Hospital Compliance Under the OIG 2011 Work Plan
Preparing for Heightened Federal Scrutiny of Provider-Based Status, Quality Reporting and Reimbursement
Recording of a 90-minute CLE webinar with Q&A
This CLE course will discuss best practices for hospital counsel to improve compliance practices in areas targeted by OIG in its FY 2011 Work Plan, including provider-based status, quality of care reporting and reimbursement.
- 2011 OIG Work Plan priorities impacting hospitals
- Provider-based status for inpatient and outpatient hospitals
- Hospital-reported quality measure data
- Medicare reimbursement
- Other priority areas
- Compliance best practices for hospitals
- Establish compliance committee
- Update compliance programs
- Conduct compliance risk assessment
- Create a compliance work plan
- Conduct periodic audits
- Train management and staff
- Responding to investigations and litigation
- Responding to the OIG investigatory letter
- Qui tam trends
- Internal investigations
- Voluntary disclosures
The panel will review these and other key questions:
- What key compliance areas has the OIG targeted as enforcement priorities during fiscal year 2011?
- How should hospitals and their counsel respond to investigations and requests for information by the OIG?
- What steps should hospitals and their counsel take immediately to ensure that their compliance practices will withstand OIG scrutiny?
Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.
Michael A. Dowell
Hinshaw & Culbertson
Mr. Dowell practices in the areas of healthcare, regulatory and corporate law. With more than 30 years of experience,... | Read More
Mr. Dowell practices in the areas of healthcare, regulatory and corporate law. With more than 30 years of experience, he represents clients in a variety of sectors within the healthcare industry, including federally qualified health centers, health plans, PPOs, HMOs, Medicaid Managed Care Plans, Medicare Advantage Plans, PACE Programs, employer self-insured plans, pharmacy benefit managers, pharmaceutical manufacturers, retail pharmacies, long-term care pharmacies, specialty pharmacies, compounding pharmacies, mail order pharmacies, wholesale drug distributors, hospitals, health systems, long-term care providers, physician organizations, management companies, and ancillary service providers. Mr. Dowell counsels clients in a variety of corporate and contractual transactions, including M&As, joint ventures, affiliations, licensing, financing and services-related transactions. He also advises clients in federal and state fraud and abuse matters, compliance program development, governmental audits and investigations, Medicare, Medicaid, HIPAA and data privacy, meaningful use of electronic medical records, licensing, healthcare reform delivery models, concierge medicine, and managed care law.Close
Douglas A. Grimm
Pillsbury Winthrop Shaw Pittman
He coordinates the Medicare/Medicaid Compliance Task Force for the Firm's healthcare practice. A Fellow in the American... | Read More
He coordinates the Medicare/Medicaid Compliance Task Force for the Firm's healthcare practice. A Fellow in the American College of Healthcare Executives and former COO of several acute-care hospitals, he advises health systems, hospitals, pharmaceutical and medical device companies, physician organizations and managed care companies on a wide variety of federal and state regulatory matters.Close
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