Title: Regulations for an LTC/Assisted Living Facility
Date: Thursday August 16, 2018
Time: 01:00 PM Eastern Daylight Time
Duration: 1 hour
Regulations for an LTC/Assisted Living Facility
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Effective November 28, 2019, CMS will require Medicare and Medicaid participating LTC providers to have a compliance & ethics program (42 C.F.R. Part 483.85). This webinar will highlight the compliance program requirements that LTC facilities must follow in order to participate in the Medicare and Medicaid programs, but will also emphasize the business and cultural benefits of having an effective compliance program and infrastructure.
Participants will be able to:
Describe the Medicare/Medicaid LTC Requirements of Participation for compliance programs and responsibilities and how a compliance program can benefit the organization.
Develop a plan for building an effective compliance program for their organization based on the Federal Sentencing Guidelines’ seven elements of an effective compliance program
Understand proven strategies to ensure ongoing compliance program effectiveness, such as regular risk assessment and effectiveness assessment, engagement with organizational leaders, and interaction with front-line staff
Brian Annulis is a Senior Managing Director at Ankura with more than 25 years of experience helping clients successfully manage complex healthcare compliance and regulatory concerns. He has particular expertise assisting organizations with developing, implementing, maintaining, and assessing compliance programs, and in managing matters implicating the Stark Law and the federal Anti-Kickback Statute. He is based in Chicago. He has spent his entire professional career counseling and advising healthcare providers, suppliers, practitioners, manufacturers, and health plans. Having served as a former attorney for the Centers for Medicare & Medicaid Services, Brian is well-informed in matters affecting healthcare entities. In addition, he has significant experience in matters involving health information and data privacy.
Sarah Couture is a Senior Associate at Ankura based out of the Chicago office. A registered nurse for over 16 years, she has spent the past seven years focused on healthcare management and compliance, specializing in compliance program assessment and development in various types of healthcare entities. In addition, she performs and provides training in research billing coverage analysis and clinical auditing. Sarah specializes in healthcare compliance including program assessment and development, research billing coverage analysis, and clinical and medical necessity auditing.
In her tenure as a compliance consultant, she has provided effectiveness and risk assessments for hospitals, pharmacies, and long-term care entities; research billing coverage analysis for academic medical centers; and clinical and medical necessity auditing to various entities including several inpatient rehabilitation facilities.
Prior to her current role as a compliance consultant, Sarah was the hospital compliance manager at the University of Kentucky Healthcare Office of Corporate Compliance. In this role, she was responsible for compliance related to hospital departments and the revenue cycle. While there, she was responsible for oversight of the hospital’s Office of Inspector General (OIG) work plan process, led the Medicare Compliance Review audit, and facilitated the quarterly Program for Evaluating Payment Patterns Electronic Report (PEPPER) report review and responses.