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AIS Compliance Marketplace Scroll down to read short descriptions of AIS's Compliance products. Newsletters
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The HCCA-AIS MEDICAID COMPLIANCE NEWS, monthly news and valuable how-to strategies for identifying and reducing the top Medicaid compliance risks. Co-published by the Health Care Compliance Association (HCCA) and AIS. 12 issues annually ($417 per year; HCCA member discount available); subscriptions include print copy and e-mail delivery of the newsletter.
MEDICARE PART D COMPLIANCE NEWS, news and strategies on implementation and compliance with the Medicare drug benefit marketing, enrollment, formularies, rebates, claims pricing, and fraud, waste and abuse. 12 issues annually ($467 per year) or 2-month intro ($71 for 2 issues); subscriptions include print copy and e-mail delivery of the newsletter, biweekly "Part D E-Letters" and access to a special Part D Web site for easy access to all original documents. REPORT ON MEDICARE COMPLIANCE, the industry's top source of news and analysis on Medicare compliance, fraud and abuse, billing errors, and a range of complex compliance issues. Includes unique strategic guidance not available anywhere else ... from the desk of veteran compliance reporter Nina Youngstrom, who has written this newsletter since 1992. 45 issues annually ($628 per year) or 2-month intro ($92 for 8 issues); both include print copy and e-mail delivery.
REPORT ON RESEARCH COMPLIANCE, co-published
by the National Council of University Research Administrators (NCURA)
and AIS, provides the best information there is to help institutions
avoid the negative publicity, financial setbacks, and management problems
that compliance requirements can create.12 issues annually, plus weekly
e-mail newletters and unlimited access to a password-protected Web site.
($368 for NCURA members, $468 for non-members.)
AIS’s HIPAA COMPLIANCE CENTER, a highly practical Web and print service that will help your organization safeguard patient privacy and data security — and reduce your chances of fines and penalties, private lawsuits and public relations nightmares. Annual subscriptions include 12 issues of the industry-leading newsletter Report on Patient Privacy, and access to a regularly updated Web site — with 30 narrative sections written by experts (and packed with sample forms, policies, procedures and other practical tools you can adapt to your privacy and security compliance), a convenient listing of links to official documents pertaining to HIPAA privacy and security, and searchable archives of Report on Patient Privacy. ($429)
A GUIDE TO COMPLYING WITH STARK PHYSICIAN SELF-REFERRAL RULES is a comprehensive looseleaf service written by a team of experienced health care attorneys. It features easy-to-follow explanations of the prohibitions and exceptions under the Stark rules, chapters devoted to the special Stark interests of different stakeholders, summaries of Stark Advisory Opinions issued by the OIG, and copies of regulations and other formal documents. Subscription includes quarterly updates and news summaries (in print and CD formats). ($511 annually).
HIGH-RISK AREAS IN MEDICARE BILLING is a comprehensive Web site with sophisticated compliance auditing tools for hospitals and health systems. Co-published by Strategic Management Systems, Inc. — one of the nation’s leading compliance consulting firms — and AIS, the site organizes (by high-risk area) hundreds of checklists, policies, best practices and other tools in downloadable formats that can be adapted by subscribers. Also includes a valuable monthly newsletter. ($687 per year)
49 STEPS TO IMPLEMENT
SARBANES-OXLEY BEST PRACTICES IN PRIVATE AND NONPROFIT HEALTH CARE
ENTITIES, a highly practical book written by experienced
compliance experts at Strategic Management Systems, Inc., led by former
HHS Inspector General Richard P. Kusserow that identifies and
describes steps your organization can take to adopt what have become
consensus best practice standards for adhering to this landmark corporate
responsibility law. Includes a companion CD with templates that can
be customized by your organization. ($385) 63 BILLING AND CODING STRATEGIES
FOR AVOIDING MEDICARE FALSE CLAIMS is a comprehensive collection
of highly practical articles on false claims cases, government billing
and coding investigations, and a wide range of Medicare billing and
coding problems to avoid. This report will guide you around many of
the most common pitfalls in Medicare billing and coding, cost report
errors, bad documentation, DRG upcoding, and other problems that can
result in enormous fines and penalties against your organization.
($69) PDF version also available via e-mail.
MEDICAID FRAUD CRACKDOWNS AND COMPLIANCE is packed with case studies that will show you what health organizations should expect under the federal Deficit Reduction Act (DRA).This report explains what sparked the Medicaid enforcement push, how it affects providers and what actions your organization should take now. ($69) PDF version also available.
PART D APPEALS & GRIEVANCES: STRATEGIES FOR MINIMIZING COMPLIANCE RISKS examines key issues surrounding Part D appeals and grievances. This report, based on a January 25, 2007, audioconference, shares expert advice on how to structure an effective appeals and grievances procedure — one that will help you avoid becoming a target of CMS enforcement. ($137) PDF version also available.
VENDOR GIFTS AND RELATIONS: EFFECTIVE STRATEGIES FOR HEALTH SYSTEMS AND HOSPITALS, a report that shows you how to identify and manage potential gift conflicts, avoid possible compliance minefields and make sure patient care decisions are not influenced by vendor gift-giving. It provides guidance in the applicable laws and regulations, and offers samples of policies and real-world experiences of compliance officers who have successfully implemented these programs. ($84) PDF version also available.
