Originally recorded March 3, 2021
In July 2020, the Department of Health Care Services (DHCS) announced they will send a letter to every 340B provider/covered entity demanding they conduct a self-audit of paid fee-for-service (FFS) claims data from Dec. 1, 2016 through Dec. 31, 2019. While some hospitals have already received these letters from DHCS, most have not.
That is expected to change soon — are you ready?
Join us as experts from CHA and Hooper, Lundy, & Bookman, PC, review the requirements of the 340B Self-Audit and discuss developments to date, and help you answer questions such as:
- How should we respond?
- We may have found situations where we did not bill properly; what do we do?
- If we have to self-disclose, what are our options?
- What are the implications for Contract Pharmacies?
This is your opportunity for up-to-date details, insights into state plans going forward, and expert 340B compliance tips. There will be plenty of time for Q&A and this is the right team to ask.
- Introduction to 340B
- State Actions to Date and CHA’s Advocacy
- Key History and Issues
- Compliance Requirements for Hospitals and Pharmacies
Lloyd Bookman is a partner in Hooper, Lundy & Bookman’s Los Angeles office. Since 1979, his practice has focused exclusively on the representation of health care providers in a wide variety of complex reimbursement, regulatory and transactional matters. He is a nationally-recognized expert on Medicare and Medicaid reimbursement and has served as lead counsel in many highly-significant cases.
Nina Adatia Marsden is a partner in Hooper, Lundy and Bookman’s regulatory department. Ms. Marsden has a broad range of experience assisting health care providers, including hospitals, pharmacies, and laboratories, with licensure and certification, regulatory compliance, operational issues, and ownership changes. Additionally, she is experienced in dealing with Medicare reimbursement issues and regularly assists clients in preparing appeals to the Provider Reimbursement Review Board.
Ryan Witz represents members’ financial interests related to Medicare, Medi-Cal, commercial payers and other government entities. Based in CHA’s Sacramento office, he provides support on financial and reimbursement issues affecting California hospitals and health systems, and represents CHA with stakeholders where hospital finance and technical knowledge is needed. Ryan is also involved with the development and implementation of the hospital fee and other financing programs.