September 29–October 1, 2013Hilton Baltimore Hotel | Baltimore, MD

www.hcca-info.org www.healthlawyers.org

sponsors

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Program AgendaPROGRAM MISSIONThe AHLA/HCCA Fraud and Compliance Forum will provide practical guidance on the pressing legal and compliance issues that have arisen in the last twelve months. The program’s uniqueness stems not only from the important content for health lawyers and compliance officers, but also from the additional value of bringing together legal counsel and compliance officers in one educational arena. The Fraud and Compliance Forum is jointly sponsored by the Health Care Compliance Association (HCCA) and the American Health Lawyers Association (AHLA). It includes an explicit designation of each session as “compliance focused” or “legal focused.” The Planning Committee has included enough sessions in each designation that an individual could attend all “compliance” sessions or all “legal” sessions for the entire program. Yet an attendee also has the option of selecting a diversity of sessions and networking with an expanded group of individuals.

PROGRAM GOALS AND LEARNING OBJECTIVES• Gain a greater understanding of the full nature of the various regulations

governing the delivery of healthcare (Stark, False Claims Act)• Recognize emerging regulatory trends that will affect legal and compliance

practices in healthcare• Network with peers and learn about the challenges and risk areas faced by

a wide variety of healthcare settings (hospitals, academic medical centers, physician practices, long-term care providers, pharmaceutical manufacturers and plans)

• Recognize the common issues faced by compliance and legal professionals, the roles each play in ensuring compliance and ways in which they can effectively work together

WHO SHOULD ATTENDHealth Law Attorneys / Compliance Professionals / Billing and Coding Professionals / Third-Party Billing Professionals / Chief Executive Officers / Chief Operating Officers / Chief Technology Officers / Chief Financial Officers / Medical Directors / Physicians / Managed Care Professionals / Medical Group Managers / Data Managers / Ethics Officers / Health Insurance Executives / Consultants / Government Agency Employees / Health Administration Faculty / Risk Managers / Pharmacists / Quality Assurance Professionals / Registered Nurses / Long-Term Care Professionals

SUNDAY, SEPTEMBER 2911:30 am–5:30 pm

Registration and Information

CONCURRENT SESSIONS

1:00–2:30 pm (EXTENDED SESSIONS)

I. Primer of Medicare/Medicaid Program Integrity: What the Government Can Do and How to Respond (not repeated)Joan P. Dailey/Robert L. Roth•• What is Program Integrity?•• Program Integrity initiatives (suspensions, revocations, civil monetary penalties, recoupment, etc.) and tools (data mining, audits, medical review, etc.)•• Implementation of Program Integrity initiatives, including CMS’s use of contractors and coordination with other federal and state agencies •• The relationship between Program Integrity and provider compliance activities•• Practical tips for responding to Notice of Adverse Program Integrity Actions

II. The Good, The Bad, and The Ugly – Twelve Months (or so) in Fraud and Abuse DevelopmentsElizabeth Carder-Thompson•• This fast-paced overview will cover the landscape over the last year in fraud and abuse developments, including:•• How has health reform changed the F&A landscape?•• Massive government recoveries from multiple providers, suppliers, and manufacturers•• Criminal enforcement activity – HEAT, off-label, cGMP, hospital payments to physicians, physician unnecessary services, and more•• Civil False Claims Act developments: Stark, responsible corporate official doctrine, conditions of payment vs. participation, insiders (including attorneys and government employees) who become relators, research issues, and related state enforcement•• OIG activity - where are we with PODs (physician-owned distributors), self-disclosures, exclusions, advisory opinions of note?•• A smattering of bizarre fraud and abuse investigative and enforcement matters from all parts of the health delivery system

III. Compliance 101 (not repeated)Lynda Hilliard •• Factors to consider when developing and implementing compliance program•• Elements of an effective compliance program•• Keys to maintain an effective compliance program•• Techniques used to assess risk, audit and monitor vulnerabilities, develop work plans and corrective actions, and establish program metrics

IV. Effect of Exclusion from Participation in Federal Healthcare ProgramsGabriel Imperato/James G. Sheehan•• New guidance in 2013 from OIG (for the first time in this century) on impact of exclusions for providers and managed care plans•• New cases and settlements in exclusion-OIG actions, disclosures, qui tam cases, state Medicaid actions•• Compliance expectations and business processes for healthcare providers

2:45–4:15 pm (EXTENDED SESSIONS)

V. Stark Primer (not repeated)Lisa M. Ohrin/Michael W. Paddock•• The Statute and regulatory issuances •• Exceptions to the prohibition •• Difference between Stark and Anti-Kickback •• Current enforcement environment and the Self-Disclosure Protocol

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Program AgendaVI. What’s New in Hospital Fraud and Abuse?Albert W. Shay/Jesse A. Witten•• The latest on national enforcement initiatives•• Short stay cases – enforcement and new CMS regulation•• Recent Government False Claims Act interventions and settlements•• Update on Government self-disclosure protocols

VII. Hospital/Physician Relationships: Every Compliance Officer’s Nightmare (not repeated)Elizabeth Ryan/Lester J. Perling•• The legal parameters that govern hospital/physician relationships•• Prevent, detect and mitigate against noncompliant relationships•• Recent trends in enforcement/false claims activity and lessons learned from those cases

VIII. Compliance Across the Continuum of Care: Improving Quality and Avoiding Readmissions (not

repeated)Timothy P. Blanchard/Robert H. Ossoff/Myla Reizen•• Admissions process•• Medical necessity of institutional and professional services•• Discharge planning•• Managing transitions

4:30–5:30 pm

IX. False Claims Act Primer (not repeated)Patric Hooper•• Traditional FCA liability grounds •• Expanded theories of liability, including AKA and worthless services •• Qui Tam provisions •• Impact of 2009 and 2010 amendments •• Damages and penalties issues

X. How a Simple Overpayment Can Lead to an FCA Case in 60 DaysAnna M. Grizzle/Kim Harvey Looney/John-David H. Thomas •• How we got here: FERA, PPACA•• OIG Self-Disclosure Protocol•• Self-disclosure to a US Attorney’s Office•• Self-disclosure tips for success from OIG•• Hypothetical scenario illustrating self-disclosure process

XI. You’ve Gotten an Audit Request, Now What? (not repeated)Becky Carroll•• Responsible person to coordinate all audit requests•• Communication to all affected departments•• Process of records collected•• Presentation format for medical record copies•• Electronic vs. paper•• Sectioned and highlighted areas of priority•• Establishing timelines•• Establishing process for additional record requests and follow up•• Establishing denial management

XII. Resolving Legal and Audit Issues in an Internal Compliance Investigation (not repeated)Lori S. Baker/Clay J. Countryman•• Establishing and following an evolving internal investigation and audit work plan •• Determining the scope, time period and other compliance issues in an audit to address compliance issues reported internally through a healthcare provider’s compliance program•• Resolving reimbursement and compliance issues discovered in an internal discovery and expanded audit•• Reconciling the obligations of a healthcare provider to report and refund Medicare overpayments while addressing potential civil and criminal liability and related litigation

5:30–6:30 pm

Welcome Reception sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and

guests are welcome)

