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

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Conducted on Thursday, March 17, 2011

Recorded event now available

or call 1-800-926-7926
Course Materials

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.


The Office of Inspector General (OIG) issues a Work Plan each fiscal year outlining its areas of focus for the year. For FY 2011, the OIG has targeted provider-based status, quality of care issues and reimbursement issues as top enforcement priorities.

In light of the heightened OIG scrutiny in these areas, hospitals and their counsel should immediately review the appropriateness of their provider-based designation, and examine whether the hospital has fully and accurately reported all adverse events impacting Medicare beneficiaries.

In addition, hospitals should review their claims processing practices to identify and justify all unusually high Medicare payments.

Listen as our authoritative panel of healthcare attorneys examines the OIG's priority activities for FY 2011 that impact hospitals. The panel will explain best practices for hospitals and their counsel to increase the likelihood that current compliance practices will survive heightened federal scrutiny.



  1. 2011 OIG Work Plan priorities impacting hospitals
    1. Provider-based status for inpatient and outpatient hospitals
    2. Hospital-reported quality measure data
    3. Medicare reimbursement
    4. Other priority areas
  2. Compliance best practices for hospitals
    1. Establish compliance committee
    2. Update compliance programs
    3. Conduct compliance risk assessment
    4. Create a compliance work plan
    5. Conduct periodic audits
    6. Train management and staff
  3. Responding to investigations and litigation
    1. Responding to the OIG investigatory letter
    2. Qui tam trends
    3. Internal investigations
    4. 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.


Dowell, Michael
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

Douglas A. Grimm
Douglas A. Grimm

Senior Associate
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

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

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