Sunday, October 29 ( Pre-Conference) |
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P1 |
Anatomy of False Claims Act CaseModerator: Craig Holden, Shareholder, Baker Donelson Amy Easton, Phillips and Cohen LLP Tamara Forys, Senior Counsel, OIG-U.S. Department of HHS Natalie Waites Priddy, Civil Fraud Branch, U.S. Department of Justice
Presentation (2 slides/page) |
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P2 |
Health Information Privacy & Security: Recent Developments & Enforcement ActionsJoan Podleski, Chief Privacy Officer, Children’s Health Dallas R. Brett Short, Chief Compliance Officer, UK Healthcare, University of Kentucky
Presentation (2 slides/page) |
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P3 |
Are We Ineffective at Assessing Compliance Program Effectiveness or Are Industry and Government Using Different Standards?Thomas Beimers, Partner, Hogan Lovells Judy A. Ringholz, VP of Compliance & Ethics and Chief Compliance Officer, Jackson Health System Sara Kay Wheeler, Partner, King & Spalding Laura Ellis, Senior Counsel, OIG – U.S. Department of HHS
Presentation (2 slides/page) |
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P4 |
Litigating a False Claims Act CaseJohn T. Boese, Of Counsel, Fried, Frank, Harris, Shriver & Jacobson LLP Robert Vogel, Partner, Vogel, Slade & Goldstein, LLP Latour Lafferty, Partner, Holland & Knight LLP David Wiseman, Civil Fraud Branch, U.S. Department of Justice
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P5 |
Kickback and Stark Law DevelopmentsDaniel Melvin, Partner, McDermott Will & Emery, LLP Charles Oppenheim, Partner, Hooper Lundy Bookman, PC Kevin McAnaney, Law Office of Kevin G. McAnaney
Presentation (2 slides/page) |
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P6 |
Enforcement, Compliance and Long Term Care: Home Health, Hospice and Nursing HomesNicole Martin, Director of Quality & Compliance, Samaritan Healthcare & Hospice Adam Schwartz, Shareholder, Carlton Fields Eva Gunasekera, Of Counsel, Finch McCranie LLP
Presentation (2 slides/page) |
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P7 |
Negotiating False Claims Act SettlementsCharles Graybow, Assistant U.S. Attorney, U.S. Attorney’s Office-District of NJ Jack Wenik, Partner, Epstein Becker & Green PC Andrea Treese Berlin, Senior Counsel, OIG-U.S. Department of HHS
Presentation (2 slides/page) |
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P8 |
Handling a Criminal Healthcare Fraud CaseMichael E. Clark, Special Counsel, Duane Morris LLP Ralph Caccia, Partner, Wiley Rein LLP Sally B. Molloy, Trial Attorney, Fraud Section, U.S. Department of Justice, Criminal Division
Slides are not available for distribution |
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P9 |
Options and Strategies for Self-Disclosure: Why, When, Where and How?Gabriel Imperato, Managing Partner, Broad and Cassel Tony Maida, Partner, McDermott Will & Emery Tamar Terzian, Senior Counsel, Administrative and Civil Remedies Branch, Office of Counsel to the Inspector General, U.S. Department of Health and Human Services
Presentation (2 slides/page) |
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P10 |
Avoiding Criminal and Civil Liabilities for OverpaymentsDavid Glaser, Shareholder, Fredrikson & Byron PA Sanford Teplitzky, Shareholder, Baker Donelson
Presentation (2 slides/page) |
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P11 |
Federal Administrative Sanctions: Exclusion & Civil Money PenalitiesEdgar Bueno, Partner, Morris, Manning & Martin LLP David Blank, Senior Counsel, OIG-U.S. Department of HHS
Presentation (2 slides/page) |
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P12 |
Damages & Liability to Federal Health ProgramsTim Renjilian, FTI Consulting R. Joseph Burby IV, Partner, Bryan Cave
Presentation (2 slides/page) |
Monday, October 30 |
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GS1 |
Department of Justice Update on Criminal Health Care Fraud EnforcementJoseph Beemsterboer, Chief, Healthcare Fraud Unit, Fraud Section, Criminal Division, U.S. Department of Justice Slides are not available for distribution |
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GS2 |
Department of Justice Update on Civil False Claims Act EnforcementMichael Granston, Director, Commercial Litigation Branch, Fraud Section, Civil Division, U.S. Department of Justice No presentation available |
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GS3 |
The Future of Enforcement: Ten Issues to Bring Home for Your 2018 Compliance ProgramJames G. Sheehan, Chief, Charities Bureau, NY Attorney General Presentation (2 slides/page) |
101 |
Best Practices for Life Sciences Companies Repeatedly Targeted in Whistleblower LawsuitsGejaa Gobena, Partner, Hogan Lovells LLP David Schumacher, Partner, Hooper Lundy & Bookman, PC Matthew L. Stennes, Senior Legal Director of Healthcare Law & Investigations, Medtronic, Inc.
