Kickbacks and Other Compliance Issues for Discharge Planners
NDHA is an approved provider of continuing education by the North Dakota Board of Examiners for Nursing Home Administrators.
10:00 – 11:00 AM Central time
Registration fees: $175 per NDHA member | $225 per non-member
Chief Medical Officer, Chief Nursing Officer, Case Managers/Discharge Planners, Compliance Officer, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.
Hospital case managers and discharge planners handle a number of legal issues. As the primary enforcer of fraud prohibitions, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services has targeted case managers and discharge planners for accepting kickbacks from post-acute providers that receive referrals from them. These include long-term care facilities, assisted living facilities (ALFs), home health agencies and hospices. Kickbacks are provided in a variety of forms, including gift cards. In addition, case managers and discharge planners are dealing with issues of the appropriate role of coordinators or liaisons from post-acute providers. For example, when can coordinators or liaisons become involved in the discharge planning process? At what level are they allowed to help prepare patients for discharge? Join this webinar to learn more about these issues, including a discussion on compliance with the Centers for Medicare & Medicaid Services (CMS) hospital conditions of participation (CoPs) for discharge planning.
At the conclusion of this session, participants should be able to:
- Identify the federal statute that prohibits case managers and discharge planners from receiving kickbacks from post-acute providers.
- Describe the kinds of kickbacks applicable to case managers and discharge planners.
- Discuss fraud and abuse compliance issues related to hospital CoPs for discharge planners and case managers.
Elizabeth E. Hogue is an attorney in private practice with extensive experience in health care. Prior to becoming an attorney, she was employed as a personnel manager by a Blue Cross-Blue Shield Plan. She graduated cum laude from the University of Maryland School of Law, where she concentrated in health law. Following her admission to the Bar, she developed an active practice in health law and represents clients all over the country. Her clients are professional associations, physicians, managed care providers, ACOs and institutional health care providers, including hospitals, long-term care facilities, home health agencies, durable medical equipment companies, private duty agencies and hospices. She has also represented many individual providers and case managers on health-related issues. Ms. Hogue has given approximately 1,000 presentations on health-related topics and has authored more than 650 articles that are regularly included in trade association publications and other journals.
This speaker has no real or perceived conflicts of interest that relate to this presentation.