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

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Conducted on Thursday, February 17, 2011

Recorded event now available

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Course Materials

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.


The Patient Protection and Affordable Care Act of 2010 (PPACA) contains several significant new requirements related to program integrity that require immediate attention and action by healthcare providers and their counsel.

The program integrity provisions set forth new expectations for healthcare entities in the areas of regulatory compliance, disclosure, transparency, and quality of care. The enforcement provisions accompanying the program integrity requirements significantly increase providers' liability exposure.

To ensure compliance with the PPACA and avoid civil and criminal penalties, counsel to hospitals and providers must understand the full impact of the new program integrity provisions on business operations and advise their clients to immediately update and enhance their policies and practices.

Listen as our authoritative panel of healthcare attorneys discusses recent developments related to program integrity and explains steps hospitals and providers should take now to ensure compliance with the program integrity provisions of the PPACA.



  1. Overview of new program integrity provisions
    1. Regulatory compliance
    2. Disclosure
    3. Transparency
    4. Quality of care
  2. CMS’s recent program integrity initiatives
    1. Legislation (new and proposed)
    2. MICs, RACs and ZPICs
    3. Medicaid Integrity Program
  3. Steps to minimize liability exposure


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.


Linda A. Baumann
Linda A. Baumann

Arent Fox

She concentrates her practice on healthcare regulatory and transactional matters with particular focus on fraud and...  |  Read More

Lisa A. Estrada
Lisa A. Estrada

Arent Fox

She represents institutional healthcare providers and suppliers in government enforcement actions and investigations,...  |  Read More

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