Staying Ahead of the OIG: Best Practices in avoiding Fraud and Abuse and Civil Fines and Penalties

Why Should You Attend:

Hear from a former US Attorney on Best Practices to stay ahead of the OIG and lessons learned from companies that were not so lucky. We will study lessons learned from recent Corporate Integrity Agreements, regulations and recent civil fines and penalties. The attendee will gain a more in depth insight into whether their company’s overall approach to compliance will meet OIG and CMS scrutiny for 2014.

Attend this 70-minute webinar to understand the framework of the 2014 OIG Work Plan and recent Corporate Integrity Agreements regarding the recent trends and cases of enforcement for False Claims Act violations. Participants will learn the 7 Pillars of an Effective Compliance Program to meet the OIG Work Plan, the impact of the Affordable Care Act and CMS Guidelines in this area. Learn what investigators look for in a plan and how to reduce fines by up to 85%. You will gain valuable insights from the speaker as well as a checklist to review your plan. You will also learn how to comply with the ACA, CMS Guidelines on monthly Exclusion monitoring.

Areas Covered in the Webinar:

• 2014 -2018 OIG Strategic Plan
• 2014 OIG Work Plan
• 7 Pillars of an Effective Compliance Plan
• State Medicaid Bulletins on monitoring your referring Physicians and Vendors
• OIG Special Advisory Bulletin on Excluded Parties
• Recent cases of civil fines and penalties
• Recent Corporate Integrity Agreements
• CMS State Medicaid Director Letters
• Section 6501 Affordable Care Act (Excluded Parties)

Who Will Benefit:

This webinar will provide valuable assistance to all personnel in:

Hospitals, Academic Medical Centers, Long-term care facilities, Medical offices, Practice groups Insurers, ACO’s.

• Compliance Officers
• CEO
• CFO
• Privacy Officer
• Human Resources Officer
• Healthcare Counsel/lawyer
• Office Manager
• Contracts Manager
• Supply Chain and Procurement
• Risk Department

Instructor Profile:

Alice H Martin, Esq. founded Martin Compliance Consulting (MC2) in July of 2012 following her service as Corporate Compliance Officer and Chief Privacy Officer for RegionalCare Hospital Partners (2010-2012) and U. S,. Attorney (2001-2009) where she headed a nationally recognized Health Care Fraud Task Force. She is a former Alabama Circuit Court Judge. She received her J.D. from the University of Mississippi, and her B.S. in Nursing from Vanderbilt University. She is licensed to practice law in Alabama, Mississippi & Tennessee. She is certified in healthcare compliance (CHC) and healthcare privacy (CHPC). She is active in the HCCA and the American Health Lawyers Association. Ms. Martin is currently appointed as a Deputy Attorney General in Alabama and provides legal counsel to the Department of Examiners of Public Accounts in its implementation of Alabama's Recovery Audit Statute.

Her experience as U. S. Attorney provides a unique prospective into the manner in which law enforcement and regulatory agencies build civil and criminal health care prosecutions and how your compliance program is evaluated in light of U. S. Sentencing Guideline mandates. She has experience in negotiating non-prosecution agreements, deferred prosecution agreements as well as Corporate Integrity Agreements having led the criminal prosecution of HealthSouth Corporation and 15 corporate officers and oversight of its $350M qui tam settlement.

MC2 assists in internal investigations, compliance and privacy program development, compliance effectiveness reviews, and interim compliance officer (ICO) services.

Michael Rosen, Esq. has been in the healthcare technology and risk mitigation industry for over 20 years. n 2009, he co-founded ProviderTrust, Inc, a Nashville based healthcare technology firm specializing in the automation of OIG exclusion monitoring of providers and vendors in real-time while also tracking internal requirement policies and verifying healthcare licenses. In 1995 Mr. Rosen co-founded and led the international pre-employment background screening and identity theft restoration practice of Kroll, Inc., a division of Marsh McLennan (NYSE; MMC). Mr. Rosen is a licensed Attorney and Private Investigator and is active in HCCA, AHCA and is an active blogger on the topic of healthcare compliance.

Mr. Rosen graduated from the University of Texas and from the University of Memphis Law School.

Follow us :