National Government Services Medical Review and Red Flags Implementation

August 27, 200912:30pm
Connecticut Hospital Barnes CT
As providers are aware, the Federal Trade Commission (FTC) has issued 'Red Flag Rules' which require financial institutions and creditors, including health care providers, to establish identity theft prevention programs. The deadline for compliance with these rules is August 1, 2009. During this workshop, the law firm of Wiggin and Dana will present an overview of the Red Flags Rule, identify further strategies for compliance, and answer questions regarding implementation. In addition, this workshop will also include a presentation from National Government Services which will provide an update regarding home health and hospice medical review and the upcoming Recovery Audit Contractor review process.

At the conclusion of the workshop, the attendees will be able to:

  • Understand the purpose of the Reg Flags Rule, and who must comply
  • What you need to do to be compliant with the Rule, and possible consequences of non-compliance
  • Learn how the Rule relates to other privacy laws, such as HIPAA/HITECH, and Connecticut's data protection and breach notification statutes
  • Discuss the different CMS contraactors that hold medical audits, and learn how and when you need to resopnd to a medical review audit
  • Learn what the top denials for home health and Hospice are, and how to avoid them


    Michelle Wilcox DeBarge, Wiggin and Dana
    Michelle is a partner in the firm's Health Care Department and advises health care practitioners, institutions and provider associations on a broad range of regulatory matters.

    Sabrina Houlton, Wiggin and Dana
    Sabrina is an Associate in the firm's Litigation Department. Her practice deals with privacy issues, including preventing and addressing data breaches ad complying with privacy laws and regulations, among other areas.

    Corrinne Ball, National Government Services, Inc.
    Corrinne is a Clinical Consultant, Provider Outreach and Education with a wide range of clinical experience in hospital, skilled nursing facilities, home health and physician offices.

  • Resources