Schedule

Emily M. Solum, Husch Blackwell LLP

• Post-acute provider types (both facility-based and home-based)

• Structure and background of the Medicare Program

• Part A-D of the Medicare program as they related to post-acute providers, including coverage of post-acute care, current reimbursement for post-acute services, and other information relative to post-acute care

• Medicaid fundamentals: Overview of the Medicaid program, eligibility criteria, covered benefits, reimbursement and financing, Medicaid Waiver programs, and PACE

Tracy M. Field, Parker, Hudson, Rainer & Dobbs LLP
Patricia L. Maykuth, Research Design Associates

This presentation will provide an overview of recent developments in defending against and appropriate use of statistical methods in investigations as well as in operational and compliance issues. This presentation will provide an overview of:

• Practical takeaways in defending against government audits, including those involving statistical extrapolations

• Recent developments regarding the so-called “60-day Rule” and approaches to voluntary repayments

• Common payment issues with Medicare Advantage plans and practical tips for dealing with MA plans

• Related case law and compliance topics

Sean J. Fahey, Hall Render Killian Heath & Lyman PC
Shelly Maffia, Director Regulatory Services, Proactive LTC Consulting

• Define neglect in the context of nursing homes

• Neglect citations and factors contributing to citations

• Practical application of psychosocial guidelines in evaluating scope and severity of abuse and neglect citations

• Best practices for responding to and preventing abuse/neglect citations

Richard Y. Cheng, Ritter Spencer Cheng PLLC
Nicholas Newsad, Managing Principal, Health-Contract.com

The speakers will discuss fraud and abuse activity in long term care and post-acute settings related to medical directorships. The speakers will cover:

• Recent civil and criminal activity involving medical directorships in LTC and post-acute settings

• Medical director roles and responsibilities in different settings, including Conditions of Participation and Conditions for Coverage

• Key contractual arrangement terms

• Fair market value compensation & commercial reasonableness

Jonathan Lips, VP Legal Affairs, LeadingAge Inc.
Sam Orbovich, Fredrikson & Byron PA

• Notable trends in CMS survey and enforcement activity

• Key developments in CMS regulation of skilled nursing facilities, including the newly finalized rule relating to ownership transparency, proposed rules concerning minimum staffing standards and appeal rights for changes in patient status (observation stays), and proposed rules anticipated to be released in 2024

• New and anticipated policy developments from other federal agencies with impact on skilled nursing facilities, such as employment, labor and occupational safety and health

• Outlook for Congressional activity on selected issues affecting the sector in 2024

Greg Northen, Chief Legal officer, Southern Administrative Services
Angelo Spinola, Polsinelli PC

This interactive session will explain general federal and state wage & hour standards for employee compensation, including:

• Common record-keeping mistakes, including meal periods and rest breaks

• Hourly overtime and salaried exemptions

• Bonus packages, commissions, and other incentive pay

• The DOL’s new rule for use of independent contractors

• Remote/hybrid workers

Overall, attendees will learn how long-term care operators can be at risk for DOL audits and other wage liabilities to take back home after the session in order to conduct an internal or external review of their compensation practices, or perhaps attendees will take new ideas on how to incorporate innovative pay practices to improve workforce recruitment and/or retention.

Emily M. Solum, Husch Blackwell LLP

• Post-acute provider types (both facility-based and home-based)

• Structure and background of the Medicare Program

• Part A-D of the Medicare program as they related to post-acute providers, including coverage of post-acute care, current reimbursement for post-acute services, and other information relative to post-acute care

• Medicaid fundamentals: Overview of the Medicaid program, eligibility criteria, covered benefits, reimbursement and financing, Medicaid Waiver programs, and PACE

Tracy M. Field, Parker, Hudson, Rainer & Dobbs LLP
Patricia L. Maykuth, Research Design Associates

This presentation will provide an overview of recent developments in defending against and appropriate use of statistical methods in investigations as well as in operational and compliance issues. This presentation will provide an overview of:

• Practical takeaways in defending against government audits, including those involving statistical extrapolations

• Recent developments regarding the so-called “60-day Rule” and approaches to voluntary repayments

• Common payment issues with Medicare Advantage plans and practical tips for dealing with MA plans

• Related case law and compliance topics

Sean J. Fahey, Hall Render Killian Heath & Lyman PC
Shelly Maffia, Director Regulatory Services, Proactive LTC Consulting

• Define neglect in the context of nursing homes

• Neglect citations and factors contributing to citations

• Practical application of psychosocial guidelines in evaluating scope and severity of abuse and neglect citations

• Best practices for responding to and preventing abuse/neglect citations

Richard Y. Cheng, Ritter Spencer Cheng PLLC
Nicholas Newsad, Managing Principal, Health-Contract.com

The speakers will discuss fraud and abuse activity in long term care and post-acute settings related to medical directorships. The speakers will cover:

• Recent civil and criminal activity involving medical directorships in LTC and post-acute settings

• Medical director roles and responsibilities in different settings, including Conditions of Participation and Conditions for Coverage

• Key contractual arrangement terms

• Fair market value compensation & commercial reasonableness

Jonathan Lips, VP Legal Affairs, LeadingAge Inc.
Sam Orbovich, Fredrikson & Byron PA

• Notable trends in CMS survey and enforcement activity

• Key developments in CMS regulation of skilled nursing facilities, including the newly finalized rule relating to ownership transparency, proposed rules concerning minimum staffing standards and appeal rights for changes in patient status (observation stays), and proposed rules anticipated to be released in 2024

• New and anticipated policy developments from other federal agencies with impact on skilled nursing facilities, such as employment, labor and occupational safety and health

• Outlook for Congressional activity on selected issues affecting the sector in 2024

Greg Northen, Chief Legal officer, Southern Administrative Services
Angelo Spinola, Polsinelli PC

This interactive session will explain general federal and state wage & hour standards for employee compensation, including:

• Common record-keeping mistakes, including meal periods and rest breaks

• Hourly overtime and salaried exemptions

• Bonus packages, commissions, and other incentive pay

• The DOL’s new rule for use of independent contractors

• Remote/hybrid workers

Overall, attendees will learn how long-term care operators can be at risk for DOL audits and other wage liabilities to take back home after the session in order to conduct an internal or external review of their compensation practices, or perhaps attendees will take new ideas on how to incorporate innovative pay practices to improve workforce recruitment and/or retention.