Introduction

Credentialing and Fraud and Abuse

May 7, 2019 - 1:00 pm to 2:00 pm (ET)

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Topic: Credentialing and Fraud and Abuse

Faculty: Barbara Blackmond and Henry Casale

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Do the medical staff office and compliance operate as silos in your organization? That could be risky!

Join us for a discussion of the best practices to minimize risks.
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Covered in this AC:

Accrediting bodies aren’t the only ones who care about credentialing!

Why does OIG/CMS care about credentialing and what are they looking for?

What is the difference between exclusion, suspension and non-participation in the Medicare program?

Does Medicaid really expect us to check the excluded provider list every month? (It may surprise you to learn that the answer is “YES.”)

Learning from the mistakes of others — OIG/CMS penalties can exceed $1 million!

What do you do if you find a problem?

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Listen live on May 7, 2019. Or, purchase the recording (MP3 or CD) of this audio conference to share with medical staff members at an upcoming meeting or throughout the year.
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This audio conference is part of our 2019 Grand Rounds series. Order the entire series for just $1,850/line*. Click here for more information.

* Registration fee includes one phone line; you may add up to two additional lines to your order for $50 each line (per audio conference).

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Designed to be informative for any medical staff member, Grand Rounds 2019 should be particularly helpful for medical staff leadership: Medical Staff Officers, members of the Medical Executive Committee, Department Chairs, Chairs of the Credentials and Peer Review Committees, and the Chairs of other key medical staff committees.

If you have new members in any of these important positions, this is a not-to-be-missed opportunity for direct education that we guarantee will be helpful to them in their new roles.

Learning Objectives

Upon completion of this audio conference, participants should be able to:

Identify fraud and abuse legal requirements applicable to credentialing;
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Develop policies and protocols for compliance, including communication between the medical staff office and other organization offices/functions; and
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Create a plan to address identified problems, involving the necessary participants.

Education Credit

Instructions on how to obtain your Continuing Education certificate for audio conferences will be e-mailed to the contact person for your organization at the conclusion of each audio conference.

Category 1 CME

Joint Provider Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Pittsburgh School of Medicine and HortySpringer Seminars. The University of Pittsburgh is an affirmative action, equal opportunity institution. The University of Pittsburgh School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

CEUs Credit

Other health care professionals are awarded 0.1 continuing education units (CEUs), which is equal to 1 contact hour.

NAMSS Continuing Education Credit

This course has been approved for National Association of Medical Staff Services (NAMSS) continuing education credit and NAMSS hereby awards 1.0 NAMSS continuing education credits for participation in this activity. Accreditation of this educational content in no way implies endorsement or sponsorship by NAMSS.

HortySpringer Audio Conference Disclaimer

The information presented during an audio conference and any supplementary materials provided to registrants are intended for educational and informational purposes only. Nothing contained therein is to be considered as the rendering of legal advice for specific cases or circumstances.

No one should act or refrain from acting on the basis of any information presented during an audio conference without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer practicing as permitted by applicable laws, regulations or rules of professional conduct. No attorney-client relationship is formed by registration for an audio conference or the use of the supplementary materials.