6:30–7:30 pm

Celebrating Diversity and Inclusiveness Reception Sponsored by AHLA’s Advisory Council on Diversity (attendees and speakers are welcome)

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Program AgendaMONDAY, SEPTEMBER 307:00 am–5:15 pm

Registration and Information

7:00–8:00 am

Continental Breakfast sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and

guests are welcome)

GENERAL SESSION

8:00–8:15 am

Welcome and IntroductionsPeter A. Pavarini, AHLA President Elect/ Shawn Y. DeGroot, HCCA President

8:15–9:45 am

The Presumption of Effectiveness: Compliance and Healthcare Fraud EnforcementKathleen M. Boozang/David E. Matyas/Marilyn May/ Jenny O’Brien

9:45–10:15 am

Coffee Break sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP

CONCURRENT SESSIONS

10:15–11:15 am

101. Antikickback Primer (not repeated)Amanda Copsey/Julie E. Kass•• Overview of Anti-Kickback Statute•• Exceptions and Safe Harbors•• OIG Advisory Opinion process•• Stark vs. Anti-Kickback•• Current enforcement environment and OIG Self-Disclosure Protocol

102. Anatomy of a Healthcare Fraud CaseJoseph Mack/Jack Wenik•• How and why health care fraud investigations are initiated by the government•• Prosecution/Defense strategies prior to charging via indictment/information•• Strategies for negotiating a resolution of a health care fraud matter from the defense and prosecution perspectives•• Prosecution/Defense strategies for sentencing

103. Medicare’s Emerging Enforcement Tools: Revocations, Payment Suspensions and the CMS Fraud Prevention SystemJulie Burns/Judith A. Waltz•• Adverse actions against Medicare billing privileges •• Payment suspensions•• Temporary enrollment moratoria •• The CMS Fraud Prevention System

104. Maximizing Synergy between Your Compliance Officer and Legal Counsel for Effective Compliance (not repeated)Lisa Ohrin/ Matthew F. TormeyThis session will focus on ways that your compliance officer and legal counsel can work together to maximize value to the organization, eliminate redundancies, and provide clear, effective guidance to the organization. The presenters will use a variety of vignettes to illustrate how to approach compliance with complex fraud and abuse laws, including:•• nonmonetary compensation and the Stark Law •• documentation (or the lack thereof) •• contracting with physicians and other referral sources

105. Auditing and Monitoring for Stark Compliance…The Process that Saves (not repeated)Dwight Claustre/Jim Passey•• Importance of an auditing and monitoring process to mitigate physician arrangement liability•• Inherent risks in physician transactions•• The need and timing for when to consider obtaining attorney client privilege•• Practical examples of auditing and monitoring processes to mitigate the risks in physician arrangements•• Tools for conducting auditing and monitoring of physician arrangements

106. The HITECH Rules are Here and We Need to be in Compliance: What Should you be Doing?Marti Arvin •• Documents you need to change•• How do you analyze a breach?•• What do the changes mean for your risks?

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Program AgendaCONCURRENT SESSIONS

11:30 am–12:30 pm

201. Fundamentals of Healthcare Valuation for Health Lawyers (not repeated)Theresa Claffey Carnegie/Albert “Chip” D. Hutzler•• Why “Fair Market Value” matters - brief discussion of the overarching concept and the rationale behind it•• History of the Fair Market Value standard (including IRS Revenue Ruling 59-60 and related guidance)•• Stark/Anti-kickback Fair Market Value definition and related regulatory guidance•• Basic valuation principles and approaches, including the cost, income, and market approaches, as well as basic valuator standards and requirements•• Common recurring problems in healthcare valuation (including data issues and the distinction of “commercial reasonableness”)•• Several basic examples of valuation situations, including process of data gathering, analysis and documenting the appraisal

202. Medical Necessity (not repeated)Arthor DiDio/Robert Nicholson

203. Quo Vadis? Hot Topics In Stark Law Jurisprudence Physician CompensationS. Craig Holden/Kevin G. McAnaney •• Fair market value•• The volume/value standard•• Commercial reasonableness •• Application of Stark to Medicaid claims

204. Legislative Update (not repeated)Kimberly Brandt/Tiana L. Korley•• Update on legislative and oversight activities underway in the 113th Congress•• Status of anti-fraud legislation introduced to date•• PPACA implementation update and related Congressional oversight activities

205. DME Compliance, Oversight and Enforcement (not repeated)Robert Hussar/Jack J. Pivar•• New and existing oversight initiatives related to DME•• Compliance concerns in DME competitive bid•• Key component of merger and acquisition compliance due diligence•• Ways reputable DME providers can distinguish themselves from those that have given the industry a bad name

206 How to Use Statistics, Microsoft Excel and Open Source Options to Detect Trends, Patterns and Ultimately Fraud (not repeated)Jayen Godse/Bruce Mettin•• What are trends, patterns and fraud in healthcare•• Fundamental Statistical measures that can be used effectively•• How to use Excel for statistical analysis•• Open source options

12:30–2:00 pm

Lunch on your own or attend the AHLA Fraud and Abuse Practice Group Luncheon, sponsored by PYA (additional fee; limited attendance; pre-registration required)

A Conversation with OIG Chief Counsel Greg DemskeWilliam Mathias (Moderator), OBER|KALER, Baltimore, MD and Greg Demske, Chief Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC

CONCURRENT SESSIONS

2:00–3:30 pm (EXTENDED SESSIONS)

301. Self-Disclosure Options: Which Path to Redemption?Robert G. Homchick/Joseph C. Hudzik/Tony R. Maida•• Overview of provider self-disclosure options – OIG, CMS, USAO•• The OIG’s revised Provider Self-Disclosure Protocol•• The CMS Voluntary Self-Referral Disclosure Protocol•• Strategic considerations and common mistakes in the self-disclosure process•• Practical challenges to self-disclosing and settling with the government•• Potential collateral damage arising out of self-disclosures

302. False Claims Act and Litigation Update (Advanced)Thomas A. Corcoran/Margaret Hutchinson/Kathleen McDermott•• Since the 2009 and 2010 amendments, False Claims Act practice has been transformed by a shift in legal elements and a new civil investigative demand (CID) practice which allows civil Assistant U.S. Attorneys to seek records, interrogatories and depositions at the infancy of an investigation and share the information with enforcement partners and the whistleblower’s counsel •• The False Claims Act amendments and DOJ enforcement priorities signal that the conventional wisdom of False Claims Act practice is changing; our assumptions and forecasts need a tune-up •• What’s going on and what you can expect in a False Claims Act investigation in this new era of enforcement •• Key judicial decisions in 2013 show that FCA is a legal battleground for the health industry

303. The Good, The Bad, and The Ugly – Twelve Months (or so) in Fraud and Abuse Developments (repeat of II)

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Program Agenda304. Research Compliance Models in Academic and Hospital Settings with 5 Case Studies on Hot Topics (not repeated)Cheryl Forst/Leah B. Guidry•• An overview of the various models for research compliance programs/activities in academic and non-academic healthcare settings•• An in-depth discussion of one such model •• Case studies of research compliance issues in an academic environment

