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You are here : About  >  Conference Sessions  >  Monday

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Monday, April 16

Session

Title

Speakers




General Sessions
8:45 AM - 10:15 AM


OIG Update

Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services


 

Next Level Leadership

   

Scott Eblin, Author, The Next Level and Overworked and Overwhelmed


Break Out Sessions
11:00 AM - 12:00 PM
 
101

Healthcare Fraud Enforcement From The Trenches: The Top Government Enforcement Priorities in the Healthcare Space

  • Discussion of the top government enforcement trends affecting the healthcare industry
  • Describe recent updates in False Claims Act case law and litigation
  • Provide proactive compliance tips to healthcare providers to help such providers stay off of the government’s radar and avoid a costly and disruptive government investigation

Scott Grubman, Partner, Chilivis, Cochran, Larkins & Bever

Todd Swanson, Assistant United States Attorney, United States Attorney’s Office


  
 102

Strategies for Managing Conflict of Interests in the World of Innovation

  • Managing individual conflict of interests can pose challenges at institutions where innovation is both encouraged and rewarded. Review strategies for balancing entrepreneurial goals of individuals while maintaining compliance with institutional policies
  • Organizations are engaging in new and innovative relationships with industry as a means to achieve research and organizational objectives. Learn strategies for managing conflicts to avoid the appearance of bias in research
  • Building trust and communication is essential to a conflict of interest program. Discuss ways in which compliance officers can achieve these essential tools
Cheryl L. Byers, Privacy and COI Officer, Moffitt Cancer Center
 
103

60-Day Overpayment Rule: What Does Due Diligence Really Mean?

  • Reactive and Proactive Activities
  • Who should be included in the process?
  • What is the scope of review when an overpayment is identified?

Amy Brantley, Chief Compliance Officer, AseraCare Hospice

Paula Sanders, Principal and Healthcare Chair, Post & Schell, P.C.

 
104

HIPAA Update/Enforcement

Iliana Peters, Senior Advisor for HIPAA Compliance and Enforcement, HHS Office for Civil Rights

 
105

QPP Year Two: Clinical Practice Guidelines and Improving Quality of Care

  • The Physician Quality Payment Program (QPP) is in performance year 2 and will impact 2019 physician reimbursement. A physician and compliance officer review QPP performance
  • Are you ready for QPP Quality scoring? We discuss how judicious use of Clinical Practice Guidelines (CPG’s) can impact quality of care—and quality scores
  • Making the QPP Quality case with Physicians: Consider strategies for improving quality and scoring under the QPP

D. Scott Jones, Chief Compliance Officer, Augusta Health

Richard E. Moses, Physician/Attorney, MedLaw Compliance LLC

 
106

Self-Disclosures: Report, Repayment, and the Options

  • Compliance attorneys and professionals know there is an obligation to report and return overpayments resulting from Stark Law and Anti Kickback Statute violations
  • The case law applying Stark and AKS to Medicaid creates a conundrum: what is the appropriate method for making a selfdisclosure to a Medicaid program?
  • This session will include an in-depth discussion of a Medicaid self-disclosure case study and provide the pros and cons of various approaches

Jennifer L. Edlind, Chief Compliance Officer, US Acute Care Solutions

Kristen Shemory, Associate, Vorys, Sater, Seymour and Pease LLP

Matthew E. Albers, Partner, Vorys, Sater, Seymour and Pease, LLP

 
107

You Know that They Say.…Curiosity Killed the Cat! Best Practices & Tips on How to Implement a Proactive Breach Detection Plan

  • How to comply with the administrative safeguards of the HIPAA Security rule, Moffitt Cancer Center implemented procedures to reqularly review records of information systems, such as audit logs, access, and security incident tracking reports
  • Audit Control Standard and evidence of user activity review are key features of OCRs investigation and Audits
  • Practical tips on how to monitor workforce member activities and actions. How to investigate, mitigate insider threats, and grow. How to transform from reactive to proactive
Shallie J. Bryant, Compliance Program Integrity Officer, Moffitt Cancer Center
 
