Ethical Considerations in Insurance Billing, Fraud and Abuse Prevention and HIPAA Compliance

  • 03 Dec 2017
  • 9:00 AM - 1:00 PM
  • Wilentz, Goldman & Spitzer P.A. 90 Woodbridge Center Drive, 10th Floor, Woodbridge, NJ 07095
  • 10

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The course, 4 NCCAOM Ethics PDA's, will provide the attendees an overview of the federal and state legal requirements imposed upon an acupuncture practice concerning health care laws prohibiting fraud and abuse as well as compliance with all applicable privacy requirements.  Specifically, the attendees will learn about the following key concepts:

i.  Federal and state prohibition against impermissible kickbacks.  An examination of both the criminal and civil penalties will be examined in connection with prohibited kickbacks.  This portion of the seminar will also explore  how key business relationships must be structured to avoid unintentionally violating criminal and civil statutes prohibiting kickbacks.

ii.  Federal and state prohibitions against improper self-referrals of patients.

iii.  Federal and state prohibitions against “fee-splitting” of fees collected for professional services.

iv.  An examination of other key federal and state fraud and abuse prohibitions.

v.  An examination of key federal and state requirements for maintaining the security, confidentiality and integrity of patient health information, including the HIPAA Privacy and Security Rules.

This class will be taught by NJAAOM attorney John Murdoch.


***Special note for those that have previously taken this course***

You will be issued a certificate for taking the course.  Please read carefully the following excerpt from the NCCAOM recertification handbook:

Submitting the ‘same course’ twice in one four - year recertification cycle is not allowed. ‘Same course’ is defined as having an identical course title, number of PDA points/hours of participation, and the same instructor.

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