Continuing Education Request Form: 2022 Fraud and Compliance Forum

Continuing Education Request Form: 2022 Fraud and Compliance Forum - On-Demand Only

Delivery Method: Pre-Recorded Sessions and/or In-Person Session Recordings - On-Demand Only

Please read carefully.

This form must be completed when your sessions are COMPLETE. Participants must fill in the requested information, sign, and submit in order to receive credit. Indicate each session you attend and the number of minutes you attended. If you attended the full session, please put in the maximum number of minutes available (number only). You will receive credit based on the actual amount of time in each session. If you do not indicate the amount of time, you will not receive credit. You MUST fill in the correct Attendance Verification Code for each session you are requesting credits for.

Credit Hours Information

CLE: The maximum number of credits available for ON DEMAND is 31.5 (including 1.0 legal ethics) for a 60-minute state and 37.8 (including 1.2 legal ethics) for a 50-minute state. Please note that the actual number of credits may vary from state to state.

CPE: AHLA is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit.

The credit maximum is 38 hours (live and on demand). In accordance with NASBA requirements, in addition to filling out this form, you MUST fill in Attendance Verification Codes that were given at random times during the session.

CCB: Compliance Certification Board has approved this program for 37.8 CCB Continuing Education Units.

PLEASE NOTE: Some states are currently backlogged with processing course accreditations. Pending state approval, a certificate will be available within 7-14 business days of the time of request submission. If you do not see a certificate available in your member portal, this means that AHLA has not received an accreditation approval for this program and it is still pending. Once AHLA receives the pending approval, an email will go out stating that your certificate(s) is ready to download. The credits you receive will be based solely on the individual credit form you submit.

Certificates of Completion (including any necessary additional information) will be available within 7-14 days following your request. All attendees who submit a form will receive an email with instructions on downloading their certificates through AHLA’s website. You do not have to be a member of AHLA to log on and download a certificate.

If you have any questions or need further assistance, please contact CEU@americanhealthlaw.org

Attendee Information

AHLA ID Number:

You do not have to be a member to have an ID number. If you do not know your ID number, please leave this field blank.

Last Name*

First Name and Middle Initial*

E-mail Address*

Type of Credit*

We offer Continuing Legal Education (CLE), Accounting (CPE), Compliance (CCB). Select all that apply.

Select

State Bar and License Number*

Include the state(s) you are licensed in and your bar license number for each. (ex. CA 123456, AZ 1234567). Please abbreviate the state name(s). For example, OH for Ohio, MD for Maryland, etc.

On-Demand Only Offerings

Recordings of In-Person Program - Credit Information

Please do not check a session if you attended in-person. This is only for sessions you watched the recording of the session on demand.

I attended and earned credits in-person but watched additional recorded sessions for on demand credit*

Yes

I was unable to attend the In-Person delivery method due to an emergency cancellation. I have contacted an AHLA Staff and was instructed to still fill out this form. If I did not contact AHLA staff, I acknowledge and recognize that I cannot receive an Continuing Education Credits for this course, live and/or on-demand.

Please indicate whether you contacted an AHLA Staff and they have consented for you to fill out this request form.

Yes

Session:

1. Billing and Coding Bootcamp

Minutes Attended (Max 105 Minutes)

Only include the number. For example, 105.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

2. Enforcement Discussion

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

3. Year in Review

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

4. Physician Self-Referral (Stark) Bootcamp

Minutes Attended (Max 75 Minutes)

Only include the number. For example, 75.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

5. False Claims Act Update

Minutes Attended (Max 75 Minutes)

Only include the number. For example, 75.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

6. MD Anderson Cancer Center v. Office for Civil Rights, A Post-Decision Discussion of the MD Anderson appeal of a $4.3 million CMP and a Look at Current HIPAA Enforcement

Minutes Attended (Max 75 Minutes)

Only include the number. For example, 75.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

7. Physician Compensation–The Enforcement Trend That Never Seems To Go Out Of Style

Minutes Attended (Max 75 Minutes)

Only include the number. For example, 75.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

8. An Introduction to the Federal Anti-Kickback Statute and the Beneficiary Inducements Civil Monetary Penalty Law

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

9. Privacy and Security Nuts and Bolts

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

10. The DOJ and Corporate Compliance Programs–Historical Expectations and Recent Developments

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

11. Trending Anti-Kickback and Stark Law Issues Impacting Your Organization

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

12. False Claims Act Primer

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

13. Health System Acquisitions of Physician Practices: Navigating Compliance

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

This session is eligible for Legal Ethics specialty credit.

14. Legal Ethics: The Dynamic Landscape of Legal and Compliance Roles

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

15. Defending–and Preventing–Stark and Anti-kickback Statute Issues in Hospital / Physician Transactions

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

16. Medicare Advantage/ Part C and D Primer

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

17. MAC, OIG, or DOJ? The ABCs of Overpayments and Self-Disclosures

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

18. Current State of Telehealth Enforcement

Minutes Attended (Max 75 Minutes)

Only include the number. For example, 85.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

19. CIA Changes On The Horizon: What They Are And What They May Mean For You (Advanced)

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

20. Medicare Managed Care Enforcement Trends and Risk Areas

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

21. Sub-regulatory Guidance in Fraud and Compliance Actions

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

22. Sweeping Under the Rug: Issues in Billing and Coding Diligence in M&A Transactions

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

23. Contingency Management Rewards under the Beneficiary Inducement CMP (Advanced)

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

24. Nursing Homes: Where Do We Go From Here?

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

25. Enforcement Trends in Clinical Labs

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

26. EEK! The Government's Increased Use of EKRA (the Eliminating Kickbacks in Recovery Act) in Health Care Enforcement Actions

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

27. Administrative Enforcement (CMS and OIG): Case Study

Minutes Attended (Max 75 Minutes)

Only include the number. For example, 75.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

28. Turn that Frown Upside Down: Finding Compliance with the Physician Self-Referral Law Instead of Violations

Minutes Attended (Max 75 Minutes)

Only include the number. For example 75.

Attendance Verification Code:

Session:

29. Don’t Hide under the Desk when the Government Knocks: Tools to Prepare for CARES Act Audits and Enforcement Efforts

Minutes Attended (Max 60 Minutes)

Only include the number. For example, 60.

Attendance Verification Code:

This is the CE Code that appears twice during the presentation.

Session:

30. To Infinity and Beyond: Coordinating Incident Response Obligations–HIPAA, State Law, International Law, and Beyond

Minutes Attended (Max 60 Minutes)

Only include the number. For example 60.

Attendance Verification Code:

Session:

31. False Claims Act Allegations Based on Statistical Sampling and Extrapolation

Minutes Attended (Max 30 Minutes)

Only include the number. For example 30.

Attendance Verification Code:

Session:

32. 340B Compliance

Minutes Attended (Max 30 Minutes)

Only include the number. For example 30.

Attendance Verification Code:

If you were a speaker on the program, please check the box below.

Electronic Signature*

Please type in your full name to attest to having attended the sessions indicated for the amount of time indicated.

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