 108

Managing Organizational Risk: The Mighty Triad of Compliance, Internal Audit, and Risk Management

  • Define the organizational roles and responsibilities of Internal Audit, Corporate Compliance and Risk Management
  • Discover how a partnership of audit, compliance and risk management can be a major advantage for an overall risk strategy
  • Consider the variety of audit tools available for organizations to manage risk; and discuss how to move from siloed risk-related activities to integrated risk management

Susan Thomas, Consulting Manager, PYA, PC

Jennifer Brooks, Senior Director of Practice Transformation, Arizona Care Network

Sheila P. Limmroth, Privacy Officer/Legal Services Specialist, DCH Health System

 
 109

IT for the Non-IT Compliance Professional

  • Develop and broaden a practical knowledge base of IT concepts and principles and how they apply in supporting the organization’s compliance program
  • Learn some of the key challenges that IT professionals face in maintaining an effective IT network within the organization and how Compliance and IT can collaborate effectively to deal with these challenges
  • Identify auditing and monitoring opportunities where IT and Compliance can partner in obtaining useful data to help assess key processes that maintain the security of the IT system
Frank Ruelas, Facility Compliance Professional, St. Joseph’s Hospital and Medical Center/Dignity Health

  
 110

How to Successfully Integrate A New Healthcare Entity into Your Compliance Program

  • How to conduct a thorough due diligence review, then develop and implement a detailed integration plan of the target's compliance program in the M&A process
  • Utilizing leading practices based on HCCA/ OIG's Measuring Compliance Program Effectiveness: A Resource Guide, and what results may impact a buyer's evaluation of the target
  • Best practices and lessons learned on integrating a new healthcare entity into a larger healthcare system and its compliance program
Harriet E. Kinney, Director, Research Integrity & Compliance, Trinity Health

Christine Anusbigian, Specialist Leader, Deloitte & Touche LLP

Melissa Fury, Director, M&A Integration, Trinity Health

 
 111

4 out of 5 Dentists Recommend You Take Marketing Compliance Seriously

  • Discuss how your organization’s marketing and compliance programs intersect and overlap
  • Learn how to protect your organization against Stark, Anti-Kickback and HIPAA risks associated with marketing activity and how to mitigate those risks
  • How does the culture of compliance affect marketing activity? Integrating the culture of compliance into the marketing program
Brenda K. Manning, Privacy & Regulatory Affairs Director, University of Minnesota Physicians

Tomi Hagan, Senior Consultant, Compliance, Quorum Health Resources
 
112

Compliance Trends and Challenges for Substance Abuse and Behavioral Health Treatment Provider

  • Substance abuse and behavioral health treatment providers have experienced unprecedented recent growth in response to parity laws and expanded insurance coverage
  • This new growth, in turn, has contributed to a significant increase in regulation and enforcement by government agencies that are already struggling to keep up with a prescription opioid epidemic
  • Attendees will benefit from an in-depth discussion of the compliance challenges that providers need to be following right now and learn practical techniques and best practices for identifying, auditing, and evaluating their risks

Ted R. Lotchin, Partner, K&L Gates LLP

Christopher Haney, Managing Director, Forensus Group, LLC

Matthew D. Vogelien, Healthcare Compliance, Investigations, and Risk Management Consultant

 
AD1

Communicating with Regulators

  • Discuss perceived and actual barriers, risks, and restrictions
  • Discuss common stress factors for Providers, Health Plans and Regulators
  • Understanding the consequences of positive/negative communication

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Shawn DeGroot, President, Compliance Vitals

 
 AD2

You’ve Put Your Compliance Program in Place: Now How Do You Manage the Department and Make It Work?