305. Effect of Exclusion from Participation in Federal Healthcare Programs (repeat of IV)

306. The Enforcement and Compliance Perils Confronting the Spectrum of Long Term Care Providers (not repeated)Amber L. Brake/Patrick S. Coffey/Sean R. McKenna•• Survey of recent and notable LTC enforcement actions and settlements, including CIAs and other dictated compliance terms on settlement•• New and developing theories of FCA liability and other claims against LTC providers and defense issues•• The role of whistleblowers in supporting DOJ and OIG enforcement initiatives and managing that risk•• The common factors in enforcement actions taken against LTC providers•• Focus on individual and board accountability and exclusion and other risks for executives and boards•• Basics for effective compliance programs in the LTC setting and tips on what really matters in the event of enforcement

CONCURRENT SESSIONS

3:45–4:45 pm

401. Fraud and Abuse Developments in Home Health (not repeated)William A. Dombi/Rachel Hold-Weiss

402. Legal Ethics: How Not to Go Down in Flames with Your ClientLaura Laemmle-Weidenfeld/Katherine A. Lauer •• Guidance from the ethics rules that protect inside and outside counsel from personal liability when representing healthcare industry clients•• Best (and worst) practices •• Giving Prospective Compliance Advice •• Conducting Internal Investigations and Voluntary Disclosures•• Defending the Government Investigation•• Litigation

•• When things go wrong: the consequences

403. Assessing Fraud and Abuse Risks in Mergers and Acquisition TransactionsE. Lynn Gordon/Ari J. Markenson•• Recommended scope of due diligence in provider mergers and acquisitions, with additional due diligence drill-down recommendations based on certain preliminary findings•• Guidance on handling adverse due diligence findings in terms of implications for deal documents and closing a transaction•• Advice in working through self-disclosures as may be indicated, with a review of options•• Guidance on the structure of representations and warranties and how to assess indemnification issues

404. CMS’s New (Proposed) Rule on Part B Billing for Inpatient/Observation Stays and Other Recent Developments in Medicare and Medicaid Audits (not repeated)Donald H. Romano/Andrew B. Wachler•• The impact of the (proposed) rule on the submission of claims for Part B reimbursement, including a specific focus on the timeliness of filing requirements under the rule•• The impact of the new definition of inpatient and observation status•• Strategic appeal strategies and proactive compliance measures that healthcare providers and their counsel should implement based upon these recent developments•• Other new developments in the Medicare and Medicaid audit landscape

405. Compliance, Risk Management and Quality Assurance..How to Play in the Same Sandbox (not repeated)Mary Ellen McLaughlin/Jeffrey Wiggins•• Formally define compliance, risk and quality•• Provide working descriptions of each specific to acute care setting•• Role of the Compliance Officer, Risk Manager and Quality Specialist –where they converge and diverge•• Goals for compliance, risk and quality - convergence and divergence•• Provide examples of issues, ideas on how to handle them when they arise and why the three need to be on the same page

406. Navigating Compliance Landmines in Electronic Health Record (EHR) Documentation (not repeated)Brian T. Bates•• The top compliance challenges created by using an EHR•• How EHR software functions can influence clinical documentation and the care delivery process•• Methods to monitor, audit and track the appropriate use of EHR efficiency tools•• Lessons learned in how a large academic medical center adapted its compliance program as a result of an EHR implementation

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Program AgendaCONCURRENT SESSIONS

5:00–6:00 pm

501. Fraud and Abuse Developments Affecting Life Sciences Companies (not repeated)Stephen J. Immelt/Jeremy Perisho•• Key False Claims Act decisions•• Expanded enforcement beyond traditional theories•• State AG actions•• FCPA: What is happening in China•• A month after Sunshine—Now what

502. Assessing Fraud and Abuse Risks in Mergers and Acquisition Transactions (repeat of 403)

503. How a Simple Overpayment Can Lead to an FCA Case in 60 Days (repeat of X)

504. The Hidden Dangers of Trying To “Do the Right Thing” Without the Right Information: A Practical Look at Auditing, Monitoring and Investigation Pitfalls (not repeated)Michelle E. Calloway/Denise J. Hall•• Best practices for investigating reported compliance concerns and how to avoid certain dangers •• Information regarding proper auditing techniques and receive tools designed to assist in sound auditing practices •• Conduct an audit and draft a refund letter to avoid governmental scrutiny or false claims liability•• Helpful tips on implementing corrective action plans and ensuring their effectiveness and long term stability

505. The SNF ‘Perfect Storm’...A Convergence of Quality, Compliance and Risk Management (not repeated)Joyce Freville/Susan E. Ziel•• Applicable laws/regulations•• Identify key elements of “effective” compliance, risk management and quality programs•• Three (3) case studies involving compliance, risk management and quality issues•• Types of liabilities or “losses” resulting from compliance, risk management and quality issues

506. Status of the DOJ’s ICD Investigation (not repeated)Kevin A. Cornish/Frank E. Sheeder•• Recent developments•• Strategic considerations•• Settlement approaches•• What hospitals should be doing

5:15–6:30 pm

Reception sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and guests are welcome)

TUESDAY, OCTOBER 17:00 am–4:15 pm

Registration and Information

7:00–8:00 am

Continental Breakfast sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and

guests are welcome)

GENERAL SESSION

8:00–9:15 am

Lessons Learned from TuomeyMargaret Hambleton/Daniel H. Melvin/Lewis Morris

9:15–9:45 am

Coffee Break sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP

CONCURRENT SESSIONS

9:45–10:45 am

601. Fraud and Abuse Developments in Medicaid (not repeated)

602. The HITECH Rules are Here and We Need to be in Compliance: What Should you be Doing? (repeat of 106)

603. Quo Vadis? Hot Topics In Stark Law Jurisprudence: Physician Compensation (repeat of

203)

604. “Responsible”: An Old Word with a Potentially New Meaning for ALL Organizations: The Responsible Corporate Officer Doctrine (not

repeated)John R. Hamilton, III/Alan J. Sobol•• Resurgence of the RCOD•• Potential expansion of RCOD•• RCOD – Prevention•• Personal liability – General

605. The Nuts and Bolts of the Sunshine Act and Enforcement ImplicationsThomas S. Crane, Esq.•• The legal framework of the Sunshine Act•• Key terms and exceptions•• Principal reporting obligations•• Potential enforcement uses of the data

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Program Agenda606. Why Worry? Fraud and Abuse Risks for Managed Care Organizations (not repeated)Stephen K. Warch•• Risks associated with member incentives and the interplay between the Medicare Marketing Guidelines and the OIG Guidance on beneficiary inducements under the Civil Monetary Penalty Statute•• Whether CMS’ relaxed view of member incentives signals an indication that properly structured incentive programs will proliferate. Can providers be safe in similarly ramping up incentive based programs targeting Medicare and/or Medicaid beneficiaries?•• The appropriate structure for delivering member incentives, and potential hidden traps•• Fraud and abuse risk in connection with provider payor agreements. Discuss whether the safe harbor applicable to managed care arrangements is sufficient protection from risk with certain payment arrangements•• Where might regulatory authorities focus fraud and abuse efforts with respect to managed care, in light of Medicaid expansion?

