Session 3...3:30 pm to 5:00 pm
Presented By:Connie Raffa & Rachel Hold-Weiss, Arent Fox LLP As part of the new Medicare Integrity Program, Congress has authorized CMS to contract with private entities as Recovery Audit Contractors (RACs). The RACs are responsible for conducting automated (data mining), and complex (medical review) audits of all fee-for-service providers and suppliers under Medicare Part A & B. RACs can determine overpayments based on statistical samplings, authorize recoupments, and are rewarded a percentage of recoupments collected. Learn more about RACs, and how to prepare your organization so that your audit won't result in a significant overpayment. Also learn about the other alphabet soup contractors, their audits, and how to prepare so that your organization is in compliance. Biography: Connie Raffa Connie Raffa is a partner with thirty-two years’ experience in health care law and litigation. She is a member of the health care group and the corporate compliance and government enforcement group. Connie founded the health group practice in the New York office of Arent Fox. Connie focuses on regulatory and reimbursement issues, audits, medical reviews, corporate compliance, fraud and abuse investigations and sanctions, Medicare survey and certification, administrative and federal litigation, transactions and Medicare and Medicaid issues. Her clients include all types of health-care providers, such as hospitals, hospital-based and free-standing palliative care programs, home health agencies, hospices, physician practices, nursing homes, institutions for the developmentally disabled, laboratories, adult homes, and other health care providers. In 2008, Chambers and Partners recognized Connie as a leading health care lawyer in New York. Before joining Arent Fox in 1995, Connie served 15 years with the US Department of Health and Human Services as senior trial attorney and assistant regional counsel in the Office of General Counsel, and as staff attorney for the Office of the Inspector General. She represented HHS in federal district and circuit courts and administrative hearings, and was appointed special assistant US attorney in the Eastern, Southern and Northern Districts of New York and the District of Puerto Rico. While in these positions, Connie specialized in Medicare reimbursement, survey and certification, Inspector General audits, investigations and sanctions, Medicaid state plan compliance, Medicaid disallowances and reimbursement, the Clinical Laboratory Improvement Act, Peer Review Organizations, and grant issues for Head Start and the Administration on Aging. Rachel Hold-Weiss Rachel Hold-Weiss is an associate in the New York office of Arent Fox, where she focuses on health care regulatory, transactional and litigation matters for a wide range of health care clients. Rachel represents a variety of nonprofit and for-profit health care providers, includinghospices, home health agencies, skilled nursing facilities, general hospitals, long-term care hospitals, assisted living facilities, continuing care retirement communities and physician practices. Specifically, Rachel focuses on advising clientsin certificate of need, facility and medical professional licensing, HIPAA, Medicare and Medicaid survey and reimbursement, fraud and abuse issues (including Anti-Kickback and False Claims), corporate practice of medicine, and corporate compliance. Rachel also assists clients with compliance audits, and the development and implementation of compliance programs. In addition, Rachel has represented large, national senior care companies with regulatory matters related to complex corporate transactions and acquisitions. Handouts are Available Now
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This session will help home health providers master the Home Health Care Consumer Assessment of Healthcare Providers and Systems (HH-CAHPS). Experts from three of the leading HH-CAHPS vendors will share tips on how to get and maintain great patient satisfaction scores, and how to use the results of your surveys to improve the quality of your services. "Using Customer Service to Improve Your CAHPS Scores" - Eileen Freitag, Director of Strategic and Marketing Consulting, Fazzi Associates, will share customer service strategies such as scripts, standards, and practices that will result in strong HH-CAHPS results. "Using HHCAHPS Data to Improve Quality"- Bill Bassett, Deyta's VP Home Health Care, will take an in-depth look at how the HH-CAHPS data can be broken down into actionable reports for agencies to utilize for performance improvement. Specific examples will be used to demonstrate how these new metrics can be used to track performance improvement, create employee incentive programs and enhance the quality of care provided to patients. Deyta's Handouts are Available Now
Fazzi's Handouts are Available Now
Presented By: Robert Markette, Gilliland & Markette LLP You've heard about the Red Flag rules which have been postponed (again) to June 2010, and HIPAA's been around for a while, but was amended by Congress last year. Mr. Markette will provide updated guidance on these important topics. Then he'll turn his attention to the risks presented by the growing popularity and use of social networking in business settings. You're sure to learn about potential problems you didn't even know you had! Biography: Robert W. Markette, Jr., CHC is a partner in the law firm Gilliland & Markette in Indianapolis. His primary areas of practice are health law, fraud and abuse, employment law and litigation. Robert is certified in health care compliance by the Health Care Compliance Board. Mr. Markettes's primary areas of practice are health law, fraud and abuse, employment law, and litigation. He is certifi ed in health care compliance by the Health Care Compliance Board. Mr. Markette assists clients including county health departments, home health agencies, hospices, and nursing facilities with a wide range of health care compliance and litigation issues. He has counseled clients on fraud and abuse issues ranging from joint ventures to marketing efforts. He has advised clients on HIPAA privacy and security compliance, Medicare certification, licensure, business transactions including changes of ownership and many other health law matters. Mr. Markette has also assisted clients during surveys and audits. He has guided clients through fraud and abuse investigations, including assisting with internal investigations, responding to government inquiries, and negotiation settlements. In addition, Mr. Markette has spoken across the country on health law matters including HIPAA Compliance, Fraud and Abuse, Medicare Compliance, Home Health Advanced Beneficiary Notices, Wage and Hour compliance, and Non-Competition Agreements. He has authored numerous articles on fraud and abuse, HIPAA, and other health law topics for the Remington Report and other trade publications. He graduated from Hanover College with a degree in Computer Science and received his law degree from Indiana University School of Law. Mr. Markette is a member of the American Health Lawyers Association, the Health Care Compliance Association and the Indiana State Bar Association. Handouts are Available Now
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