  • Compliance metrics, dashboards and other reporting tools
  • Staff qualifications and selection
  • Developing self-directed highly motivated teams

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

John Falcetano, Compliance/Privacy Officer, Brooks Rehabilitation Health
 
AD3

Let’s Talk Shop

  • Compliance projects/activities (investigations, measuring program effectiveness, etc.)
  • How you solved it or how can your peers in this discussion group help
  • Lessons learned

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Al Josephs, Compliance Consultant


 
Break Out Sessions
1:30 PM - 2:30 PM
 
201

Reinventing the Internal Investigation: Practical Strategies for Ensuring a Yates-Informed Process

  • How legal privilege and Yates-requirements impact: investigation processes, witness interviews, documentation, and attorney ethical duties under the Rules of Professional Conduct
  • Key investigation process improvements that may enhance an organization’s ability to maintain privilege and obtain cooperation credit
  • Practical strategies for compliance officers and in-house attorneys to improve individual stakeholder compliance with investigation procedures
Heather L. Fields, Shareholder, Chair- Hospital/Health Systems Practice, Reinhart Boerner Van Deuren s.c.

James G. Sheehan, Chief, Charities Bureau, NY Attorney General

Lisa Estrada, Senior Vice President and Chief Compliance Officer, Fresenius Medical Care North America
 
 202

What Your Employees Don’t Know Can Hurt You: Effective Compliance Education

  • How to assess employee training needs to best address internal compliance risks. Learner characteristics and learning styles will be addressed
  • How to use resources and various training methods for effective education. Examples of interactive and scenario based learning will be provided
  • How effective training translates to increased compliance. Learner comprehension will be addressed as it relates to learning styles
Andrea C. Merritt, Partner, Athena Compliance Partners

Ashlie S. Heald, Partner, Athena Compliance Partners

 
203

Pills, Providers and Problems: How to Investigate Drug Diversion in Long-Term Care

  • How the narcotics fraud/theft and abuse is handled in LTC today
  • Best practices on conducting effective internal investigations
  • What the DEA is doing and how you can help
Ben Purser, retired FBI

Donna Thiel, Chief Compliance Officer, ProviderTrust
 
 204

Insider Threats: Healthcare Privacy & Security

  • The Current State of Healthcare Privacy & Security
  • Insiders are Responsible for 90% of Privacy & Security Incidents and Authorized Users Represent Your Organizations Greatest Risk—Why?
  • How to Detect & Prevent Privacy and Security Insider Threats
Michelle O’Neill, Director of Corporate Compliance/Privacy Officer, Summit Medical Group, PA
 
205

Hospice Physician Compensation: Top Trends and Compliance Concerns for Providers

  • Dealing with physicians who are paid an hourly rate but don’t want to document their time
  • Paying medical directors and hospice physicians for being on-call
  • Compensating physicians for travel time and face-to-face encounters
Darcy E. Devine, President, BuckheadFMV

 
 206

Managed Care Fraud: Enforcement and Compliance

 
 207

Welcome to the Alphabet Soup of OIG, MACs, UPICs and RACs

  • Participants will learn the various audit programs in use today
  • Steps to prepare for audits and response strategies
  • The levels of appeal/appeal process

Arlene F. Baril, Senior Director, Change Healthcare
 
208

High Value Charge Capture and Revenue Integrity Assessments

  • Focus on a risk based approach for successfully understanding, assessing, and improving charge capture processes in healthcare organizations
  • Learn how to perform a current state assessment of charge capture / reconciliation procedures, overall monitoring, tracking and reporting to identify improvements and compliance concerns, and validate the effectiveness of key controls
  • Guidance will be provided on scoping considerations, tools and testing techniques when assessing the effectiveness of key controls, and leading practices / key controls implemented across top organizations
Jennifer Stout, Manager, Protiviti

Don B. Billingsley, Associate Director, Protiviti
 
 209

Intoxicated Leadership: How to Avoid Leading Under the Influence of Your Emotions

