Healthcare Reform

The Patient Protection and Affordable Care Act as amended, contains dozens of new provisions relating to healthcare fraud and abuse and program integrity. A handful of these provisions are likely to have a long term and dramatic impact on the healthcare and life sciences industries, requiring material changes in approaches to, and analysis and assessment of, business arrangements, financial and compliance audits and other monitoring tools, and compliance weaknesses and deficiencies. Certainly, the room for human errors has been reduced considerably, matched by an expansion in the adverse consequences attendant to such errors.

Join us for a pragmatic educational program with fraud and abuse and regulatory compliance specialists from Sonnenschein Nath & Rosenthal LLP. The presenters will focus on the risks, opportunities and pitfalls associated with the most important statutory and regulatory changes, enabling industry members to contend with the new realities of effective compliance.

Key learning points of the session will include:

  • Discussion of the new and dicey intersection of “overpayments” and “false claims” under the federal civil False Claims Act (FCA).
  • Examination of changes to the federal healthcare program anti-kickback statute and the beneficiary inducement law.
  • Review of the reshaped interplay between the “public disclosure” defense and the “original source” carve out for purposes of defeating certain qui tam whistleblower actions.
  • Consideration of the new Stark Law self-disclosure protocol.
  • Recommendations for upgrading the effectiveness of compliance programs.

The session will end with next-step suggestions for HIPAA/HITECH compliance and preparing for inspections by the Office for Civil Rights. A live question and answer session with the presenters will be included.

Webinar attendees will receive access to complimentary copies of the benchmark study and the Crowe Horwath whitepaper “Raising Healthcare Security and Privacy Standards: Complying With HIPAA and the HITECH Act”.

Who Should Attend

  • Industry CFO, CEO
  • Chief Compliance Officer
  • Chief Risk Officer
  • Director of Regulatory Affairs
  • Legal/Regulatory Counsel
  • VP/Director of Revenue Cycle
  • Physicians and their staffs

About the Presenters

Gadi Weinreich is the former national Chair of Sonnenschein’s Health Care Group and a member of the Firm’s Executive Committee. He has been recognized by Chambers USA, ExpertGuides, Nightingale’s Health News and The Washington Post for his accomplishments in defending healthcare fraud and abuse and regulatory compliance matters. He also serves on the Fraud and Abuse Advisory Board for publisher, BNA, Inc.

Chris Janney is the former national Co-Chair of the Sonnenschein Health Care Group and concentrates his practice in the areas of health care fraud and abuse and corporate compliance. Mr. Janney routinely represents hospitals, academic medical centers, insurers, group purchasing organizations, pharmaceutical manufacturers, and durable medical equipment suppliers, as well as a broad array of other health care organizations.

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