Fraud and Compliance Year in Review: Looking Back, Planning Ahead

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Course Description

This program is designed for health care executives, physicians and other health care providers and their managers who participate in and receive remuneration from Medicare, Medicaid, and other federal health care programs such as TriCare. Recent enforcement actions by the OIG bring home the realization that many activities that are common in other industries are a crime under federal healthcare fraud and abuse laws.

In this webinar, our expert will discuss critical trends and developments in health care fraud and abuse, compliance, and enforcement. Topics covered include recent government enforcement initiatives, Stark and Anti-Kickback developments, self-disclosures and settlements, trends, and changes in the industry that will impact health care organizations and their contracting and compliance efforts in 2024.

Hospital executives, as well as physicians and/or other health care providers, should be very concerned about the potential for the government to use the AKS as one of the prime methods for enforcing the federal fraud and abuse laws. In this webinar, you will learn about the elements of the AKS, along with any new safe harbors that you can rely on for protection against enforcement under these laws. This is important because healthcare fraud and abuse if becoming the focus of these enforcement efforts.

Learning Objectives

• Learn about key case law trends from the past year to prepare them for risk assessment and analyses in 2024
• Learn about trends in DOJ/OIG compliance guidance to prepare for 2024
• Know about developments impacting enforcement under the physician self-referral law, Anti-Kickback Statute and beneficiary inducement
• Understand the OIG’s advisory opinion regarding Physician-Owned Entities
• To Comply with the Federal Laws – False Claim Act, Anti-Kickback Statute, Stark Law
• Understand the anti-fraud provisions of the Affordable Care Act

Areas Covered in the Session

• Federal False Claims Act
• Federal Anti-Referral Act (Also known as Stark Law)
• Exceptions to Stark Law
• Federal Anti-Kickback Statute
• Safe Harbors providing protection under the AKS
• Enforcement activities
• The OIG’s Joint Venture Advisory Opinion
• The OIG’s advisory opinion regarding Physician-Owned Entities
• The anti-fraud provisions of the Affordable Care Act
• What to expect in 2024 and beyond
• Live Q&A Session

Suggested Attendees

• Hospital Executives, Particularly CEOs, COOs, CFOs, CNOs, and CMOs
• Physicians
• Physician Organizations
• Law Firms Representing Hospital or Physicians
• Peer Review Organizations
• Hospital Associations
• Chief Compliance Officers
• Providers
• Physician Practice Managers
• Attorneys and Legal Staff
• Medical Providers Including Registered Nurses, Physician Assistants and Administrative Staff
• Sales and Marketing Managers
• Customer Service Managers
• Risk Managers
• Other Healthcare Provider Executives

About the Presenter

William Mack Copeland, MS, JD, PhD, LFACHE, practices health care law in Cincinnati at the firm of Copeland Law, LLC.  A graduate of Northern Kentucky University Salmon P. Chase College of Law, Bill is a frequent author and speaker on health law topics. Copeland is a member of the American Health Lawyers Association, American, Ohio and Cincinnati Bar Associations and is a life fellow in the American College of Healthcare Executives. A former hospital chief executive officer, he was awarded the American College of Health Care Executives Senior-Level Healthcare Executive Regent’s Award in 2007. 

Additional Information

System Requirement:

• Internet Speed: Preferably above 1 MBPS
• Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:

Toll-Free No: 1-302-444-0162

Email: care@skillacquire.com 

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