  • Learn ways in which you can influence an employee before, during, and after a difficult conversation. How does emotion influence our success as leaders in communication, vision casting, and supporting our team members?
  • Learn how the body perceives and responds to conflict. Learn more about what are today’s “sabre tooth tigers,” and why the body is programmed to survive conflict, not resolve it
  • Illustrate an “Intoxicated Leader”; discuss how the millennial generation differ in their need for leadership
Benjamin Martin, Lieutenant, Henrico County Division of Fire
 
210

Could It Happen to You? Lessons from Today’s Headline Cases

  • We see the dangers and the sensational headlines, join us in exploring a series of case studies from recent matters such as Forest Park. To prepare, be aware!
  • Discuss practical suggestions and messaging to create compliance champions among leadership and providers
  • What are the best practices we can implement to increase vigilance, minimize our response time and mitigate our risk?
Nancy Vasto, Compliance Officer, USPI

Sheryl Vacca, SVP/Chief Risk Officer, Providence St Joseph Health
 
211

Maybe You Can’t Go to Europe, But that Does Not Mean It Won’t Come to You: The GDPR Implications For U.S. Healthcare Providers

  • The General Data Protection Regulations (GDPR) and how it applies to health care providers in the United States
  • Similarities and differences between HIPAA and GDPR
  • Compliance implications and best practices for preparing for the May 25, 2018 effective date for GDPR

Joseph Dickinson, Attorney, Tucker Ellis

 
212

DMEPOS Audit Trends: What to Expect and How to Respond

  • Despite reduced reimbursements, CMS continues to invest significant money in oversight activities, this session will discuss current audit trends, particularly with the RACs and UPICs, and focus particularly on responding to and appealing the audit findings successfully to avoid any long-term negative impact for suppliers
  • Learn to identify major trends being seen in the audit environment and methods to avoid denials and successfully appeal overpayments
  • Learn to identify key actions audit contractors can take to impact suppliers as well as the best approach to respond

Wayne H. van Halem, President, The van Halem Group - A Division of VGM Group, Inc.

Richard Ross Burris III, Shareholder, Polsinelli

 
AD4

Compliance Officer Ethics Scenarios

  • Discuss 5 ethics scenarios that the compliance officer may encounter
  • Review the role of ethics in compliance programs
  • Identify ethics frameworks to use in decision-making

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Ryan Meade, Dir Regulatory Compliance Studies, Loyola University, Chicago School of Law

 

AD5

The Intersection of Compliance and Quality Management

  • Discuss ways to effectively and positively collaborate with quality management on mitigating risks to improve organization outcomes
  • List the key role differences between quality and compliance
  • Discuss methods to bridge any “turf” gaps with quality or other operational units when implementing compliance program

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Lynda Hilliard, Healthcare Compliance Professional, Hilliard Compliance Consulting

 
AD6

Stark: Mitigating the Battle Scars

  • Discuss who are the enemies and what are we doing to make them allies
  • Discuss and share mitigating processes
  • Discuss and share tools used to ease the battle scars

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Dwight Claustre, Director, Aegis Compliance and Ethics Center, LLP

 

Break Out Sessions
3:00 PM - 4:00 PM
 


 
301 

Telemedicine: Regulatory Compliance Concerns in a Rapidly Changing Environment

  • Telemedicine is a fast-growing and evolving healthcare delivery method that is heavily regulated
  • There are multiple potential regulatory issues involved, including reimbursement, state and federal referral laws and the anti-kickback states; information privacy issues; medical device laws; malpractice considerations; and credentialing and privileging
  • Compliance professionals need to be involved and learn more about the ways that telemedicine is governed geographically, FDA and FTC considerations, and diligence to ensure PHI and billing information is transmitted securely to and from their organization
Sharon Blackwood

