SNF Therapy Contracts: Your Risks and What You Need to Know - On-Demand
Tuesday, March 10, 2015
Reginald M. Hislop III, PhD
The use of contracted therapists in your SNF immediately increases your citation and criminal risk in terms of billing and liability. In this 90-minute webcast, expert Reginald M. Hislop III, PhD, discusses how to limit such risk under Medicare due to improper treatment and coding of your therapy contractor. Hislop outlines how to implement a shared risk arrangement with your therapy contractor while outlining a strategic way to monitor such risk within your SNF.
At the conclusion of this program, participants will be able to:
- Understand the risk of using contractors to provide core care services under Medicare Part A
- Structure the contractual relationship between therapy contractors and the SNF to integrate a shared risk arrangement
- Adequately monitor the billing and compliance risk areas between the SNF and the therapy contractor
- Determine whether using or converting to an in-house or hybrid (managed) therapy program/service is feasible
- The compliance risk, particularly billing, inherent to Medicare Part A for a SNF that uses therapy contractors (what the actual risk is in terms of billing, liability, and potential criminal liability)
- The flaws in the current therapy contracts that most SNFs don’t understand and don’t challenge—the “indemnity clauses” (what these clauses actually mean)
- The nature of bad actors under Medicare and the False Claims Act—the duty to monitor and supervise that all SNFs have (how to develop adequate systems)
- The overall compliance risk—why billing is only one potential problem (survey/certification, care, labor laws, etc.).
Who Should Listen?
SNFs or SNFs within CCRCs that presently have an outside therapy contract provider or are looking to enter a therapy contractor relationship
Meet the Speaker
Reginald M. Hislop III, PhD, is managing partner and CEO of H2 Healthcare, LLC. Before forming H2, Hislop served for 24 years as the CEO of Wisconsin’s largest specialized health system (top 50 largest nationally) and then as the managing partner of a national healthcare advisory group in partnership with Grubb & Ellis, specializing in mergers/acquisitions, capital development, and financial/corporate development. Hislop has 30 years of executive experience in the development, operations, and financing of all aspects of healthcare, with particular experience in postacute care. In addition to his work at H2, he serves as a consultant on health policy and reimbursement for the New York investment banking firm of DeMatteo Monness. Hislop also provides policy and reimbursement guidance to the Transitional Healthcare Consortium and for clients of the Gerson Lehrman Group, and is a consulting member of the 10eqs knowledge network.
Hislop holds a Bachelor of Science in Business Administration with a major in finance, a Master of Arts in Applied Mathematics and Quantitative Sciences, and a Doctor of Philosophy in Macro-Economics.
Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices
Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
COULDN'T LISTEN LIVE?
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value!
Participation in this webinar is just $199 per site. All materials must be retrieved from the Internet.
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