Program Integrity Provisions of the PPACA
Meeting the New Requirements for Compliance, Disclosure, Transparency and Quality of Care
Recording of a 90-minute CLE webinar with Q&A
This CLE course will provide guidance to healthcare counsel on complying with the program integrity provisions of the PPACA. The panel will outline immediate updates needed to providers' policies and practices to avoid government enforcement actions and increased liability exposure.
Outline
- Overview of new program integrity provisions
- Regulatory compliance
- Disclosure
- Transparency
- Quality of care
- CMS’s recent program integrity initiatives
- Legislation (new and proposed)
- MICs, RACs and ZPICs
- Medicaid Integrity Program
- Steps to minimize liability exposure
Benefits
The panel will review these and other key questions:
- What changes do the program integrity provisions make to the Stark law related to physician-owned hospitals, disclosure requirements for the IOAS exception, and the Stark self-disclosure protocol?
- What are the new provider and supplier enrollment requirements?
- What is the new deadline for reporting and returning overpayments?
- What are the significant False Claims Act changes in the new law, including changes to the public disclosure bar?
Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.
Faculty
Linda A. Baumann
Partner
Arent Fox
She concentrates her practice on healthcare regulatory and transactional matters with particular focus on fraud and... | Read More
She concentrates her practice on healthcare regulatory and transactional matters with particular focus on fraud and abuse, reimbursement and implementation of Medicare’s new Part D benefit. She has handled government investigations, implemented corporate compliance programs, served as outside regulatory counsel, and conducted due diligence in connection with acquisitions and financing.
CloseLisa A. Estrada
Partner
Arent Fox
She represents institutional healthcare providers and suppliers in government enforcement actions and investigations,... | Read More
She represents institutional healthcare providers and suppliers in government enforcement actions and investigations, cases under the False Claims Act and administrative litigation. Through this work, she has gained a solid understanding of healthcare fraud and abuse issues and frequently counsels a broad range of health industry clients on compliance matters.
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