The U.S. Department of Justice (DOJ) released a playbook that its healthcare fraud prosecutors will use to evaluate an entity’s compliance program in February 2017 and revised in June 2020 and again in March 2023. Accordingly, management should be well versed in the factors fraud prosecutors will use to evaluate the effectiveness of an entity’s compliance programs, which, in turn, influence the severity and materiality of any charging decisions.

During this session, Karin Anderson and Tynan Kugler provided an overview of these factors including industry best practices management teams can implement to demonstrate an effective compliance program. They incorporated insights obtained while serving as the compliance subject matter expert as part of the compliance monitorship team for the largest DOJ-imposed non-prosecution agreement of a health system in U.S. history.

• Hear an overview of the “Principles of Federal Prosecution of Business Organizations” in the U.S. Justice Manual
• Learn from an overview of the U.S. Department of Justice Criminal Division’s “Evaluation of Corporate Compliance Programs”
• Understand the government’s expectations for demonstrating an effective compliance program
• Gain best practices for assessing and implementing the key provisions of the DOJ’s guidance.

PYA is pleased to announce its third annual Summer CPE Symposium: “Hot Topics in Healthcare,” June 20-21, a complimentary virtual learning opportunity for healthcare leaders and other professionals. Over two days, PYA thought leaders will present four sessions on trending topics and provide key takeaways and helpful tools for attendees.

The 2024 symposium offers two sessions each day for a total of four opportunities to learn from a team of PYA experts on topics related to reimbursement, healthcare compliance, audit and accounting, and cybersecurity.