2012 New Releases Catalogue December - Learningemall.com

Item no. : LN11200243Format : DVD-ROMDuration : Approx. 90 minutesCopyright : 2012Price : USD 170.00AFFORDABLE CARE ACTAND HEALTH CARE FRAUD,THE: THE BEAT GOES ONOBy Arianne Callender, Joseph C. Hudzik,Gabriel L. Imperato, Daniel l. Small, SaraWinslowThe publicity involving the SupremeCourt's decision to uphold theconstitutionality of the Affordable Care Act("ACA") was primarily focused on the"individual mandate" and the expansion ofthe Medicaid Program. The balance of theprovisions of the ACA were also sustainedby the Supreme Court's decision andmany of them have already had asignificant impact in criminal, civil andadministrative enforcement of the healthcare fraud and abuse laws and obligationsfor healthcare organizations to ensurecompliance with fraud and abuse andregulatory requirements under Federalhealth programs.This program focused on the ACAprovisions having the most significantimpact in the fraud and abuseenforcement and compliance areas. Thetopics that were addressed during thewebinar include the increased funding andexpansion of Federal and stateenforcement efforts and the significantamendments to the False Claims Act. Thepanelists also discussed the ramificationsof the "lowered intent" standard applicablefor criminal liability under the FederalAnti-Kickback Statute and theestablishment of the Centers for Medicareand Medicaid Services Self-ReferralDisclosure Protocol ("SRDP") facilitatingself-reporting of violations of the FederalStark Law. The panelists also addressedthe mandatory compliance programs forhealthcare organizations and, finally, adiscussion of the amendments to theFalse Claims Act and Civil Money PenaltyLaw establishing the basis for liability forfailure to return a known overpaymentwithin 60 days of identification of theoverpayment.Listen as our panelist discuss the issuessurrounding these important provisions ofthe ACA that are rapidly evolving and arebeing reflected in numerous enforcementmatters and in the regulatory priorities ofthe Centers for Medicare and MedicaidServices, the Office of Inspector Generalof Health and Human Services, and theDepartment of Justice.Item no. : MA11200250Format : CD-ROM (Win)Duration : 90 minutesCopyright : 2012Price : USD 150.00CHALLENGES IN THEWORLD OF HOSPITALMERGERS: CORPORATEAND ANTITRUSTCONCERNS TO RAISEEARLYBy Christi J. Braun, Matthew D. Jenkins,Jennifer L. RangelHospital mergers are an increasing area offocus for antitrust enforcement authoritiesconcerned with the effects of consolidationon competitive forces in the health caremarketplace. This audio CD-ROM willcover the basics of counseling hospitalclients contemplating merger andacquisition transactions. It will considerbasic fiduciary considerations for hospitalscontemplating significant transactions, andcover the following topics: Guiding the governing body throughthe discharge of fiduciary duties Boundaries of appropriatecommunications in anticipation of ahospital M&A transaction Appropriate exchanges of confidentialinformation, both as to timing andprocess Antitrust concerns in the drafting ofpreliminary transaction documents Basics of Hart-Scott-Rodino filingsand navigating the waiting periodsCurrent federal enforcement thinkingabout marketplace concentration.How much is too much? Emerging bases of state lawregulation of hospital M&AtransactionsItem no. : WC11200262Format : CD-ROM (Win)Duration : 90 minutesCopyright : 2012Price : USD 150.00COMMUNITY HEALTHNEEDS ASSESSMENTREQUIREMENTS UNDERIRC SECTIONR(3), THE -WHAT PRACTITIONERSSHOULD CONSIDERBy Lisa J. Gilden, Elizabeth M. Mills,Ronald J. SchultzThis program will educate attorneys on theCommunity Health Needs Assessmentrequired as part of the IRC Section501(r)(3). The focus is on providinginsights on what practitioners shouldconsider. The following topics are covered:The components of the Community HealthNeeds AssessmentConcerns and considerations provided tothe IRS as part of the IRC Section 501Rcomment processInsights into the IRS considerationsregarding compliance with this sectionincluding observations on Notice 2011-52Tips on how to advise clients in preparingfor this requirementItem no. : PD11200404Format : CD-ROM (Win)Duration : 90 minutesCopyright : 2011Price : USD 150.00DAY AFTER, THE: WHATTHE SUPREME COURT'SHEALTHCARE REFORMRULING MEANS FOR YOURCLIENTSBy Andrew J. Demetriou, Denise E. Hanna,Gillian E. Metzger, Howard T. Wall IIIThe Supreme Court's long-anticipatedruling on constitutional challenges to thePatient Protection and Affordable Care Acthad a profound impact on all segments ofthe healthcare industry. Providers, payors,employers and governmental agenciesmust now address the challenges ofcompliance with the mandates within theAct.Our expert panel, representingperspectives from across the industry,provided a real-time assessment of theimplications of the Supreme Court's rulingfor you and your clients. This informativeprogram discussed what you must knowabout the future of healthcare reform in thewake of the Court's decision.Item no. : AG11200271Format : CD-ROM (Win)Duration : 90 minutesCopyright : 2012Price : USD 150.00EMERGING ISSUES INOUT-OFOF-NETWORKPROVIDER PAYMENTSBy Jeffrey Gold, Leigh Anne Hodge, AliceKingThe balance billing and outofnetworkdebates that have been ongoing since theadvent of managed care are once again inthe forefront of heated disputes in thehealthcare industry. Providers want toreceive their standard charges, patientswant the insurer to foot the full bill, and theinsurers want to limit their outlay.These three-way disputes have recentlyplayed out dramatically in several courtsand state houses most notably inCalifornia where regulators mandated andthe courts agreed that non-participatingemergency department physicians mustaccept an insurer's payment on behalf ofits insureds as "payment in full," with thephysicians having no right to collect thebalance directly from the patient. The rulesof the managed care game are beingre-written and a new playing field is takingshape.This experienced panel will discuss thesignificant lawmaking and litigation trendsin out-of-network payment disputes as well________________________________________________________________________________________________________Learning Rendezvous LimitedEmail: inquiry@learningemall.com Websites: http://www.learningemall.com & http://www.learningemall.com.hk95