ExpiredHow to Win an Hospice Eligibility Case

  • May 10, 2016
    11:30 am - 1:00 pm

What Arguments are you leaving on the table?

Webinar Recording Available


Join attorneys Bryan Nowicki and Jarod Ferch as they share strategies used in a variety of appeals to support and defend hospice eligibility decisions. Attendees will learn different ways to challenge eligibility decisions, from affirmatively demonstrating terminal prognosis by telling the patient’s story, to dissecting clinical decisions to prove how and why the reviewer is wrong. The presenters will also help hospices understand how to think beyond the clinical arguments and bolster their appeals with established legal support that most hospices are unfamiliar with, such as the treating physician rule and waiver of liability under the Social Security Act. Additionally, they will discuss how these appeal strategies should inform how hospices document terminal prognosis to avoid future denials.


Objectives:

  • Examine realities and other considerations that define your hospice’s approach to appeals
  • Review elements of effective hospice appeals and appeal strategy
  • Discuss issues related to ALJ hearings



Faculty: Bryan Nowicki, JD, BA, is a shareholder in Reinhart Boerner Van Deuren’s Litigation Practice and works closely with the firm’s Telecommunications and Energy, Real Estate and Health Care Practices. Bryan serves a wide range of clients, including large and small telecommunications and energy companies, cable companies, internet service providers, renewable resource developers, and other independent power producers. His background in real estate law has helped to serve businesses, residential and commercial real estate developers, real estate investment trusts, property managers and individuals.  His health care work has involved representing hospices, child welfare agencies, and industry associations.


Jarod Ferch, J.D. is an attorney in Reinhart Boerner Van Deuren’s Health Care Practice and is a core member of the Hospice and Palliative Care group.  He has experience working with hospices across the country on a range of hospice-related regulatory, compliance and business matters.  He regularly evaluates and assists hospices with repayment, compliance, and regulatory issues, including ZPIC and MIC audits.  Jarod also helps hospices in reviewing contracts with nursing homes, assisted living facilities, hospitals, physicians and other vendors.


Registration FeeMember rate is $169 – Non-members $269.  Indicate if you will be calling into the live webinar or purchasing the audio recording (fee is the same).  The live webinar includes the opportunity to ask questions of the presenters.  If you desire to purchase both the live webinar and the audio recording, pay the registration fee and an additional $30.


 Continuing Education:  The presenters and program planners have no conflict of interest in regard to this webinar.  RNs and LPNs must participate in the entire presentation in order for contact hours to be awarded.  To apply for nursing contact hours, please fax or mail the roster and an evaluation form for each individual requesting hours.  Individuals requesting contact hours will receive a certificate of contact hours earned.  Please make sure that you enter the Contact Person’s name in the Registration Form.  All correspondence and site registration information will be sent to this person.


 

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