COVID-19 Resources

76. Q1-Q2 2020 Enforcement Trends and What They Mean For Your Company

    2020 HCCA Web Conference  | Presenter(s): Payal Salsburg  | July 2020 

    • Assessing compliance risk in light of recent enforcement trends and whether the trends apply to your organization

    • Healthcare and Pharma enforcement risk areas, including financial relationships with medical providers, medical necessity of services, home healthcare and rehab facility fraud, and genetic/drug testing schemes

    • COVID-19 related concerns with telemedicine, false marketing of treatments, and accessing federal and state government monetary aid

77. Telehealth Regulatory Changes for COVID-19

    2020 HCCA Web Conference  | Presenter(s): Chandra L. Stephenson, Janine S. Devine  | July 2020 

    • Provide a very brief overview of the pre-COVID telehealth environment

    • Discuss the federal expansion waivers and related guidance provided

    • Compare/Contrast the categories of virtual health services

78. Five Steps to Help Mitigate Compliance Risk During the Covid-19 Pandemic

    2020 HCCA Web Conference  | Presenter(s): Daniel Martin  | July 2020 

    • The Covid-19 pandemic and related relief efforts present heightened compliance risks and the government has already begun to take aggressive enforcement action

    • There are many ways in which even well-intentioned and compliance-oriented businesses can wind up facing an enforcement action duringthe pandemic

    • Five practical steps to mitigate this heightened risk

79. 2020 HHS Patient Access Rule: What Hospitals Need to Know

    2020 HCCA Web Conference  | Presenter(s): William Roberts, Damian Privitera  | June 2020 

    • Address March 2020 HHS final rule on information blocking, interoperability and patient access

    • Modifications to patient access rights and information exchange between providers, payers, and health IT developers

    • Prohibition on information blocking and anti-competitive behavior by healthcare providers

    • Requirement of healthcare providers to implement standards-based application programming interface (API) for provider’s EMR

    • Addressing the privacy and security of third-party health applications used by patients

    • Public reporting by CMS of noncompliant hospitals

80. Emerging Issues with Business Associates

    2020 HCCA Web Conference  | Presenter(s): Richelle Marting  | June 2020 

    • Identifying and distinguishing third parties who are, and who are not, business associates under HIPAA

    • Trends in arrangements – health app vendors, support services, staffing companies, and other gray areas

    • Workforce or BA? Potential compliance and legal implications beyond HIPAA (e.g. employment law)

    • Understanding the implications of the “just in case” business associate agreement contracting strategy

    • OCR guidance and audit protocols

81. 2020 Mid-Year OIG Work Plan and Other Important Updates: Hospitals, Physician Practices, and Home Health or Hospice

    2020 HCCA Web Conference  | Presenter(s): Margaret Hambleton, Bill Musick  | June 2020 

    • Discuss OIG Work Planning Process, Items, and other Government Reports

    • COVID-19 Audits, Reviews, and Monitoring

    • Preparing for Hotline and Whistleblower Reports

82. Navigating HIPAA Compliance Amid COVID-19 & Related Issues

    2020 HCCA Web Conference  | Presenter(s): Lonna Carter  | June 2020 

    • Current state of COVID 19 disease disclosure laws – federal, state, and local

    • HIPAA and public health exceptions to disclosure rules

    • Disclosures to HHS, CDC and state DPH

    • Novel issues presented by pandemic

83. Telehealth During a Time of Crisis: Integrating Remote Care Delivery into Your Compliance Program

    2020 HCCA Web Conference  | Presenter(s): Nick Merkin, Erin MacLean  | May 2020 

    • The COVID-19 crisis has severely impacted our nation’s healthcare delivery system

    • Many who needed care were unable to access doctors, hospitals, and other healthcare providers because of stay-at-home orders or quarantine

    • These realities have spurred an explosion of interest by providers and patients in the delivery of care via remote modalities, such as telemedicine

    • Telemedicine, however, comes with compliance risks, including privacy and security; quality and patient safety; billing and reimbursement; fraud, waste, and abuse; as well as licensure and scope of practice concerns

    • Join us to learn some of the regulatory fundamentals of employing a telehealth model in your organization and how to integrate these issues into your healthcare compliance program

