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How to Win a Hospice Eligibility Case: What Arguments are You Leaving on the Table?

Tuesday, May 10, 2016 at 11:30am to Tuesday, May 10, 2016 at 1:00pm Webinar/Teleconference
Join attorneys Bryan Nowicki and Jarod Ferch as they share strategies used in a variety of appeals to support and defend hospice eligibility decisions. Attendees will learn different ways to challenge eligibility decisions, from affirmatively demonstrating terminal prognosis by telling the patient’s story, to dissecting clinical decisions to prove how and why the reviewer is wrong. The presenters will also help hospices understand how to think beyond the clinical arguments and bolster their appeals with established legal support that most hospices are unfamiliar with, such as the treating physician rule and waiver of liability under the Social Security Act. Additionally, they will discuss how these appeal strategies should inform how hospices document terminal prognosis to avoid future denials.

Description

Objectives:

  • Examine realities and other considerations that define your hospice's approach to appeals
  • Review elements of effective hospice appeals and appeal strategy
  • Discuss issues related to ALJ hearings

Faculty: Bryan Nowicki, JD, BA, is a shareholder in Reinhart Boerner Van Deuren's Litigation Practice and works closely with the firm's Telecommunications and Energy, Real Estate and Health Care Practices. Bryan serves a wide range of clients, including large and small telecommunications and energy companies, cable companies, internet service providers, renewable resource developers, and other independent power producers. His background in real estate law has helped to serve businesses, residential and commercial real estate developers, real estate investment trusts, property managers and individuals.  His health care work has involved representing hospices, child welfare agencies, and industry associations.

 

Jarod Ferch, J.D. is an attorney in Reinhart Boerner Van Deuren's Health Care Practice and is a core member of the Hospice and Palliative Care group.  He has experience working with hospices across the country on a range of hospice-related regulatory, compliance and business matters.  He regularly evaluates and assists hospices with repayment, compliance, and regulatory issues, including ZPIC and MIC audits.  Jarod also helps hospices in reviewing contracts with nursing homes, assisted living facilities, hospitals, physicians and other vendors.

 

Registration FeeMember rate is $160.00 - Non-members $320.00.  Indicate if you will be calling into the live webinar or purchasing the audio recording (fee is the same).  The live webinar includes the opportunity to ask questions of the presenters.  If you desire to purchase both the live webinar and the audio recording, pay the registration fee and an additional $30.

 

Continuing Education:  The presenters and program planners have no conflict of interest in regard to this webinar.  RNs and LPNs must participate in the entire presentation in order for contact hours to be awarded.  To apply for nursing contact hours, please mail an evaluation form and a $10 processing fee for each individual requesting hours.  Additionally, send in a completed sign-in sheet, listing the individuals at your facility that participated and noting those requesting contact hours.  Individuals requesting contact hours will receive a certificate of contact hours earned.  Please make sure that you enter the Contact Person’s name in the Registration Form.  All correspondence and site registration information will be sent to this person.  No commercial support has been provided for this program.

 

The Ohio Council for Home Care & Hospice (OH-157, 4/1/16) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

  1. Please note our cancellation policy:  If you cancel your registration prior to five business days before the program, you will receive a refund less 25% for administrative costs.  All cancellations must be made in writing.  No refunds for cancellations or exchanges within five business days of the program.  If due to unforeseen circumstances we must cancel this event, registrants will receive a full refund.
  2. Payments are not deductible as charitable contributions for federal income tax purposes.  However, payments may be deductible under other provisions of the IRS.

 

REGISTRATION FEE PER SITE/PHONE CONNECTION:  Registration fees are for one (1) phone connection.  For additional sites, please copy this registration form and send in with proper payment amount.  Indicate if you will be calling into the live webinar or purchasing the audio recording (fee is the same).  The live webinar includes the opportunity to ask questions of the presenter.  Contact hours may be earned for listening to the audio recording up to 6 months following the live webinar.  If you desire to purchase both the live webinar and the audio recording, pay the registration fee and an additional $30.

Information and Resources

Speaker
Bryan Nowicki, JD, BA; Jarod Ferch, J.D.
Location
By Phone
Fee Options for Time frames
Early
Notification Email Link
Contact Email: Send Email to cindyt@homecaremi.org

Additional Resources

Additional Resources:
Download : Hospice Case Registration Form

Event Registration

Michigan HomeCare & Hospice Association
2140 University Park Drive, Suite 220
Okemos, MI 48864
Phone: (517) 349-8089 Fax: (517) 349-8090

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