Presentation (2 slides/page) |
102 |
Tips and Tools for Mitigating CMS Enforcement ActionsSean McKenna, Shareholder, Greenberg Traurig, LLP David Wright, Director, Survey and Certification Group, CMS
Presentation 1 (2 slides/page) Presentation 2 (2 slides/page) |
103 |
Managing the Consultant Relationship in the Landscape of Self-Disclosure and FCA InvestigationsLester J. Perling, Partner, Broad and Cassel Jean Acevedo, Senior Consultant, Acevedo Consulting Inc
Presentation (2 slides/page) |
201 |
Using Data and Statistics to Defend Against Health Care EnforcementChristopher Haney, Managing Director, Forensus Group, LLC Daniel M. Tardiff, Chief Legal Counsel, Walgreens Prime Strategic Alliance
Presentation (2 slides/page) |
202 |
Conducting Internal AKS and Stark Investigations and Managing Resolution RisksJoseph Hudzik, Counsel, Latham & Watkins, LLP Alex Krouse, Attorney, Parkview Health Steven W. Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP
Presentation (2 slides/page) |
203 |
Best Practices for Internal InvestigationsHannah Levinson, Associate, Nelson Mullins Riley & Scarborough Shachi Mankodi, Assistant General Counsel (Regulatory), Davita Medical Group
Presentation (2 slides/page) |
301 |
An Ounce of Prevention: The Role of Compliance Programs in False Claims Act Investigations and LitigationScott Grubman, Partner, Chilivis, Cochran, Larkins & Bever Lena Amanti, Assistant United States Attorney, U.S. Attorney’s Office, Northern District of Georgia Renee Brooker, Of Counsel, Finch McCranie LLP Lauren Marziani, Senior Counsel, OIG-U.S. Department of HHS
Presentation (2 slides/page) |
302 |
Program Integrity in the State Medicaid Program: Best Practices for Coordination between the Compliance Officer and the State Medicaid Inspector GeneralRyan T. Lipinski, CountyCare Compliance Officer, Cook County Health Bradley Hart, Inspector General, State of Illinois Department of Healthcare and Family Services Cathy Bodnar, Chief Compliance and Privacy Officer, Cook Ccounty Health and Hospital System
Presentation (2 slides/page) |
303 |
Corporate Integrity Agreements: Living Under a CIA or using CIAs to Shape Legal/Compliance ProgramsRobert A. Wade, Partner, Barnes & Thornburg, LLP Laura Ellis, Senior Counsel, OIG-U.S. Department of HHS
Presentation (2 slides/page) |
401 |
Responding to Government Investigations and Enforcement: Managing the Crisis and Communicating with Key ConstituenciesRichard Westling, Epstein Becker & Green, P.C. Molly Cate Jarrard, Phillips, Cate & Hancock, Chicago, IL
Presentation (2 slides/page) |
402 |
Three Competing Perspectives on Federal Health Care Enforcement Trends: Federal Prosecutor, In-House Counsel, Outside CounselScott McBride, Partner, Lowenstein Sandler, LLP Joseph Mack, Senior Compliance Counsel, Bayer U.S. Bernard Cooney, Assistant United States Attorney, Office of the United States Attorney, District of New Jersey
Presentation (2 slides/page) |
403 |
“Just Say No!” Avoiding Addiction Treatment Fraud and Abuse: What You Need to Know to Get and Stay in ComplianceBenton Curtis, Senior Counsel, Broad and Cassel Zachary Rothenberg, Partner, Nelson Hardiman LLP
Presentation (2 slides/page)
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Tuesday, October 31 |
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GS4 |
Handling an Investigation in the SpotlightMichael Horowitz, Inspector General, U.S. Department of Justice Presentation (2 slides/page) |
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GS5 |
CMS UpdateKimberly Brandt, Principal Deputy Administrator for Operations, CMS Presentation (2 slides/page) |
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501 |
Medicare Enrollment: Appeals, Compliance, and Collateral Consequences Under CMS’s Expanded Revocation AuthorityAndrew Wachler, Partner, Wachler & Associates, PC Richard R. Burris, Shareholder, Polsinelli PC
Presentation (2 slides/page) |
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502 |
