Registration Fee:

$195

CLE Hours:

6 CLE Hours Including
1 Ethics Hour,
1 Professionalism
Hour and 2 Trial Practice Hours

ADVANCED HEALTH CARE LAW

RECORDED OCTOBER 8, 2010

Co-Sponsor:
Health Law Section, State Bar of Georgia

Presiding:
Charlotte A. Combre, Chair, Health Law Section, State Bar of Georgia; McKenna Long & Aldridge LLP, Atlanta

WELCOME AND PROGRAM OVERVIEW
Charlotte A. Combre

HEALTH INFORMATION TECHNOLOGY AND EXCHANGES

  • Georgia Department of Community Health Plans
    for Statewide Health Information Exchange (HIE)
  • Other State HITT Initiatives
  • Practical Issues Faced in Setting Up a HIE,
    including Ethical and Professional Considerations
  • Proposed HIPAA/HITECH Regulations

Moderator:
Joel Schuessler, DeKalb Medical, Decatur

Panelists:
Ruth Ann Carr, Georgia Department of Community Health, Atlanta
Robert W. Bush, Georgia Legal Services Program, Savannah
Jill M. Girardeau, Womble Carlyle Sandridge & Rice PLLC, Atlanta

LONG TERM CARE UPDATE

  • Merger and Acquisition Trends
  • Health Reform Legislation
  • Litigation Update

Emily C. Crosby, Community Health Systems, Inc., Macon
Glenn P. Hendrix, Arnall Golden Gregory LLP, Atlanta

NEW Models for health care reimbursement

  • Overview of New Reimbursement Methodologies
    Coming from CMS
  • Summary of the ACE Demonstration Project,
    Including the Basic Principles and Procedures
    Involved in Bundling of Physician and Hospital
    Reimbursement
  • Legal and Regulatory Issues Involved in the ACE
    Demonstration Project, as Well as Potential Issues
    Beyond the Demonstration Context
  • Summary of the CMS Accountable Care
    Organizations (ACO) Project
  • Other Pending Reimbursement Demonstration
    Projects
  • Professionalism Issues

Robert D. Stone, Alston & Bird LLP, Atlanta

MEDICAID UPDATE

  • Program Integrity Efforts
  • State and Federal Expectations Regarding
    Provider Responsibility to Identify and Report
    Overpayments
  • Impact of 2012 State Budget on Providers
  • Implementation of the Medicaid and PeachCare
    Fiscal Agent and MMIS Migration
  • Health Care Reform

Mark Trail, Health Management Associates, Atlanta
Jerry Dubberly, Georgia Department of Community Health, Atlanta
Anna M. Bacon-Tinsley, Tinsley Bacon Tinsley, LLC, Alpharetta

HEALTH CARE FRAUD FROM THE INSIDE: PREVENTING AND DETECTING FRAUD, ABUSE AND WASTE IN THE CORPORATE HEALTH CARE SETTING

  • Compliance in a Very Aggressive Environment of
    Government Health Care Fraud Investigations
  • The Federal Government’s Stated Focus on
    Detecting, Investigating, and Prosecuting Cases
    Involving Corporate Health Care Fraud (i.e. the
    HEAT Program)
  • Defense Strategies in Both the Civil Qui Tam/
    Affirmative Civil Enforcement and Criminal
    Contexts, Including the Importance of Fraud and
    Abuse Training For All Employees
  • Ethical Considerations in Trial

Moderator:
Brian F. McEvoy, Chilivis, Cochran, Larkins & Bever, LLP, Atlanta

Panelists:
Brian Rafferty, Assistant U.S. Attorney, Chief of the Criminal Section, Southern District of Georgia, Savannah
William H. Jordan, Alston & Bird LLP, Atlanta
Summer H. Martin, McKenna Long & Aldridge LLP, Atlanta
Paul B. Murphy, King & Spalding LLP, Atlanta