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Schedule
We are excited to bring you this portion of the program in person, September 30-October 1 at the Renaissance Baltimore Hotel. The in-person program will include 11 in-depth breakout sessions and lots of time for networking with your colleagues.
Benefits of the In-Person Program
- After a year of virtual programming, you will finally be able to step out from behind your computer and network face-to-face with other health law professionals.
- Attend interactive breakout sessions, enriching your learning and engagement.
In-Person Program | September 30-October 1 | Baltimore, MD
AHLA is committed to providing a safe and healthy environment for program participants and staff. AHLA has adopted preventative measures to reduce the potential spread of the COVID-19 virus, including requiring masks, and is following guidance provided by the US Centers for Disease Control and local authorities. Attendees are also expected to do their part and abide by AHLA’s Duty of Care.
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2:00-5:00 pm | ||||||
Registration and Check-In | ||||||
4:00-5:00 pm | ||||||
Networking Reception, sponsored by HealthCare Appraisers, Inc. (This event is included in the program registration. Attendees, faculty, and guests are welcome.) |
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7:00 am-5:30 pm | ||||||||
Registration and Information | ||||||||
7:00-8:00 am | ||||||||
Continental Breakfast (This event is included in the program registration. Attendees, faculty, and guests are welcome.) |
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8:00-9:30 am General Session | ||||||||
8:00-8:15 am 8:15-9:00 am 9:00-9:30 am |
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9:30-10:00 am | ||||||||
Coffee Break Exhibits Open–Meet the Exhibitors |
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10:00-11:00 am | ||||||||
2. Investigation Hydras: Navigating Complex Issues in Internal Investigations Conducting an internal investigation in a health care provider organization can be anything but simple or straightforward. This panel will feature government, in-house, and defense counsel perspectives on challenging issues which can arise during internal investigations, and how practitioners can work through those issues with their clients. The discussion will draw from the panelists’ specific experiences and will include discussion of the following topics, among others.
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3. Implementing Value-Based Care: Stark
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4. Avoid the Long-Haul Risks of COVID Relief Funds On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was signed into law, making available $2.2 trillion in relief funds–of which about $178 billion was pushed out to health care providers in the form of Provider Relief Funding. This session will discuss the HHS Office of Inspector General’s (OIG) audit plan and processes to review provider’s use of Cares Act Provider Relief Funding (PRF), and in particular:
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11:30 am-12:30 pm | ||||||||
5. Developments in Government Managed Care Fraud Enforcement
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6. Grant Fraud Enforcement Trends and Compliance Best Practices
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7. The Pandemic is Ending: What Providers Can Expect Next
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12:30-1:30 pm | ||||||||
Lunch on your own | ||||||||
1:30-2:30 pm | ||||||||
8. Legal Ethics for Compliance Officers and In-House Counsel Interactive live session in game show format that will discuss:
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9. Asked and Answered: OIG’s Regulatory Sprint Rule
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3. Implementing Value-Based Care: Stark
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3:00-4:00 pm | ||||||||
10. Fraud and Compliance Considerations for Telemedicine and Digital Health: Navigating the Emerging Landscape
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4. Avoid the Long-Haul Risks of COVID Relief Funds On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) was signed into law, making available $2.2 trillion in relief funds–of which about $178 billion was pushed out to health care providers in the form of Provider Relief Funding. This session will discuss the HHS Office of Inspector General’s (OIG) audit plan and processes to review provider’s use of Cares Act Provider Relief Funding (PRF), and in particular:
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9. Asked and Answered: OIG’s Regulatory Sprint Rule
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4:30-5:30 pm | ||||||||
11. The Role of Boards of Directors and How to Interact with Them
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7. The Pandemic is Ending: What Providers Can Expect Next
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In-Person Program Format
How It Works
- We will offer 11 in-depth breakout sessions where speakers and attendees can interact and collaborate with each other in-person.
- We consider the health and safety of all those onsite at in-person programs our top priority. AHLA will follow guidance and requirements issued by the CDC as well as by state and local government and are working with the hotel to ensure your health and safety as we transition back to in-person programming.
- All attendees, who register for the in-person component of the program, will be required to commit to our Duty of Care (see below) agreeing to follow the protocols we establish and monitor their own health for the health and safety of all.
- On September 30, to minimize crowding, we are offering extended time for registration. We have adopted a new onsite registration system by providing seamless, touchless check-in, onsite badge printing, and safety supplies to all attendees to use while in attendance.
- Built-in extended time between sessions for moving from room to room, networking with colleagues, and personal breaktime.
- Socially distanced seating arrangements in breakout rooms, regular cleaning in and around meeting spaces, and appropriate signage/floor decals to reinforce spatial distancing and other safety reminders.
Virtual Program | September 21-22, 2021
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11:00 am-12:15 pm EDT | ||||
1. Year in Review As usual, this will be a fast-paced overview of key developments over the past year, including:
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12:30-1:30 pm EDT | ||||
2. A Peek Behind the Curtain: The Interactions of DOJ, OIG, CMS, and the HHS Office of General Counsel
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3. Recent Developments Provider Based Billing
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4. Emerging HIPAA Issues and the Compliance Challenges they Present
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1:45-2:45 pm EDT | ||||
5. Measuring the Effectiveness of Your Compliance Program: Evaluation of Corporate Compliance Programs