CONCURRENT SESSIONS

11:00 am–12:30 pm (EXTENDED SESSIONS)

701. What’s New in Hospital Fraud and Abuse? (repeat of VI)

702. Self-Disclosure Options: Which Path to Redemption? (repeat of 301)

703. False Claims Act and Litigation Update (Advanced) (repeat of 302)

704. New Standards: What Enhanced Corporate Integrity Obligations Tell Us about OIG’s Expectations for Compliance Programs (not

repeated)Thomas Beimers/Brian Bewley/Mary Riordan•• Enhanced provisions in recent Corporate Integrity Agreements highlight OIG expectations and perspective•• Enhanced integrity provisions and obligations build on OIG’s historical formal compliance guidance (e.g., compliance experts, field monitoring, board and management certifications; physician payment posting)•• Strong compliance programs are critical for entities faced with a government investigation or audit•• Discuss best practices with respect to enhanced integrity obligations, including board oversight and use of internal and independent audit functions

705. HIPAA and HITECH Hints and Headlines (not

repeated)Joan M. Podleski/Shannon Salimone•• Latest developments regarding HIPAA and HITECH Act regulations•• Recent data privacy and security enforcement activities•• Current case law•• Detailed discussion of the top privacy challenges•• Practical suggestions for updating existing compliance programs

706. The Government’s Increased Use of Data Analysis and Its Implications on Compliance and False Claims Act Liability (not repeated)Joel D. Dziengielewski/Sonya Henderson/John J. Pease/John Richter •• The HHS OIG Workplan Specifically Highlights Data Analysis To Uncover Fraud•• Gov’t Outliers, Failure to police, DEA Dispensing, pharma distribution•• RACs, MACs, Z Pick, aggressive targeting of companies. CMS new system to determine fraud before payment•• Recent gov’t investigations / FCA litigation on SNF Billing, Medical Loss Ratio, etc•• Healthcare compliance can use data to monitor and mitigate compliance issues early•• Healthcare Legal can use data to rebut gov’t / plaintiff allegations

12:30–1:45 pm

Lunch on your own or attend the HCCA Membership Luncheon (additional fee; limited attendance;

pre-registration required; see page 11)

CONCURRENT SESSIONS

2:00–3:00 pm

801. The Nuts and Bolts of the Sunshine Act and Enforcement Implications (repeat of 605)

802. Legal Ethics: How Not to Go Down in Flames with Your Client (repeat of 402)

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Program Agenda803. Cost Effective Compliance and Use of Outside Counsel (not repeated)John E. Kelly/Danette Leigh Slevinski/Robert G. Trusiak•• The impact of healthcare reform and economic factors on compliance risks and compliance program operations•• The highest priority compliance risks occasioned by healthcare reform.•• Successful compliance program and policies within your legal / compliance budget(s). What must they include?•• Matters that can be successfully handled internally and factors suggesting that the use of outside counsel and/or consultants is necessary or more cost effective•• Cost effectively analyzing and defending external audits, external inspections, outside counsel, compliance reviews, and compliance training and other variable costs

804. Audit and Compliance Committee Leading Practices for Compliance Program Oversight (not

repeated)Mitchell Harris/Steve Ortquist•• Discuss legal and regulatory (and regulators) expectations of Audit and Compliance Committees•• Foundations for an effective Audit and Compliance Committee•• Compliance Officer engagement of the Audit and Compliance Committee•• Strategies for helping the Audit and Compliance Committee achieve effectiveness in its role

CONCURRENT SESSIONS

3:15 – 4:15 pm

901. Anatomy of a Healthcare Fraud Case (repeat of 102)

902. Medicare’s Emerging Enforcement Tools: Revocations, Payment Suspensions and the CMS Fraud Prevention System (repeat of 103)

903. Barbarians at the Gate... or at Least the Lobby (not repeated)Timothy F. Cleary/Rebecca A. Matthews•• Your obligations related to vendors (legal/Joint Commission etc)•• Negotiating compliance terms with vendors•• Ways to manage vendors before they arrive and while they are on site•• Managing fraud and abuse issues relating to vendors – gifts, discounts, sponsorships, etc.

904. Building a Healthy ACO Compliance Program: Good Help ACO’s Experience in Building Healthy Communities While Leveraging Existing Resources to Establish a Healthy and Effective ACO Compliance Program (not repeated)Mary C. Malone/Jeffrey C. Oak•• The key elements of an ACO compliance program•• Good Help ACO’s strategy in structuring and implementing its compliance program•• An examination of the unique challenges Good Help ACO is facing as it actively works to establish and implement an effective ACO compliance program and an evaluation of how Good Help ACO plans to tackle these challenges•• Key risk areas ACO compliance programs must address and the mechanisms Good Help ACO intends to use to minimize its risk in these areas

WEDNESDAY, OCTOBER 29:00–11:00 am

Certified in Healthcare Compliance (CHC)® Certification Examination (optional)The cost of this optional examination is not included in the conference registration fee. To register for the examination, complete the separate examination application and mail or fax as directed on the application. For a link to the application, visit www.hcca-info.org and look for information on the AHLA/HCCA 2013 Fraud & Compliance Forum.

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SpeakersPlanning Committee

Joan P. Dailey, Esq., Senior Attorney, Office of the General Counsel, US Department of Health and Human Services, Washington, DC

John Falcetano, CHC-F, CIA, CCEP-F, CHRC, CHPC, Chief Audit & Compliance Officer, Vidant Health, Greenville, NC

Gabriel Imperato, Esq., CHC, Broad and Cassel, Fort Lauderdale, FL

Kevin G. McAnaney, Esq., Law Offices of Kevin McAnaney, Washington, DC

Kathleen McDermott, Esq., Morgan Lewis & Bockius LLP, Washington, DC

Michael W. Paddock, Esq., Pillsbury Winthrop Shaw Pittman LLP, Washington, DC

Sara Kay Wheeler, Esq., CHC, King & Spalding, Atlanta, GA

Marti Arvin, CHC-F, CHPC, CHRC, CCEP-F, Chief Compliance Officer, UCLA Health System, Los Angeles, CA

Lori S. Baker, Consulting Manager, PYA, Atlanta, GA

Brian T. Bates, CPA, Corporate Compliance Officer, University of Alabama Health Services Foundation PC, Birmingham, AL

Thomas Beimers, Esq., Faegre Baker Daniels LLP, Minneapolis, MN

Brian Bewley, Esq., Husch Blackwell LLP Kansas City, MO

Timothy P. Blanchard, Esq., Blanchard Manning LLP, Orcas, WA

Kathleen M. Boozang, Esq., Professor of Law, Seton Hall University School of Law, Newark, NJ

Amber L. Brake, Senior Corporate Counsel, Assisted Living Concepts, Inc., Menomonee Falls, WI

Kimberly Brandt, CHC, MA, Chief Oversight Counsel, US Senate Finance Committee, Washington, DC

Julie Burns, Esq., Office of the General Counsel, US Department of Health and Human Services, Baltimore, MD

Michelle E. Calloway, CHC, CHPC, Hancock Daniel Johnson & Nagle PC, Glen Allen, VA

Elizabeth Carder-Thompson, Esq., Reed Smith LLP, Washington, DC

Becky Carroll, Principal, HFS Consultants, Suisun City, CA

Theresa Claffey Carnegie, Esq., Mintz Levin Cohn Ferris Glovsky & Popeo PC, Washington, DC

