2021 Healthcare Enforcement Compliance Conference

  1. Fraud and Compliance Issues Relating to Genetic Testing

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Avoid red flags in billing and coding for genetic testing

    • Learn the differences between routine audits and fraud investigations and how to respond

    • Implement compliant marketing and education outreach

  2. Managed Care Enforcement and Compliance (2021 HECC)

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Managed care fraud and enforcement actions

    • Managing compliance risks in managed care

    • Education and training and managed care compliance

  3. Laboratory Enforcement and Compliance (2021 HECC)

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • 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

  4. Handling a Criminal Healthcare Fraud Case (2021 HECC)

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • The role of data in criminal cases

    • Emerging criminal enforcement trends

    • Responding to criminal investigations and prosecutions

  5. Hospital Physician Compensation Arrangements, Enforcement, and Compliance

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Analyze case studies based upon recent cases and settlements highlighting potential compliance pitfalls associated with physician compensation arrangements

    • Review regulatory framework for developing compliant physician compensation arrangements to avoid the common pitfalls leading to enforcement actions

    • Gain practical tips for structuring and managing physician compensation arrangements to ensure ongoing compliance

  6. Compliance Repayment and Self-Disclosure

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Applicable rules and provider obligations to return a known overpayment

    • Review best practices in identifying, quantifying, and remedying an overpayment

    • Options and considerations for repayments and self-disclosure

  7. Medicaid Fraud Enforcement

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Medicaid fraud control unit collaboration and coordination

    • Medicaid fraud identification, investigation, and multi-state prosecution

    • Government and defense perspectives on Medicaid fraud investigations

  8. Practical Steps to Prepare Your Hospital's Controlled Substance Diversion Program for Government Scrutiny

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Why hospitals are at risk for controlled substance diversion and what triggers government scrutiny

    • Key elements of a controlled substance diversion prevention program in a hospital setting

    • The questions to ask now to prepare your program for government scrutiny later

  9. Effective Compliance Due Diligence

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • 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