Compliance

This Hub page includes AHLA resources on all aspects of health care compliance, which offer both a foundation for understanding the complex regulatory environment and for staying abreast of new and evolving requirements.

Health Law Connections: Compliance Corner

Patients over Paperwork: Ensuring Compliance with New E/M Codes, Raj Shah and Maddie Burdick (December 2020)
OIG Malnutrition Audits Confound Compliance—Time to Act, Paul Belton and James S. Kennedy (October 2020)
A Delicate Balance: New Privacy Challenges for Public Health Disclosures During the COVID-19 Pandemic, Jessica Quinn and Vladimir Edmondson (August 2020)
How PDPM Risks and Opportunities Impact SNF Compliance Programs, Amy Dalton (July 2020)
Telemedicine: From Face-to-Face to Cyberspace, Janice G. Jacobs (June 2020)
Stop the Silo: Making the Most of Patient Safety Compliance Programs, Sarah R. Skubas (April 2020)
Successfully Designing and Implementing a Code of Conduct, Marla Berkow (November 2019)
Disclosures to Prevent Harm: An Analytical Tool, David Parks (September 2019)
Creating a Culture of Compliance Through Branding and Employee Engagement, Joanne O’Malley (June 2019)
Assess Compliance Program Effectiveness Through CMS Program Audit Preparation, Herbert R. Dean (May 2019)
The Usefulness of Self-Awareness and Reflection, Anne Adams (April 2019)
Conflicts of Interest Evaluation Using a Risk-based Assessment Tool, David Parks (March 2019)
Building an Effective Compliance Program with Limited Resources, Marti Arvin (February 2019)
The Intersection of Compliance and Enterprise Risk Management: Similarities, Differences, and Opportunities, Cyndi Baily (January 2019)
What Is and What Isn’t an FDR?, Marcie Swenson and Amanda Eccles-Jex (December 2018)
Policy and Procedure Best Practices, Melissa Borrelli (November 2018)
Effective Compliance Programs Require Physician Participation, Don Sinko (October 2018)
Future Proofing Your Compliance Program, Rebekah Latchis (September 2018)
In-House Counsel and Compliance Officer— A Dual Role?, Elizabeth Staple (August 2018)
Research Compliance—Why It Should Be Part of the Corporate Compliance Program, Leah Guidry (July 2018)
Framework and Methodology: Advanced Risk Assessment Design, Marcie Swenson (June 2018)
Internal Investigation of Drug Diversion: An Advanced Compliance Topic, Heidi Crosby and Cynthia Wisner (January/February 2018)
A Changing Landscape for Privacy Compliance and Care Coordination, Julia Weisner (December 2017)
Developing Effective Lines of Communication in Health Care Compliance, Marla Berkow (November 2017)
Accreditation and Compliance: How Do They Fit Together?, Fran Carroll (October 2017)
Best Practices for Building an Effective Compliance Training Program, Aletheia Lawry (September 2017)
Planning for Success—Managing a Compliance Audit Plan, Jennifer Edlind (August 2017).
Embracing Quality as an Integral Aspect of Health Care Compliance, Julia Weisner (July 2017)
Where Compliance Ends, Legal Begins, and the In Between, Lisa I. Wojeck (June 2017)
Beyond the 7 Program Elements—Ensuring a Sound and Vibrant Compliance Program, Leah Guidry (May 2017)
In the Trenches: Practical Pointers for Compliance Professionals, Leah A. Voigt (April 2017)

