Overview:

This webinar provides a critical analysis of enforcement initiatives pursued by the U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) and its law enforcement partners throughout 2024. The session will examine recent case studies and regulatory actions that define the current healthcare enforcement landscape.

Participants will receive a focused review of the federal Anti-Kickback Statute (AKS), including an examination of regulatory safe harbors with particular emphasis on newer provisions for coordinated care and value-based arrangements. The webinar will also analyze significant OIG Advisory Opinions issued in 2024 and review pivotal court cases involving AKS violations, providing practical insights into compliance priorities and enforcement trends.

Why you should Attend:

This program is specifically designed for healthcare executives, physicians, practice administrators, and other providers who participate in federal healthcare programs including Medicare, Medicaid, and TriCare. Recent enforcement actions demonstrate that many common business arrangements permissible in other industries constitute violations of federal healthcare fraud statutes.

Healthcare leaders should recognize the government's increasing reliance on the Anti-Kickback Statute as a primary enforcement mechanism. Equally concerning is how the AKS, together with the Stark Law, frequently serves as the foundation for lawsuits under the Federal False Claims Act. This webinar will clarify the essential elements of the AKS, explain available exceptions and safe harbors that provide compliance protection, and demonstrate why healthcare fraud enforcement has become an urgent priority for federal agencies.

Areas Covered in the Session:

• Fundamental prohibitions and requirements of the Anti-Kickback Statute

• Analysis of AKS Safe Harbor provisions and compliance requirements

• Review and implications of recent OIG Advisory Opinions

• Examination of 2024 enforcement actions by OIG and partner agencies

• Discussion of precedent-setting court decisions and their practical impact

Who Will Benefit:

• Hospital Executive Leadership (CEOs, COOs, CFOs, CNOs, CMOs)

• Physicians and Clinical Practitioners

• Physician Practice Managers and Administrators

• Executives and Compliance Officers from Other Healthcare Provider Organizations