Understanding Medicare Competitive Bidding and Accreditation Requirements for Home Infusion Pharmacies
May 28, 2008
12:00-1:30pm ET
1.5 contact hours*
ACPE #: 207-999-08-043-L04-P
What has been learned so far from having enteral therapies as part of Medicare Competitive Bidding? Given the challenges of home infusion and other bidders in Round One, how do you avoid “the traps” in Round Two? Can you count on delay or cancellation of this program? Find out the answers to these critical questions in this content-rich audio conference.
Other Medicare competitive bidding audio conferences often only address specific questions and answers—not like the comprehensive overview that this NHIA audio offers! If you are looking for an in-depth discussion of how competitive bidding started and where it’s headed—then you need to attend this session.
Program Description:
Hear a comprehensive review of the statutory and regulatory bases for competitive bidding—and how competitive bidding is designed to work. Included will be eligibility requirements for bid submission, the process for evaluating and rewarding bids, protections for small companies as well as preparation of a bid proposal and proactive steps to take if the organization is not awarded a bid contract. The program will also outline accreditation requirements specific to home infusion pharmacies that participate as Medicare Part B suppliers.
Educational Objectives:
After completion of this program the learner will:
- Discuss the current status of competitive bidding.
- Describe how bids are evaluated and awarded.
- Compare and contrast accreditation requirements and timelines for pharmacies and DME suppliers mandated by the Medicare Modernization Action (MMA).
Learn with your fellow colleagues about this critical topic and reserve your spots early. Remember, these audios make great training sessions—as one phone line can train unlimited number of people (see below for additional requirements for those seeking pharmacy continuing education)!*
Faculty:
Denise Fletcher, Esq, Attorney, Brown and Fortunato, PC, Amarillo, TX
Faculty Bio:
Denise Fletcher, Esq., is an attorney in the Health Care Group of the Amarillo, Texas based law firm of Brown & Fortunato, P.C. The firm’s Health Care Group has a large national health care practice with clients throughout the United States. The Health Care Group represents durable medical equipment companies, pharmacies, drug wholesalers and re-packagers, long term care facilities, home health agencies, hospitals, physicians and other health care providers.
The Health Care Group represents clients in the areas of advising on fraud and abuse issues; defense of criminal and civil fraud investigations; defense of qui tam actions; corporate compliance; HIPAA compliance; competitive bidding; accreditation preparation; mergers and acquisitions; joint equity arrangements, affiliations and alliances; reimbursement issues, including audits and requests for overpayments; supplier and provider number issues; requirements pertaining to licenses, permits and certifications; survey certification and licensing issues; peer review and credentialing; pharmacy compounding; Food and Drug Administration regulatory issues; hospital operational issues; hospital medical staff relationships; and hospitals/health care organizations in transitional environments.
The Health Care Group works closely with the Department of Justice, Office of Inspector General, Centers for Medicare and Medicaid Services, National Supplier Clearinghouse, Durable Medical Equipment Regional Carriers, Food and Drug Administration, and other federal and state regulatory agencies. Ms. Fletcher has authored numerous articles and is a frequent lecturer throughout the country. She has an Undergraduate Degree in Business Administration from the University of Washington, and received her law degree from the University of Oklahoma College of Law. Ms. Fletcher is licensed to practice in Idaho, Oklahoma, Texas, and Washington. She is Board Certified in Health Law by the Texas Board of Legal Specialization.
Pharmacy Continuing Education:
To apply for continuing education credit in pharmacy for this program, please do the following:
- Kindly complete the evaluation form and the Statement of Continuing Education Credit form for this audio conference. You will receive the link to these forms in an email 24-48 hours prior to the audio conference.
- Fax the evaluation and certificate forms to the attention of Eleanor Nespica at 703-683-1484.
- Your certificate for continuing education will be validated and faxed to you within three – four weeks of NHIA’s receipt of all completed forms.
- Please be aware that you are responsible for filing a copy of your certificate with your state board(s).
*Note: To receive Pharmacy Continuing Education credit, registered participants must individually sign-in to the call and attend the entire audio conference. Only paid registrants for this audio conference are eligible for Continuing Education credit. Parties who listen to the audio conference, but who have not paid, registered and called-in individually, cannot be granted Continuing Education. If you have any questions regarding Continuing Education Credit for this program, please contact Eleanor Nespica, Education Programs Manager, at the NHIA office: 703-549-3740 or eleanor.nespica@nhia.org
Target Audience:
Pharmacists, reimbursement specialists and managers involved in the competitive bidding process.