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
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).
Mandatory compliance overview
- Changes driven by PPACA
- Sentencing guidelines
- Compliance guidance documents
- Health Care Fraud Prevention and Enforcement Action Team (HEAT) initiative
- OIG's core elements for every compliance program
Key areas of compliance focus
- 60-Day rule for reporting and refunding overpayments
- Exclusion screening of employees and contractors
- Formal assessment of compliance program for effectiveness
- Other areas of focus
- 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
Foley & Lardner
Mr. Lacktman handles matters involving fraud and abuse compliance, healthcare marketing rules, Medicare and Medicaid... | Read More
Mr. Lacktman handles matters involving fraud and abuse compliance, healthcare marketing rules, Medicare and Medicaid reimbursement, the Anti-Kickback Statute, physician self-referrals (the Stark Law), HIPAA, corporate compliance programs, licensing, contracting, change of ownership, confidentiality and information sharing, and policies and procedures.Close
Heman A. Marshall, III
Mr. Marshall provides counsel and guidance to a broad range of hospitals, hospital systems, clinics, physician group... | Read More
Mr. Marshall provides counsel and guidance to a broad range of hospitals, hospital systems, clinics, physician group practices, individual physicians, long-term care facilities, and other health care providers in the complex areas of federal and state regulatory schemes such as Stark II, state and federal anti-kickback laws, Medicare and Medicaid reimbursement issues, and managed care negotiations.Close
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
She focuses her practice on regulatory compliance matters for hospitals, physician groups, independent laboratories, and medical device manufacturers, including Stark and Anti-Kickback, anti-markup, account billing, compliance program, and HIPAA issues.Close