Eleanor Roosevelt said “Learn from the mistakes of others. You can't live long enough to make them all yourself.” Session will review recent Health & Human Services post-acute enforcement actions. Program will emphasize Departmental Appeals Board cases and Administrative Law Judge decisions for survey and certification and a review of recent case law relating to post-acute care providers. Recent cases have included Section 1557 compliance violations; handling of resident funds; failure to have business associate agreements; and inadequately addressing sexual interactions between cognitively impaired residents. OIG also announced COVID-19 CARES act provider relief fund investigations that will impact post-acute regarding the reporting and use of the funds received. This presentation is geared toward Executive Directors, Business Office Managers, compliance officers, and in-house counsel for providers, and will address common issues that arise, as well as tips and tools to avoid them.
Identify everyday legal and compliance issues that providers need to know that may cause fines and penalties.
Identify lurking weaknesses in everyday practices that could create liability issues.
Describe how to navigate the Department Appeals Board appeal process.