SEMINAR: Getting Paid and Staying Out of Trouble – Building an Effective Risk Management Program
When: May 22, 2018 at 11:00 am – 2:00 pm PST
Where: Nelson Hardiman Conference Facilities, West Los Angeles
11835 W Olympic Blvd, Ste 900
Los Angeles, California 90064
Pricing: $75 for Non-Members / $50 for BHAP Members
Register Online Here
Register by phone at (888) 958-2282
In the addiction treatment industry, we too often disregard matters of regulatory compliance and risk management until it’s too late. This can result in legal liability – including fines and penalties – as well as costly payor disputes, which impact your financial viability. When we deal with these issues, it’s often while on the defensive and solely on a “reactive” basis. Ultimately this approach to compliance and risk will cost you time and money.
In this seminar, we’ll teach you how to take a more “proactive” approach to these threats to your business and ability to deliver care. We’ll show you a step-by-step process to implement and maintain a robust compliance and risk management program for your organization in a way that’s efficient and cost-effective.
In the first part of this seminar, we will cover some of the top risk areas for addiction treatment providers, including:
- Billing and Reimbursement Concerns
- Provider-Payor Disputes
- Utilization Management and Medical Necessity
- Patient Financial Responsibility
- Procurement of Coverage
- Payor Audits
In the second part of the seminar, we’ll show you a system that will allow you to take the initiative and preemptively avoid risk and compliance concerns by creating a customized risk management plan for your addiction treatment provider organization, including:
- How to Build Robust Policies and Procedures
- How to Provide Effective Education and Training
- How to Conduct Practical Internal Assessments
- How to Effectively Monitor and Resolve Client Complaints and Concerns
- How to Impactfully Manage Your Staff Through Feedback, Performance Reviews, and Disciplinary Guidelines
- How to Successfully Respond to Possible Compliance Violations and Create Plans of Correction that Will Mitigate Your Liability
- Most important, we will show you the best ways to effectively document your attention to compliance and risk in a way that will allow you to use your risk management program as both a sword – to improve your organization’s business model and quality of care, as well as a shield – to use as a defense to audits and lawsuits that threaten your financial viability.
*NOTE: Members must be logged into the BHAP website for discount pricing.
Register by phone at (888) 958-2282
Elizabeth Irias, LMFT is a licensed Marriage & Family Therapist with specializations in Utilization Review, Clinical Management, and Quality Assurance, and also the founder of Clearly Clinical, an online behavioral health Continuing Education program. As a consultant and trainer, Beth works closely with clinical teams across the country to improve their quality of care, documentation practices, and utilization review outcomes. She also operates a private practice in Westlake Village, California, where she provides therapy to adolescent/young adult clients, members of the LGBT population, and those with addictive disorders.
A previous graduate professor at Pepperdine University, Beth is a skilled professional public speaker and presenter. She conducts dynamic, targeted presentations for conferences, seminars, educational institutions and mental health providers, and she is both a CAMFT CEPA-approved and CCAPP-approved CE provider. 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.
Nick Merkin is the Chief Executive Officer of Compliagent, a national healthcare compliance consulting firm based in Los Angeles. As part of his consulting practice, he frequently serves as a fractional or interim Chief Compliance Officer for addiction treatment providers experiencing rapid growth, payment challenges, or in the process of merger or acquisition.
Nick earned his J.D. from Columbia Law School, where he was named a Harlan Fiske Stone Scholar and served as Managing Editor of the Columbia Journal of Law and Social Problems. Nick was also awarded an M.B.A. from Tel Aviv University’s Recanati School of Business and a B.A. from the University of Pennsylvania. A member of the California Bar, Nick is certified in Healthcare Compliance (CHC) and Healthcare Privacy Compliance (CHPC) by the Compliance Certification Board (CCB).
Behavioral Health Association of Providers
11835 W Olympic Blvd, Ste 1090
Los Angeles, CA 90064
Compliagent is a proud partner of BHAP and a market leader in compliance services for the addiction treatment and recovery industry. Serving over one-hundred healthcare facilities, providers, and business associates, they proactively and cost-effectively mitigate compliance, data privacy, and data security risks, resulting in stronger organizations and improved long-term profitability.
Irias Therapy believes that all individuals have the ability to grow and overcome; and their work centers around this idea. They are passionate about providing top-notch care to their clients, and working toward positive changes through the use of empirically-based psychotherapy models that have been shown to be effective.