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Fraud and Compliance Forum

Schedule

This two and a half day conference will be held in-person only. We are excited for attendees to connect and network in person.

Monday
Schedule

 

Tuesday
Schedule

 

Wednesday
Schedule

         

Monday, October 28, 2024

11:30 am-5:30 pm

Registration and Check-In
Come to the AHLA Registration area to print your badge.

 
12:45-3:45 pm General Session

12:45-1:00 pm
Welcome and Patricia Meador Award Recognition
Asha Scielzo, AHLA President
John E. Kelly, Program Planning Chair

1:00-1:45 pm
1. Keynote Address

1:45-2:30 pm
2. Fireside Chat on Enforcement Trends

2:45-3:45 pm
3. Year in Review

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

 
3:45-4:15 pm

Networking Break

 
4:15-5:30 pm Extended Concurrent Sessions

4. Medical Coding and Billing Bootcamp (Primer) (not repeated)
Robert A. Pelaia, Deputy General Counsel/University of South Florida, Tampa, FL
Leonta "Lee" Williams, Senopr Director of Education, AAPC, Salt Lake City, UT


5. An Intensive and Interactive Look at Self-Disclosing Noncompliance with the Physician Self-Referral Law
Lynn M. Barrett, Wachler & Associates, P.C.
Matthew Edgar, Director, Division of Technical Payment Policy, Centers for Medicare and Medicaid Services, Baltimore, MD
Lisa Ohrin Wilson, Senior Technical Advisor, Centers for Medicare and Medicaid Services, Baltimore, MD


6. Innovative Health Care Technology Companies: Compliance Challenges and Managing Risk
Troy Barsky, Crowell & Moring, Washington, DC
Samantha Kelen, Chief Compliance Officer, Stellar Health, New York, NY
Jennifer Kreick, Haynes and Boone, LLP, Dallas, TX


7. Value-Based Exceptions and Safe Harbors: Use Cases and Lessons Learned (Advanced)
Jim Carr, Co-Founder & Partner, InHealth Advisors, Englewood, CO
Rachel Polzin, Senior Legal Counsel, SSM Health, Madison, WI
C. Scott Strickland, Hall Render Killian Heath & Lyman PC Raleigh, NC

 
5:30-6:30 pm

 Networking Reception, sponsored by Stout 
This event is included in the conference registration fee. Attendees, speakers, and registered guests are welcome.

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Tuesday, October 29, 2024

7:00 am-5:30 pm

Registration and Check-In
If you haven't checked in, come to the AHLA Registration area to print your badge.

 
7:00-8:00 am

Continental Breakfast, sponsored by Stout 
This event is included in the conference registration. Attendees, speakers, and registered guests are welcome.

 
8:00-9:15 am Extended Concurrent Sessions

8. Physician Self-Referral (Stark) and Anti-Kickback Bootcamp (Primer) (not repeated)
Mara Rendina, Associate General Counsel, University of Michigan Medicine, Ann Arbor, MI
Joseph Wolfe, Hall Render Killian Heath & Lyman PC  Milwaukee, WI


9. Navigating Compliance with the Information Blocking Rules
Heather Deixler, Latham & Watkins LLP, San Francisco, CA
Patrick Harrigan, Epic
Dennis Pangindian, Epstein Becker & Green, New York, NY


10. A Fireside Chat: Corporate Enforcement and Voluntary Self-Disclosure in the Health Care Industry (Advanced)
Murad Hussain (Moderator), Arnold & Porter, Washington, DC
Jacob Foster, Principal Assistant Chief, Health Care Fraud Unit, US Department of Justice Criminal Division's Fraud Section, Washington, DC
Ted Lotchin, Chief Compliance Officer, UNC Health, Chapel Hill, NC
Tamar V. Terzian, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC


5. An Intensive and Interactive Look at Self-Disclosing Noncompliance with the Physician Self-Referral Law (repeat)
Lynn M. Barrett, Wachler & Associates, P.C.
Matthew Edgar, Director, Division of Technical Payment Policy, Centers for Medicare and Medicaid Services, Baltimore, MD
Lisa Ohrin Wilson, Senior Technical Advisor, Centers for Medicare and Medicaid Services, Baltimore, MD

