Establishing Healthcare Compliance Programs as Mandated by the PPACA

Implementing Effective Reporting, Exclusion Screening, and Formal Risk Assessment Processes

Recording of a 90-minute CLE webinar with Q&A

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Conducted on Wednesday, November 14, 2012

Recorded event now available

or call 1-800-926-7926

This CLE course will provide guidance to healthcare counsel for developing effective compliance programs as required by the Patient Protection and Affordable Care Act (PPACA).


The PPACA requires providers enrolled in federal healthcare programs to implement compliance plans and programs. The Office of the Inspector General (OIG) has identified seven components that every effective compliance program should include.

Overpayment reporting, screening of employees and contractors against OIG Lists of Excluded Individuals and Entities, and formal risk assessment measures are among the OIG's top compliance enforcement priorities. Providers that have not focused their compliance efforts in these areas risk significant penalties.

Healthcare counsel must guide providers and facilities in implementing compliance programs that meet the PPACA's fraud, waste and abuse controls, and incorporate the OIG's core elements.

Listen as our authoritative panel discusses best practices for healthcare providers and facilities to develop compliance plans that will withstand heightened government enforcement and minimize the risk of liability for fraud, waste and abuse.



  1. Mandatory compliance overview
    1. Changes driven by PPACA
    2. Sentencing guidelines
    3. Compliance guidance documents
    4. Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative
  2. OIG's core elements for every compliance program
  3. Key areas of compliance focus
    1. 60-Day rule for reporting and refunding overpayments
    2. Exclusion screening of employees and contractors
    3. Formal assessment of compliance program for effectiveness
    4. Other areas of focus
  4. Additional considerations for implementing and evaluating compliance programs


The panel will review these and other key questions:

  • In what key areas should providers and facilities focus their compliance efforts?
  • What are the seven core elements that the OIG requires for every compliance program?
  • When evaluating compliance programs for effectiveness, what are the key considerations for healthcare counsel?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.


Nathaniel M. (Nate) Lacktman
Nathaniel M. (Nate) Lacktman

Foley & Lardner

Mr. Lacktman handles matters involving fraud and abuse compliance, healthcare marketing rules, Medicare and Medicaid...  |  Read More

Heman A. Marshall, III
Heman A. Marshall, III

Woods Rogers

Mr. Marshall provides counsel and guidance to a broad range of hospitals, hospital systems, clinics, physician group...  |  Read More

Sarah B. Crotts
Sarah B. Crotts

Atty at Law
Womble Carlyle Sandridge & Rice

She focuses her practice on regulatory compliance matters for hospitals, physician groups, independent laboratories,...  |  Read More

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