August 6, 2021

Philadelphia Regional Healthcare Compliance Conference

Virtual , Eastern Daylight Time (EDT)

Registration closed
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Handouts

Overall Survey | CEU Application | Conference Brochure

Detecting, Responding, and Preventing COVID-19 Frauds

Maureen Dixon, Special Agent in Charge, OIG
Elton Malone, Assistant IG of Investigations, OIG

• Overview of the latest evolving COVID-19 fraud trends
• Learn strategies to prevent, identify and respond to fraud indicators
• Hear about recent criminal, civil and administrative investigative actions

Presentation
Evaluation

Emerging Areas of Health Care Compliance and Enforcement

James Sheehan, Chief, Charities Bureau, NY Attorney General

• Billing for services where there is failure to comply with clinical standards (Upper Allegheny Health System 5/21/21 settlement)
• Billing for services not reasonable or necessary/ corporate policy and practice tracking software to increase revenue (Isaac Laufer, Tami Whitney, and Montclair Care Center (SDNY Complaint June 2021) SavaSeniorCare LLC (settlement 5/21/21)
• Patient billing and failure to offer financial assistance (State of Washington v. Franciscan Health System Consent decree Washington AG 4/29/19)

Presentation
Handout 1
Handout 2
Handout 3
Handout 4
Evaluation

Hot Topics in Compliance

Robert Bacon, VP & Billing Compliance Officer, Penn Medicine, University of Pennsylvania Health System

• Learn about important regulatory developments in billing compliance
• Hear about lessons learned and case studies from a leading academic medical center
• Understand practical takeaways to bring back to your organization

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Government Enforcement: The Year That Was 2020

Sean McKenna, Partner, Spencer Fane, LLP

• Hear from a former federal prosecutor and OIG attorney regarding developments in civil, criminal, and administrative cases
• Obtain information on how to mitigate and reduce enforcement risks
• Learn leading compliance practices to avoid enforcement actions

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Evaluation

Big Data and False Claims Act Risk Due to COVID-19

Stephen Bittinger, Partner, K&L Gates

• Learn the origins of how big data became a commonplace tool for investigating healthcare fraud
• Understand how relators have used data analysis to bring False Claims Act cases
• Learn how the government collects, analyzes, and uses data as a tool to initiate False Claims Act cases
• Gain an understanding of how the government, auditors, and relators will use data analysis to hunt False Claims Act cases based on regulatory changes to reimbursement during the COVID-19 pandemic
• Learn best practices on how to use data to mitigate the risk of being a target of fraud allegations and to defend against extrapolations

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Evaluation

Leading Through a Pandemic: Lessons From the Front Lines

Moderator: Peter A. Khoury, Manager - Deloitte Advisory, Deloitte & Touche LLP

Panel: Ahmed Salim, Director of Ethics and Integrity, iRhythym
Scott Intner, Chief Compliance Officer, GW Medical Faculty Associates

• Hear from two current compliance officers on how they are leading through the pandemic
• Learn strategies used to adapt to the everchanging regulatory environment along with lessons learned
• Understand operational methods that have been implemented for managing day-to-day operations in the current environment
• Learn how compliance officers can demonstrate and create value in crisis situations

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Evaluation