This CLE webinar will provide guidance on the U.S. Department of Health and Human Services (HHS), Office for Civil Rights' (OCR) recently issued final rule that regulates Section 1557 of the Affordable Care Act (ACA), the ACA's nondiscrimination provision. The panel will describe the final rule's re... Read More

This CLE webinar will guide healthcare practitioners through the Centers for Medicare & Medicaid Services' (CMS) CY 2025 Medicare Advantage and Part D final rule, effective Oct. 1, 2024, that significantly updates CMS policies to promote competition and equity in coverage, increase access to behavio... Read More

This CLE webinar will guide counsel on the final Centers for Medicare & Medicaid Services (CMS) interoperability and prior authorization rule. The panel will discuss impacted parties, required updates to and implementation of application program interfaces (APIs), and new requirements to the prior a... Read More

This CLE webinar will guide practitioners through CMS' recent final updates to Medicare's provider and supplier enrollment regulations at 42 C.F.R. 424, Subpart P, that expand the scope of CMS' authority to revoke or deny enrollment in the Medicare program and contain other significant changes that... Read More

This CLE webinar will guide practitioners through CMS' recently released final rule implementing civil money penalties (CMPs) for failure to comply with MMSEA Section 111 reporting. The CMP Rule, "Medicare Secondary Payer and Certain Civil Money Penalties," has an effective date of Dec. 11, 2023 and... Read More

This CLE webinar will guide healthcare counsel on the use of nonphysician practitioners (NPPs) and the associated issues. The panel will address the 2022 Medicare Physician Fee Schedule (MPFS) guidance on split/shared billing. The panel will also discuss compliance and documentation considerations a... Read More

This CLE course will guide healthcare counsel on the legal obligations, benefits, incentives, and risks of reporting and repaying improper Medicare and Medicaid payments. The panel will offer best practices for complying with the requirements for reporting and returning overpayments. Read More

This CLE course will prepare counsel for Medicaid providers to effectively evaluate and challenge the use of statistical sampling and extrapolation in audits seeking to establish overpayment amounts for recoupment. Read More

This CLE course will guide healthcare counsel on federal Medicaid managed care requirements and state level demands on participating managed care organizations. The panel will also discuss compliance with the law and potential changes to Medicaid managed care under the current administration. Read More

This CLE course will guide healthcare counsel on significant developments to Medicare Advantage (MA) and Part D. The panel will provide an overview of the changes, discussing how these changes will impact healthcare payers. The panel will also offer insight into what payers and their counsel must do... Read More

This CLE course will prepare counsel for healthcare providers to understand the demands of Medicare and Medicaid compliance audits and overpayment investigations. The panel will review sampling process and outline approaches for providers and their counsel to challenge overpayment extrapolations. Th... Read More

This CLE course will provide counsel to Medicare and Medicaid providers and suppliers with guidance on the new Centers for Medicare & Medicaid Services (CMS) emergency preparedness regulations. The panel will outline compliance strategies for the current regulatory environment. Read More

This CLE course will provide guidance to healthcare counsel on the new Merit-Based Incentive Payment System (MIPS) and the challenges presented by the significant change in the Medicare payment model. The panel will also offers strategies to prepare for the fast-approaching system change. Read More