7:00 am-5:45 pm Registration and Information

Transcription

1 American Health Lawyers Association INSTITUTE ON MEDICARE AND MEDICAID PAYMENT ISSUES March 21-23, 2018 Baltimore, MD Tuesday, March 20, :00-7:00 pm Wednesday, March 21, 2018 A. Fundamentals of Medicare and Medicaid Reimbursement and Compliance Berlin Farrell Murphy Polzin Susott 7:00 am-5:45 pm 8:00-10:00 am B. The Changing Face of the Medicaid Program: A Review of Recent Trends in State Medicaid Waivers Cuello Margulies Musumeci Salo 10:00-10:10 am Coffee Break, sponsored by PYA 10:10 am- 12:25 pm GENERAL SESSION 10:10-10:45 am Welcome and Program Overview Lamar, Roth, Ruskin 10:45-11:15 Overview of Medicaid Issues Lynch (invited) 11:15-11:50 am CMS: The Year Ahead Brandt (invited) 11:50 am-12:25 am OIG Update Demske C. A Deep Dive into UC-DSH, Changes to the S- 10, and the Effect on Charity Care Policies and IRC 501(r) Gilden Keough Lombardi Roth

2 Wednesday, March 21, 2018, continued 12:25-1:35 pm Lunch on your own or attend the Regulation, Accreditation, and Payment Practice Group Topic: How Should Health Care Be Transformed? (This event is not included in the program registration. Additional fee; limited attendance; pre-registration required) 1:45-3:15 pm Extended Sessions E. Bending the Cost F. Hot Topics in G. Hot Topics in Fraud H. What s Old Is New Curve, but in which Provider Enrollment and Abuse Again: The Original Direction How are and Advanced Insights Medicare DSH Bundled Payments and Payment Value Based Purchasing Programs Working With Respect to Reducing Physicians and Acute Care Hospitals Costs? D. Year in Review Adams Isacson Shah Turcotte K. Introduction to Medical Coding for Payment Lawyers Lammers Pelaia Q. Obamacare Repeal to Entitlement Reform: A Look Back at Medicare and Medicaid Legislative Activity in 2017, and ahead in 2018 Zimmerman Faccenda Geraci Russo L. When is a Condition of Payment Material? McBride R. Current Issues in Medicaid Supplemental Payments and Financing Eyman Luband Towey Vance M. Beneficiary Inducement Prohibition: What s New and What s Still True Blanchard Edwards S. Advanced Stark Issues Holden Matyas Glassman Kaufman Laemmle-Weidenfeld Wei 3:30-4:30 pm N. Clinical Labs Gresko 4:45-5:45 pm T. Administrative Enforcement Tools Burns Waltz 5:45-7:00 pm Kaiser Webster O. Inpatient/Outpatient Coverage: The New Two-Midnight Rule and the New QIO Landscape Polston Rubio (invited) U. Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements Ruskin Vernaglia J. Report, Return, (Try not to) Repeat: Overpayments and Self-Disclosures Chen Hudzik L. O. Wilson P. Federal 340B Drug Discount Program Lee Williams M. Beneficiary Inducement Prohibition: What s New and What s Still True Blanchard Edwards Networking and Diversity+Inclusion Reception, hosted by the AHLA Diversity+Inclusion Council, sponsored by PYA (This event is included in the program registration. Attendees, faculty, children, and registered spouses and guests welcome)

3 Thursday, March 22, :00 am-5:45 pm 7:00-8:15 am Continental Breakfast, sponsored by PYA (This event is included in the program registration. Attendees, faculty, children, and registered spouses and guests welcome) 7:00-8:00 am V. Open Door Forum L. Wilson, Blackford W. The RUG that Doesn t Really Tie the Room Together? CMS Announces Major Changes to the SNF Prospective Payment System Greenman Reagan AA. PRRB Appeals The View from the Board Chair X. Medicare Claims Appeals Soup to Nuts Marting Wachler BB. Best in Show: A Presentation on CHOWs (Changes of Ownership) A Unique Breed 8:15-9:45 am Extended Sessions Y. Medical Necessity Z. Hospital Inpatient What it means and PPS Update 2018 Update Hall-Gaulin Spake CC. Enforcing State Medicaid Entitlement (Section 1902) Keefe 10:00-11:00 am DD Home Health and Hospice Update G. Hot Topics in Fraud and Abuse Glassman Kaufman Laemmle-Weidenfeld Wei O. Inpatient/ Outpatient Coverage: The New Two-Midnight Rule and the New QIO Landscape J. Report, Return, (Try not to) Repeat: Overpayments and Self-Disclosures Chen Hudzik L. O. Wilson P. Federal 340B Drug Discount Program Andersen Lundelius Tift Barker Rosenbaum Bring Cuppett Polston Rubio (invited) Lee Williams

