Hospice Compliance Certificate – ALC

NHPCO Hospice Compliance Certificate Program
2024 NHPCO Annual Leadership Conference

Saturday, September 14 and Sunday, September 15; 8:30 a.m. – 5 p.m. (both days)

Successful programs today need to know the basics of healthcare compliance, including developing a compliance program, compliance risk assessment, compliance policies and procedures, and anonymous reporting. The importance and applicability of the Stark law, anti-kickback statutes, and inducements for referrals and incentives for marketing will also be covered. The course will cover when you need a lawyer and how to respond to an audit or request for records. It is critical to also look at hospice-specific topics to apply back home, including a detailed review of the federal hospice regulations including Conditions of Payment, conducting an internal audit, looking at organizational ethics related to compliance, and audit scrutiny. The two-day course promises to be just what those interested in hospice compliance are looking for – hospice specific compliance content, up to the minute compliance updates, and application back home. Breakfast and lunch are included both days.

Learning Outcomes:

      • Identify the 27 risk areas for hospices identified by the OIG, along with tools to evaluate a hospice’s compliance
      • Review Medicare hospice regulations, including the Conditions of Participation and Conditions of Payment
      • Review components of organizational ethics related to compliance risk
      • List components and structure of an internal compliance audit, complete with topics and identified staff
      • List specific areas for inducement for referrals and incentives for marketing
      • Identify strategies for attorney-client privilege and how to use it in investigations and audits

Compliance Certificate Test Requirements

      • Each participant must complete the online program exam with a passing score of 70% to receive a certificate.
      • Participants may take the exam under Pre-Conference Session Tests, within the Attendee Service Center. Please make sure you login to the Attendee Service Center prior to trying the link.
      • The exam contains 50 questions and covers all content areas. Each participant has two attempts to pass.
      • Once you pass, you will be able to download your certificate in the Attendee Service Center.

Hospice Conditions of Participation:
As part of this workshop, you will have access to the Hospice Conditions of Participation online. To login and access the course, go to https://eol.nhpco.org/catalog/, click on You are not logged in. (Log in) and enter your legacy NHPCO username and password. Upon login, select Dashboard on the left-hand side and scroll down to see the course. Click on the course to begin.

Continuing Education:
14 hours of continuing education credit will be available for nurses and physicians who attend both full days of the program. Successful completion of the post-seminar test is not required to claim available continuing education. Click here for more information on CE/CME.

The Compliance Certification Board (CCB)® has approved this event (Hospice Compliance Certificate Program Pre-Conference Workshop) for up to 11.4 Live CCB CEUs, based on a 50-minute hour, each. Continuing Education Units are awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor. To earn compliance credit for this workshop, please complete your evaluation by October 15 to claim your credit. Compliance certificates will be emailed in late October.

Agenda and Schedule

Handouts:

Day 1:

      1. Welcome Remarks and Overview of the Day, Compliance/Quality Connection
      2. Conditions of Payment
        1. Medicare Hospice Regulatory Conditions of Payment
      3. Survey Process and Plans of Correction Overview
      4. CMS Hospice Quality Reporting Program
      5. Hospice Special Focus Program: Components and Implications
      6. Role of the Healthcare Board of Directors
          1. A Toolkit for Health Care Boards Handout
          2. Practical Guidance for Governing Boards on Compliance Oversight

Day 2:

      1. Hospice Elements of a Compliance Program
      2. Tracking Compliance Issues
      3. Conducting an Internal Investigation
        1. 60-Day Repayment Rule Overview
        2. Medicare Hospice Regulatory Conditions of Payment
        3. Sample Investigation Plan
      4. Billing for the Compliance Professional
      5. Enforcement Remedies and Program Integrity
      6. Responding to Government Enforcement Efforts: Surviving and Thriving Under Pressure
        1. 10 Questions Every Hospice Employee Should Be Able to Answer
        2. Sample Patient Document Request List
        3. Sample Business Records Request List
        4. Checklist for Hospice Audit Interviews and Conferences
        5. Prepare for Actual On-site Auditor Questions and Requests
        6. Documentation Order List and Tips for Organizing Patient-Specific Records
        7. Summary of Federal Administrative Appeal Process for Disputing Claim Denials and Overpayment Demands
        8. Medicare Hospice Regulatory Conditions of Payment
        9. Sample Investigation Plan
        10. Overview of the Federal False Claims Act

After completing the Hospice Compliance Certificate Program, you will be halfway to completing the Hospice Quality Certificate Program. Enroll in the Hospice Quality Certificate Program Companion Course online to complete day 2 of Hospice Quality Certificate Program and earn that certificate too.