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Seminar - Patient Financial Responsibility

Seminar - Patient Financial Responsibility


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When: December 7, 2016 at 10:30am - 2pm

Where: Infinity Behavioral Healthcare Conference Room

Pricing: $95


 Join the American Addiction Treatment Association and Infinity Behavioral Health Services on December 7th for "Patient Financial Responsibility, Understanding Your Rights and Those of Your Patients." Learn more about how drug treatment programs can legally reduce the cost of programs for those with limited financial means.


"No good deed goes unpunished."

You might think that warning doesn't apply to you and your addiction treatment program.


You'd be wrong.


Waiving a patient's financial responsibility might feel like it makes perfect sense when the individual has an obvious need for addiction treatment and limited financial resources, but beware: it is considered fraud. Insurance companies are aggressively going after programs that waive client deductibles, copayments, or coinsurance.


Similarly, you may think that the ends justify the means when it comes to marketing.  There's a population in need of your services, and the goal is to get your information in front of that population.  The hows can't come back to haunt you... can they?


Or, perhaps, you assume that once you hand off the responsibility of promoting your program to a professional marketer, you are no longer on the hook for any compliancy missteps.


Again, you'd be wrong.


A period of lax enforcement in the drug treatment industry has brought about a corrective backlash of intense scrutiny.  More than ever before regulatory entities and insurance companies are rigorously investigating and unequivocally enforcing all aspects of non-compliancy.


You may have the best intentions for your clients and your program, and you may have every intention of staying compliant, but if you keep yourself in the dark about what is permissible in marketing, recruiting, and billing - and, more importantly, what isn't permissible - then you're setting yourself up for a regulatory nightmare.


With all that said, though, it's important to note that there are legal ways you can reduce program costs for clients with a financial need.  There are legal ways to market your facility and work with marketers.  You don't have to give up your goal of making a difference in our world in order to protect your business.  You just need to have a savvy, thorough understanding of what you legally can and cannot do.


And because regulatory language is often confusingly tangled and dense and subject to change, you owe yourself a connection with professionals who dedicate their careers to tracking the evolving industry, translating the obscure verbiage into actionable steps, and helping program owners and operators learn how to stay compliant.


That's why this seminar is so crucial.  It wouldn't be a stretch to say that it may very well be the most critical piece of education you'll engage in while you engage in this industry.


Some of the questions that will be answered during this educational event:

  • Who, exactly, are the enforcers that are so systematically and eagerly sniffing out abusive marketing or insurance billing fraud?
  • What are the recent enforcement trends? How are they shaping the industry? How do they affect me?
  • What is Health and Safety Code 445, and how does it apply to me?
  • When it comes to hiring marketers, what is legal? What is illegal, and how can I avoid it?
  • How can I steer clear of false, misleading, or deceptive claims and still get my message out?
  • Am I allowed to secure insurance for my clients? Can I assist them at all?
  • If I'm not worried about my clients' share of their program costs, can't I just overlook that chunk of revenue altogether?
  • What about scholarships or charitable donations?
  • What kinds of issues do I need to be aware of when I hire marketers?
  • What do call centers, bed vouchers, and urine drug testing have to do with me?

Lunch will be provided, along with the chance to speak with the presenters and network with your peers.


Presenters

Anelia Shaheed is an Associate with the Law Offices of Julie W. Allison P.A. Joining the firm in January of 2015, Ms. Shaheed brings a variety of skills and experience in the managed care, insurance reimbursement, provider risk management and other areas involving healthcare providers and insureds. While pursuing her law degree, Ms. Shaheed was employed with a nationally recognized health billing company. During her seven year tenure, she attained the position of Chief Operating Officer and eventually General Counsel upon her admission to the bar. Her employment experience provided substantial insight and involvement within the areas that health care providers experienced with insurance, reimbursement, Medicare and Medicare, risk management, and similarly situated areas. Additionally, Ms. Shaheed has worked with providers relating to payor audits and medical necessity criteria and implementation. As the Chief Operations Officer, Ms. Shaheed also learned the operational intricacies of managing and employing over 150+ staff members and interacting with providers and hospitals, giving her valuable insight into the fiscally productive operation of a business.


Harry Nelson is the managing partner of Nelson Hardiman, a firm that works closely with the widest range of behavioral care providers, giving strategic advice on new opportunities and advising on traditional business, transactional, and regulatory matters. Firm clients include providers who specialize in behavioral and mental health care, addiction and recovery, as well as autism and family services. His practice has extended to counseling healthcare companies in matters related to professional and facility licensing (including physicians, behavioral health, long-term care, and pharmacies), Medicare and private insurance reimbursement, FDA and DEA compliance, HIPAA and data privacy and security issues. He has developed extensive resources to facilitate compliance, including the development of compliance programs for hundreds of healthcare businesses.

 

 

 

Max Sirianni is General Counsel and Chief Compliance Officer for Infinity Behavioral Health Services. As in-house counsel for Infinity, Max provides comprehensive internal representation for Infinity including keeping Infinity ahead of an ever-changing legal landscape for behavioral healthcare, developing strategic partnerships for growth, and directing activities to limit risk and maintain compliance. Max graduated from Georgetown University Law School in 2013, and is admitted to practice in Florida and Colorado. Prior to his position at Infinity, Max worked as a Public Defender in Colorado where he represented defendants in many jury trials and hundreds of contested judicial hearings.

 

 

 

 

Exhibitors & Sponsors

This event is proudly sponsored by Nelson Hardiman


Venue

   

Infinity Behavioral Healthcare Conference Room

2901 Stirling Rd.

2nd Floor

Fort Lauderdale, FL 33312

260-431-7100

infinitybehavioral.com/

Since 2011, Infinity Behavioral Health Services has been providing unparalleled revenue cycle management services to behavioral healthcare providers. As a result of our operational experience, we deeply understand the day-to-day issues that arise in attempting to navigate managed care companies. Our goal is help you enhance your quality of service, while increasing revenue and maintaining compliance with industry and managed care standards.

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888.958.2282

  

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The American Addiction Treatment Association (AATA) delivers reliable information and resources on compliance and best practices to enable recovery industry professionals, owners, and operators to navigate the evolving clinical and regulatory landscapes.

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