2022 Healthcare Enforcement Compliance Conference

1. Recent Developments: Kickback and Stark Law - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • Overview of Anti-Kickback or Stark Law developments and settlements

   • Summary of recent regulatory developments including value-based payment arrangements

   • Review and developments in all-payer kickback statue (EKRA 2018)
     

2. CIAs and IROs - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • Corporate integrity agreements and requirements for an Independent Review Organization (IRO)
     

   • Obligations and role of an IRO

   • Keys to successful IRO engagements

3. Anatomy of a False Claims Act Case - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • The investigation phase: Subpoenas/CIDs, data analysis, witness interviews, and more

   • The negotiation phase: Initiation, ADR, scope of release, monetary, and other issues

   • The resolution phase: Settlement agreements, individual liability, CIAs/OIG, and relator issues

4. Compliance Experts and Compliance Program Effectiveness - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • What to ask and look for in effectiveness evaluation proposals

   • Things to consider as your effectiveness review is being conducted

   • Using review results to improve your compliance program's performance

5. Not Everything Is Illegal! Mitigating Risk by Clearly Distinguishing Between Regulatory Requirements and Guidance - HECC 2022

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • Suggestions for improving your hiring process for compliance professionals

   • Tips for explaining complicated rules and legal hierarchy to compliance and medical professionals

   • Strategies for analyzing contradictory "expert" opinions reducing legal anxiety

6. Enforcement Liability and Insolvency and Bankruptcy - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • Tactical and practical considerations for entities and individuals under FCA investigation considering submitting financial disclosure documentation.

   • Discussion of Department of Justice policies and procedures for considering "ability to pay" in False Claims Act cases.

   • Discussion of FCA settlement process and documentation if entity or individual submitted financial disclosure documentation

7. Federal/State Enforcement and the Opioid Crisis - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • Criminal and civil federal and state enforcement initiatives to combat the opioid crisis

   • The legal basis for criminal and civil enforcement and the changing landscape

   • Pain management and pain doctors and the opioid crisis

8. Hospital and Physician Compensation and Value-Based Arrangements - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 07, 2022 

   • Emerging compensation arrangements including value-based/bundled Arrangements, quality, and access

   • How are emerging contracting compensation arrangements complying with legal/regulatory requirements?

   • How do emerging contracting compensation arrangements further integration for hospitals/physicians?

9. General Session: Government Enforcement Panel - 2022 HECC

   2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

   General Session: Government Enforcement Panel

10. Effective Compliance and Due Diligence - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Explore the foundation of a comprehensive compliance-centered due diligence process

    • Explore how transaction structures affect the scope and approach of due diligence, review the minimum compliance due diligence that should occur, and learn best practices for monitoring post-transaction compliance and mitigation of identified risks

    • Examine case studies, lessons learned, practice tips, risks, and common pitfalls of conducting due diligence

11. Privacy Breach Response through the Eyes of a Business Associate - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Recognize the importance of establishing communication with the Covered Entity's Privacy Office at or near the time the Business Associate Agreement is signed.

    • Identify what obligations and tasks the Business Associate may have as part of the Privacy Breach Response.

    • Learn the basics of providing comprehensive, accurate and timely reports to the Covered Entity.

12. Effective Responses to Civil Investigative Demands - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Learn the legal authority and the scope of civil investigative demands

    • Learn the difference between a civil investigation demand and a subpoena

    • Learn how to respond to civil investigative demands requesting e-data

13. Enforcement and Compliance and Electronic Health Records - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • DOJ enforcement priorities related to electronic health records and recent enforcement actions

    • Emerging compliance concerns and the impact of the 21st Century Cures Act

    • Opportunities for collaborative efforts by EHR vendors, their counsel and the government related to compliance

14. Enforcement, Compliance Officer, and General Counsel - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Learn about compliance and the role of general counsel management and the compliance officer

    • OIG's perspective on the general counsel and compliance officers

    • Learn about management general counsel and compliance officers what works and what doesn't work for effective compliance

15. Cybersecurity in Healthcare Privacy - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Assessing the current cybersecurity and privacy legal landscape and enforcement actions

    • Emerging technologies: Cybersecurity and privacy risks for healthcare-related entities

    • Addressing risks from supply chain and third-party vendors

16. DOJ Criminal Enforcement, Priorities, and Practices - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Learn about the Department of Justice's criminal enforcement priorities in the Biden administration

    • Review recent cases that reflect DOJ's criminal enforcement policies and learn important takeaways from these enforcement actions

    • A view of what we can expect from DOJ and other federal agencies in the area of criminal enforcement in the next couple of years

17. Whistleblowers, Who Are They, and What Makes a Good Whistleblower Case - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Understand why employees become whistleblowers

    • Advocate compliance culture that encourages internal reporting

    • Recognize concerns that devolve into whistleblower cases

    • List key factors of actionable whistleblower cases

18. Criminal and Civil Enforcement and Telehealth - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Telemedicine Fraud and Enforcement Efforts by DOJ and HHS-OIG

    • COVID-19 Fraud Schemes - Examples and Warning Signs

    • Genetic Testing, Urine Drug Testing and Other Lab Fraud Schemes

19. Collateral Consequences to Audits and Adverse Enrollment Actions in a Post COVID-19 World - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • Enrollment, claims audits, and False Claims Act liability

    • Responding to adverse enrollment actions

    • 60-day rules and investigations related to Covid-19 related services

20. Using Data in Enforcement and Compliance - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 08, 2022 

    • How OIG uses data to fulfill its mission

    • Why OIG recommends compliance officers have access to all the data

    • How to find and use the data healthcare providers have

21. General Session 3: Evaluating a Corporate Compliance Program - HECC 2022

    2022 Healthcare Enforcement Compliance Conference  | November 09, 2022 

    General Session 3: Evaluating a Corporate Compliance Program

22. Criminal and Civil Liability and Medical Necessity - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 09, 2022 

    • What medical necessity means and how it is established

    • How medical necessity cases are enforced and the primary factors for distinguishing a civil medical necessity case from a criminal case

    • Do robust compliance measures prevent medical necessity cases, and how to respond when a medical necessity matter arises within your organization

23. Litigating a False Claims Act Case and Taking a False Claims Act Case to Trial - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 09, 2022 

    • Define and discuss key provisions of the False Claims Act that regularly get litigated

    • Identify emerging issues that often arise during FCA litigation

    • Learn strategies for maximizing discovery in FCA cases

24. The Medicare Secondary Payer Act - Best Practices and Emerging Issues - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 09, 2022 

    • Understand the reporting and repayment obligations under the MSP statute

    • Learn best practices to mitigate CMS penalties and other exposure

    • Understand emerging issues facing your workforce given the changing regulatory landscape

25. Beneficiary Inducement and False Claims Act - 2022 HECC

    2022 Healthcare Enforcement Compliance Conference  | November 09, 2022 

    • Prohibitions against beneficiary inducement for healthcare services

    • False claims and civil money penalty liability

    • OIG fraud alerts and authorities on prohibited beneficiary inducement

    • Criminal and civil liability for routine waiver of co-payments