Distance Learning Center

Educating and Connecting the Health Law Community.

Government Reimbursement

  • Medicare Advantage Risk Adjustment: Legal Issues for MA Plans, Providers, and Vendors

    Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/25/2020 at 2:00 PM (EDT)

    The topic will be Medicare Advantage risk adjustment legal risks and compliance strategies.

  • Cutting Edge Issues and Trends in Health Care Fair Market Value, Part III: Advanced Practice Providers – How the COVID-19 Pandemic Changed the Utilization and Deployment of APPs

    Contains 4 Component(s), Includes Credits Includes a Live Web Event on 06/18/2020 at 2:00 PM (EDT)

    Historically physicians were the sole clinical provider for most patients across the country; however, over the past few decades nurse practitioners, nurse midwives, nurse anesthetists, and physician assistants (“Advanced Practice Providers or APPs”) have expanded the concept of a provider. The COVID-19 pandemic required health systems across the country to deploy APPs in various ways and the governments around the country waived many restrictions around APPs. This webinar will focus those concepts including strategies around compensation of these individuals with a focus on long term implications for effective utilization of APPs.

  • Cutting Edge Issues and Trends in Health Care Fair Market Value Webinar Series, All Parts - On Demand Recording

    Contains 2 Product(s)

    This webinar series will examine three cutting edge fair market value (FMV) issues that health care organizations are facing in 2020. Notably, health care organizations are exploring FMV in the context of joint venture structures and unique arrangements with private equity backed entities. Many are also structuring value-based arrangements and are seeking methods to determine and document FMV compensation for care coordination, quality, and cost containment. Finally, health care organizations nationwide are developing more innovative compensation models with Advanced Practice Providers (NPs, PAs, CNMs, CRNAs) that align with industry FMV principles. Please join our panel of experts as they delve into these three top cutting-edge issues.

  • Medicaid Payment Reform – Uncertain Future of Supplemental Payments - On Demand Recording

    Contains 1 Component(s) Recorded On: 04/23/2020

    - Overview of Medicaid financing principles - Summary of proposed CMS financing changes, including to permissible provider taxes, upper payment limit payments and sourcing for the non-federal share - New proposed transparency and reporting requirements for Medicaid providers - Future of supplemental payments in Medicaid - Next steps

  • Coronavirus Preparedness for Health Plans - On Demand Recording

    Contains 1 Component(s) Recorded On: 04/02/2020

    This webinar will discuss key guidance, best practices and other insights on the current coronavirus outbreak from a health insurance and managed care plan perspective.

  • Federal False Claims Act: A Year in Review - On Demand Recording

    Contains 1 Component(s) Recorded On: 02/27/2020

    Federal False Claims Act recoveries remained at an all-time high in 2019 as the United States government continues the fight against fraud. Last year saw a slew of new case law and announcements from the DOJ and some new enforcement priorities. “A Year in Review” will update you on the current regulatory enforcement environment, including: • Important regulatory, compliance, and enforcement activity during 2019 • Noteworthy settlements and lessons learned over the past year • Continuing developments with the Stark Law, the Anti-Kickback Statute, and the False Claims Act • Proactive compliance activities to protect your organization in 2020 and beyond

  • Autism and Other Emotional and Intellectual Disability Services: Current Transactions, Reimbursement Landscape and Landmark Litigation - On Demand Recording

    Contains 1 Component(s) Recorded On: 02/13/2020

    Autism rates have exploded nationally from 1 in 166 children to 1 in 59 over the last 15 years. This statistic alone makes it incumbent upon all health care attorneys to prepare their clients, whether it be clinicians...

  • 2020 Telemedicine Webinar Series, All Parts - On Demand Recording

    Contains 4 Product(s)

    This is an annual webinar series that focuses on various healthcare regulatory issues in telemedicine. We have arranged for expert speakers who will provide practical tips and implementation.

  • 2020 Telemedicine Webinar Series, Part III: Telemedicine Reimbursement: Medicare, Medicaid, and commercial coverage - On Demand Recording

    Contains 1 Component(s) Recorded On: 02/05/2020

    As more reimbursement pathways become available, both from government programs and commercial payors, it is important to understand what telemedicine services are (and are not) covered, and how to navigate payor rules. This webinar explore the current telemedicine reimbursement landscape, including Medicare and Medicaid reimbursement rules, state telehealth commercial health insurance coverage and parity laws, reassignment of billing rights, charging patients cash for noncovered telemedicine services, and interjurisdictional enrollment with Medicare.

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