Dwight Claustre, CHC, CHRC, Health Care Compliance Professional, Sun City West, AZ

Timothy F. Cleary, CHC, CHPC, CHRC, SVP Compliance, Internal Audit and Privacy/Chief Compliance & Privacy Officer, Health Quest Systems, Inc., Lagrangeville, NY

Patrick S. Coffey, Esq., Compliance and White Collar Defense Practice Leader, Whyte Hirschboeck Dudek SC, Chicago, IL

Amanda Copsey, Esq., Office of the Inspector General, US Department of Health and Human Services Washington, DC

Thomas A. Corcoran, Esq., US Attorney, District of Maryland, Baltimore, MD

Kevin A. Cornish, Navigant Consulting, Inc., Phoenix, AZ

Clay J. Countryman, Esq., Breazeale Sachse & Wilson, Baton Rouge, LA

Thomas S. Crane, Esq., Mintz Levin Cohn Ferris Glovsky & Popeo PC Boston, MA

Arthur S. DiDio, Senior Counsel, Office to the Inspector General, US Department of Health and Human Services, Washington, DC

William A. Dombi, Esq., Vice President for Law, National Association for Home Care & Hospice, Washington, DC

Joel D. Dziengielewski, Navigant, New York, NY

Cheryl Forst, RN, BSN, CCRP, Director Human Subjects Protection Analysts, Rutgers, The State University of New Jersey, Newark, NJ

Joyce Freville, CHC, PhD, President, Compliance Matters, LLC, Louisville, KY

Jayen Godse, Executive Vice President, Products, Atlas Systems, Inc., Princeton, NJ

E. Lynn Gordon, Esq., Ungaretti & Harris LLP, Chicago, IL

Anna M. Grizzle, Esq., Bass Berry & Sims PLC, Nashville, TN

Leah B. Guidry, JD, MA, Managing Director, Huron Consulting Group, Inc., Chicago, IL

Denise J. Hall, BSN, Principal, PYA, Atlanta, GA

John R. Hamilton III Esq., Chief Compliance Officer, Gentiva Health Services, Atlanta, GA

Mitchell Harris, Director, PricewaterhouseCoopers, Los Angeles, CA

Sonya Henderson, JD, VP, Compliance and Audit, Compliance Officer, Healthfirst, New York, NY

Lynda Hilliard, CHC, CCEP, Deputy Compliance Officer, University of California, Oakland, CA

Rachel Hold-Weiss, RPA-C, JD, Associate General Counsel, Personal Touch Home Care, Bayside, NY

S. Craig Holden, Esq., OBER | KALER, Baltimore, MD

Robert G. Homchick, Esq., Davis Wright Tremaine LLP, Seattle, WA

Patric Hooper, Esq., Hooper Lundy & Bookman PC, Los Angeles, CA

Joseph C. Hudzik, Deputy Director, Division of Technical Payment Policy, Centers for Medicare and Medicaid Services, Baltimore, MD

Robert Hussar, Esq., CHC, MS, Manatt Phelps & Phillips LLP, Albany, NY

Margaret Hutchinson, Esq., Chief of the Civil Division, US Attorney’s Office Eastern District of Pennsylvania, Philadelphia, PA

Albert “Chip” D. Hutzler, IV, HealthCare Appraisers, Inc., Delray Beach, FL

Stephen J. Immelt, Esq., Hogan Lovells LLP, Baltimore, MD

Julie E. Kass, Esq., OBER | KALER, Baltimore, MD

John E. Kelly, Esq., Bass Berry & Sims PLC, Washington, DC

Tiana L. Korley, Senior Health Counsel, Office of Representative Jim McDermott, Professional Staff, Committee on Ways and Means, Subcommittee on Health, Washington, DC

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SpeakersLaura Laemmle-Weidenfeld, Esq., Patton Boggs LLP, Washington, DC

Katherine A. Lauer, Esq., Latham & Watkins LLP, San Diego, CA

Danette Leigh Slevinski, Vice President, Corporate Responsibility Officer, Bon Secours Charity Health System, Suffern, NY

Kim Harvey Looney, Esq., Waller Lansden Dortch & Davis LLP, Nashville, TN

Joseph Mack, Assistant U.S. Attorney, United States Attorney’s Office, District of New Jersey, Newark, NJ

Tony R. Maida, Esq., Deputy Chief, Administrative & Civil Remedies Branch, Office of the Inspector General, US Department of Health and Human Services, Washington, DC

Mary C. Malone, Esq., Hancock Daniel Johnson & Nagle PC, Glen Allen, VA

Ari J. Markenson, Esq., Benesch Friedlander Coplan & Aronoff LLP, White Plains, NY

Rebecca A. Matthews, Esq., Wiggin & Dana LLP, New Haven, CT

David E. Matyas, Esq., Epstein Becker & Green, Washington, DC

Marilyn May, Esq., Arnold & Porter, Washington, DC

Sean R. McKenna, Assistant US Attorney, US Attorney’s Office for the Northern District of Texas, Dallas, TX

Mary Ellen McLaughlin, CHC, Senior Consulting Manager, IMA Consulting, Chadds, PA

Daniel H. Melvin, Esq.,McDermott Will & Emery LLP, Chicago, IL

Bruce Mettin, CHC, CFE, Corporate Compliance Officer, Trinity Health, Minot ND

Lewis Morris, Esq., Adelman Sheff & Smith LLC, Annapolis, MD

Robert Nicholson, Esq., Nicholson & Eastin LLP, Fort Lauderdale, FL

Jeffrey C. Oak, PhD, SVP Corporate Responsibility Officer, Bon Secours Health System, Inc., Marriottsville, MD

Jennifer O’Brien, Esq., CHC, VP, Chief Medicare Compliance Officer, PSMG | UnitedHealth Group

Lisa M. Ohrin, Esq., Centers for Medicare and Medicaid Services, Baltimore, MD

Steve Ortquist, CHC-F, CHRC, CCEP, VP, Chief Ethics & Compliance Officer, Sutter Health, San Francisco, CA

Robert H. Ossoff, CHC, Assist Vice Chancellor, Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN

Jim Passey, CHC, MPH, FACHE, Director, Compliance Auditing & Monitoring, Sutter Health, Sacremento, CA

John J. Pease, Assistant US Attorney and Chief- Health Care Fraud, US Attorney’s Office Eastern District of Pennsylvania, Philadelphia, PA

Jeremy Perisho, Partner and National Life Sciences of Health Care Industry Lead, Deloitte Financial Advisory Services LLP, Boston, MA

Lester J. Perling, CHC, JD, MHA, Broad and Cassel, Fort Lauderdale, FL

Jack J. Pivar, Vice President/General Counsel, Numotion, Rocky Hill, CT

Joan M. Podleski, CHPC, CHRC, CCEP, Director, Institutional Ethics & Compliance Program, Duke University, Durham, NC

Myla Reizen, Esq., Jones Walker Waechter Poitevent Carrere Denegre LLP Miami, FL

John Richter, Esq., King & Spalding, Washington, DC

Mary E. Riordan, Esq., Office of Counsel to the Inspector General, Office of the Inspector General, US Department of Health and Human Services, Washington, DC