Lidia Niecko-Najjum, Associate, Polsinelli

 
302 

Special Issues for Global Compliance Officers

  • Compliance professionals in the health care and life sciences industries who oversee business conduct occuring outside the United States face special and unique challenges
  • The panelists will have a roundtable and interactive discussion to highlight some of those challenges, including through the use of case studies
  • Some of the unique challenges that will be discussed include the impact of foreign laws governing attorney client privilege, work product, privacy, and state secrets

Winston Chan, Partner, Gibson, Dunn & Crutcher LLP


 
 303

New RoPs: The Role of the Board and Compliance in the Facility Assessment Process and Risk of Non-Compliance

  • Discuss key indicators of dashboard reporting for implementation to the Board and Compliance
  • Evaluate effective assessment strategies
  • Identification of high risk areas of noncompliance
Linda Taetz, SVP Chief Compliance Officer, Mariner Health Central, Inc.

Christine Zack, Esq., Executive VP and Chief Strategy Officer, Mariner Health Central, Inc.

 
 304

The Revised Substance Use Disorder Privacy Regulations of 42 C.F.R. Part 2

  • In 2017, for the first time in 30 years and in the midst of the ongoing opioid epidemic in the United States, federal regulators revised 42 CFR Part 2, which governs the confidentiality of a patient’s substance use disorder records and information
  • These substantive revisions represented SAMHSA’s effort to modernize the Part 2 regulations in light of the significant technological and regulatory changes in the healthcare system since Part 2’s last revision in 1987
  • This session will provide an overview of Part 2, discuss some of the more significant revisions from the final rule, including the revised patient consent requirements, and explore some of the practical compliance challenges faced by Part 2 providers
Michael Bossenbroek, Partner, Wachler & Associates, P.C.

 
 305

Why Managing Physician Contracts Is Like a Game of Whack-A-Mole and How to Position Your Health System to Win

  • Physician contracts, one of the 4 large areas of risk for hospitals. Why is this an area of risk, tactics for minimizing risk on contract setup and best practices for collecting time and making physician payments to minimize risk
  • Case study, IL. Why compliance is like a game of whack-a-mole. Take the journey with the CCO of a nine hospital system over a 12 year path to minimize compliance risks with physician contracts. Tips, tracking documents and suggested processes offered
  • Case study, NJ. Tips for process, people and structure. Accountability for physician contracts is a matrix throughout the organization involving multiple departments. Learn how a health system in NJ led by legal setup process to manage effectively
Gail Peace, President, Ludi

Jerry Burgess, Chief Corporate Responsibility Officer, AMITA Health

Kelly Walenda, SVP-Chief Legal Counsel, Kennedy Health


 
 306

Kickback and Stark Law Developments


 
 307

CMS Surveys: What Can We Learn?

  • The CMS Survey & Certification Process determines compliance with specific standards and conditions and is crucial to patient care and hospital operations. Compliance is enhanced by collaboration between Compliance, Quality, and Risk Departments
  • nditions put patients and our hospitals at risk: Conditions of Participation-Coverage- Payment. Consider materiality, the implied certification theory, and their role in determining false claims, and overpayments
  • Compliance professionals’ analysis of identified deficient standards and conditions can augment and drive continuous improvement

Anne S. Daly, Corporate Compliance Officer, Ann & Robert H. Lurie Children’s Hospital of Chicago

Barbara Martinson, Compliance Program Director, Banner Health

David Wright, Director, Survey and Certification Group, Centers for Medicare & Medicaid Services


 
 308

Transforming Clinical Care Through the Use of Nursing Documentation Audits

  • Discuss common findings from Clinical Documentation audits
  • Identity best practices for conducting internal nursing documentation audits
  • Describe how clinical Documentation audits help to transform clinical care and increase Quality of Care

Aliya Aaron, Principal, AMR Healthcare Consulting LLC


 
 309

Leveraging Employee Survey Data to Measure Awareness and Effectiveness of Your Program

