Fraud and Compliance Year In Review ( 2023): Looking Back, Planning Ahead

Description

In this webinar, our panel discusses critical trends and developments in health care fraud and abuse, compliance, and enforcement in 2023. Topics covered include recent government enforcement initiatives, Stark and Anti-Kickback developments, self-disclosures and settlements, trends, and changes in the industry that will impact health care organizations and their contracting and compliance efforts in 2024.

Who Can Benefit:

• Hospital executives, particularly CEOs, COOs, CFOs, CNOs, and CMOs;
• Nursing home executives;
• Physicians;
• Physician practice managers; and
• Other healthcare provider executives.

Target Audience:

• Hospital executives, particularly CEOs, COOs, CFOs, CNOs, and CMOs;
• Nursing home executives;
• Physicians;
• Physician practice managers; and
• Other healthcare provider executives.

Why Should You Attend:

This program is designed for health care executives, physicians and other health care providers and their managers who participate in and receive remuneration from Medicare, Medicaid, and other federal health care programs such as TriCare.  Recent enforcement actions by the OIG bring home the realization that many activities that are common in other industries are a crime under federal healthcare fraud and abuse laws.

Hospital executives, as well as physicians and/or other health care providers, should be very concerned about the potential for the government to use the AKS as one of the prime methods for enforcing the federal fraud and abuse laws.  In this webinar, you will learn about the elements of the AKS, along with any new safe harbors that you can rely on for protection against enforcement under these laws. This is important because healthcare fraud and abuse if becoming the focus of these enforcement efforts.

Learning Objectives:

• The audience will learn about key case law trends from 2023 to prepare them for risk assessment and analyses in the new year.
• The audience will learn about trends in DOJ/OIG compliance guidance to prepare for 2024.
• The audience will learn about developments impacting enforcement under the physician self-referral law, Anti-Kickback Statute and beneficiary inducement.

Areas Covered In The Presentation:

• Federal False Claims Act
• Federal Anti-Referral Act (Also known as Stark Law)
• Exceptions to Stark Law
• Federal Anti-Kickback Statute,
• Safe Harbors providing protection under the AKS,
• Enforcement activities
• The OIG’s Advisory Opinions,
• The anti-fraud provisions of the Affordable Care Act, and
• What to expect in 2024 and beyond.