Foley attorneys Daniel Reinberg, Robert Slavkin, and Judith Waltz are speaking at the American Health Lawyers Association (AHLA) Institute of Medicare and Medicaid Payment Issues, April 9 -11, 2008 in Baltimore, Maryland.
Ms. Waltz is speaking on April 10, 2008 from 1:45 p.m. - 2:45 p.m. with Rodney A. Johnson, Subsidiary General Counsel, Palmetto GBA LLC and again on April 11, 2008 from 1:25 p.m. - 2:25 p.m. Their session is titled "Administrative Enforcement Options: Payments, Penalties, and Participation." Topics to be covered include:
- Overpayments and recoupment: Recovery of cost report, claims-based, extrapolated, and RAC-identified overpayments
- Payment suspension regulations, procedures, and case law
- OIG CMPs and exclusions: Authorities, procedures and case law
- CMS decertification actions and quality of care CMPs
- Administrative appeal procedures, federal court challenges and judicial review
Mr. Reinberg is speaking on April 10, 2008 from 1:45 p.m. - 2:45 p.m. with Tamar V. Terzian, Office of the Inspector General, US Department of Health and Human Services and again on April 11, 2008 from 11:00 a.m. - 12:00 p.m. Their session is titled "Quality - A Payment Issue and an Emerging Compliance Issue." Topics to be covered include:
- Components of the OIG Self Disclosure Protocol
- Benefits and risks to making a voluntary disclosure
- Types of issues to consider voluntarily disclosing
- Voluntary disclosure of Stark violations
- Lessons learned – appropriate use of outside counsel and/or independent consultants
Mr. Slavkin is speaking on April 11, 2008 from 9:45 a.m. - 10:45 a.m. with Anne Hance, McDermott Will & Emery LLP. Their session is titled "Medicare Part D: Effect on Providers - Year Two's Influence on Year Three. Topics to be covered include:
- Common payment issues, including Plan payments (and potential differentials) to PBMs and pharmacies; billing and payment for vaccines; and billing and payment for Part B vs Part D drugs
- Contracting issues for providers contracting with Medicare Advantage-Prescription Drug plans, such as data collection and provider marketing
- Contracting requirements for physicians, pharmacies and other providers delivering Medicare prescription drug benefits
- Preventing and addressing potential compliance issues in the Medicare Part D Program as part of an overall Medicare Compliance Program