Robert L. Roth, Esq., Hooper Lundy & Bookman PC, Washington, DC

Donald H. Romano, Esq., Foley & Lardner LLP, Washington, DC

Elizabeth Ryan, Compliance Officer/Assessor, Elizabeth Ryan Consulting, Menlo Park CA

Shannon Salimone, Esq., Holland & Knight LLP, Tallahassee, FL

Albert W. Shay, Esq., Morgan Lewis & Bockius LLP, Washington, DC

Frank E. Sheeder, Esq., JD, CCEP, DLA Piper LLP (US), Dallas, TX

James G. Sheehan, Esq., CHC, Chief Integrity Officer/Executive Deputy Commissioner, New York City Human Resources Administration, New York, NY

Alan J. Sobol Esq., Pullman & Comley, LLC, Hartford, CT

John-David H. Thomas, Esq., Assistant U.S. Attorney, U.S. Attorney’s Office, Middle District of Tennessee, Nashville, TN

Matthew F. Tormey, CHC, Vice President Compliance and Security, Health Management Associates Naples, FL

Robert G. Trusiak, Esq., Senior Associate, General Counsel, Chief Compliance and Privacy Officer, Kaleida Health, Buffalo, NY

Andrew B. Wachler, Esq., Wachler & Associates PC, Royal Oak, MI

Stephen K. Warch, Esq., Nilan Johnson Lewis PA, Minneapolis, MN

Judith A. Waltz, Esq., Foley & Lardner LLP, San Francisco, CA

Jack Wenik, Esq., Sills Cummis & Gross PC, Newark, NJ

Jeffrey Wiggins, JD, MHA, CHC, VP Audit & Compliance, Vidant Health, Greenville, NC

Jesse A. Witten, Esq., Drinker Biddle & Reath LLP, Washington, DC

Susan E. Ziel, BSN, MPH, JD, Krieg DeVault LLP, Minneapolis, MN

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Program at a Glance

MONDAY, SEPTEMBER 307:00 am–5:15 pm Registration and Information

7:00–8:00 am Continental Breakfast sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and guests are welcome)

8:00–8:15 am Welcome and Introductions Pavarini/DeGroot

8:15–9:45 am The Presumption of Effectiveness: Compliance and Healthcare Fraud Enforcement Boozang/ Matyas /May/O’Brien

9:45–10:15 am Coffee Break sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP

LEGAL FOCUSED COMPLIANCE FOCUSED

10:15–11:15 am 101. Antikickback Primer (not repeated)Copsey/Kass

102. Anatomy of a Healthcare Fraud CaseMack/Wenik

103. Medicare’s Emerging Enforcement Tools: Revocations, Payment Suspensions and the CMS Fraud Prevention SystemBurns/ Waltz

104. Maximizing Synergy between Your Compliance Officer and Legal Counsel for Effective Compliance (not repeated)Ohrin/Tormey

105. Auditing and Monitoring for Stark Compliance…The Process that Saves (not repeated)Claustre/Passey

106. The HITECH Rules are Here and We Need to be in Compliance: What Should you be Doing?Arvin

11:30 am–12:30 pm 201. Fundamentals of Healthcare Valuation for Health Lawyers(not repeated)Carnegie/Hutzler

202. Medical Necessity (not repeated)DiDio/Nicholson

203. Quo Vadis? Hot Topics in Stark Law Jurisprudence: Physician CompensationHolden/McAnaney

204. Legislative Update (not repeated)Brandt/Korley

205. DME Compliance, Oversight and Enforcement (not repeated)Hussar/Pivar

206. How to Use Statistics, Microsoft Excel and Open Source Options to Detect Trends, Patterns and Ultimately Fraud (not repeated)Godse/Mettin

12:30–1:45 pm Lunch on your own or attend the AHLA Fraud and Abuse Practice Group Luncheon, Sponsored by PYA (additional fee; limited attendance; pre-registration required) Laemmle-Weidenfeld/Anderson/ Kaufman

LEGAL FOCUSED COMPLIANCE FOCUSED

2:00–3:30 pm

EXTENDED SESSIONS301. Self-Disclosure Options: Which Path to Redemption?Homchick/Hudzik/Maida

302. False Claims Act and Litigation Update (Advanced)Corcoran/Hutchinson/McDermott

303. The Good, The Bad, and The Ugly – Twelve Months (or so) in Fraud and Abuse Developments(repeat of II)Carder-Thompson

304. Research Compliance Models in Academic and Hospital Settings with 5 Case Studies on Hot Topics (not repeated)Forst/Guidry

305. Effect of Exclusion from Participation in Federal Healthcare Programs (repeat of IV)Imperato/Sheehan

306. The Enforcement and Compliance Perils Confronting the Spectrum of Long Term Care Providers (not repeated)Brake/Coffey/McKenna

SUNDAY, SEPTEMBER 2911:30 am–5:30 pm Registration and Information

LEGAL FOCUSED COMPLIANCE FOCUSED

1:00–2:30 pm

EXTENDED SESSIONSI. Primer of Medicare/Medicaid Program Integrity: What the Government Can Do and How to Respond (not repeated)Dailey /Roth

II. The Good, The Bad, and The Ugly – Twelve Months (or so) in Fraud and Abuse DevelopmentsCarder-Thompson

III. Compliance 101 (not repeated)Hilliard

IV. Effect of Exclusion from Participation in Federal Healthcare ProgramsImperato/Sheehan

2:45–4:15 pm

EXTENDED SESSIONSV. Stark Primer (not repeated)Ohrin /Paddock

VI. What’s New in Hospital Fraud and Abuse?Shay/Witten

VII. Hospital/Physician Relationships: Every Compliance Officer’s Nightmare (not repeated)Ryan/Perling

VIII. Compliance Across The Continuum of Care: Improving Quality and Avoiding Readmissions (not repeated)Blanchard/Ossoff/Reizen

4:30–5:30 pm IX. False Claims Act Primer (not repeated)Hooper

X. How a Simple Overpayment Can Lead to an FCA Case in 60 DaysGrizzle/Looney/Thomas

XI. You’ve Gotten an Audit Request, Now What? (not repeated)Carroll

XII. Resolving Legal and Audit Issues in an Internal Compliance Investigation (not repeated)Baker/Countryman

5:30–6:30 pm Welcome Reception sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and guests are welcome)

6:30–7:30 pm Celebrating Diversity and Inclusiveness Reception (attendees and speakers are welcome)

13

Program at a GlanceLEGAL FOCUSED COMPLIANCE FOCUSED

3:45–4:45 pm 401. Fraud and Abuse Developments in Home Health(not repeated)Dombi/Hold-Weiss

402. Legal Ethics: How Not to Go Down in Flames with Your ClientLaemmle-Weidenfeld /Lauer

403. Assessing Fraud and Abuse Risks in Mergers and Acquisition TransactionsGordon/Markenson

404. CMS’s New (Proposed) Rule on Part B Billing for Inpatient/Observa-tion Stays and Other Recent Developments in Medicare and Medicaid Audits(not repeated)Romano/Wachler

405. Compliance, Risk Management and Quality Assurance... How to Play in the Same Sandbox (not repeated)McLaughlin/Wiggins

