AUDIOCONFERENCE ON CD OR AUDIO ON-DEMAND
Sponsored by Internal Investigations Handbook
presented on June 24, 2008
Providers now have an even greater incentive to investigate problem areas and report fraudulent conduct to the OIG. In an open letter to healthcare professionals on April 15, the Inspector General streamlined several steps of its provider Self-Disclosure Protocol (SDP). Providers who successfully use this protocol can expect reduced fines and less likelihood of a corporate integrity agreement.
However, before providers can take advantage of these benefits, they need to perform an effective internal investigation. Without proper preparation and comprehension of potential compliance pitfalls inherent in internal investigations, compliance officers could actually cause more trouble for their facility.
Compliant methods to handle internal investigations
Make sure your compliance department has the education and resources it needs to conduct thorough and beneficial internal investigation. Listen to HCPro for this 90-minute audioconference Internal Investigations Roundtable: Tools to Address Compliance Concerns and Follow the OIG Self-Disclosure Protocol. Our panel includes OIG expert and compliance consultant Richard Kusserow, (Strategic Management Systems, Inc.), compliance officer Christine Bachrach (HealthSouth), and compliance attorney Robert A. Wade, Esq., (Baker and Daniels, LLP). During the discussion, listeners will gain insight and best practices from three unique perspectives: a former Inspector General and FBI investigator, an experienced compliance officer, and an experience legal, compliance professional. Through the conversation you will also discover: tips for investigative planning; protocols to establish with human resources, legal counsel, and other departments; how to conduct employee interviews; and how to properly write investigative reports.
At the end of this audioconference, you will be able to:
- Identify risk areas that may require an internal audit or investigation
- Select the necessary steps to address internal investigation findings
- Distinguish between professional roles of compliance, human resources, and legal counsel in conducting internal investigations
- Manage sensitive internal investigation records
- Conduct an effective employee interview
- Use the OIG Self-Disclosure Protocol
AGENDA
- Getting prepared for an investigation
- Division of roles and responsibilities
- The compliance officer's role
- Legal counsel/crossover roles
- Human resource's involvement
- Consequences of an allegation
- Stark/Anti-kickback Statute
- Contractual and billing relationships
- Retaliation
- Developing a policy
- Evaluation
- Assessing and triaging complaints and allegations
- Potential types of responses
- Conducting the investigation
- Attorney client privilege
- Tips and techniques for interviews
- Physical evidence
- Proper Documentation
- Fact versus conclusions in memos
- Confidentiality
- Security and control
- Taking the appropriate action
- New rules for self-disclosure from the OIG
- Question & Answer session
MEET THE SPEAKERS
Richard Kusserow, CEO of Strategic Management Systems, Inc. (SMS). Mr. Kusserow is a former DHHS Inspector General and the CEO and founder of SMS, a consulting firm that is a premier leader in the healthcare industry providing regulatory and corporate compliance risk management services with a focus on ethics and corporate integrity. SMS provides a wide range of business and operational management solutions and its team includes several former government executives.
Christine Bachrach, Chief Compliance Officer and Senior Vice President, HealthSouth. Ms. Bachrach is responsible for oversight of compliance for HealthSouth—the nation's largest provider of inpatient rehabilitation services—including development and implementation of new compliance-related programs to improve the effectiveness of the regulatory compliance program. She has established an enterprise methodology for regulatory compliance risk assessments, including integrating efforts from Sarbanes-Oxley requirements.
Robert A. Wade, Esq., Partner, Baker and Daniels, LLP. Mr. Wade concentrates his practice in representing a variety of healthcare clients. His specialization includes representing clients with respect to the Stark Law, Anti-Kickback Statute, False Claims Act, and Emergency Medical Treatment and Labor Act. Mr. Wade is a nationally-recognized expert in all aspects of healthcare compliance and he has experience in representing clients with respect to issues being investigated by the Department of Justice and the Office of Inspector General.
WHO SHOULD LISTEN?
Professionals from large multi-hospital systems and stand-alone hospital systems with the following titles:
- Compliance Officer
- Inside Legal Counsel
- Human Resources
- Executives
PROGRAM MATERIALS:
Program materials are provided with PDF links.
AUDIO ON-DEMAND
In addition to the regular purchase option for HCPro audioconferences, we are pleased to offer another option, an audio on-demand. Audio on-demand allows you to download the program and play it back at your convenience through your computer or MP3 player. Purchase a CD or audio on-demand of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff. CD and audio on-demand orders will be fulfilled after the date of the live program.
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