2021 Healthcare Enforcement Compliance Conference

  1. Fraud and Compliance Issues Relating to Genetic Testing

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Avoid red flags in billing and coding for genetic testing

    • Learn the differences between routine audits and fraud investigations and how to respond

    • Implement compliant marketing and education outreach

  2. Managed Care Enforcement and Compliance (2021 HECC)

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Managed care fraud and enforcement actions

    • Managing compliance risks in managed care

    • Education and training and managed care compliance

  3. Laboratory Enforcement and Compliance (2021 HECC)

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Recent case studies with a discussion of what those cases tell us about risks related to medical necessity and arrangements

    • Practical solutions and best practices for mitigating risk

    • Updates on the Eliminating Kickbacks in Recovery Act

  4. Handling a Criminal Healthcare Fraud Case (2021 HECC)

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • The role of data in criminal cases

    • Emerging criminal enforcement trends

    • Responding to criminal investigations and prosecutions

  5. Hospital Physician Compensation Arrangements, Enforcement, and Compliance

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Analyze case studies based upon recent cases and settlements highlighting potential compliance pitfalls associated with physician compensation arrangements

    • Review regulatory framework for developing compliant physician compensation arrangements to avoid the common pitfalls leading to enforcement actions

    • Gain practical tips for structuring and managing physician compensation arrangements to ensure ongoing compliance

  6. Compliance Repayment and Self-Disclosure

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Applicable rules and provider obligations to return a known overpayment

    • Review best practices in identifying, quantifying, and remedying an overpayment

    • Options and considerations for repayments and self-disclosure

  7. Medicaid Fraud Enforcement

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Medicaid fraud control unit collaboration and coordination

    • Medicaid fraud identification, investigation, and multi-state prosecution

    • Government and defense perspectives on Medicaid fraud investigations

  8. Practical Steps to Prepare Your Hospital's Controlled Substance Diversion Program for Government Scrutiny

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Why hospitals are at risk for controlled substance diversion and what triggers government scrutiny

    • Key elements of a controlled substance diversion prevention program in a hospital setting

    • The questions to ask now to prepare your program for government scrutiny later

  9. Effective Compliance Due Diligence

    2021 Healthcare Enforcement Compliance Conference  | November 10, 2021 

    • Explore the foundation of a comprehensive compliance-centered due diligence process

    • Explore how transaction structures affect the scope and approach of due diligence, review the minimum compliance due diligence that should occur, and learn best practices for monitoring post-transaction compliance and mitigation of identified risks

    • Examine case studies, lessons learned, practice tips, risks, and common pitfalls of conducting due diligence

About SCCE

The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

952.933.4977

About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

952.988.0141

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