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The Ohio Council of Behavioral Health & Family Services Providers Compliance Training

Nine Vorys attorneys presented at The Ohio Council of Behavioral Health & Family Services Providers Compliance Training on May 7, 2018. The full-day event included five presentations:

  • Suzanne Scrutton, Jolie Havens and Liam Gruzs’ presentation entitled, Responding to Payer Audits and Self-Reporting Overpayments, provided a start-to-finish framework of best practices for responding to a payer audit, beginning with responding to a request for records, and concluding with an overview of the process for disputing a formal demand for repayment.
  • Jolie Havens, Matt Albers and Stephanie Angeloni’s presentation entitled, The Impact of Health Care Fraud and Abuse Laws on Provider and Patient Relationships, provided an overview of the False Claims Act, the Anti- Kickback Statute, the Civil Monetary Penalty Law, the Stark Law, and considerations providers must be aware of when interfacing with third parties.
  • Matt Albers and Amanda Roe’s presentation entitled, Antitrust, covered the basic rules of the road and traps for the unwary in the antitrust context with a particular focus on joint activity among providers, including provider network creation, joint purchasing, contract negotiation, and mergers.
  • Lisa Reisz, Robin Canowitz and Mairi Mull’s presentation, Electronic Medical Records: Best Practices and Pitfalls to Avoid, provided attendees with an awareness of the practical and legal implications of the transition to electronic medical records.
  • Lisa Reisz, Liam Gruzs and Robin Canowitz’s presentation was entitled Confidentiality of Patient Medical Records – 42 CFR Part 2 and HIPAA Update. This session addressed recent HIPAA guidance related to patient access rights and provider disclosures of records, as well as what providers must do in the event of a suspected breach.

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