Joseph Borich III – PESI – Two-Day HIPAA Conference: Compliance and Training Certificate Program

Description

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Joseph Borich III – PESI – Two-Day HIPAA Conference: Compliance and Training Certificate Program

Now that the HIPAA Compliance Deadlines have been reinforced with random audits, compliance is more important than ever before. Healthcare providers have historically struggled to comply with the unique challenges that the new rules and regulations require. Not to mention, these rules are constantly changing! Documenting your HIPAA compliance with a formal, comprehensive HIPAA Manual is now mandatory for the healthcare industry. This 2-day recording will take an in-depth look into the world of HIPAA to make sure your practice is covering all bases and protecting YOU as well as your patients’ information. Joseph Borich, MBA, JD, LLM, will engage and inspire you to be confident in your ability to take your HIPAA compliance program to the next level and to meet government standards.

Designed to take a deep dive into the complex world of HIPAA

• HIPAA Compliance Manual: What’s required, What YOU will need!
• Technical Standards: What your IT Department May Not Know
• Reporting Breaches: What is worth reporting? You’d be surprised.
• Rick Management: Perform and implement good practices
• Policies and Procedures: Select and customize for your organization

Speaker

Joseph Borich III, MBA, JD, LLM
Joe Borich III, MBA, JD, LLM, has been a certified mediator, coach, consultant, author and a practicing attorney for over 30 years. He currently has his own firm in Kansas City, Kansas, where he provides legal, consulting and business coaching services nationally for the healthcare industry. Throughout his legal career, Mr. Borich has worked extensively in the area of regulatory compliance, payment reimbursement, and medical malpractice in healthcare related cases, serving as the defense attorney in the nation’s largest Medicare anti-kickback prosecution.

Mr. Borich is focused on HIPAA compliance and has extensive experience in HIPAA Risk Analysis, Audits, Trainings, and consulting for hospitals, medical practices, the government, insurance companies, and business associates throughout the fifty states.

He has also worked for the Department of Justice, the Supreme Court, and served as an Assistant Attorney General stationed in New York and Washington, D.C., He uses his experience and knowledge to deliver a complete learning experience. Mr. Borich will provide the necessary analysis and focus on HIPAA and how it interacts with current state and other federal laws.

Speaker Disclosures:

Financial: Joe Borich III is owner of Borich Healthcare Legal Consulting. He receives a speaking honorarium from PESI, Inc.

Non-financial: Joe Borich III has no relevant non-financial relationship to disclose.

Objectives

1. Discuss the most current HIPAA requirements and penalties
2. Define and evaluate the implications of ACA, MACRA, Meaningful Use and PQRS
3. Examine regulations focusing on 3 major issues in HIPAA: regulatory compliance, payment reimbursement, and medical malpractice
4. Review the HIPAA electronic transaction and code sets rules
5. Analyze the rights of the patient and covered entities
6. Appoint the privacy and security officers with duties and responsibility
7. Determine the best course of action when state and federal laws contradict one another
8. Explain the most common mistakes made when using electronic billing
9. Assess how you can simplify the process and take cost-effective security measures
10. Outline Medicare and Medicaid fraud, waste, and abuse implications
11. Examine mandatory electronic medical records and billing – It is on the horizon! Be prepared.
12. Discuss ethics requirements and considerations related to HIPAA

Outline

DAY ONE

OVERVIEW: PURPOSE & FRAMEWORK OF HIPAA LAW

• Determine who must comply
• Penalties
• Audits
• What to do when state and federal laws contradict
• The government’s civil & criminal enforcement of HIPAA
• HIPAA transaction and code sets rule
• Payment/reimbursement
• Medicare/Medicaid fraud implications

​HIPAA COMPLIANCE: A STEP-BY-STEP GUIDE

• Developing the HIPAA team
• Who owns the medical record: the healthcare facility or the patient?
• Lack of medical necessity
• Record retention and release rules
• Drafting policies, procedures, and consent forms
• How long are you required to retain records?
• Mandatory medical records – how your practice could be affected