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6. Sub-regulatory Guidance in Fraud and Compliance Actions In Azar v. Allina Health Services the Supreme Court held that the Medicare statute, in contrast to the APA, required CMS to adopt even “interpretative” rules and policies through notice and comment rulemaking if those rules have a substantive legal effect on reimbursement. This year, HHS finalized new Good Guidance regulations and established a Guidance Repository. We address questions regarding how CMS’s extensive sub-regulatory guidance, encompassed in hundreds of pages of manuals and other sources, should be viewed in FCA and compliance actions. This session will discuss:
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7. Clinical Laboratory Regulatory and Enforcement Update for 2021 COVID-19 highlighted the important role of clinical laboratories in the health care system, prompting an explosion of development and new entrants–big and small–into the market. This presentation will focus on the many compliance and regulatory issues that are particular to clinical labs and inform participants about:
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3:00-4:30 pm EDT | ||||
8. Billing and Coding Bootcamp
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11:30 am-12:00 noon EDT | ||||||
9. Keynote Address
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12:15-1:15 pm EDT | ||||||
10. Demystifying the Stark Law’s Overhauled “Big 3”: Commercial Reasonableness, the Volume or Value Standard and FMV Insight into the Big 3 and how the new guidance will impact health care contracting, compliance strategies, and future enforcement priorities, including the following:
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11. Conducting Effective Internal Investigations: Avoiding Potential Pitfalls and Ensuring Diversity
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12. Emerging Trends in Health Care Technology and Cybersecurity Enforcement: What You Need To Know
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1:15-1:30 pm EDT | ||||||
Visit the Sponsors | ||||||
1:30-2:30 pm EDT | ||||||
13. The Patient Engagement and Support Safe Harbor: A New Opportunity to Address Social Determinants of Health
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14. Digging Deeper in Your Audits: An Investigative Approach to Effective Compliance, the 60-Day Rule, and Identifying Overpayments
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15. False Claims Act Update
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2:45-3:45 pm EDT | ||||||
16. Private Equity in Physician Practices: Compliance Considerations Private equity (PE) involvement in the health care sector has continued to grow, and physician practices in diverse sub specialties are experiencing the benefits and complications of alliances with PE. With PE-backed health care companies continuing to see scrutiny from federal and state regulators for failure to appropriately comply with health care regulatory laws, it is important for PE firms and their partners to understand the complex regulatory environment they operate in and to structure arrangements to ensure compliance. This will be an intermediate session for in-house and outside counsel and compliance officers. The session will provide:
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17. EKRA: Enforcement Trends and Future Projections
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18. Health Care Fraud Enforcement: Does COVID-19 Represent a Changed Risk Environment?
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On Demand Offerings
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I. Fundamentals of the Anti-Kickback Statute, the Beneficiary Inducements CMP, and the Physician Self-Referral Law
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II. Administrative Enforcement: Case Study with Perspectives from CMS and OIG
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III. A Primer on DOJ’s Main Civil Enforcement Tool: The False Claims Act
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IV. Privacy and Security Nuts and Bolts
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V. Legal Ethics Considerations of Conducting Privileged, Crisis-Response Investigations of Health Care-Related Cyberattacks (Session was Pre-Recorded for the Annual Meeting, June 2021) It’s no secret that perpetrators of ransomware, malware, and a myriad of other cyberattacks increasingly target health care providers, payors, and others warehousing confidential and protected patient information. How the corporate victims immediately respond to these crises presents a variety of potential adverse consequences, including creating evidence that may become discoverable in the inevitable third-party actions and government inquiries. In this presentation, the speakers will discuss:
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VI. Social Determinants of Health and COVID-19: What is the Fraud and Abuse Landscape Now? (Session was Pre-Recorded for the Physicians and Hospitals Law Institute, February 2021)
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This program will be formatted as a two-day virtual program with an in-person add on for those ready to connect in person with additional breakout sessions and a networking event.
Virtual Program Format
How It Works
- Once you register, you'll begin to receive information to prepare for the live virtual event.
- Prior to the live event, participants will receive an email with instructions on how to log in on the day the program starts. You will also receive a link to the full set of program materials.
- We are currently working on the program schedule. During some time slots, participants will decide between 2-3 live sessions. Watching sessions live will give you the opportunity to be an active participant in live question and answer portion of the presentations. Get your questions answered, chat, and collaborate with other participants and speakers.
- Miss any sessions? No problem, you can watch them on demand later.
- Participants will be able earn continuing education credits for, not only the live sessions attended, but for any on-demand sessions.
Benefits of the Virtual Program
- Speakers are pre-recorded so speakers can participate in the text chat during the session, driving conversation forward and allowing for speakers to answer questions and clarify points throughout their session.
- Access to all the sessions on demand for viewing later on your own time, with continuing education credits available for both live and on demand.
Program Accessibility and Special Needs
AHLA is committed to ensuring equitable access to our educational content. We are continually improving the user experience for everyone and offering accessibility accommodations for our in-person programs.
Thank You to Our Fraud and Compliance Forum Sponsors
Platinum Level Sponsor

Silver Level Sponsors




Bronze Level Sponsors

If your organization is interested in sponsoring AHLA's Fraud and Compliance Forum, please contact Valerie Eshleman.