84. Evaluation & Management: 2020 and Beyond

    2020 HCCA Web Conference  | Presenter(s): Ronda K. Ash  | May 2020 

    • Gain an understanding of the changes to the Federal Register for calendar year 2020, and learn what this means for your coding accuracy of Evaluation and Management services

    • Additionally, there are many changes coming to E/M services in 2021, and this session will look at those changes, the new table of risk, and definitions that will change the way you apply this codeset

    • Jump start your compliance with accurate coding of Evaluation and Management services

85. Navigating the Minefield: Updated Guidance Regarding Healthcare Regulations in Response to the COVID-19 padne

    2020 HCCA Web Conference  | Presenter(s): Scott Grubman, Raj Shah, Christian Dennis  | April 2020 

    • A discussion of CMS’ Stark Law waivers and the OIG’s policy statement regarding AKS enforcement

    • Medicare’s new telehealth rules

    • DOJ enforcement activity related to COVID-19 fraud schemes

    • The loosening of HIPAA regulations

86. Privacy during Pandemic: Where to Ease & Where to Tighten

    2020 HCCA Web Conference  | Presenter(s): Diane Evans  | April 2020 

    • The U.S. Office for Civil Rights (OCR) eases privacy rules to allow a massive shift to telehealthcare during COVID-19

    • The OCR allows disclosures during COVID-19 to protect the public health and the health of individuals who may be exposed

    • The news media is reporting on cyber attacks that exploit the coronavirus. This part of the presentation will cover best practices for preventing IT intrusions due to someone on the front line clicking on a bad link, email or attachment. Malicious email remains the common entry point into healthcare databases, according to OCR

    • The presentation will cover points from a landmark report that likens small steps -- akin to the use of hand sanitizer -- as effective in preventing big data intrusions that could further disrupt the delivery of healthcare at the worst time possible.

87. How to Prepare for and Respond to the Impacts of COVID-19

    2020 HCCA Web Conference  | Presenter(s): Sarah Swank  | March 2020 

    • Elements of preparedness

    • Screening patients for COVID-19

    • Caring for infected patients

    • Reporting suspected cases of COVID-19

    • Precautionary measures for hospital employees

    • Reviewing vaccination policies

    • Managing communications

    • Training and education

88. Telehealth Trends: Risks, Rewards and Reimbursement

    2020 HCCA Web Conference  | Presenter(s): Jill Gordon, Alexandra Busto, Sarah Swank, Harsh Parikh  | March 2020 

    • Market trends in telehealth, including live video, store-and-forward, remote patient monitoring, direct to consumer, and wearable devices technologies

    • Practical operational, legal, and business issues for consideration in structuring and operationalizing telehealth modalities

    • The current reimbursement landscape, including recent expansions in telehealth reimbursement by Medicare Advantage and Medicaid payors

    • Tips from “the trenches”: how to navigate operational and legal risks and concerns in the implementation of innovative technologies and structuring digital deals, including fraud and abuse laws, payor relations, safety nets processes, medical licensure credentialing and patient safety issues

89. Compliance Officers, General Counsel and Enforcement

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Mara Senn, Jeff Hessekiel , Kirk Ogrosky  | November 2020 

    • Discover DOJ’s current 2020 enforcement priorities

    • Understand how conflicts of interest impact investigations

    • Learn the GC’s and CCO’s roles in conducting internal investigations

    • Hear when companies and providers need to retain outside counsel

    • Apply best practices to issue spot in today’s enforcement environment

90. Medicaid Fraud Enforcement Update

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Jack Wenik , Josh Lichtblau  | November 2020 

    • Recent developments in Medicaid fraud/abuse enforcement at the state level, including managed care organizations

    • Focus on home health, adult day care and other providers receiving extra scrutiny

    • Government and defense perspectives on responding to Medicaid fraud and abuse investigations

91. Negotiating and Mediating False Claims Act Cases

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Sean B. O'Connell , Janice Symchych , Marc S. Raspanti, David Cohen  | November 2020 

    • The increased difficulties in negotiating and settling False Claims Act cases

    • Understanding the roles of the different stakeholders in False Claims Act cases and what they’re entitled to