 
9:15-9:45 am 

Coffee Break
Exhibits Open–Meet the Exhibitors

 
9:45-10:45 am Concurrent Sessions

11. False Claims Act Primer (not repeated)
Renee Booker, Tycko & Zavareei LLP, Washington, DC
Laura Laemmle-Weidenfeld, Jones Day, Washington, DC


12. Legal Ethics: AI is Here!
Harvey L. Rochman, Manatt, Phelps & Phillips, LLP, Los Angeles, CA
Julie A. Simer, Vice President, Clinical Network Division Senior Corporate Counsel, Providence, Irvine, CA


13. Quality is the Best Policy: Practical Strategies to Address Legal and Compliance Risks in Quality Programs
Lauren Gennett, King & Spalding, LLP, Atlanta GA and Asheville, NC
Rebecca Gittelson, Regulatory Counsel, athenahealth, Atlanta, GA


14. Recent Government Enforcement and Compliance Trends in Private Equity
Kim H. Looney, K & L Gates, Nashville, TN
Kirk Ogrosky, Goodwin Procter, Washington, DC

 
10:45-11:15 am 

Coffee Break
Exhibits Open–Meet the Exhibitors

 
11:15 am-12:15 pm Concurrent Sessions

15. Conundrum of NPs, PAs, and Other APPs – Valuable Resource, But Care Needed in Structure, Communication, and Operation to Mitigate F&A Risk (Advanced) (not repeated)
Kristin C. Carter, Senior Counsel, Johns Hopkins Health System, Baltimore, MD
Holley T. Lutz, Dentons, Washington, DC
William T. Mathias, Bass Berry & Sims, Washington, DC


16. Best Practices When Engaging with Health Care Regulators (not repeated)
Agustin Orozco, Crowell & Moring LLP, Los Angeles, CA
Donald Yoo, Chief Compliance Officer, UCLA Health, Los Angeles, CA


17. Transactions in the Volatile Provider Market: The Impact on Fair Market Value, Commercial Reasonableness, and Other Compliance Requirements (Advanced)
Mandy E. Hayes-Chandler, Regional General Counsel, SSM Health, Oklahoma City, OK
Albert D. "Chip" Hutzler, HMS Valuation Partners, Nashville, TN
Michael R. Schulze, Sullivan Stolier Schulze, Lafayette, LA


18. Telehealth in the Age of Compliance Uncertainty: Managing Fraud Risks in a Post-Pandemic World
Jolie Apicella, Wiggin and Dana, New York, NY
Karen S. Glassman, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Dallas, TX
Anjna Kapoor, AUSA, US Attorney's Office, Eastern District New York, Brooklyn, NY

 
12:15-1:30 pm

Lunch on your own or attend the Networking and Presentation Lunch
Title: 
Key Health Care Policy Updates
Kim Brandt, Tarplin, Downs and Young, LLC, Washington, DC

The Networking and Presentation lunch is not included in the conference registration; there is an additional fee of $65; limited attendance; pre-registration required. Continuing Education Credits are not available for the lunch.

 
1:45-2:45 pm Concurrent Sessions

19. Health Data Privacy in the Modern Age (not repeated)
Raymond Dudlo, Stoll Keenon Ogden, Evansville, IN
Adam Greene, Davis Wright Tremaine LLP, Washington, DC


20. Current Trends in Lab Enforcement (not repeated)
Anthony J. Burba, Barnes & Thornburg, Chicago, IL
Andrea Treese Berlin, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC


21. There’s Still a Pulse: DOJ Resuscitates Managed Care Enforcement (Advanced)
Ilene Albala, Goodwin Procter, Washington, DC
John E. Kelly, Barnes & Thornburg LLP, Washington, DC
Sarah Kessler, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC


22. Source of Truth and Strategic Partner: The Evolving Role of the Chief Compliance Officer (Advanced)
Laura E. Ellis, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC
James O. Hearty, Senior Vice President and Chief Compliance Officer, DaVita, Denver, CO
Thomas O'Neil III, Managing Director, Berkeley Research Group, Washington, DC

