Resources

Key Compliance Issues for 2015

March 24, 2015

Dykema is pleased to co-sponsor the 17th Annual compliance seminar in conjunction with HFMA Great Lakes Chapter. Experienced attorneys from Dykema's Health Care Group and a representative of the Health Care Fraud Division of the Michigan Attorney General's Office will address a variety of key health care compliance issues, with a particular emphasis on practical application.

Tuesday, March 24, 2015
9:00 am - 3:00 pm

The H Hotel 
111 West Main Street, Midland, Michigan 48640

Click here to register

Pricing
HFMA Member $85   |   Non Member $95
Additional attendees from same organization $75

Agenda

9:00 - 9:30 am

Registration

9:30 - 9:35 am

Welcome and Introductions

9:35 - 10:20 am

 Fraud and Abuse Update -- Jonathan Feld

  • New developments in Fraud/False Claims Act cases
  • Recent developments in DOJ cooperation policies
  • Data breaches: how to respond
  • Focus on physician practices and DOJ emphasis on supervisory and individual liability

10:20 - 10:55 am

Beneficiary Inducements: How Much is Too Much? -- Monica Wilkinson

  • Overview of the law
  • Proposed safe harbors
  • Designing care coordination activities

10:55 - 11:10 am

Networking Break

11:10 - 11:55 am

Michigan Health Care Fraud Enforcement -- David Tanay, Michigan Department of Attorney General

  • Scope of Health Care Fraud Division's activities
  • What to do if our Division contacts you
  • Recent cases and trends

11:55 am - 12:30 pm

Is Your Exempt Status at Risk? -- Kathrin Kudner

  • Key threats to retaining exemption - joint ventures, unrelated business, political/lobbying activity, excess benefit
  • Section 501(r) complying with final regulations
  • Preparing for the IRS' new "audit"
  • Complying with State requirements

12:30 - 1:15 pm

Lunch

1:15 - 1:55 pm

Compliance Investigations: Responding to Reports of Billing Noncompliance -- Donna O'Connor

  • Identifying reports to handle as compliance investigations
  • Structuring billing reviews once an issue is identified
  • Correcting the problem and closing the loop

1:55 - 2:30 pm

Non-Physician Providers - What May They Do? What May They Bill? -- Kathleen Reed

  • Michigan licensure and scope of practice laws
  • Prescription-writing rules
  • Billing (direct and in name of physician)
  • Practical compliance tips

2:30 - 3:00 pm

Is it Provider-Based? -- Maria Abrahamsen

  • Is value of provider-based billing diminishing?
  • CMS Region V's position on key issues
  • How long will premium payment last?