Complex Health Care Organization Relationships and the Impact of OCR HIPAA Enforcement ActionsBlaine A. Kerr, Chief Privacy Officer, Jackson Health System Ryan Meade, Partner, Meade, Roach Gregory V. Kerr, Director, Aegis Compliance & Ethics Center LLP
Presentation (2 slides/page) |
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503 |
Effective Compliance with I.M.P.A.C.T.™Gurujodha Khalsa, Chief Deputy County Counsel, Kern County Kristen Lilly, Healthcare Consultant, PYA
Presentation (2 slides/page) |
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601 |
Your Company Has Been Served with a Civil Investigative Demand: Now What?Candice M. Deisher, Assistant Attorney General, Virginia Attorney General’s Office Marc S. Raspanti, Partner, Pietragallo, Gordon, Alfano, Bosick & Raspanti, LLP
Presentation (2 slides/page) |
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602 |
Security & Cyber Risk: Breach & ComplianceBob Chaput, CEO, Clearwater Compliance Sheetal Sood, Senior Executive Corporate Compliance Officer, New York City Health + Hospitals
Presentation (2 slides/page) |
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603 |
Clinical Trial Fraud & EnforcementF. Lisa Murtha,Senior Managing Director, Ankura Consulting, Inc. Kelly M. Willenberg, CEO, Kelly Willenberg & Associates
Presentation (2 slides/page) |
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701 |
The Government Official & Chief Compliance Officer: Learned Experiences on Proactive Inititatives to Mitigate and Minimize RiskBret S. Bissey, Healthcare Compliance Executive Alec Alexander, Partner, Breazeale, Sachse & Wilson
Presentation (2 slides/page) |
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702 |
State Civil Enforcement UpdatesGeorge Codding Sr., Assistant Attorney General, State of Colorado Kathleen Von Hoene, Bureau Chief, MFCU-Complex Civil Enforcement Bureau, Office of the Attorney General, State of FL
Presentation (2 slides/page) |
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703 |
Ask the Stark Law Professionals: Q & A SessionBob A. Wade, Partner, Barnes & Thornburg LLP Lester J. Perling, Partner, Broad and Cassel Kevin McAnaney, Law Office of Kevin McAnaney
Presentation (2 slides/page) |
Wednesday, November 1 |
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W1 |
Whistleblower Case StudyGabriel Imperato, Managing Partner, Broad and Cassel Lesley Ann Skillen, Attorney, Getnick & Getnick LLP
Presentation (2 slides/page) |
W2 |
Managed Care Fraud Enforcement & ComplianceChristopher Horan, VP Compliance Investigations, Wellcare Health Plan, Inc. David Leviss, Partner, O’Melveny & Meyers LLP
Presentation (2 slides/page) |
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W3 |
Opioid Crisis: Drug Diversion & EnforcementGary Cantrell, Deputy Inspector General for Investigations, OIG HHS Michael Cohen DHSc, JD, PA-C, Operations Officer, HHS OIG Office of Investigations
No presentation available |
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W4 |
Criminal & Civil Enforcement & Compound PharamaciesDaniel Bernstein, AUSA, United States Attorney’s Office, Southern District of Florida Samuel Sheldon, Partner, Quinn Emanuel
Presentation (2 slides/page) |
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W5 |
Medical Necessity and the False Claims Act: Investigating, Proving, and Defending FCA Cases Involving Issues of Medical NecessityJD Thomas, Waller Jeffrey Dickstein, Partner, Phillips & Cohen LLP Robert McAuliffe, Assistant Director, U.S. Department of Justice, Civil Division, Commercial Litigation Branch (Frauds)
Presentation (2 slides/page) |
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W6 |
Private Payer Activities in Addressing Fraud and Abuse and Compliance Issues in the Health Care IndustryLou Saccoccio, CEO NHCAA (Moderator) Rick Munson, Vice President, Investigations, UnitedHealthcare Nicholas Messuri, VP Fraud Prevention & Recovery, DentaQuest Thomas J. Daly, Acting Unit Chief, U.S. Dept. of Justice, Federal Bureau of Investigation
Presentation (2 slides/page) |