 
2:45-3:15 pm

Networking Break
Exhibits Open–Meet the Exhibitors

 
3:15-4:15 pm Concurrent Sessions

23. Legal and Compliance Role for Auditing and Monitoring (not repeated)
Leia Olsen, Lead System Compliance & Investigations Counsel, Ascension, Glendale, WI
Shannon Sumner, Managing Principal Nashville Office and Chief Compliance Officer , PYA PC, Brentwood, TN


24. Artificial Intelligence: Practical Considerations for In-House Counsel and Compliance Professionals (not repeated)
Marti Arvin, Chief Compliance and Privacy Officer, Erlanger Health, Chattanooga, TN
Joseph A. Dickinson, Kaufman & Canoles, PC, Raleigh, NC


13. Quality is the Best Policy: Practical Strategies to Address Legal and Compliance Risks in Quality Programs (repeat)
Lauren Gennett, King & Spalding, LLP, Atlanta GA and Asheville, NC
Rebecca Gittelson, Regulatory Counsel, athenahealth, Atlanta, GA


14. Recent Government Enforcement and Compliance Trends in Private Equity (repeat)
Kim H. Looney, K & L Gates, Nashville, TN
Kirk Ogrosky, Goodwin Procter, Washington, DC

 
4:30-5:30 pm Concurrent Sessions

25. What You Should Have Known: Enforcement Trends With HIPAA and Cybersecurity Compliance (not repeated)
Krista Barnes, Chief Corporate Compliance and Privacy Officer, UVA Health, Charlottesville, VA
B. Scott McBride, Morgan Lewis & Bockius, Houston, TX


26. Estimates as Evidence: Statistical Sampling to Support Overpayments, FCA Damages, and the Impending Use of AI (Advanced) (not repeated)
Adam L. Bird, Calhoun Bhella & Sechrest, LLP, Washington, DC
Stephen D. Bittinger, K&L Gates, LLC Charleston, SC
Harold Haller, Expert Statistician, Harold S. Haller Co, Inc., Cleveland, OH


27. Areas Whistleblowers are Calling About... and How to Avoid Hearing From Them
Amy Easton, Phillips & Cohen, Washington, DC
Jacob T. Elberg, Associate Professor; Faculty Director, Center for Health & Pharmaceutical Law, Seton Hall University School of Law, Newark, NJ


18. Telehealth in the Age of Compliance Uncertainty: Managing Fraud Risks in a Post-Pandemic World (repeat)
Jolie Apicella, Wiggin and Dana, New York, NY
Karen S. Glassman, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Dallas, TX
Anjna Kapoor, AUSA, US Attorney's Office, Eastern District New York, Brooklyn, NY

 
5:30-6:30 pm

Networking Reception, sponsored by Stout 
This event is included in the conference registration. Attendees, speakers, and registered guests are welcome.

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Wednesday, October 30, 2024

7:00 am-12:15 pm

Registration and Check-In
If you haven’t checked in, come to the AHLA Registration area to print out your badge.

 
7:00-8:00 am

Continental Breakfast, sponsored by Stout 
This event is included in the program registration. Attendees and speakers are welcome.

 
8:00-9:15 am Extended Concurrent Sessions

28. Current Enforcement Trends and Navigating Pitfalls for Transferring Risk (Advanced)
Walt Breakell, Executive Vice President, Marwood Group, New York, NY
Martha Jacobs, Managing Director, National Healthcare Practice Leader, Aon, Pittsburgh, PA
Michael E. Paulhus, King & Spalding LLP, Atlanta, GA


6. Innovative Health Care Technology Companies: Compliance Challenges and Managing Risk (repeat)
Troy Barsky, Crowell & Moring, Washington, DC
Samantha Kelen, Chief Compliance Officer, Stellar Health, New York, NY
Jennifer Kreick, Haynes and Boone, LLP, Dallas, TX


