HCCA Conference Slides and Recordings

  1. Compliance in Coverage: Understanding Medicare Advantage Rules and Restrictions

    2023 HCCA Webinar  | November 28, 2023 

    • Understand the Medicare Advantage regulatory requirements in place today

    • Identify key areas where CMS's 2024 Final Rule for Medicare Advantage plans clarified existing policies

    • Identify key areas where CMS's 2024 Final Rule for Medicare Advantage plans added new criteria to take effect January 1

    • Discuss the practical application of the rules, where they arise in healthcare workflows today

    • Discuss strategies for resolution of potential violations of the rule

  2. How to successfully launch compliance in a small organization

    2023 HCCA Webinar  | November 16, 2023 

    • Learn where you can start with an example of a year one compliance plan

    • Understand how culture and leadership can motivate employees to want to be a part of compliance

    • Obtain low cost and free tools and resources used to promote compliance

  3. Research Year in Review - Virtual Research Conference 11/9/23

    2023 HCCA Virtual Research Compliance Conference  | November 09, 2023 

    • Relevant new laws, regulations, and guidance from federal and state government agencies on the conduct of research

    • New OIG Workplan and its research initiatives as well as key enforcement initiatives and settlements related to research

    • Novel approaches to addressing these new government initiatives within research compliance programs

  4. Compliance with Psychedelics and Emerging Therapies

    2023 HCCA Virtual Research Compliance Conference  | November 09, 2023 

    • Discussion of emerging therapies including clinical trials and the future of psychotherapy

    • Discussion of steps that can be taken to mitigate risk and increase protective factors for the subjects

    • Review of integration techniques, resources, legal and ethical issues with these emerging therapies

  5. Why DEI Initiatives in Research are Not Working: Time for a Deeper Dive!

    2023 HCCA Virtual Research Compliance Conference  | November 09, 2023 

    • Define current and recent trends in DEI in research and associated precipitating influences

    • Dispel myths and address barriers to DEI initiatives leading to concrete gains

    • Transfer the overwhelming energy on identifying problems to generating solutions

  6. Enforcement Issues in Drug and Device Research

    2023 HCCA Virtual Research Compliance Conference  | November 09, 2023 

    • Overview of research misconduct in drug and device development

    • Discussion of federal enforcement efforts

    • Best practices for ensuring research integrity and compliance

  7. Research Security Updates

    2023 HCCA Virtual Research Compliance Conference  | November 09, 2023 

    • Status of research security program standards and disclosure requirements

    • How are funding agencies reviewing and using information that is disclosed?

    • Steps institutions should be taking to develop compliance strategies

  8. Compliance Considerations for Decentralized Clinical Trials

    2023 HCCA Virtual Research Compliance Conference  | November 09, 2023 

    • Ethics and equity

    • Technology adoption and implementation

    • Control design for decentralization

  9. 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

  10. 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

  11. Published Guidance and Compliance Program Effectiveness

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • 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

  12. CIAs and IROs - HECC 2023

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Corporate integrity agreements implementation and coordination with OIG Monitor

    • Obligations and role of an IRO

    • Keys to successful IRO engagements

  13. Enforcement, Compliance, and Behavioral Health

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Eliminating Kickbacks in Recovery Act and its application to behavioral health

    • Criminal and civil federal and state enforcement against mental health and substance abuse treatment facilities and sober homes

    • Common arrangements and kickback liability

  14. Response to Civil Investigative Demands

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Legal basis and scope of Civil Investigative Demands

    • Civil Investigative Demand and subpoenas

    • Civil Investigative Demands for e-data and response

  15. Enhanced Enforcement of Hospital Transparency Rule

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Overview of the price transparency rule

    • Review CMS enforcement efforts

    • Compliance Tips

    • Upcoming changes

  16. Fraud and Compliance in Retail Pharmacy

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Review of OIG Work Plan items relevant to pharmacies

    • Review of DOJ, DEA, and other agency enforcement cases

    • State Board of Pharmacy risks and fraud trends

    • Common billing risk issues in pharmacies

    • Implementing a Compliance Program for retail pharmacies

  17. Internal Investigations and Remedial Actions

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • Discuss the importance of having a structured process for conducting an investigation

    • When should legal counsel be brought into the investigation?

    • Identify mitigation strategies based on the facts as developed from the investigation

  18. Enforcement and Compliance in Clinical Laboratories

    2023 HCCA Healthcare Enforcement Compliance Conference  | November 07, 2023 

    • EKRA, AKS and Clinical Laboratories

    • Marketing Activities and Compliance Risk

    • Identification and Response to EKRA and AKS Compliance Risk

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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