  • Understand the importance of conducting an all employee, management, and risk assessment surveys to measure the awareness and effectiveness of your compliance program
  • Tips for properly implementing your survey program and how to avoid common pitfalls
  • Learn how to utilize data to identify compliance risks and build an effective work plan
Michael McAuliffe, Manager of Ethics and Compliance, Lowell General Hospital

 
 310

Current Compliance Guidance and Scrutiny by HHS OIG and DOJ

  • Key considerations from OIG’s Compliance Effectiveness Resource Guide for Providers, including HHS OIG administrative review, FCA investigations, and individual accountability
  • Demonstrating Compliance implementation in response to government scrutiny, such as presenting compliance efforts to the government, pitfalls in sharing information, and review by DOJ’s compliance counsel
  • Best practice compliance measures: for patients and government scrutiny, including—the gold standard, when measures fail—self disclosures and documented efforts, and examples from cases and Corporate Integrity Agreements
Lisa S. Rivera, Partner, Bass, Berry & Sims PLC

Ted L. Radway, VP Compliance, Kindred Healthcare

Benjamin Schecter, Civil Chief, U.S. Attorney’s Office, W.D.KY


 
311 

One Happy Family: How to Integrate New Entities and Joint Ventures

  • Discuss how Compliance can add value to the due diligence process
  • Share a standardized approach to integrating new service and providing high level oversight
  • Take away sample tools and processes to accomplish these goals
Brandon Goulter, Facility Compliance Professional, Dignity Health

Dawnese Kindelt, Sr Compliance Dir/ Physician Integration, Dignity Health
 
312 

Back from the Brink: Transforming a Psychiatric Rehabilitation Program on the Heels of a Self-Report

  • The psychology of self-reporting: how to navigate your autonomic nervous system’s flight, “fight” or freeze responses
  • It takes a village—and a detailed work plan: Using an integrated Compliance-Quality Management framework to systematically develop and implement an improvement work plan and meet performance requirements in the context of limited organizational resources
  • Sustaining the Improvements: Proven QPM methods for securing the improvements, continued attention to workforce transformation and the critical nature of communication and collaboration with external administrative entities
Kristine Koontz, VP of Quality and Corporate Integrity, Keystone Human Services Inc

Lindsay Lebo, Corporate Compliance Manager, Keystone Human Services

Victoria Hoshower, Quality and Performance Manager
 
 AD7

Strategically Shape Compliance & Ethics Outcomes

  • Create a forum of discussion with participants regarding the key strategies that help drive a compliant and ethical culture
  • Provide sample documents, methods and resources that can be used to leverage change and impact organizational results
  • Discuss best practices that participants are utilizing to foster networking and an opportunity to learn from one another

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

 
Deann Baker, Sutter Care at Home Compliance Officer, Sutter Health

 
 AD8

Privacy Officer & Researcher: The Reluctant Partnership

  • What are the differences in HIPAA requirements in the research world?
  • What are the HIPAA requirements that are the same as in the clinical world, but still a challenge for Researchers and their Covered Entities?
  • How does a Privacy Officer become their Researchers’ best friend?

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

 
Joan Podleski, Senior Director & Chief Privacy Officer, Children’s Health

 
 AD9

Risk Assessments: The Critical Role of Assessing and Managing Risk in Today’s Enforcement and Compliance Environment

  • Explore developments emphasizing the role of an active and effective enterprise wide risk management program and discuss wide ranging authority and other best practices for enhancing an organization’s ability to effectively assess and manage risk
  • Examine the role of various stakeholders in the risk management process (including compliance, legal, internal audit, senior leadership and governing bodies)
  • Identify challenges commonly experienced by organizations attempting to enhance risk management programs and consider potential solutions

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Sara Kay Wheeler, Partner, King & Spalding


 

Break Out Sessions 
4:30 PM - 5:30 PM
 


 
401

Hot Topics in Retail Pharmacy Compliance

  • Compliance strategies related to the U.S. opioid epidemic and DEA investigations
  • Discount programs in the wake of lawsuits alleging that club prices are the “usual & customary” charges that should have been passed on to payors
  • Review of overpayments post-Escobar, scrutiny of pharmacy rewards, government audit initiatives, and other hot topics
Selina Coleman, Sr. Associate, Norton Rose Fulbright

Daniel P. Fitzgerald, Senior Counsel, Commercial Litigation Dept., Walgreen Co.

