November 5, 2021

Nashville Regional Healthcare Compliance Conference

Nashville, TN, United States

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Handouts

Overall Survey | CEU Application | Conference Brochure

Information Blocking and Right of Access

Sabrina Wilferd, Director, Regulatory Compliance, LifePoint Health
Tyler Golden, Vice President, Corp. Privacy, Community Health Systems
Rita Bowen, Vice President, Privacy, Compliance and HIM Policy, MRO

• Describe challenges and lessons learned from information blocking implementation
• Discuss scoping and enforcement of the right of access
• Examine conflicting regulations, guidance, and interpretations

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Evaluation

OIG Update

Tony Maffei, Special Agent, US Dept of HHS – OIG

• Gain an understanding of recent investigative results in Tennessee and across the country
• Receive updates on the criminal trials of some opioid providers
• Learn about how OIG handled the pandemic and changes to OIG priorities

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Evaluation

Stark and Anti-Kickback Statute: What You Need to Know About the Regulatory Sprint to Coordinated Care

Stewart Kameen, Partner, Bass Berry & Sims
Kimberly Brandt, Partner, Tarplin, Downs & Young, LLC

• Review the background: How we got here, including background on the shift from volume to value and overcoming regulatory fraud and abuse hurdles
• Discuss how recent changes to the Big Three Stark definitions impact current and future arrangements
• Examine the new value-based enterprise structure and the potential for new value-based arrangements, including arrangements that share upside and downside risk
• Study new opportunities to provide free items and services to patients to support care needs and address unmet needs, including social determinants of health

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Evaluation

Whistleblower Lawsuits Under the False Claims Act: Implications for Healthcare Providers

Jerry Martin, Partner, Barrett Johnston Martin & Garrison
Justin Pitt, Senior Vice President, Chief Litigation Counsel, Community Health Systems
Matthew Curley, Partner, Bass, Berry & Sims

• Gain an understanding of the qui tam provisions of the False Claims Act
• Gain a greater appreciation for nature and type of False Claims Act qui tam lawsuits most frequently faced by healthcare providers
• Learn how qui tam lawsuits are investigated by the government and litigated by qui tam relators and healthcare providers facing False Claims Act lawsuits
• Learn how False Claims Act lawsuits are resolved and the implications of settlement

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Evaluation

Conflicts of Interest

Scott Long, Vice President, Chief Compliance Officer, St. Jude Children’s Research Hospital
Ted Case, Chief Compliance Officer, Vanderbilt University Medical Center

• Review the conflict-of-interest requirements applicable to federally-funded research and strategies for ensuring compliance with those requirements
• Discuss the federal laws and regulations designed to protect federally-funded research from inappropriate foreign influence, the consequences of noncompliance with those requirements, and the strategies for ensuring compliance
• Examine the legal, regulatory, and reputational risks arising from business and financial relationships between providers of federal healthcare services and manufacturers and suppliers of items and services covered by federal healthcare programs, and the strategies for identifying, documenting, and managing those risks appropriately

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