Whether you practice in government, business or employment law or are simply interested in learning more as the legal issues unfold around health care reform, this course will impart the foundational health law knowledge you need to provide good counsel on health-related issues. It covers all of the hot spots – from the regulatory environment and health care reform implications to insurance reimbursement basics, patient privacy, quality of care and medical staff employment requirements. Order today and get up to speed on the ins and outs of this growing area of law.

1. Regulatory Environment
2. Reimbursement and Related Issues
3. Fraud and Abuse Prevention and Defense
4. Contracts, Mergers, Internal Management and Bylaws
5. Ethical Considerations
6. Patients' Rights and Quality Care Related Issues
7. Health Care Reform Update

1. Regulatory Environment
   9:00 - 10:00, Cristine M. Miller
   1. Changes to the Medicare Oversight Contractors
   2. Implementation of the Medicaid Integrity Program
   3. Kentucky Medicaid Enforcement Activity
   4. Appeal Process
2. Reimbursement and Related Issues
   10:00 - 11:00, Kathie McDonald-McClure
   1. Reimbursement Basics - CMS (Medicare and Medicaid)
   2. Health Insurance: Ensuring Coverage
   3. Payment Structure and Reform
      1. Fee for Service
      2. Capitation
      3. Prospective Payment
      4. Third Party Payors
   4. Managed Care Reimbursement Methods
      1. HMOs
      2. PPOs
      3. POS
   5. Reimbursement Related Regulatory Issues - Recovery Adult Contractors (RACs)
   6. Collections Strategies
3. Fraud and Abuse Prevention and Defense
   11:15 - 12:15, David E. Fleenor
   1. The Federal False Claims Act
   2. The Anti-Kickback Law
   3. The Stark Anti-Referral Law (Stark II Phase III)
4. Contracts, Mergers, Internal Management and Bylaws
   1:15 - 2:05, Stephen F. Schulz
   1. Payer Contract Negotiations
   2. Medical Practice Mergers
   3. Internal Practice Management
5. Ethical Considerations
   2:05 - 3:05, David E. Fleenor
   1. Applying the Rules of Professional Conduct in Health Law Practice
   2. HIPAA Privacy Regulations in Medical Records Management
   3. Informed Consent for Treatment/Research and its Exceptions
   4. Fee Arrangements
   5. Patient Competency Issues
6. Patients' Rights and Quality Care Related Issues
   3:20 - 4:00, Peter L. Thurman Jr.
   1. Standards of Care (Health Care Quality Improvement Act (HCQIA), National Practitioner Data Bank (NPDB))
   2. EMTALA (Emergency Medical Treatment and Active Labor Act)
   3. Patient Abandonment
   4. Patient Safety, Medical Error Reporting and PSOs (Patient Safety Organizations)
   5. Advance Directives and Right-to-Die Matters
   6. Appointment of Guardians and Other Incapacity-Related Issues
7. Health Care Reform Update
   4:00 - 4:30, Kathie McDonald-McClure
   1. New Reporting Requirements and Time Limits
   2. CMS Authority to Recoup Overpayments
   3. New Claims Filing Deadline
   4. Reimbursement Changes
   5. Ancillary Services Exception
   6. Important Current Case Law

DAVID E. FLEENOR is of counsel with the law firm of Stoll Keenon Ogden PLLC, in the Lexington office, where practices in the area of health care law. Mr. Fleenor earned his B.S. degree from the United States Naval Academy and his J.D. degree from the University of Tennessee College of Law with highest honors. He clerked for the Hon. H. Emory Widener, Judge, United States Court of Appeals for the 4th Circuit. Mr. Fleenor has served as General Counsel for the Cabinet for Health and Family Services and General Counsel to Governor Ernie Fletcher. He is admitted to practice in Kentucky and is a member of the American and Kentucky bar associations and the American Health Lawyers Association.