Don L. Bell, Senior Vice President & General Counsel, National Assn of Chain Drug Stores

 
402

How Comprehensive Risk Assessments and Work Plans Set the Foundation for Successful Compliance Programs

  • In this session, we will discuss approaches for identifying internal and external risks and prioritizing considering the likelihood and magnitude of impact of legal, financial and reputational harm
  • We will discuss developing a work plan that can efficiently and effectively mitigate identified risks and monitoring the plan’s progress
  • We will identify practical tips for success, including the need for flexibility in a rapidly changing regulatory and enforcement environment
Carl D. Winekoff, Manager, Deloitte & Touche LLP

Andrei M. Costantino, VP of Integrity & Compliance, Trinity Health

 
403

New RoPs: Survey Trends, Implementation Challenges and Upcoming Compliance Requirements

  • Compare survey trends before and after implementation
  • Develop effective tactics to implementation challenges
  • Integrate upcoming compliance requirements with current initiatives

Mary Evans, Owner, Executive VP, Covenant Care

Sue Acquisto, Corporate Compliance Officer, Covenant Care


 
404 

Data Protection, Privacy and Security Issues in the Health Care Industry: What Are the State Enforcers Looking At?

  • This session, featuring Assistant Attorney Generals from the States of Connecticut and Texas, will address what health care entities should know about State privacy and security enforcement, and the key focus areas in the current enforcement climate
  • We will consider the lessons health care entities can learn from recent enforcement efforts at both the State and Federal levels and how a compliance program can assist with risk mitigation efforts
  • We will also discuss some “best practices” for organizations in handling privacy and security investigations brought by State enforcers and, conversely, identify where organizations can go wrong in handling the investigation
George Breen, Shareholder, Epstein Becker & Green PC

Matthew Fitzsimmons, Asst Attorney Gen, Dpt Head, Privacy & Data, Connecticut Office of Attorney General

Esther Chavez, Sr. Asst Attorney General, Office of TX Attorney General

 
405 

Physicians and Compliance: Are They Oil and Water?

  • Physicians are busy. Learn key strategies for successfully engaging them in the compliance program
  • Physicians are strong-willed. Explore approaches for resolving compliance conflicts with physicians
  • Physicians are smart. Earn their respect by demonstrating how the program is implementing compliance intelligently
C.J. Wolf, Senior Compliance Executive, Healthicity

 
406

Effective Internal Investigations of Compliance Matters: Best Practices and Preservation of Privilege

  • Steps to establish legal privileges for information gathered during an internal investigation
  • Procedures to avoid the waiver of legal privileges during an internal investigation
  • Coordination of in-house and outside counsel during an internal investigation

James Holloway, Shareholder, Baker Donelson


 
407

Best Practice: A Partnership Approach to a More Powerful Coding Compliance Program

  • Establishing and maintaining a credible coding compliance program is a unique challenge for compliance leaders. Independent audit companies provide objectivity, but most engagements aren’t fully optimized leaving unresolved issues and unmet objectives
  • Attendees to this session hear how DeKalb Medical Center designed and implemented a hybrid, partnership program for coding compliance to reduce risk, increase integrity and improve documentation across three campuses and a 30-practice physician group
  • Speakers detail how technology and realtime analytics were used to achieve KPI results, garner physician buy-in, and build comprehensive compliance reporting dashboards to communicate with senior leadership and achieve compliance goals