Meetings are listed
below in reverse chronological order, UPCOMING CMS MEDICAID AUDITS: STRATEGIES FOR MINIMIZING YOUR CHANCES OF ADVERSE FINDINGS, a CD of a 90-minute audioconference held on June 19, 2008. Attorneys Judith Waltz and Daniel Reinberg of Foley & Lardner LLP provide practical strategies for identifying specific Medicaid risks, and preparing for the inevitable CMS Medicaid Integrity Program audits and aggressive Medicaid enforcement that is on the way. ($329)
VENDOR GIFTS AND RELATIONS: HOW TO REVISE YOUR HOSPITAL’S STRATEGIES AS THE FEDS CRACK DOWN, a CD of a 90-minute audioconference held on March 25, 2008. Learn how to identify and manage potential vendor gift conflicts, to avoid possible compliance minefields and ensure patient care decisions are not influenced by vendor gift-giving. Speakers are: Donald E. Koenig, Jr., vice president and assistant general counsel of corporate responsibility and enterprise risk management for Catholic Healthcare Partners (CHP) in Cincinnati, and Nickie Braxton, corporate compliance officer for Hartford (Conn.) Hospital/Hartford Health Care Corp. ($329)
IDENTITY THEFT AND HEALTH CARE: 5 IMMEDIATE STEPS TO TAKE IN THE EVENT OF A SECURITY BREACH, a CD of a 90-minute audioconference held on May 16, 2006. Privacy and data security specialist Reece Hirsch details the steps you can take to limit your liability in the event of a breach, as well as strategies that can help you avoid damaging security breach incidents. ($292) PART
D
FRAUD,
WASTE
&
ABUSE:
HOW
TO
COMPLY
WITH
CMS's
APRIL
25
GUIDANCE,
a
CD
of
a
90-minute
audioconference
held
on
May
11,
2006.
Keith
M.
Korenchuk,
a
partner
in
the
law
firm
McGuireWoods
LLP,
and
Debjit
A.
Ghosh,
a
senior
manager
in
the
Fraud
Investigation
&
Dispute
Services
branch
of
the
Health
Sciences
division
at
Ernst
&
Young,
discuss
strategies
to
help
you
comply
with
new
CMS
requirements
for
structuring
effective
FWA
compliance
programs
for
Part
D.
($292)
THE E-PRESCRIBING
'SAFE HARBORS' AND THEIR IMPACT ON
BUSINESS STRATEGIES, a CD
of a 90-minute audioconference held
on December 1, 2005. Daniel Melvin,
Esq., of McDermott Will &
Emery LLP, and Mihir H. Patel,
Pharm. D., of Horizon Blue Cross
Blue Shield of New Jersey, discuss
how to design and create effective
e-prescribing business strategies
that take advantage of HHSs
exceptions to the Stark physician
self-referral law and additional anti-kickback
safe harbors. ($267)
COMPLIANCE STRATEGIES
FOR COMBATING MEDICARE PART D FRAUD,
WASTE AND ABUSE, a CD of a
two-hour audioconference held on November
10, 2005. Three experts from Gorman
Health Group Michael Flagstad,
Jean LeMasurier and Stephen
Balcerzak present strategies
you can use to detect fraud, waste
and abuse in the Part D drug benefit
and avoid becoming the target
of Part D enforcement actions. ($267)
HOW TO AVOID THE 12 BIGGEST HIPAA SECURITY
LANDMINES, a CD of a 90-minute program held
on March 3, 2005, pinpoints 12 areas that are likely
to be among your organization's chief HIPAA security
liabilities, with tips and tricks for quickly limiting
these risks. Speaker is Chris Apgar, CCISP,
a nationally recognized data security and HIPAA
expert and principal of Apgar & Associates.
($267)
HOW TO COMPLY WITH NEW STARK RULES FOR HOSPITALS, PHYSICIANS AND OTHER PROVIDERS, an audiotape of a 90-minute program held on April 15, 2004, helps you understand the new physician self-referral regulations, and identify the pitfalls (and opportunities) that lie ahead for your organization. Speakers are Robert A. Wade, Esq., General Counsel and Organizational Integrity Officer for Saint Joseph Regional Medical Center (SJRMC), in South Bend, Indiana and Robert G. Malkin, Esq., associate in the Washington, D.C. office of Hogan & Hartson L.L.P. and a member of the firm's Health Group. ($267)
HOW HOSPITALS CAN CONTROL SOARING MEDICARE OUTPATIENT MEDICAL NECESSITY DENIALS, an audiotape of a 90-minute program held on July 16, 2003, explains why medical necessity claims denials are likely to increase dramatically soon, and offers guidance on what steps hospital compliance officers can take to improve their medical-necessity compliance initiatives. Speaker is Darren Carter, MD, President and CEO of Provistas, a Manhattan-based medical coding consulting firm.($267)
THE IMPACT OF SARBANES-OXLEY ON PRIVATE OR NONPROFIT HEALTH CARE ORGANIZATIONS, an audiotape of a 90-minute program held on June 18, 2003, explains why 2002's revolutionary corporate responsibility law is important to all health care organizations public, private or nonprofit and offers expert guidance on the steps these entities should take to comply with many Sarbanes-Oxley provisions. Speakers are Richard P. Kusserow, former Inspector General of HHS, and President of Strategic Management Systems, Inc. (SMSInc.), an Alexandria, Va.-based consulting firm with a strong track record of counseling health care organizations on management and compliance issues, and Frank A. Saputo, Vice President Internal Audit and Chief Compliance Officer for US Oncology, a publicly traded national operator of cancer treatment centers and physician practices. ($267)
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