Keys to Avoiding and Defending Civil Monetary Penalties in Skilled Nursing

Overview:

Cited, then fined. Ugh. Navigating the terrain of Civil Monetary Penalties (CMPs) can be challenging. This session will review CMS authority to impose a CMP and the factors used by CMS in assessing CMPs against facilities. Session will review how CMPs are calculated and the basic amounts of CMPs. Can they be increased or decreased? When are CMPs actually collected? What are the appeal options through Informal Dispute Resolution (IDR), Independent Informal Dispute Resolution (IIDR) and Departmental Appeal Board (DAB)? Participants attending this webinar will review each process, as well as factors to consider in assessing your CMPs case and possible appeals.

Course Objectives:

• Review CMS authority to impose Civil Monetary Penalties (CMPs)
• Discuss how CMPs are calculated
• Define appeal options and review areas to consider prior to appealing a case

CE’s: NHA & SW

Presenter:

Sean Fahey, Attorney, Hall, Render, Killian, Heath & Lyman, P.C.

Sean Fahey represents the needs of skilled nursing and assisted living facilities in all areas of health care accounts receivable and reimbursement recovery. He helps clients streamline internal processes and procedures for corporate accounts receivable policies and to provide in-service presentations to teach facility staff strategies for reducing outstanding private and Medicaid receivables. Sean counsels clients on admission agreement language relevant to collection matters and provides advice on discharge planning issues. He also advises clients on compliance, contracts, resident guardianship issues and estate claims.

Sean also focuses his practice on estate planning, trust and estate administration, and general business matters, with an emphasis on the implementation of business succession planning techniques for business owners. He has represented individuals and families in structuring their business transactions as well as planning their personal income tax and estate tax matters. His practice includes advising clients on charitable giving techniques. He is board certified as an Indiana Trust and Estate Lawyer by the Trust and Estate Specialty Board.

Sean is a member of the Elder Law section of the Indiana State Bar Association and the National Association of Elder Law Attorneys and has been a speaker at national and local long-term care conferences as well as at continuing legal education seminars focusing on nursing home issues.

Registration:

SDAHO Members: Sign in to the Member Portal and go to the Education Portal to register

Non-Members: Click here to register!