    • Understanding the risks of going to trial and why it may be the best option

92. General Session: CMS Update (2020 Healthcare Enforcement Compliance Conference)

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Kim Brandt  | November 2020 

    • Overview of CMS COVID-19 response and flexibilities: Waivers and interim final rules

    • Update on CMS strategic initiatives, including Patients Over Paperwork and Interoperability

    • Review of proposed updates to the Physician Self-Referral or “Stark” Law

    • Learn about CMS program integrity initiatives and reforms

    • CMS efforts to combat the opioid epidemic, including SUPPORT Act initiatives

93. Civil and Criminal Telehealth Enforcement Matters; DME, Pharmaceutical and Other Covered Items and Services

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Jason Mehta, Colin Huntley  | November 2020 

    • Understand the risks and opportunities associated with telemedicine

    • Understand the government’s increasing focus of telemedicine-related cases and what is to come

    • Understand the contours of telemedicine’s rules and how Medicare’s reimbursement paradigms have changed with COVID

94. General Session - DOJ's Consumer Protection Branch: Safeguarding Americans from Dangerous Drugs and Devices

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Gustav Eyler  | November 2020 

    • Learn about the work and enforcement priorities of the U.S. Department of Justice’s Consumer Protection Branch

    • Understand enforcement aims in the COVID-19 regulatory environment

    • Identify risks and compliance considerations associated with clinical trial fraud, reporting requirements, and data privacy

95. Laboratory Enforcement and Compliance

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Brandy Frey, Karen Glassman, Ryan Stumphauzer  | November 2020 

    • Recent case studies, with a discussion of what those cases tell us about risks related to medical necessity and arrangements

    • Practical solutions and best practices for mitigating risk

    • Updates on the Eliminating Kickbacks in Recovery Act

96. Get 'Em Where it Hurts: Using Compensation to Influence Compliance

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Steve Schoenly , Alyssa Lawrence  | November 2020 

    • Carrot or the stick: Determining reward or consequence shapes human behavior

    • Governance impacts ability: How compliance can work with management to achieve goals

    • Money talks: If you can equate compliance with compensation, you’re in the gold

97. Anti-Kickback Statute Case Studies and OIG's Regulatory Flexibilities During the COVID-19 Pandemic

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Benjamin WallFisch, Susan Edwards  | November 2020 

    • Review challenging real-world scenarios applying the anti-kickback statute

    • Understand OIG’s pandemic-related regulatory flexibilities and guidance

    • Awareness of OIG’s COVID-19 strategic goals

98. False Claims Act Liability in Post-Acute Care

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Tamar Abell, William T. Mathias  | November 2020 

    • A review of recent False Claims Act cases, both civil and criminal, and current enforcement focus areas in Medicare for SNF, home health and hospice providers

    • Challenges facing post-acute providers, including those associated with new payments systems and regulatory requirements, and new claim audit initiatives

    • Current enforcement trends, including potential liability for providers and management, sources of data to manage risk, expectations from CMS that providers have effective compliance programs, and enhanced focus on “worthless care” concerns

99. General Session: Government Enforcement Panel (2020 Healthcare Enforcement Compliance Conference )

    2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Kirk Ogrosky, Greg Demsk, Allan Medina, Jamie Ann Yavelberg  | November 2020 

    • Learn about DOJ Civil & Criminal Division’s enforcement efforts

    • Understand OIG current priorities

    • Learn how COVID-19 is impacting governmental investigations

    • Understand how compliance officers can be prepared to deal with DOJ and OIG

100. The Secret Sauce for Complying with Privacy Regulations

     2020 Healthcare Enforcement Compliance Conference  | Presenter(s): Karen Snyder, Darrell Contreras  | November 2020 

     • Privacy is more of a priority than ever. Organizations must be able to react and respond quickly to increasing consumer privacy concerns, data breaches, and heavy-hitting regulations such as the CCPA and GDPR

     • The key to a successful privacy program is instituting an information lifecycle management (ILM) program that provides strong governance rooted in policy. This protects your organization from compliance risks and is vital to protecting patient privacy

     • Join us to discuss the impact of today’s privacy regulations and learn how ILM enables you to secure a unified view of patient data and related obligations, dispose of PHI in accordance with retention requirements, and reduce exposure to data breaches