Let’s “Virtually” Talk Compliance Master Class
Location
Foley & Lardner will once again join PYA for the fourth annual “Let’s ‘Virtually’ Talk Compliance” event taking place January 19-20, 2022. The panel of presenters will include health care attorneys, certified public accountants and valuators, and health care advisors.
We will have two sessions each day. The topics focus on recent health care fraud and abuse cases, compensation valuation compliance issues, the No Surprises Act, and data analytics in enforcement and compliance. A more detailed agenda is provided below.
The complimentary sessions take place from 10 a.m. to 12:30 p.m. Eastern each day, as follows:
- Opening Comments: 10:00 a.m. – 10:05 a.m.
- Session 1: 10:05 a.m – 11:05 a.m.
- Break: 11:05 a.m. – 11:15 a.m.
- Session 2: 11:15 a.m. – 12:15 p.m.
- Closing Comments: 12:15 p.m.
Participants who attend the duration of a full session may choose either CPE, CLE, or CHC credits.
For more information, or to register for either day, click here.
Presentation and Materials
10:00 a.m. – 10:05 a.m. Opening Comments
10:05 a.m. - 11:05 a.m. Session 1 - "Fraud & Abuse: Recent Cases Settled Summary"
- Olivia King, Associate at Foley & Lardner
- Shannon Sumner, PYA Chief Compliance Officer and Principal
- The speakers will discuss recent health care fraud and abuse cases, settlements, and enforcement activity by the Department of Justice (DOJ), Office of the Inspector General (OIG), and Centers for Medicare & Medicaid Services (CMS), as well as provide participants with the 2022 outlook and key takeaways for corporate compliance programs and expectations for enforcement trends.
11:05 a.m. - 11:15 a.m. Break
View Session 1 Slides
11:15 a.m. - 12:15 p.m. Session 2 - "Compliance Considerations Related to Provider Compensation"
- Angie Caldwell, PYA Principal
- Carol Carden, PYA Managing Principal of Valuation Services
- Kyle Faget, Partner at Foley & Lardner
- Judy Waltz, Partner at Foley & Lardner
- This discussion will include best practices (and not so best practices!) for compliance surrounding key opinion leader compensation, open payments database reporting, telemedicine compensation, the use of value-based exceptions, advanced practice provider supervision and work attribution, and more.
12:15 p.m. - 12:30 p.m. Closing Comments
View Session 2 Slides
Day 1 Webinar
10:00 a.m. – 10:05 a.m. Opening Comments
10:05 a.m. - 11:05 a.m. Session 3 - "Keeping Your House Clean: Data Analytics in Health Care Enforcement and Compliance"
- Matt Krueger, Partner at Foley & Lardner
- Valerie Rock, PYA Principal
- DOJ, HHS, and OIG, and other agencies increasingly rely on sophisticated data analytics to guide enforcement efforts against health care fraud, waste, and abuse, which increases the need for compliance programs to use data analytics. This presentation will cover DOJ and HHS OIG’s expectations for compliance programs, including effective use of data; practical steps to take to improve use of data in compliance activities, including risk assessments, audits, and investigations; and challenges to using data effectively, including data availability, technical limitations, and the need to prioritize efforts.
11:05 a.m. - 11:15 a.m. Break
View Session 3 Slides
11:15 a.m. - 12:15 p.m. Session 4 - "No (More) Surprises Act - Whoops Here's One!"
- Jana Kolarik, Partner at Foley & Lardner
- Kathy Reep, PYA Senior Manager
- On January 1, 2022, the federal No Surprises Act became effective. The new law prohibits surprise billing for emergency services and non-emergency services furnished by an out-of-network provider in an in-network facility. It also establishes a specific process to determine the amounts owed by patients and payers. This session will provide a brief overview of the No Surprises Act; discussion of the requirements related to the good faith estimates for uninsured and self-pay patients; and legal updates and compliance concerns.
12:15 p.m. - 12:30 p.m. Closing Comments
View Session 4 Slides