406. Navigating Compliance Landmines in Electronic Health Record (EHR) Documentation (not repeated)Bates

5:00–6:00 pm 501. Fraud and Abuse Developments Affecting Life Sciences Companies(not repeated)Immelt/Perisho

502. Assessing Fraud and Abuse Risks in Mergers and Acquisition Transactions(repeat of 403)Gordon/Markenson

503. How a Simple Overpayment Can Lead to an FCA Case in 60 Days (repeat of X)Grizzle/Looney/Thomas

504. The Hidden Dangers of Trying To “Do the Right Thing” Without the Right Information: A Practical Look at Auditing, Monitoring and Investigation Pitfalls (not repeated)Calloway/Hall

505. The SNF ‘Perfect Storm’... A Convergence of Quality, Compliance and Risk Management (not repeated)Freville/Ziel

506. Status of the DOJ’s ICD Investigation (not repeated)Cornish/Sheeder

6:00–7:00 pm Reception sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and guests are welcome)

TUESDAY, OCTOBER 17:00 am–4:15 pm Registration and Information

7:00–8:00 am Continental Breakfast sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP (attendees, speakers, and registered companions and guests are welcome)

8:00–9:15 am General Session Lessons Learned from Tuomey Hambleton/Melvin/Morris

9:15–9:45 am Coffee Break sponsored by HealthCare Appraisers, Inc. and Deloitte Financial Advisory Services LLP

LEGAL FOCUSED COMPLIANCE FOCUSED

9:45–10:45 am 601. Fraud and Abuse Developments in Medicaid (not repeated)

602. The HITECH Rules are Here and We Need to be in Compliance: What Should you be Doing? (repeat of 106)Arvin

603. Quo Vadis? Hot Topics in Stark Law Jurisprudence: Physician Compensation(repeat of 203)Holden/McAnaney

604. “Responsible”: An Old Word with a Potentially New Meaning for ALL Organizations: The Responsible Corporate Officer Doctrine (not repeated)Hamilton/Sobol

605. The Nuts and Bolts of the Sunshine Act and Enforcement Implications Crane

606. Why Worry? Fraud and Abuse Risks for Managed Care Organizations (not repeated)Warch

11:00 am –12:30 pm

EXTENDED SESSIONS701. What’s New in Hospital Fraud and Abuse?(repeat of VI)Shay/Witten

702. Self-Disclosure Options: Which Path to Redemption?(repeat of 301)Homchick/Hudzik/Maida

703. False Claims Act and Litigation Update (Advanced)(repeat of 302)Corcoran/Hutchinson/ McDermott

704. New Standards: What Enhanced Corporate Integrity Obligations Tell Us about OIG’s Expectations for Compliance Programs (not repeated)Beimers/Bewley/Riordan

705. HIPAA and HITECH Hints and Headlines (not repeated)Podleski/Salimone

706. The Government’s Increased Use of Data Analysis and Its Implications on Compliance and False Claims Act Liability (not repeated)Dziengielewski/Henderson/Pease/Richter

12:30–1:45 pm Lunch on your own or attend the HCCA Membership Luncheon (additional fee; limited attendance; pre-registration required; see page 11)

LEGAL FOCUSED COMPLIANCE FOCUSED

2:00–3:00 pm 801. The Nuts and Bolts of the Sunshine Act and Enforcement Implications(repeat of 606)Crane

802. Legal Ethics: How Not to Go Down in Flames with Your Client(repeat of 402)Laemmle-Weidenfeld /Lauer

803. Cost Effective Compliance and Use of Outside Counsel (not repeated)Kelly/Slevinski/Trusiak

804. Audit and Compliance Committee Leading Practices for Compliance Program Oversight (not repeated)Harris/Ortquist

3:15–4:15 pm 901. Anatomy of a Healthcare Fraud Case(repeat of 102)Mack/Wenik

902. Medicare’s Emerging Enforcement Tools: Revocations, Payment Suspensions and the CMS Fraud Prevention System(repeat of 103)Burns/Waltz

903. Barbarians at the Gate... or at Least the Lobby (not repeated)Cleary/Matthews

904. Building a Healthy ACO Compliance Program: Good Help ACO’s Experience in Building Healthy Communities While Leveraging Existing Resources to Establish a Healthy and Effective ACO Compliance Program (not repeated)Malone/Oak

14

DetailsDates: September 29–October 1, 2013

Place: Hilton Baltimore Hotel 401 W Pratt St Baltimore, MD 21201

Reservations: (443) 573-8700

Registration Fees:

Postmarked and paid by September 9, 2013

AHLA/HCCA Members................................$830 AHLA/HCCA Member Group ................... $755* Non-Members ..............................................$1,055

Postmarked and paid between September 10 and September 26, 2013

AHLA/HCCA Members................................$955 AHLA/HCCA Member Group ................... $880* Non-Member ...............................................$1,180

Printed Course Materials................................. $65

*When an AHLA or HCCA/SCCE member registers for this program, each additional AHLA or HCCA/SCCE member registered from his/her organization at the same time is eligible for a discounted registration fee. Pre-registration accepted through September 26, 2013. After this date, registrations will be taken on-site on a space available basis, and an on-site fee of $100 will be added to the applicable registration fee. If you have indicated an incorrect amount due to errors in addition or are not eligible for a specific rate, AHLA/HCCA/SCCE will charge the correct amount to the credit card you have supplied.Companion Fee: For an additional $30, spouses and adult guests can register to attend the Sunday and Monday receptions and the continental breakfasts on Monday and Tuesday. Please sign up on the reg-istration form. Children are welcome at attend these events at no additional charge.Hotel Reservations:

Hilton Baltimore Hotel401 W Pratt StBaltimore, MD 21201Reservations: (443) 573-8700Room Rate: $209 single/double occupancyHotel Cut-off: Monday, September 9, 2013Hotel accommodations are not included in the registration fee. When making reservations, please indicate that you are with the AHLA/HCCA Fraud and Compliance Program; the room block may sell out prior to hotel cut-off date.Cancellations/Substitutions: Cancellations must be in writing and must be received no later than Sep-tember 25, 2013. Refunds will not be issued for cancellations received after this date. Registrations, less a $125 administrative fee, will be refunded fol-lowing the program. If you wish to send a substitute, please call the AHLA Member Service Center at 202-833-1100 (prompt 5). Please note that the reg-istration fee will be based on the membership status of the person who actually attends the program.

Special Needs: If you have needs requiring special assistance or accommodations, including special dietary needs, or have questions about accessibil-ity issues at the program, contact our special needs coordinator, Valerie Eshleman at (202) 833-0784 or veshleman@healthlawyers.org.AHLA Membership: Non-members wishing to join AHLA for one full year can do so by adding $200 to the member registration fee. Members receive monthly mailings and discounts on AHLA publications and programs.HCCA Membership: Non-members wishing to join HCCA for one full year can do so by adding $200 to the member conference registration fee. Members receive monthly mailings and discounts on HCCA publications and programs.Certified in Healthcare Compliance (CHC)® Certification Examination: This optional examination will be held at the conference hotel on Wednesday, October 2, 2013, 9:00–11:00 am. The cost of this examination is not included in the conference regis-tration fee. To register for the examination, complete the separate examination application and mail or fax as directed on the application. For a link to the application, visit www.hcca-info.org and look for information on the AHLA/HCCA 2012 Fraud & Compliance Forum.Continuing Education Units: AHLA and HCCA are in the process of applying for additional continuing education credits. Please visit www.hcca-info.org for event updates. Contact the HCCA at ccb@compliancecertification.org or 888-580-8373. All questions regarding CLE and CPE credits should be directed to AHLA at programs@healthlawyers.org or 202-833-1100. Please note that the continuing edu-cation credits listed may be subject to change.

