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How to reduce your risk of being red-flagged for an audit. "Special Investigations Unit (SIU): What to Know in a Commercial Payer Audit" offers best practices to handle an audit that will benefit your recovery program or addiction treatment center. Find out how to avoid being audited and why a provider becomes the target of an investigation. Any provider billing an insurance company runs the risk of an audit, which can have severe consequences for both finances and workflow. As the behavioral health field expands to better meet the needs of a national addiction crisis, payers are putting more attention on the industry, and subjecting providers to significantly more scrutiny.
This seminar will give an overview of the commercial payer SIU process, provide lessons learned for surviving an audit, and offer tips for how to avoid being red-flagged. Industry experts will walk you through an audit from start to finish and go through the possible outcomes. They will also discuss the issues most frequently addressed by payers, how to address them in an audit, and how to make the changes to your practice to lower the chance of being audited. View Details
When: November 8, 2017 at 10:30 AM - 2:00 PM Eastern Time
Where: Infinity Offices, Fort Lauderdale, FL
Lisa Montague, Esq.,Nelson Hardiman
Max Sirianni, General Counsel and Chief Compliance Officer for Infinity Behavioral Health Services
Lee Arian, Partner, Nelson Hardiman
Alcohol and drug treatment centers save lives. But legal and compliance risk threatens your ability to perform your calling. Ignoring that risk can stunt your growth, put you out of business, or worse, land you in jail. To reduce your legal and compliance risk, you must first know what that risk is. Treatment centers today face legal and compliance risk from many different areas. Assessing and reducing that risk requires a multi-disciplinary approach and expertise in all of the areas where you face risk. Balch & Bingham LLP is a full service law firm uniquely situated to advise treatment centers in all of the areas where they face risk. View Details
When: November 14, 2017 at 10:00 AM PST
Where: Online Event
Walter H. Boone, Esq., Balch & Bingham LLP
Christy Crockett White, Esq., Balch & Bingham LLP
It's not easy to keep up with the demands of managed care... specific documentation requirements, the risk of looming insurance audits and chart reviews, and the challenges implementing documentation policies and procedures to keep your company and clients safe. Clinical oversight is an imperative part of ethical and sound clinical service delivery, but is often overlooked, with potentially dire consequences for facilities and clients alike.
Join Elizabeth Irias, Licensed Marriage & Family Therapist and Kathryn F. Edgerton (Russo), Esq., in collaboration with AATA, on Wednesday, December 6th from 10:00am to 1:30pm in Los Angeles to learn more about Medical Necessity in clinical documentation, the legal consequences of inadequate documentation, and some tips for sound implementation of clinical checks and balances in documentation practices. View Details
When: Wednesday, December 6th from 10:00am-1:30pm PST
Where: Nelson Hardiman Conference Facilities, West Los Angeles
Kathryn Russo Edgerton, Esq. , Nelson Hardiman
Elizabeth Irias, LMFT
In this webinar, Dr. Louise Stanger discusses the delivery of ethical treatment in the behavioral healthcare industry and the roles of behavioral healthcare professionals. Exploring the current state of ethics, Dr. Stanger will revisit the meaning of ethics, what it means to your organization, what it means to you as an individual, and what it means to the consumer. The difference between ethics and the laws will be highlighted as well as standard of care considerations. Special attention will be paid to the use of social media in the delivery of ethical practices and safeguards to protect your onsite identity.
Dr. Stanger will review some hot ethical topics including marijuana legalization for recreational use, insurance companies and healthcare fraud, and misrepresentation of services. What, if any, are the ethical issues that surround using cannabis for opiate withdrawal? What, if any, are the ethical issues that every home should have Narcan for opiate withdrawal? Dr. Stanger will also sample ethics from three different perspectives as an individual practitioner (doctors, nurses, social workers, psychologists, marriage family therapists, addiction counselors, interventionists, etc.), treatment owner, and the consumer. View Details
When: December 12, 2017 at 10:00 AM - 11:00 AM PDT
Where: Online Event
Dr. Louise Stanger, Ed.D, LCSW, CDWF, CIP