Carla D. Cashio, Director of Internal Audit, DeKalb Medical

Sam Champaigne, Senior Director, HIM Operations, Himagine Solutions


 
408

340B Program Outlook: An Auditor’s Toolkit for 2018 and Beyond

  • Understand key risks related to the Pharmacy 340B program
  • Review auditing and monitoring approaches to address risk areas
  • Discuss examples of control improvements for regulatory compliance

Debi Weatherford, Executive Director Internal Audit, Piedmont Healthcare

Anthony Lesser, Senior Manager, Deloitte


 
 409

Compliance Today, Effectiveness Tomorrow: the Necessary Actions to Achieve Success

  • Discuss the evolution of the healthcare compliance market over the last 2 decades through an experienced perspective of investigations/settlements, while preparing for increased risk which continues
  • Learn of significant developments in the compliance marketplace, including updated OIG and DOJ guidance, and Supreme Court FCA rulings; and best practices to implement processes to mitigate against enforcement action(s)
  • Compliance problems surround us and should be proactively addressed with an effective program. The discussion will focus on the tools needed to “sell” your program, demonstrate effectiveness and mitigate risk for your entity

Bret S. Bissey, Compliance Professional

Sean R. McKenna, Shareholder, Greenberg Traurig, LLP


 
 410

Betting on Your Provider-Based Status?

  • Understand the new provider-based legal requirements
  • Implement a provider-based compliance program
  • Special emphasis and discussion on rules relating to shared space
Steve Lokensgard, Partner, Faegre Baker Daniels

Katherine C. Tarvestad, Sr. VP and Chief Compliance Officer, Allina Health
 
 AD10

Navigating the Gray Zones of the Anti‑Kickback Statute

  • Review the boundaries of the Anti‑Kickback Statute, Special Fraud Alerts and Advisory Opinions
  • Identify techniques for applying the Anti‑Kickback Statute to situations that fall outside of the specific guidance
  • Discussion to analyze and apply the techniques to specific case scenarios

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Darrell Contreras, Chief Compliance Officer, Millennium Health

 
 AD11

Engaging your Executive Team and Board in a Strategic Vision for Your Compliance Program

  • Compliance program strategies? Is that an oxymoron?
  • Soup Nazi, Servpro or Smoky Bear? Creating and changing perceptions
  • What Drucker really said: the balancing act. Establishing objectives/measuring outcomes and building/nurturing relationships

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP

 
AD1b

Communicating with Regulators

  • Discuss perceived and actual barriers, risks, and restrictions
  • Discuss common stress factors for Providers, Health Plans and Regulators
  • Understanding the consequences of positive/negative communication

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

Shawn DeGroot, President, Compliance Vitals

 
 AD2b

You’ve Put Your Compliance Program in Place: Now How Do You Manage the Department and Make It Work?

  • Compliance metrics, dashboards and other reporting tools
  • Staff qualifications and selection
  • Developing self-directed highly motivated teams

*Advanced Discussion Groups open on a first come, first-served basis, and are limited to the first 50 attendees. Pre-registration is not available for these sessions.

John Falcetano, Compliance/Privacy Officer, Brooks Rehabilitation Health
 

  • Tips for integrating compliance into the Business Associate Organization where resources are strained; compliance isn’t a priority; and typically compliance is an addition to someone’s role, not the sole purpose of the role
  • How to put a spin on compliance to meet corporate strategic goals, create buy-in at the executive level to meet the compliance requirements
  • Tactical execution of compliance remediation within the Business Associate environment to
    balance resources, establish compliance and maintain business practices
  • Tips for integrating compliance into the Business Associate Organization where resources are strained; compliance isn’t a priority; and typically compliance is an addition to someone’s role, not the sole purpose of the role
  • How to put a spin on compliance to meet corporate strategic goals, create buy-in at the executive level to meet the compliance requirements
  • Tactical execution of compliance remediation within the Business Associate environment to
    balance resources, establish compliance and maintain business practices