WORKSHOP: HIPAA COMPLIANCE MANUAL

• What’s required
• Assemble based on your needs

NEW! SECURITY RULE & STANDARDS OF HIPAA

• Determining who should have access to patient records
• Administrative, Physical, Technical safeguards
• Know what the bad guys are doing and protect yourself!Malware
• Ransomware
• Evil social engineering

WORKSHOP: TECHNICAL STANDARDS

• What your IT department may not know
• Learn the technical standards required by NISF

NEW! A.C.A. MACRA, MEANINGFUL USE, PQRS, ICD-10, MEDICARE/MEDICAID RULES OF PARTICIPATION

NEW COVERED ENTITY: BUSINESS ASSOCIATES

• Analysis of all the rights of the patient and covered entities
• Duties and obligations of the covered entity
  • Business Associate Agreement (BAA) with vendors
  • Chain of Trust Partnership Agreements (CTPAs) for joint covered entity networks
  • Memorandums of Understanding (MOUs)

DAY TWO

NEW MEXICO MEDICAL RECORDS LAW

• 4 big areas of state medical records lawEnhance privacy rights under state law
• How much do you charge for copies? What do the guidelines say?
• Record Retention Timelines (how long do you have to retain your medical records timelines?) How long do you retain paper and/or electronic?
• Duty to warn
• Statutes of limitations for malpractice claims

WORKSHOP: REPORTING BREACHES

• Learn the difference between secure and insecure breaches
• Low vs. High Probability of Compromise

WHISTLEBLOWERS: HOW TO PREVENT AND HOW TO MANAGE

• Audits come from disgruntled employees
• Costs/malpractice insurance

CLIENTS COMPLAINTS: HOW TO PREVENT AND HOW TO MANAGE

WORKSHOP: PROPER ANALYSIS AND RISK MANAGEMENT

• Proper Gap and Risk Analysis
• Perform and implement good practices

CASE STUDY: WHAT YOU CAN LEARN FROM THE BIGGEST HIPAA COURT CASES

• HIPAA Civil Complaints and Fines
• HIPAA Criminal Prosecution

WORKSHOP: POLICIES AND PROCEDURES

• How to select and draft
• What is Required?
• What is Necessary?

ETHICS REQUIREMENTS & CONSIDERATIONS

TEST YOUR KNOWLEDGE! TAKE THIS BACK TO YOUR PRACTICE

Target Audience

• Coding & Billing Managers
• Nurses
• Nurse Practitioners
• Physicians
• Physician Assistants
• Nursing Home Administrators
• Psychologists
• Social Workers
• Counselors
• Marriage and Family Therapists
• Dentists
• Dental Assistants/Hygienists

Frequently Asked Questions:

1. Innovative Business Model:
   • Embrace the reality of a genuine business! Our approach involves forming a group buy, where we collectively share the costs among members. Using these funds, we purchase sought-after courses from sale pages and make them accessible to individuals facing financial constraints. Despite potential reservations from the authors, our customers appreciate the affordability and accessibility we provide.
2. The Legal Landscape: Yes and No:
   • The legality of our operations falls into a gray area. While we lack explicit approval from the course authors for resale, there’s a technicality at play. When procuring the course, the author didn’t specify any restrictions on resale. This legal nuance presents both an opportunity for us and a boon for those seeking budget-friendly access.
3. Quality Assurance: Unveiling the Real Deal:
   • Delving into the heart of the matter – quality. Acquiring the course directly from the sale page ensures that all documents and materials are identical to those obtained through conventional means. However, our differentiator lies in going beyond personal study; we take an extra step by reselling. It’s important to note that we are not the official course providers, meaning certain premium services aren’t included in our package:
     • No coaching calls or scheduled sessions with the author.
     • No access to the author’s private Facebook group or web portal.
     • No entry to the author’s exclusive membership forum.
     • No direct email support from the author or their team.

   We operate independently, aiming to bridge the affordability gap without the additional services offered by official course channels. Your understanding of our unique approach is greatly appreciated.

Refund is acceptable:

• Firstly, item is not as explained
• Secondly, Item do not work the way it should.
• Thirdly, and most importantly, support extension can not be used.

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