-co-insurance-and-deductibles/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
How the Opioid Crisis and the SUPPORT Act Created a New Enforcement Reality: ...Epstein Becker Green
How the Opioid Crisis and the SUPPORT Act Created a New Enforcement Reality: Trends in Behavioral Health Webinar Series
Presented by
Richard W. Westling – Member, Epstein Becker Green
Katherine Bowles – Attorney, Nelson Hardiman
Part of a "first Thursdays" webinar series hosted by Behavioral Health Association of Providers, Epstein Becker & Green, P.C., and Nelson Hardiman, LLP.
During 2018, the Department of Justice dedicated additional enforcement resources to address the opioid crisis. By adding criminal penalties targeted at kickbacks in the SUD provider space, the SUPPORT Act significantly enhanced the many tools already available to the DOJ. These efforts will also likely further embolden private payor review activities.
More info: https://www.ebglaw.com/events/how-the-opioid-crisis-and-the-support-act-created-a-new-enforcement-reality-trends-in-behavioral-health-webinar-series/
These materials have been provided for informational purposes only and are not intended and should not be construed to constitute legal advice. The content of these materials is copyrighted to Epstein Becker & Green, P.C. ATTORNEY ADVERTISING.
ACA (Affordable care Act) signed by Obama on 23 march 2010. .pdfannaistrvlr
ACA (Affordable care Act) signed by Obama on 23 march 2010. Putting
Information for Consumers Online So that consumers can compare health insurance coverage
options and pick the coverage that works for them. Prohibiting Denying Coverage of Children
Based on PreExisting Conditions The health care law includes new rules to prevent insurance
companies from denying coverage to children under the age of 19 due to a pre-existing
condition. Prohibiting Insurance Companies from Rescinding Coverage In the past, insurance
companies could search for an error, or other technical mistake, on a customer\'s application and
use this error to deny payment for services when he or she got sick. But now this is illegal. After
media reports cited incidents of breast cancer patients losing coverage, insurance companies
agreed to end this practice immediately. Eliminating Lifetime Limits on Insurance Coverage
Insurance companies will be prohibited from imposing lifetime dollar limits on essential
benefits, like hospital stays. Regulating Annual Limits on Insurance Coverage Insurance
companies\' use of annual dollar limits on the amount of insurance coverage a patient may
receive will be restricted for new plans in the individual market and all group plans. In 2014, the
use of annual dollar limits on essential benefits like hospital stays will be banned for new plans
in the individual market and all group plans. Appealing Insurance Company Decisions
Provides consumers with a way to appeal coverage determinations or claims to their insurance
company, and establishes an external review process. Establishing Consumer Assistance
Programs in the States States that apply ACA receive federal grants to help set up or expand
independent offices to help consumers navigate the private health insurance system. These
programs help consumers file complaints and appeals; enroll in health coverage; and get
educated about their rights and responsibilities in group health plans or individual health
insurance policies. The programs will also collect data on the types of problems consumers have,
and file reports with the U.S. Department of Health and Human Services to identify trouble spots
that need further oversight. Improving Quality and lowering costs Both this head get
amended from time to time so that consumer receive best to best service. Increasing Access to
Affordable Care Hoe ACA Affects Reiumburshment Short Term Effects:
The most immediate expected effect of the ACA for providers is a sudden rise in patient
populations. Millions of Americans are expected to obtain coverage under the ACA
Payers are required to cover more than ever,under the ACA, individual and small group health
plans are required to cover 10 essential health benefits Long Term Effects:
Changing payment and care models,biggest changes in healthcare right now are the new fee-for-
value payment models that are replacing traditional fee-for-service programs Through
Medicare and Medicaid, the government has been .
To ensure FDA readiness, companies must develop a plan to ensure that they are in compliance during inspections, and reduce the likelihood of receiving warning letters.
Diving Deeper Into Understanding Bioethics - DarshanTalksDarshan Kulkarni
Prescriptive rights and utilitarianism as it applies to bioethical decision making
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Impact of the Government Shutdown on Synchrogenix FDA-regulated ClientsDarshan Kulkarni
As of Dec 22nd, some 800,000 federal workers either furloughed or working without pay. Will this compromise the FDA's mission to protect public health?
Responding to FDA Inspections. This presentation discusses dos and donts and the tone setting decisions that will affect engagement with the FDA. The audience will likely be able to walk away with an understanding of what decisions are appropriate and what may be regulatorily impermissible.
Considerations for companies debating implementing blockchain based databases...Darshan Kulkarni
Enabling patient engagement using block chain based databases. This presentation looks at current silos, potential future silos and discusses solutions that have been offered
A "File Trademark" is a legal term referring to the registration of a unique symbol, logo, or name used to identify and distinguish products or services. This process provides legal protection, granting exclusive rights to the trademark owner, and helps prevent unauthorized use by competitors.