KATHIE McDONALD-McCLURE is a partner in the law firm of Wyatt Tarrant & Combs LLP, in the Louisville office. Ms. McDonald-McClure is a member of the firm's Health Care Practice Group. She was selected as a "Partner in Health Care" by Business First in 2008 and 2009. She draws upon her extensive legal career in the health care industry to advise healthcare providers in the areas of fraud and abuse, anti-kickback, physician self-referral, Medicare reimbursement and secondary payer rules, hospital and nursing home regulatory matters, behavioral health, clinical trial matters, identity theft programs, HIPAA, and HITECH electronic health records stimulus law. Ms. McDonald-McClure assists clients with the development, review and maintenance of effective compliance programs. She also assists healthcare clients with risk and insurance issues and consults on the defense of long-term care liability claims. Ms. McDonald-McClure has given presentations on a variety of healthcare legal issues, including HITECH's stimulus for electronic health records, Medicare Secondary Payer law and new MMSEA Section 111 mandatory reporting requirements, fraud and abuse, false claims, Anti-Kickback laws, the 2005 Deficit Reduction Act, and behavioral health. She earned her B.S.B.A. degree, with highest honors, from the University of Louisville and her J.D. degree from the University of Louisville Louis D. Brandeis School of Law. Ms. McDonald-McClure is a member of the Louisville, Kentucky and American bar associations (Healthcare, Litigation, Tort and Insurance sections), the American Health Lawyers Association (AHLA), (AHLA Risk Management Affinity Group of the Hospitals & Health System Practice Group and Hospital and Long-Term Care Groups). She is also a member of the Health Care Compliance Association (HCCA), Certification in Healthcare Compliance (CHC) and the Kentucky and American Societies of Healthcare Risk Management.

CRISTINE M. MILLER ,CMPE, CCP, CHC, is a partner in the firm of Mountjoy Chilton Medley LLP, in Louisville. Ms. Miller's practice focus is traditional litigation support in the areas of Medicare and Medicaid fraud. Ms. Miller provides due diligence support for healthcare mergers & acquisitions, as well as, Certificate of Need expertise and feasibility studies. Her clients include the Department of Justice, the U.S. Attorney's Office, law firms, and various healthcare organizations. Ms. Miller earned her B.S. degree from Montana State University and is a frequent speaker, discussion leader, or author for various public relations activities. She is a member of the Kentucky Chamber's Healthcare Committee, the Payment for Services & Legislative Committee for the Kentucky Association of Health Care Facilities, the Medical Group Management Association, the Healthcare Compliance Association, and the Professional Health Institute of America.

STEPHEN F. SCHULZ,CPA, CMPE, is a partner in the firm of Mountjoy Chilton Medley LLP in Louisville. Mr. Schulz provides broad based practice management consulting services for physician practices. His practice focus is revenue enhancement and revenue performance tracking projects. He also provides support in the area of practice governance and financial operations. Mr. Schulz's awards and certifications include the Partner in Health Care, Business First, 2007-2010 and the Outstanding Committee Chair, State and Local Tax Committee of the KSPA. Mr. Schulz earned his B.A. degree from Bellarmine University and is a frequent speaker, discussion leader, or author for various public relations activities sponsored by the KYSCPA on Federal and State tax topics. Mr. Schulz in a member of the American Institute of Certified Public Accountants, the Kentucky Society of Certified Public Accountants, the Medical Group Managers Association, the American College of Medical Practice Executives and was the chair of the Healthcare Committee of the KSPA from 2008-2009.

PETER L. THURMAN JR. is a member of the law firm of Greenebaum Doll & McDonald PLLC, in Louisville, where he is a member of the firm's Health, Health Insurance and Life Sciences Team and Employee Benefits Team. Mr. Thurman concentrates his work in the areas of healthcare law, including regulatory compliance, certificate of need, licensure and litigation, health insurance law, state procurement law and employee benefits. He is a member of the Louisville Employee Benefits Council, the Kentucky, American (Health Law Section), the Louisville (Health Law Section) bar associations and the American Health Lawyers Association. Mr. Thurman earned his B.A. degree, summa cum laude, from Dension University and his J.D. degree, magna cum laude, from the University of Louisville, Louis D. Brandeis School of Law. He was a co-presenter at "HSAs: Slaying 'Health-zilla' and a Culture of Healthcare Over-Consumption,"LEBC H&W Plans Subcouncil, Louisville, KY, October 23, 2007.

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