AHLA Fraud and Compliance Forum

Crowell & Moring Partners Troy Barsky and Linda Malek, members of the firm's Health Care Group, will be speaking at the AHAL Fraud and Compliance Forum, taking place October 8-10th in Baltimore, MD.

Troy's presentation, "Anti-Kickback, Physician Self-Referral (Stark) and CMP Bootcamp," will take place on October 8th at 12:15 p.m. ET. This session will provide an up-to-date basic overview of the Anti-Kickback, Physician Self-Referral Law (Stark Law) and Civil Monetary Penalty Laws, including their frameworks, practical implications and potential areas of enforcement risk. Topics covered will include:

Overview of the Kickback, Stark, CMPs, their Frameworks and Exceptions

• Key Definitions and Interpretations, Including Compliance with the "Big 3"
• The Value-Based Framework
• The Group Practice Rules
• Auditing and Monitoring Considerations
• Potential Noncompliance and Self-Disclosures

Linda's presentation, "Research Compliance: Why this is a Compliance Risk that Many Compliance Officers, Internal and External Counsel Don’t Appreciate," will take place at 3:30 p.m. ET. This session will discuss the plethora of risk associated with research compliance from the Common Rule, FDA regulations, Medicare billing compliance, HIPAA and other regulations. It will address how these risks may occur without knowledge of the compliance department or the organization’s leadership. Many health care organizations may not be aware of the range of research activity that could be occurring in their organization. For those that do research but are not large academic medical centers there may not be an appreciation of all the risk. It is very difficult to find individuals with the subject matter expertise across the regulatory spectrum that research encompasses. Even within large academic medical centers and university health systems, coordinated and centralized research review and approval processes are essential to understanding and managing research risk.

The AHLA Fraud and Compliance Forum is a unique opportunity to personally connect with individuals serving in federal regulatory and enforcement roles. Exchange ideas and experiences with legal and compliance team members representing a wide variety of health care providers, management entities, service providers, and consultants from across the country.