Visit Now: https://www.tumblr.com/trademark-quick/751620857551634432/ensure-legal-protection-file-your-trademark-with?source=share
ALL EYES ON RAFAH BUT WHY Explain more.pdf46adnanshahzad
All eyes on Rafah: But why?. The Rafah border crossing, a crucial point between Egypt and the Gaza Strip, often finds itself at the center of global attention. As we explore the significance of Rafah, we’ll uncover why all eyes are on Rafah and the complexities surrounding this pivotal region.
INTRODUCTION
What makes Rafah so significant that it captures global attention? The phrase ‘All eyes are on Rafah’ resonates not just with those in the region but with people worldwide who recognize its strategic, humanitarian, and political importance. In this guide, we will delve into the factors that make Rafah a focal point for international interest, examining its historical context, humanitarian challenges, and political dimensions.
In 2020, the Ministry of Home Affairs established a committee led by Prof. (Dr.) Ranbir Singh, former Vice Chancellor of National Law University (NLU), Delhi. This committee was tasked with reviewing the three codes of criminal law. The primary objective of the committee was to propose comprehensive reforms to the country’s criminal laws in a manner that is both principled and effective.
The committee’s focus was on ensuring the safety and security of individuals, communities, and the nation as a whole. Throughout its deliberations, the committee aimed to uphold constitutional values such as justice, dignity, and the intrinsic value of each individual. Their goal was to recommend amendments to the criminal laws that align with these values and priorities.
Subsequently, in February, the committee successfully submitted its recommendations regarding amendments to the criminal law. These recommendations are intended to serve as a foundation for enhancing the current legal framework, promoting safety and security, and upholding the constitutional principles of justice, dignity, and the inherent worth of every individual.
How to Obtain Permanent Residency in the NetherlandsBridgeWest.eu
You can rely on our assistance if you are ready to apply for permanent residency. Find out more at: https://immigration-netherlands.com/obtain-a-permanent-residence-permit-in-the-netherlands/.
WINDING UP of COMPANY, Modes of DissolutionKHURRAMWALI
Winding up, also known as liquidation, refers to the legal and financial process of dissolving a company. It involves ceasing operations, selling assets, settling debts, and ultimately removing the company from the official business registry.
Here's a breakdown of the key aspects of winding up:
Reasons for Winding Up:
Insolvency: This is the most common reason, where the company cannot pay its debts. Creditors may initiate a compulsory winding up to recover their dues.
Voluntary Closure: The owners may decide to close the company due to reasons like reaching business goals, facing losses, or merging with another company.
Deadlock: If shareholders or directors cannot agree on how to run the company, a court may order a winding up.
Types of Winding Up:
Voluntary Winding Up: This is initiated by the company's shareholders through a resolution passed by a majority vote. There are two main types:
Members' Voluntary Winding Up: The company is solvent (has enough assets to pay off its debts) and shareholders will receive any remaining assets after debts are settled.
Creditors' Voluntary Winding Up: The company is insolvent and creditors will be prioritized in receiving payment from the sale of assets.
Compulsory Winding Up: This is initiated by a court order, typically at the request of creditors, government agencies, or even by the company itself if it's insolvent.
Process of Winding Up:
Appointment of Liquidator: A qualified professional is appointed to oversee the winding-up process. They are responsible for selling assets, paying off debts, and distributing any remaining funds.
Cease Trading: The company stops its regular business operations.
Notification of Creditors: Creditors are informed about the winding up and invited to submit their claims.
Sale of Assets: The company's assets are sold to generate cash to pay off creditors.
Payment of Debts: Creditors are paid according to a set order of priority, with secured creditors receiving payment before unsecured creditors.
Distribution to Shareholders: If there are any remaining funds after all debts are settled, they are distributed to shareholders according to their ownership stake.
Dissolution: Once all claims are settled and distributions made, the company is officially dissolved and removed from the business register.
Impact of Winding Up:
Employees: Employees will likely lose their jobs during the winding-up process.
Creditors: Creditors may not recover their debts in full, especially if the company is insolvent.
Shareholders: Shareholders may not receive any payout if the company's debts exceed its assets.
Winding up is a complex legal and financial process that can have significant consequences for all parties involved. It's important to seek professional legal and financial advice when considering winding up a company.
3. Headline
Text Here
Headline
Text Hererequired FDA “to develop and implement strategies to solicit the
views of patients during the medical product development process
and consider the perspectives of patients during regulatory
discussions” – FDASIA Section 1137 (2012)
4. Headline
Text Here
Headline
Text Here
21st Century Cures Act
Requires FDA to issue new
guidance regarding methods
and approaches to be used
in capturing and measuring
patients’ experiences and
perspectives. The Section
requires that:
FDA develop a plan
Issue “one or more guidance
documents over a period of 5
years,”
Address a series of topics
outlined in the statute that
will be of interest to
stakeholders wishing to
participate in or engage in
patient focused drug
development.