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Seminar: Legal and Financial Implications of Inadequate Clinical Documentation
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When: January 24, 2018 at 10:00am - 1:30pm
Registration begins at 9:30am
Where: Nelson Hardiman Conference Facilities, West Los Angeles

Pricing: $75 for Non-Members / $50 for AATA Members

Register

Register by phone at (888) 958-2282

The phrase, "does not meet medical necessity" seems simple, but the implications for patients and treatment centers are profound. When you hear or see this phrase, it means that you either will not continue to be paid for the care you are providing, or that the money that you have already been paid may be recouped. Further, it may put an additional unnecessary financial burden on your patients and affect their ability to secure appropriate treatment.

When it comes to clinical documentation, proper preparation and the implementation of adequate protocols are the keys to avoiding costly mistakes. Once you receive a letter informing you of a pending insurance investigation, it's too late. A letter from an insurance company requesting recoupment for previously paid claims may seem straightforward, however, it may be a sign that your treatment facility is under investigation and could be a precursor to referral by the insurance company to law enforcement.

The goal of this seminar is to inform about what is really at stake when your clinical documentation is inadequate, and to empower you and your treatment facility to implement changes to your documentation processes now in order to avoid costly investigations in the future. This panel-style presentation is an opportunity for treatment centers to come together and learn important strategies to help them protect themselves, their patients, and their financial solvency from costly mistakes resulting from poor clinical documentation practices.

You don't know what you don't know, and what you don't know about appropriate clinical documentation could definitely hurt you, your patients, and your company. Prudent mental health and substance abuse treatment providers know that prevention is the best way to avoid unnecessary and costly documentation mistakes.



*NOTE: Members must be logged into the AATA website for discount pricing.

Presenters

Kathryn F. Edgerton

Kathryn F. Edgerton, Esq., CIPP/US, CHPC

Kathryn F. Edgerton (Russo) is a transactional and regulatory attorney with Nelson Hardiman. She has developed a significant niche practice representing behavioral care providers in transactions and regulatory matters, with a strong focus on compliance issues for substance abuse treatment providers.

Bringing a practical perspective to her work supporting healthcare providers, Kathryn successfully obtained licensure, certification, and accreditation for a host of facilities regulated by the California Department of Health Care Services (DHCS), the California Department of Social Services (DSS), and the California Department of Public Health (CDPH), including substance abuse treatment facilities, group homes, adult residential facilities, congregate living health facilities, and home health agencies. Kathryn has a wealth of experience drafting facilities' patient intake documentation, and policies and procedures related to licensure, certification, and compliance with privacy and security laws and regulations. She has successfully represented behavioral care facilities facing denial and non-renewal of licensure, certification, and accreditation by government and accreditation agencies. Kathryn received her J.D. from Cornell Law School, and her B.S., magna cum laude, from the University of Southern California.




Elizabeth Irias, LMFT

Elizabeth Irias, LMFT is a warm, tenacious, and detail-oriented licensed Marriage & Family Therapist, with specializations in Utilization Review, Clinical Management, and Quality Assurance. As a consultant, Elizabeth works closely with clinical teams to improve their quality of care and documentation practices. Her high-level clinical work comes from her passion to improve the quality of care for mental health patients, and she feels strongly that streamlining administrative processes can lead to an improvement in the patient's treatment experience and the resulting outcome.

She also operates a private practice in Westlake Village where she provides adolescent/young adult therapy, family therapy, and addictive disorder treatment. In addition, Elizabeth conducts personalized, targeted presentations for educational institutions and area mental health and legal providers as a CAMFT CEPA-approved CE provider, and is a professor in the Graduate Psychology Department at Pepperdine University in Malibu, California. Visit IriasTherapy.com to learn more about her work.



Lee Arian

Lee Arian is a former Assistant United States Attorney and current Partner at Nelson Hardiman. Lee has dedicated his career fighting for integrity within the American healthcare system. He spent nearly eight years in the U.S. Attorney's Office's Criminal Division Public Corruption and Government Fraud section where he served as the health care fraud coordinator, investigating and prosecuting fraud involving health care, as well as fraud against other government programs, banks, securities and taxes. Sixteen years of litigation and government enforcement experience in both criminal and civil cases has positioned him as a prominent thought leader among Fortune 50 companies. He also served as Vice President for Optum's advisory services team and as Staff Vice President at Anthem, where he oversaw the enterprise fraud and abuse audit efforts, implementing cutting edge tools to ensure regulatory compliance with all federal and state laws relating to recovery. Lee graduated magna cum laude from Georgetown University and earned a Juris Doctor degree from UCLA School of Law


Sponsored by:

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Nelson Hardiman
11835 W. Olympic Blvd.
Los Angeles, CA 90064
(888) 958-2282
www.nelsonhardiman.com

Nelson Hardiman represents healthcare providers, including hospitals, physician organizations, long-term and behavioral care providers, and other healthcare-related organizations, in business litigation, transactions, and regulatory matters. Although we are based in California, our attorneys are routinely asked to advise business organizations that are national in scope. For more than 20 years, our lawyers have focused on regulatory compliance, litigation, and transactions specific to the healthcare industry. We combine specialized experience in a wide range of healthcare sectors with a proactive and attentive approach, making us the most effective choice for healthcare legal matters.

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Register by phone at (888) 958-2282


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