AHLA Articles

Eliminating Kickbacks in Recovery Act of 2018: A Long Sought-After Tool Is Realized, Rachel V. Rose and Sean R. McKenna (January 2019)
IRS Issues Guidance on Nonprofit Executive Compensation, but Challenges Remain for Tax-Exempt Health Care Systems, Erika Mayshar and Ralph E. DeJong (January 2019)
DOJ Revises “Yates Memorandum” on Individual Accountability, Michael W. Peregrine and Katherine A. Lauer (December 2018)
#MeToo and Medical Staffs: Best Practices for Handling Allegations of Physician Sexual Misconduct, Alexis L. Angell, and Mercedes Varasteh Dordeski (October 2018)
The Cybersecurity Landscape: Intersection of Cyber Loss, Patient Safety, and Enterprise Risk Management, Chad P. Brouillard, and William J. McDonough (September 2018)
Health Care Facility Licensure and Enrollment: Establishing a Cohesive Program to Reduce Financial and Organizational Losses, Scott Schardt, Rogaliner Law Firm, and Rebecca Hurley (August 2018)
Complicated Kickback Arrangements Between Vendors and Providers for Items or Services Paid for by Federal Health Care Programs, Mary Beth F. Johnston, Hilary H. Bowman, Carolyn F. Merritt, Kelsey U. Jerrigan (June 2018)
Death by a Thousand Cuts: Cybersecurity Risk in the Health Care Internet of Things, Alaap Shah (May 2018)
Compliance Committee Update, Michael W. Peregrine and Tony Maida (February 2018)
New Year’s Changes to the 340B Discount Drug Program Raise Compliance Concerns as New Billing Modifiers and Payment Reductions Take Effect, Justin C. Linder, (January 2018)
Emerging Duties Under Unsettled Disability Law: Web Access and Service Animals in Health Care, Anne Ruff and Adriana Fortune (October 2017)
Big Issues in Big Data: Considerations for Research Within Large Networks, Amy Jurevic Sokol (August 2017)
Voluntary Disclosure: Risks and Benefits, Jeremy M. Sternberg and William F. Pezzolo (July 2017)
Health Care Data Breaches: Practical Advice for Trying Times, Kristen Rosati and Scott Bennett (February 2017)
New Wine in Old Wineskins: Mitigating Fraud and Abuse Risks in Value-Based Reimbursement, Anna M. Grizzle, Amy Sanders Morgan, Brian D. Roark, and Adrienne L. Kepner (February 2017)
Your Money or Your Data: Ransomware and Modern Health Information Technology, Leonardo Tamburello (January 2017)

Practice Group Articles

An Extreme Example of the Importance of Payer Contracting, Stephen Bittinger, Business Law and Governance Practice Group (March 2019)
Using Information Security Agreements to Manage Privacyand Data Security Risks in Vendor Relationships, Alex Davenport Shelley Thomas, Health Information and Technology Practice Group (October 2018)
Benefits of Planned Records Management, Cindy Wisner, Hospitals and Health Systems Practice Group (October 2018)
Direct-to-Employer Wellness Programs: Promising but Complex, Paul A. Gomez and Anthony H. Choe, Labor and Employment, Health Information and Technology, and Payers, Plans, and Managed Care Practice Groups (May 2018)
Common Compliance Pitfalls Involving Real Estate Lease Arrangements with ReferralSources, Goran Musinovic and Gregory P. Gheen, Hospitals and Health Systems Practice Group (April 2018)
Discovery Pertaining to the Authenticity and Integrity of Electronic Medical Recordsand Its Impact in Medical Malpractice Cases, Stephen P. Smith, Health Care Liability and Litigation Practice Group (March 2018)
Navigating the Regulatory Maze in Hospital-Supplier“Stock and Bill” Arrangements, Jason B. Caron and Monica Wallace, Regulation, Accreditation, and Payment and Fraud and Abuse Practice Groups (February 2018)
State Health Care Fraud Law: An AHLA 50-State Survey with Summaries and Links, Fraud and Abuse Group (September 2018)
Anti-Kickback Statute Toolkit, Fraud and Abuse Practice Group (April 2018)
Clinical Trials Agreement Toolkit, Academic Medical Centers and Teaching Hospitals, Life Sciences, and Regulation, Accreditation, and Payment Practice Groups (March 2016)
Health Care Real Estate Lease Toolkit, Fraud and Abuse, Hospitals and Health Systems, Business Law and Governance, and In-House Counsel Practice Groups (February 2016)

Webinar Slides

Program Papers and Other Resources

Legal and Compliance Issues Relating to Medical Coding, Kimberly A. Lammers, Institute on Medicare and Medicaid Payment Issues (March 2018)
Administrative Enforcement Tools, Judith A. Waltz, Institute on Medicare and Medicaid Payment Issues (March 2018)
Minimizing Liability for Business Associate Misconduct, Kim C. Stanger, Physicians and Hospitals Law Institute (February 2018)
Hot Topics in EMTALA: Screening and Triaging Emergency Room Challenges, Emily Black Grey, Physicians and Hospitals Law Institute (February 2018)
Building a Compliant and Resilient 340B Program in the Midst of Regulatory Uncertainty, Donald P. Walker and Richard P. Church, Legal Issues Affecting Academic Medical Centers and Other Teaching Institutions (January 2018)
Provider-Based Status under Siege: Do the Benefits Justify the Costs of Compliance, Andrew Ruskin, Fraud and Compliance Forum (October 2017)
Common Fraud and Abuse and Other Legal Issues in Health Care Due Diligence, Tony Maida, Fraud and Compliance Forum (October 2017)
Health Care Compliance: Sample Forms and Policies (2016)