HCCA Conference Slides and Recordings
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Compliance in Coverage: Understanding Medicare Advantage Rules and Restrictions
2023 HCCA Webinar | November 28, 2023
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Understand the Medicare Advantage regulatory requirements in place today
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Identify key areas where CMS's 2024 Final Rule for Medicare Advantage plans clarified existing policies
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Identify key areas where CMS's 2024 Final Rule for Medicare Advantage plans added new criteria to take effect January 1
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Discuss the practical application of the rules, where they arise in healthcare workflows today
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Discuss strategies for resolution of potential violations of the rule
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How to successfully launch compliance in a small organization
2023 HCCA Webinar | November 16, 2023
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Learn where you can start with an example of a year one compliance plan
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Understand how culture and leadership can motivate employees to want to be a part of compliance
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Obtain low cost and free tools and resources used to promote compliance
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Research Year in Review - Virtual Research Conference 11/9/23
2023 HCCA Virtual Research Compliance Conference | November 09, 2023
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Relevant new laws, regulations, and guidance from federal and state government agencies on the conduct of research
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New OIG Workplan and its research initiatives as well as key enforcement initiatives and settlements related to research
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Novel approaches to addressing these new government initiatives within research compliance programs
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Compliance with Psychedelics and Emerging Therapies
2023 HCCA Virtual Research Compliance Conference | November 09, 2023
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Discussion of emerging therapies including clinical trials and the future of psychotherapy
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Discussion of steps that can be taken to mitigate risk and increase protective factors for the subjects
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Review of integration techniques, resources, legal and ethical issues with these emerging therapies
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Why DEI Initiatives in Research are Not Working: Time for a Deeper Dive!
2023 HCCA Virtual Research Compliance Conference | November 09, 2023
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Define current and recent trends in DEI in research and associated precipitating influences
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Dispel myths and address barriers to DEI initiatives leading to concrete gains
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Transfer the overwhelming energy on identifying problems to generating solutions
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Enforcement Issues in Drug and Device Research
2023 HCCA Virtual Research Compliance Conference | November 09, 2023
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Overview of research misconduct in drug and device development
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Discussion of federal enforcement efforts
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Best practices for ensuring research integrity and compliance
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Research Security Updates
2023 HCCA Virtual Research Compliance Conference | November 09, 2023
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Status of research security program standards and disclosure requirements
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How are funding agencies reviewing and using information that is disclosed?
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Steps institutions should be taking to develop compliance strategies
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Compliance Considerations for Decentralized Clinical Trials
2023 HCCA Virtual Research Compliance Conference | November 09, 2023
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Ethics and equity
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Technology adoption and implementation
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Control design for decentralization
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Federal Administrative Sanctions - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Understand OIG enforcement sanctions, remedies, and appeals
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Appreciate differences from available CMS Sanctions
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Identify new CMS program integrity rules and authorities
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Hot Topics in Fraud and Abuse
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Latest developments in fraud cases
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Kickback and Stark liability
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Medical necessity, risk adjustment, and common false claims
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Published Guidance and Compliance Program Effectiveness
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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What to ask and look for in effectiveness evaluation proposals
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Things to consider as your effectiveness review is being conducted
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Using review results to improve your compliance program's performance
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CIAs and IROs - HECC 2023
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Corporate integrity agreements implementation and coordination with OIG Monitor
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Obligations and role of an IRO
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Keys to successful IRO engagements
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Enforcement, Compliance, and Behavioral Health
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Eliminating Kickbacks in Recovery Act and its application to behavioral health
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Criminal and civil federal and state enforcement against mental health and substance abuse treatment facilities and sober homes
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Common arrangements and kickback liability
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Response to Civil Investigative Demands
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Legal basis and scope of Civil Investigative Demands
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Civil Investigative Demand and subpoenas
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Civil Investigative Demands for e-data and response
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Enhanced Enforcement of Hospital Transparency Rule
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Overview of the price transparency rule
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Review CMS enforcement efforts
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Compliance Tips
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Upcoming changes
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Fraud and Compliance in Retail Pharmacy
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Review of OIG Work Plan items relevant to pharmacies
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Review of DOJ, DEA, and other agency enforcement cases
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State Board of Pharmacy risks and fraud trends
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Common billing risk issues in pharmacies
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Implementing a Compliance Program for retail pharmacies
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Internal Investigations and Remedial Actions
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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Discuss the importance of having a structured process for conducting an investigation
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When should legal counsel be brought into the investigation?
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Identify mitigation strategies based on the facts as developed from the investigation
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Enforcement and Compliance in Clinical Laboratories
2023 HCCA Healthcare Enforcement Compliance Conference | November 07, 2023
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EKRA, AKS and Clinical Laboratories
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Marketing Activities and Compliance Risk
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Identification and Response to EKRA and AKS Compliance Risk
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Evaluation and Compliance Program Effectiveness: DOJ, OIG & Industry Benchmarks
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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General session 1 - 2023 HCCA Healthcare Enforcement Compliance Conference
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Beneficiary Inducement and FCA Liability
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Prohibitions against beneficiary inducement for healthcare services
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False claims and civil money penalty liability
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OIG fraud alerts and authorities on prohibited beneficiary inducement, including criminal and civil liability for routine waiver of co-payments
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Post Pandemic Enforcement
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Status of post-pandemic enforcement actions
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Payment Protection Program and Provider Relief Fund liability
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Responding to administrative actions to recover pandemic funds
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Enforcement, Compliance, and Long-Term Care
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Criminal and civil enforcement actions
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Common basis for long term care liability
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Managing long term care risk
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FCA and Liability for Risk Adjustment
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Origins of liability for risk adjustment
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State of settlements and litigation
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Recent final RADV rule and audit liability
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FCA Developments
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Review of recent False Claims Act Supreme Court decisions
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Latest developments in False Claims Act liability and damages
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Dismissal and Summary Judgment in False Claims Act cases
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Internal Investigations, Repayment, and Self-Disclosure
2023 HCCA Healthcare Enforcement Compliance Conference | November 06, 2023
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Authority and practical considerations for conducting internal investigations
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Methods and best practices for internal investigations
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Evaluation and report, potential self-disclosure, and resolution of compliance matters
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