2023 HCCA Healthcare Enforcement Compliance Conference
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Clinical Research and Compliance
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Define research compliance in clinical research
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Analyze regulatory regulations in research compliance
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Evaluate current enforcement and challenges sites face
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Whistleblowers: Who Are They and What Makes a Good Whistleblower Case - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Internal reporting and response to non-compliant activity
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Understand why employees become whistleblowers and the keys to recognizing potential whistleblower risk
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Key factors for actionable whistleblower cases
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Anatomy of a FCA Case - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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The investigation phase: Subpoenas/CIDs, data analysis, witness interviews, and more
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The negotiation phase: Initiation, ADR, scope of the release, damages, and other issues
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The resolution phase: Settlement agreements, individual liability, CIAs/ OIG, and relator issues
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Managed Care Enforcement and Compliance - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Managed care fraud and enforcement
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Managing compliance risks in managed care: Risk adjustment and best practices
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Education and training and managed care compliance
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Criminal and Civil Enforcement and Telehealth - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Telemedicine fraud and enforcement efforts by DOJ and HHS-OIG
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COVID-19 fraud schemes: Examples and warning signs
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Genetic testing, urine drug testing and other lab fraud schemes and telehealth
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Negotiating and Mediating an FCA - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Negotiating and mediating False Claims Act cases
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Effective settlement and mediation strategies
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Drafting False Claims Act settlement agreements
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Clinical Research and Enforcement 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Latest developments in clinical research enforcement actions
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Common compliance risks for clinical research
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Best practices for managing clinical trial risk
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EKRA and Kickback Enforcement
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Similarities and differences between the Anti-Kickback Statute and Eliminating Kickbacks in the Recovery Act of 2018 (EKRA)
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AKS and EKRA criminal and civil enforcement
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Compliance tips and lessons
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Information Blocking - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Overview of the information-blocking regulations
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Updates related to the information blocking enforcement regulations
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Practical information and tips related to investigations, civil monetary penalties, and settlements
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Enforcement, Compliance Officer, and General Counsel - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Effective compliance and management: General counsel and compliance officer
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OIG's perspective on the role of general counsel and compliance officers
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Effective compliance practices and priorities
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Enforcement and Private Equity
2023 HCCA Healthcare Enforcement Compliance Conference | November 05, 2023
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Private equity participation in the healthcare industry
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Basis for liability for private equity
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Managing risk for private equity investors
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Evaluation and Compliance Program Effectiveness: DOJ, OIG & Industry Benchmarks
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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General session 1 - 2023 HCCA Healthcare Enforcement Compliance Conference
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Beneficiary Inducement and FCA Liability
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Prohibitions against beneficiary inducement for healthcare services
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False claims and civil money penalty liability
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OIG fraud alerts and authorities on prohibited beneficiary inducement, including criminal and civil liability for routine waiver of co-payments
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Post Pandemic Enforcement
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Status of post-pandemic enforcement actions
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Payment Protection Program and Provider Relief Fund liability
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Responding to administrative actions to recover pandemic funds
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Enforcement, Compliance, and Long-Term Care
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Criminal and civil enforcement actions
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Common basis for long term care liability
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Managing long term care risk
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FCA and Liability for Risk Adjustment
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Origins of liability for risk adjustment
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State of settlements and litigation
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Recent final RADV rule and audit liability
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FCA Developments
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Review of recent False Claims Act Supreme Court decisions
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Latest developments in False Claims Act liability and damages
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Dismissal and Summary Judgment in False Claims Act cases
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Internal Investigations, Repayment, and Self-Disclosure
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Authority and practical considerations for conducting internal investigations
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Methods and best practices for internal investigations
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Evaluation and report, potential self-disclosure, and resolution of compliance matters
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Enforcement, Compliance, and Data Analytics
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Overview of OIG administrative enforcement: Civil Monetary Penalties and Exclusion
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Data analytics as an OIG enforcement tool
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Case study and discussion
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Hospital and Physician Compensation and Value-Based Arrangements
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Legacy of liability for hospital/physician compensation arrangements
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Emerging compensation arrangements including value-based/bundled arrangements: Legal and regulatory requirements
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Compensation arrangements and hospital/physician alignment strategies
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Medical Necessity: Criminal and Civil Enforcement
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Medical necessity and criminal and civil enforcement
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Compliance effectiveness and medical necessity
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Effective response to medical necessity compliance matters
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OIG Compliance Program Guidance
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Discuss the vision of the updated General Compliance Program Guidance (GCPG) as part of the OIG's push to modernize its publicly available resources
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Provide input on the contents of the GCPG
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Highlight points of particular interest
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Preview the role of upcoming industry-specific CPGs (ICPGs)
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Medicaid Fraud Enforcement - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Medicaid fraud control unit collaboration and coordination
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Medicaid fraud identification, investigation, and multi-state prosecutions
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Government and defense perspectives on Medicaid fraud investigation
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Federal Administrative Sanctions - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Understand OIG enforcement sanctions, remedies, and appeals
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Appreciate differences from available CMS Sanctions
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Identify new CMS program integrity rules and authorities
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Hot Topics in Fraud and Abuse
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Latest developments in fraud cases
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Kickback and Stark liability
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Medical necessity, risk adjustment, and common false claims
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