2023 HCCA Healthcare Enforcement Compliance Conference

  1. Clinical Research and Compliance

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Define research compliance in clinical research

    • Analyze regulatory regulations in research compliance

    • Evaluate current enforcement and challenges sites face

  2. Whistleblowers: Who Are They and What Makes a Good Whistleblower Case - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Internal reporting and response to non-compliant activity

    • Understand why employees become whistleblowers and the keys to recognizing potential whistleblower risk

    • Key factors for actionable whistleblower cases

  3. Anatomy of a FCA Case - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

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

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

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

  4. Managed Care Enforcement and Compliance - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Managed care fraud and enforcement

    • Managing compliance risks in managed care: Risk adjustment and best practices

    • Education and training and managed care compliance

  5. Criminal and Civil Enforcement and Telehealth - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • 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 and telehealth

  6. Negotiating and Mediating an FCA - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Negotiating and mediating False Claims Act cases

    • Effective settlement and mediation strategies

    • Drafting False Claims Act settlement agreements

  7. Clinical Research and Enforcement 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Latest developments in clinical research enforcement actions

    • Common compliance risks for clinical research

    • Best practices for managing clinical trial risk

  8. EKRA and Kickback Enforcement

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Similarities and differences between the Anti-Kickback Statute and Eliminating Kickbacks in the Recovery Act of 2018 (EKRA)

    • AKS and EKRA criminal and civil enforcement

    • Compliance tips and lessons

  9. Information Blocking - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Overview of the information-blocking regulations

    • Updates related to the information blocking enforcement regulations

    • Practical information and tips related to investigations, civil monetary penalties, and settlements

  10. Enforcement, Compliance Officer, and General Counsel - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Effective compliance and management: General counsel and compliance officer

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

    • Effective compliance practices and priorities

  11. Enforcement and Private Equity

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 05, 2023 

    • Private equity participation in the healthcare industry

    • Basis for liability for private equity

    • Managing risk for private equity investors

  12. Evaluation and Compliance Program Effectiveness: DOJ, OIG & Industry Benchmarks

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • General session 1 - 2023 HCCA Healthcare Enforcement Compliance Conference

  13. Beneficiary Inducement and FCA Liability

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Prohibitions against beneficiary inducement for healthcare services

    • False claims and civil money penalty liability

    • OIG fraud alerts and authorities on prohibited beneficiary inducement, including criminal and civil liability for routine waiver of co-payments

  14. Post Pandemic Enforcement

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Status of post-pandemic enforcement actions

    • Payment Protection Program and Provider Relief Fund liability

    • Responding to administrative actions to recover pandemic funds

  15. Enforcement, Compliance, and Long-Term Care

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Criminal and civil enforcement actions

    • Common basis for long term care liability

    • Managing long term care risk

  16. FCA and Liability for Risk Adjustment

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Origins of liability for risk adjustment

    • State of settlements and litigation

    • Recent final RADV rule and audit liability

  17. FCA Developments

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Review of recent False Claims Act Supreme Court decisions

    • Latest developments in False Claims Act liability and damages

    • Dismissal and Summary Judgment in False Claims Act cases

  18. Internal Investigations, Repayment, and Self-Disclosure

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Authority and practical considerations for conducting internal investigations

    • Methods and best practices for internal investigations

    • Evaluation and report, potential self-disclosure, and resolution of compliance matters

  19. Enforcement, Compliance, and Data Analytics

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Overview of OIG administrative enforcement: Civil Monetary Penalties and Exclusion

    • Data analytics as an OIG enforcement tool

    • Case study and discussion

  20. Hospital and Physician Compensation and Value-Based Arrangements

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Legacy of liability for hospital/physician compensation arrangements

    • Emerging compensation arrangements including value-based/bundled arrangements: Legal and regulatory requirements

    • Compensation arrangements and hospital/physician alignment strategies

  21. Medical Necessity: Criminal and Civil Enforcement

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Medical necessity and criminal and civil enforcement

    • Compliance effectiveness and medical necessity

    • Effective response to medical necessity compliance matters

  22. OIG Compliance Program Guidance

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Discuss the vision of the updated General Compliance Program Guidance (GCPG) as part of the OIG's push to modernize its publicly available resources

    • Provide input on the contents of the GCPG

    • Highlight points of particular interest

    • Preview the role of upcoming industry-specific CPGs (ICPGs)

  23. Medicaid Fraud Enforcement - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 06, 2023 

    • Medicaid fraud control unit collaboration and coordination

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

    • Government and defense perspectives on Medicaid fraud investigation

  24. Federal Administrative Sanctions - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Understand OIG enforcement sanctions, remedies, and appeals

    • Appreciate differences from available CMS Sanctions

    • Identify new CMS program integrity rules and authorities

  25. Hot Topics in Fraud and Abuse

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Latest developments in fraud cases

    • Kickback and Stark liability

    • Medical necessity, risk adjustment, and common false claims

About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

952.933.4977

About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

952.988.0141

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