4 Thursday, March 22, 2018, continued EE. Primer on Researching Medicare, Medicaid, and ACA Issues: Sources and Techniques FF. Medicare Advantage: Key Issues and Recent Developments GG. Medicaid Fraud and Abuse Enforcement Update 11:15 am-12:15 pm HH. It Don t Mean a Thing if It Ain t Got Jurisdiction: Jurisdictional Principles And Issues For Appeals Before The PRRB And Federal Courts T. Administrative Enforcement Tools CC. Enforcing State Medicaid Entitlement (section 1902) Brouillette Talati (invited) Choe Hamelburg Lichtblau (invited) Beer Wenik Marcus 12:15-1:35 pm Burns Waltz Barker Rosenbaum Lunch on your own JJ. Provider Contracting Issues from the Plan and Provider Perspectives KK. Medicaid: The Largest Coverage Source in the United States LL. Legal Ethics 1:45-2:45 pm MM. Medicare Litigation Update N. Clinical Labs U. Provider-Based Status, Under Arrangements, Enrollment, and Related Medicare Requirements Clements Hathaway NN. Legal Ethics Internal Investigations and Multiple Party Representations Evans Smith OO. The 2018 OPPS Update Demetriou PP. Wage Index Collins Tsui 3:00-4:00 pm S. Advanced Stark Issues Gresko DD Home Health and Hospice Update Ruskin Vernaglia HH. It Don t Mean a Thing if It Ain t Got Jurisdiction: Jurisdictional Principles And Issues For Appeals Before The PRRB And Federal Courts M. Cook Rinkle Hettich Polito Holden Matyas Bring Cuppett Beer Marcus

5 Thursday, March 22, 2018, continued QQ. Medicaid Litigation Update Dorn Sze RR. PRRB Appeals: Current Challenges Blowers Goldsmith Ogilvie-Barr Uzzle 4:15-5:45 pm Extended Sessions SS. Latest Policy and Regulatory Changes to the Medicare Appeals Process Griswold Roumayah TT. Graduate Medical Education Finance: Medicare Regulations and Policy Considerations Johnson Mihalich-Levin 5:45-6:45 pm H. What s Old Is New Again: The Original Medicare DSH Payment Kaiser Webster F. Hot Topics in Provider Enrollment and Advanced Insights Towey Vance Networking Reception, sponsored by PYA (This event is included in the program registration. Attendees, faculty, children, and registered spouses and guests welcome)

6 Friday, March 23, :00 am-1:00 pm 7:00-8:00 am Continental Breakfast, sponsored by PYA (This event is included in the program registration. Attendees, faculty, children and registered spouses and guests welcome) 7:00-7:50 am Networking Breakfast, hosted by the Women s Leadership Council (This event is not included in the program registration. Attendees and faculty welcome; limited attendance; pre-registration required) UU. Emerging and Innovative Rural Care Delivery and Payment Models Blackford E. Cook Moore WW. Medicare Physician Fee Schedule VV. Risk Adjustment Coding and Clinical Documentation Improvement Programs for Medicare Advantage and MACRA Quality and Cost Performance Measures Knight Richards R. Current Issues in Medicaid Supplemental Payments and Financing 8:00-9:30 am Extended Sessions Y. Medical Z. Hospital Inpatient Necessity What it PPS Update means and 2018 Update Hall-Gaulin Spake GG. Medicaid Fraud and Abuse Enforcement Update Keefe 9:45-10:45 am LL. Legal Ethics SS. Latest Policy and Regulatory Changes to the Medicare Appeals Process Griswold Roumayah MM. Medicare Litigation Update TT. Graduate Medical Education Finance: Medicare Regulations and Policy Considerations Johnson Mihalich-Levin PP. Wage Index Hilgers Woodrum Eyman Luband Lichtblau (invited) Wenik Demetriou Collins Tsui Hettich Polito

7 Friday, March 23, 2018 continued XX. Diagnostic Imaging Services YY. Long Term Care Hospitals FY 2018 Final Rule-Update ZZ. EPDST 11:00-11:30 am AAA. Mental Health and Addiction Treatment: What Is Changing? BBB. Audits and Investigations Implementation Greeson CCC. Secondary Campus Sullivan XX. Diagnostic Imaging Services Perkins 11:45 am-12:15 pm Dziengelski YY. Long Term Care Hospitals FY 2018 Final Rule-Update Ghiladi AAA. Mental Health and Addiction Treatment: What Is Changing? Johnston ZZ. EPDST Perkins Greeson Sullivan 12:30-1:00 pm BBB. Audits and Investigations Implementation Ghiladi Dziengelski CCC. Secondary Campus Johnston