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Exam Questions = 25
*CEU=Contact Hrs: 0.5 - $ 99.95
Includes BOTH CEU & EI Contact Hours
 
Medicaid Regulatory and Ethical Compliance in EI
Course Objectives, Outcomes & Other Relevant Information
Early intervention therapy providers are ethically obligated to be compliant with the professional imperative for honest billing and treating by the office of the Medicaid Inspector General’s office (OMIG).  State Medicaid pays for up to 50% of early intervention costs in some States, in addition to entitlement monies paid toward the birth-3 program by the US Department of Education. Given the enormous growth of these programs and their financial strain on Medicaid and Federal resources, as well as the exponential growth of fraud, it is now mandatory to have an effective compliance program, or risk being denied access to bill Medicaid. Some early prevention providers have been criminally prosecuted for fraudulent billing, and have served prison time. OMIG is actively seeking to identify fraud in Early Intervention. Early Intervention providers are at risk by auditors for mistaken paperwork and must learn to take care and be wary of unintentional mistakes.

Consider, in the past several years, service providers – therapists – have served prison time, been fined tens of thousands of dollars, and have lost their professional licensure because of greed. From falsifying information, submitting incorrect and inappropriate billing, to downright forgery, the need for fiscal and ethical standards is past due. These standards take the written form of a Compliance Manual, and reflect a dynamic compliance program which is enforced by a company Compliance Officer with Board oversight.

Learn about the expected standard fiduciary and ethical compliance, and how to write a compliance manual, and how to implement it within your agency. Read real case-studies of scenarios to illustrate these concepts. More importantly, learn how OMIG will also audit for operational compliance, that is to ensure that you are compliant with the rules and regulations of your early intervention, pre-school, and SEIT programs, respectively. Finally, you may download several documents, including a template of an actual Compliance Manual and Code of Conduct. This course is essential for early intervention providers who wish to stay compliant with the increasingly stringent laws which are aggressively enabling auditors to identify and discipline both agencies and individual providers.

Learn about diverse concepts, include corporate integrity agreements, disclosure of an ‘incident,’ self-disclosure, investigative process, restitution, non-intimidation, and non-retaliation, and whistle-blower protection. Learn how to avoid errors in your invoicing and session note-writing and how to mistakenly avoid  poor judgement and simple errors that can mushroom into an audit.  Course outline includes examples of real/hypothetical situations, the theoretical basis for decision making as well as legal standards of behavior consistent with the Texas (and other State board) Practice Acts & APTA code of ethics for professional conduct. 
 
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This program is offered for 0.50 ASHA CEU's (Intermediate Level, Related)
 
- Meets NY State (NYSOTA) Continuing Compliancy Requirements for continued Core Competency Hours (CCH) -
This course meets the Indiana State requirements for the annual credentialing process in the area of “Conferences & Workshops”
This course meets the NY State Provider's Agreement (IV - M, p.5) "Provider shall be familiar with a comply with all acceptable Medicaid rules and regulations."
- Approved by the National Association of Social Workers (NASW) –

Disclosure: David CSaidoff, has the following relevant financial relationships to disclose: he receives monetary compensation for the preparation of this course, in addition to a percentage of company sales, and has the following relevant non-financial relationships to disclose:EITTOC Board of Directors: volunteer member.Kristen O’Leary, SLP, has the following relevant financial relationships to disclose: she receives monetary compensation for the preparation of this course, in addition to a percentage of company sales, and has the following relevant non-financial relationships to disclose: EITTOC Board of Directors: volunteer member. Rebecca Stern Lamm, MSW, LCSW has the following relevant financial relationships to disclose: he receives monetary compensation for the preparation of this course, in addition to a percentage of company sales, and has the following relevant non-financial relationships to disclose: EITTOC Board of Directors: volunteer member. Declaration: Approval of this course does not necessarily imply that any of the governing bodies (e.g., West Virginian Board of Physical Therapy, or other such governmental or NGO’s supports the views of the presenter or sponsor. Information provided should be used within the scope of practice. No relevant financial or non-financial relationships exists between EITTOC or the products discussed any course; no such relationship or endorsement exists for any products mentioned in any courses sponsored by EITTOC, or in any of the items (such as specific AED or Epinephrine injection product) or any testing instrument used to evaluate children; the above course is specific to said-topic, and may not be extrapolated to any other course or topic outside the scope of this course. Course instructor(s) have no other financial or non-financial remuneration - whether prior to or following course delivery; the above advertisement is made available to all physical therapy (and other) licensee on a non-discriminatory basis. Information provided should be used within scope of practice. AOTA does not endorse specific course content, products, or clinical procedures. The onus of responsibility for this course – granted contact hours by the AOTA – is for each OT professional to check with their State board of OT to see if this course meets licensure requirement for continuing education. 


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