7. Value-Based Exceptions and Safe Harbors: Use Cases and Lessons Learned (Advanced) (repeat)
Jim Carr, Co-Founder & Partner, InHealth Advisors, Englewood, CO
Rachel Polzin, Senior Legal Counsel, SSM Health, Madison, WI
C. Scott Strickland, Hall Render Killian Heath & Lyman PC Raleigh, NC


10. A Fireside Chat: Corporate Enforcement and Voluntary Self-Disclosure in the Health Care Industry (Advanced) (repeat)
Murad Hussain (Moderator), Arnold & Porter, Washington, DC
Jacob Foster, Principal Assistant Chief, Health Care Fraud Unit, US Department of Justice Criminal Division's Fraud Section, Washington, DC
Ted Lotchin, Chief Compliance Officer, UNC Health, Chapel Hill, NC
Tamar V. Terzian, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC

 
9:15-9:45 am 

Networking Break

 
9:45-10:45 am Concurrent Sessions

29. Research Misconduct and Data Fraud: Key Areas of Risk and False Claims Act Implications (not repeated)
Minal Caron, Ropes & Gray LLP, Boston, MA
Tony R. Maida, McDermott Will & Emery, New York, NY


17. Transactions in the Volatile Provider Market: The Impact on Fair Market Value, Commercial Reasonableness, and Other Compliance Requirements (Advanced) (repeat)
Mandy E. Hayes-Chandler, Regional General Counsel, SSM Health, Oklahoma City, OK
Albert D. "Chip" Hutzler, HMS Valuation Partners, Nashville, TN
Michael R. Schulze, Sullivan Stolier Schulze, Lafayette, LA


22. Source of Truth and Strategic Partner: The Evolving Role of the Chief Compliance Officer (Advanced) (repeat)
Laura E. Ellis, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC
James O. Hearty, Senior Vice President and Chief Compliance Officer, DaVita, Denver, CO
Thomas O'Neil III, Managing Director, Berkeley Research Group, Washington, DC


27. Areas Whistleblowers are Calling About... and How to Avoid Hearing From Them (repeat)
Amy Easton, Phillips & Cohen, Washington, DC
Jacob T. Elberg, Associate Professor; Faculty Director, Center for Health & Pharmaceutical Law, Seton Hall University School of Law, Newark, NJ

 
11:00 am-12:00 pm Concurrent Sessions

9. Navigating Compliance with the Information Blocking Rules (repeat)
Heather Deixler, Latham & Watkins LLP, San Francisco, CA
Patrick Harrigan, Epic
Dennis Pangindian, Epstein Becker & Green, New York, NY


12. Legal Ethics: AI is Here! (repeat)
Harvey L. Rochman, Manatt, Phelps & Phillips, LLP, Los Angeles, CA
Julie A. Simer, Vice President, Clinical Network Division Senior Corporate Counsel, Providence, Irvine, CA

 
11:00 am-12:15 pm Extended Concurrent Sessions

21. There’s Still a Pulse: DOJ Resuscitates Managed Care Enforcement (Advanced) (repeat)
Ilene Albala, Goodwin Procter, Washington, DC
John E. Kelly, Barnes & Thornburg LLP, Washington, DC
Sarah Kessler, Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC


28. Current Enforcement Trends and Navigating Pitfalls for Transferring Risk (Advanced) (repeat)
Walt Breakell, Executive Vice President, Marwood Group, New York, NY
Martha Jacobs, Managing Director, National Healthcare Practice Leader, Aon, Pittsburgh, PA
Michael E. Paulhus, King & Spalding LLP, Atlanta, GA

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In-Person Conference Format

How It Works

  • We will offer in-depth breakout sessions where speakers and attendees can interact and collaborate with each other in-person.
  • We have adopted a new onsite registration system by providing seamless check-in and onsite badge printing.
  • Built-in extended time between sessions for moving from room to room, networking with colleagues, and personal break time.  
  • All conference sessions will be recorded. Video of the presentations, along with the materials will be available to all attendees who register and can be watched to earn On Demand Continuing Education Credits. Those that cannot attend in-person can purchase the eProgram and apply for Continuing Education Credits. More information on our ePrograms.
  • For questions or more information, please email [email protected]
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Conference 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 conferences.

Learn More

Become a Sponsor

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