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Handouts - 2017 - Regional - Boston

Boston Regional Conference
September 8, 2017
Boston, MA

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Stark Law – Case Studies

Lisa Ohrin Wilson, Senior Technical Advisor, CMS
Larry Vernaglia, JD, MPH, Partner, Health Law Group, Foley & Lardner, LLP

  • Understand the latest changes to the Physician Self-Referral (Stark) Law;
  • Address the compliance officer’s role in working with Stark; and
  • Consider several recent cases and potential impact on healthcare providers

Presentation (2 slides/page)
Presentation (3 slides/page)

Hearing from the Government

George Mills, Deputy Center Director, CMS Center for Program Integrity

  • Key CMS Program Integrity initiatives
  • Audits and Investigations, including the contractors who perform them and the scope of their authority.
  • Review of Medicaid Program Integrity contractors, ZPICs, and the new UPICs, MACs, and RACs.

Presentation (2 slides/page)
Presentation (3 slides/page)

Avoiding Qui Tam Actions: Issues and Considerations

Robert A. Griffith, Gargiulo / Rudnick, LLP
David S. Schumacher, Hooper, Lundy & Bookman, PC

  • Gain an understanding of the ins and outs of the False Claims Act from practitioners
  • Learn about the features of compliance programs—good and bad—that make the difference in qui tam lawsuits
  • Discover practical “dos and don’ts” when dealing with complainants that can save your company from a whistleblower suit
  • Understand the most common issues in qui tam lawsuits today
  • Get an inside view from former government prosecutors about what matters most in qui tam lawsuits
  • Understand from experienced counsel what drives whistleblowers and how you can avoid them

Presentation (2 slides/page)
Presentation (3 slides/page)


Beneficiary Inducement and Financial Relationships with Patients

Jill Wright, Foley & Lardner

  • Highlight what can and cannot be offered to patients
  • Recent changes to OIG regulations and guidance
  • When is it appropriate to waive patient financial obligations?

Presentation (2 slides/page)
Presentation (3 slides/page)

Managing Access and Permissions: Steps to reduce your risks

Jennifer Cox, Cox & Osowiecki, LLC
​​​​​​​Rick King, Chief Compliance Officer, UMass Memorial Medical Center
Lynn Sessions, Partner, Baker Hostetler

  • Discussion of the importance of keeping a focus on Privacy (not just Security)
  • Outline of immediate steps covered entities and business associates can take to reduce their Privacy and breach risk
  • Lessons to be learned: Review of OCR major enforcement activity on unauthorized access

Presentation (2 slides/page)
Presentation (3 slides/page)

Keynote: Enforcement Trends and Updates with Acting US Attorney William Weinreb

Dave Yarin, Principal, Deloitte
​​​​​​​William D. Weinreb, Acting U.S. Attorney, District of Massachusetts

  • Key takeaways from the Yates Memo
  • Drug diversion
  • Healthcare fraud enforcement trends and compliance program effectiveness

No presentation available