AAPC: This program has the prior approval of the American Academy of Professional Coders (AAPC) for 16 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.AHIMA: This program has been approved for 75 continuing education unit(s), with a maximum of 17 CEU(s) per participant, for use in fulfilling the continuing education requirements of the Ameri-can Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.ACHE: The Health Care Compliance Association is authorized to award 16 hours of pre-approved ACHE Qualified Education credit (non-ACHE) for this program toward advancement, or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHCE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.Compliance Certification Board (CCB): Certified in Healthcare Compliance (CHC)®, Certified in Healthcare Com-pliance–Fellow (CHC-F), Certified in Healthcare Privacy Compliance (CHPC)®, Certified in Health-care Research Compliance (CHRC)®, Certified

Compliance & Ethics Professional (CCEP)®, Certi-fied Compliance & Ethics Professional–Fellow (CCEP-F), Certified Compliance & Ethics Profes-sional–International (CCEP-I): CCB has awarded a maximum of 20.1 CEUs for these accreditations in the following subject areas: Application of Manage-ment Practices for the Compliance Professional; Application of Personal and Business Ethics in Compliance; Written Compliance Policies and Pro-cedures; Designation of Compliance Officers and Committees; Compliance Training and Education; Communication and Reporting Mechanisms in Compliance Enforcement of Compliance Standards and Discipline; Auditing and Monitoring for Com-pliance; Response to Compliance Violations and Corrective Actions; HIPAA Privacy Implementation and/or Complying with Government Regulations.CLE/MCLE: This program will be worth approximately 16.75 credits (including 1.0 ethics credit) for 60-minute states and approximately 20.1 credits (including 1.2 ethics credit) for 50-minute states. Participants will be given CLE Request forms at the program. Forms must be completed and returned to AHLA staff to receive credit. The sessions, unless otherwise designated, are intermediate to advanced in level. There are no prerequisites required to regis-ter for this program. CPE: This seminar will be worth approximately 20.0 CPE credits. AHLA is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing profes-sional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. NASBA’s web site is located at http://www.nasba.org/.Nursing Credit: The Health Care Compliance Asso-ciation is preapproved by the California Board of Registered Nursing, Provider Number CEP 12990, for a maximum of 20.1 contact hour(s). The fol-lowing states will not accept CA Board of Nursing contact hours: Delaware, Florida, New Jersey and Utah. Massachusetts and Mississippi nurses may submit CA Board of Nursing contact hours to their state board, but approval will depend on review by the board. Please contact the Accreditation Depart-ment at ccb@compliancecertification.org with any questions you may have. Oncology Nurses who are certified by ONCC may request CA Nursing Credit (check box or indicate “Nursing” on the CEU form).This program is designed to be an update on developments in the area of fraud and compliance. There are no prerequisites or advanced preparations required to register for this group live program. Those seeking accounting credits should be familiar with the basic concepts of law and terminology associated with fraud and compliance in order to obtain the full educational benefit of this program.

REGISTER ONLINE ATwww.healthlawyers.org/programs

APPLY NOW To Take the Certified in Healthcare Compliance (CHC)®

Certification ExaminationWednesday, October 2, 2013 | 9:00–11:00 am

This optional examination follows the conference and is not included in the conference registration fee. To register for the examination, complete the separate examination application and mail or fax as directed on the application. For a link to the application, visit www.hcca-info.org and look for information on the AHLA/HCCA 2013 Fraud & Compliance Forum.

15

Registration

Remit payment and completed registration form by mail to:

American Health Lawyers Association, PO Box 79340, Baltimore, MD 21279-0340

You may also fax with credit card information to 202-775-2482, or register via phone by calling 202-833-1100, prompt 2.

If this program is over-subscribed, AHLA and HCCA/SCCE members will be placed on a waiting list. On-site registrations will be accepted on a space-available basis.

Name: _______________________________________________ AHLA/HCCA/SCCE ID #: ________________________________

First Name for Badge (if different than above): _________________________________________________________________________

Title: _________________________________________________ Organization: __________________________________________

Address: ___________________________________________________________________________________________________

City: _________________________________________________ State: _______________________ ZIP+ 4: __________________

Telephone: _________________________ Fax: ____________________________ E-Mail: _________________________________

Companion Name: ___________________________________________________________________________________________

Early Registration Fees (faxed/postmarked and paid on or before September 9, 2013)

AHLA or HCCA/SCCE Members: $830 Non-Members: $1,055 Additional Members*: $755

Registration Fees (faxed/postmarked and paid between September 10 and September 26, 2013)

AHLA or HCCA/SCCE Members: $955 Non-Members: $1,180Additional Members*: $880

Printed Course Materials

$65 All attendees will receive an electronic version of the full set of materials for the program. There is an additional fee to receive the printed binder.

I plan to attend the Celebrating Diversity and Inclusiveness Reception, Sunday, September 29, 2013 *Additional members from the same company/firm registering at the same time are eligible for the reduced fee. One member must pay the full registration fee.

Payment InformationPlease fill in applicable amount: (Registrations cannot be processed unless accompanied by payment.)

$___________ Registration Fee $___________ AHLA Membership Dues ($200 when paying member registration fee: new members only)

$___________ Program Binder ($65) $___________ HCCA Membership Dues ($200 when paying member registration fee: new members only)

$___________ Companion Fee ($30) $___________ AHLA Fraud and Abuse Practice Group Lunch on Monday, September 30, 2013 $35 members of the Fraud and Abuse Practice Group / $45 non-members

$___________ HCCA Membership Meeting and Luncheon on Tuesday, October 1, 2013 $35 HCCA members / $45 non-members

$___________ TOTAL ENCLOSED

Check enclosed (Make checks payable to American Health Lawyers Association)

Bill my credit card: Visa MasterCard American Express Discover Diners Club

Billing Address Zip Code: ______________________________________________________________________________________

Card Number: _______________________________________________________________ Exp. Date (MM/YY): ______________

Name of Cardholder: __________________________________________________________________________________________

Signature of Cardholder: _______________________________________________________________________________________

Fraud & Compliance Forum 2013

PLEASE NOTE: Should your credit card total be miscalculated, AHLA/HCCA will charge your card for the correct amount due. To receive a refund of the registration fee paid minus $125, cancellation notice must be received in writing by September 25, 2013. Please send notice of cancellation to AHLA.

www.hcca-info.org www.healthlawyers.org

September 29–October 1, 2013Hilton Baltimore Hotel | Baltimore, MD

September 29–October 1, 2013Hilton Baltimore Hotel | Baltimore, MD

1620 Eye Street NW, 6th FloorWashington, DC 20006-4010