There has never been a more important time for all health care organizations to implement or review their corporate compliance program. No longer limited to 'dishonest' marginal providers who are intentionally cheating the system, the government's enforcement efforts are now also ensnaring many large and highly regarded provider organizations. Individual officers, managers and board members are now exposed to individual liability as never before
This practical program will give you the tools that you need to implement, review and maintain your organization's compliance program.
- Medicare Modernization Act: how might it affect your organization?
- Compliance guidance for health care organizations
- Collateral consequences to noncompliance
- Compliance in medical practices
8:30 a.m. - 9:30 a.m.
I. Overview Of Government Oversight
A. Criminal Investigations And Prosecutions
B. Civil False Claims
C. How To Handle A Government Audit
D. What To Do When The Government Knocks
9:30 a.m. - 11:00 a.m.
II. Compliance Guidance For Health Care Organizations
A. Codes Of Conduct And Compliance Policies
B. Structure Of A Hospital Compliance Program
C. Auditing And Reporting Issues
11:00 a.m. - 11:10 a.m.
11:10 a.m. -12:10 p.m.
III. Reviewing, Revising And Implementing Compliance Plans
A. What's A Proper Review?
B. A Plan vs. Program
C. Communicating Compliance To The Board Of Directors
12:10 p.m. - 1:10 p.m.
Lunch (On Your Own)
1:10 p.m. - 1:40 p.m.
IV. Effective Compliance Tools (Seven Steps) For Physician Office
A. Designation Of A Compliance Officer And Establishment Of Policy And Procedure
B. Education And Training As A Response To Auditing And Monitoring
C. Open Communication Through An Open Door Policy
D. Responding To Compliance Violations And Enforcing Disciplinary Standards
1:40 p.m. - 2:25 p.m.
V. Collateral Consequences To Noncompliance
A. Administrative Fines And Penalties
B. Medicare/Medicaid Exclusion
C. Professional Licensure Actions
2:25 p.m. - 2:35 p.m.
2:35 p.m. - 3:30 p.m.
VI. Compliance In Medical Practices
A. Internal Compliance Efforts
B. External Reviews And Education
C. Writing Your Own Compliance Plan
3:30 p.m. - 4:00 p.m.
VII. Emerging Issues In Health Care Fraud And Best Practices
A. Recent Enforcement Activities And Trends
B. Self Disclosure
C. Corporate Integrity Agreements
D. Internal Investigations
4:00 p.m. - 4:30 p.m.
VIII. Questions And Answers