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You are here : About  >  Conference Sessions  >  Monday
2017 Conference Sessions

general compliance/ hot topicscompliance lawyeraudit and monitoringprivacy securitylong term care

quality of carephysician comllianceThe Compliance Professionaladvanced discussion groupsinternal audit

 

 

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Monday, March 27

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


 

How to Be a Wildly Effective Compliance Officer       

  • Learn specific influence, persuasion and motivation techniques to help you be a powerful business asset
  • Find out how to deal with burnout and learn when to say, “That’s not my job!”
  • Super-charge how you and others perceive you and your role

Kristy Grant-Hart, Owner, Spark Compliance Consulting


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

340B Compliance: Life after a HRSA Audit and Implementing a Corrective Action Plan

  • Case Study: Piedmont Athens Regional‘s HRSA audit and resulting corrective action plan (Case Study will include manufacturer repayment, process changes and independent audit activities)
  • Recent independent 340B assessment results
  • Best practices for implementing internal auditing and monitoring tools, including leading practice action plans

Sarah E. Bowman, Consulting Manager, PYA

Melissa C. Prince, Director, Compliance & Privacy, Piedmont Athens Regional


 
 102

Latest Policy & Regulatory Changes to the Medicare Appeals Process

  • Chief ALJ Nancy J. Griswold will highlight key initiatives taking place at the ALJ appeal level, including expansions to the Settlement Conference Facilitation (SCF) program enabling providers to participate in open settlement discussions with CMS
  • Discussion of significant reforms to the Medicare appeals process, including recent HHS proposed rulemaking aimed at reducing the backlog of pending appeals and encouraging resolution of cases earlier in the appeals process
  • Successful appeal strategies and best practices to utilize when defending against Medicare audits, including strategic approaches for participating in settlement discussions with CMS through the SCF program
Andrew Wachler, Managing Partner, Wachler & Associates, P.C.

Nancy Griswold, Chief Administrative Law Judge, Department of Health and Human Services, Office of Medicare Hearings and Appeals


103

Highlights of the CMS Final Rule: Reform of Requirements for Long Term Care Facilities— The Impact on Compliance

  • General overview of Requirements of Participation
  • Specifics on requirements of the new requirements as it relates to Compliance & Ethics
  • Responsibilities as a compliance professional beyond having a compliance program

Kris D’Ann Maples, Counsel/Compliance Director, Hillcrest Health Services

Lyn Bentley, Vice President, Quality & Regulatory Affairs, AHCA

 
104

OCR Enforcement Update

  • Recent important guidance from OCR;
  • Current trends in HIPAA enforcement, including lessons learned from settlement agreement cases; and
  • Latest statistics on breaches reported to OCR.

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

 
105

The Best Approach to Design Effective Corrective Action Plans (CAP)

  • Discuss and review the CMS Guidance for Performing Root Cause Analysis (RCA)
  • Provide resources tools and techniques
  • Review the RCA, CAP and monitoring documentation best practices

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

Christos G. Arvanitis, Compliance Officer, Sutter Health

 
106

Telehealth: Legal and Compliance Issues

  • Advances in telemedicine promote good patient care, but the rules when building a multi-state arrangement can be daunting. This course discusses the hot topics compliance professionals should look out for
  • Participants will discuss: coding and billing, interjurisdictional Medicare enrollment, second opinions and licensure, corporate practice of medicine, HIPAA and privacy
  • Q&A will be strongly encouraged. Attendees will receive checklists and handouts. The session will also address telemedicine in mental health and crisis management       

Nathaniel M. Lacktman, Partner, Foley & Lardner LLP

Anna Whites, Attorney, Anna Whites Law Office

 
107

Elements of a Successful Corporate Integrity Agreement

  • LHC Group’s CIA: Lessons Learned
  • Keys to success for Independent Review Organizations
  • Compliance Program development post-CIA

Peter Dressel, Senior Managing Director, FTI Consulting

JoAnne Little, Chief Compliance Officer, LHC Group

Susan Gillin, Deputy Branch Chief, Administrative and Civil Remedies Branch, Office of Counsel to the Inspector General

 
 108

Leveraging Internal Audit to Improve Quality of Care Metrics

  • Identify key Evidence-Based Practices (EBPs) which drive Quality of Care metrics, such as Falls, Restraints, Surgical Never Events, CAUTI and CLABSI
  • Provide guidance as to how Internal Audit can be leveraged to assist in identifying effectiveness of EBP implementations
  • Discuss common findings from internal audits of EBPs

Shawn A. Stevison, Manager, Healthcare Consulting, Dean Dorton

 
 109

Top 10 Things a Compliance Professional Needs to Know About Coding

  • Learn how to approach Hot Coding Topics for Audit
  • Learn how to “talk the talk” and “walk the walk” about coding issues
  • Learn about the top 10 Coding issues in the industry and how to develop controls within the Compliance Program         
Melissa J. McCarthy, AVP, Chief Corporate Compliance Officer, Northwell Health

 
 110

Behavioral Health Compliance: It Doesn’t Need to be a Mystery

  • Identify top risk areas in behavioral health compliance: documentation, medical necessity, supervision, credentials, screening/ background checks; privacy of behavioral health and substance abuse treatment records; opioid treatment programs
  • Discuss how changes in the regulatory and operational landscape are impacting behavioral health compliance (e.g. increased utilization of telemedicine and non-physician practitioners)
  • Review strategies and mechanisms for auditing behavioral health records to achieve compliance
Michelle Calloway, Attorney, McGuireWoods

Rebekah Stewart, Chief Ethics and Compliance Officer, Diamond Healthcare

 
 111

The Former Ameritox Whistleblower and the Ameritox Compliance Officer, Together

  • Hear how to use the compliance program to deter employees from becoming relators
  • Learn how to go beyond CIA requirements to improve the compliance program and company culture as well as how to sustain it after the CIA ends
  • Understand the importance of Compliance & Human Resources department partnership in enhancing compliance program effectiveness  

Barb Senters, Chief Compliance & Ethics Officer, Ameritox

Debra Maul, Former Whistleblower, Ameritox
 
112

TBA


 
 AD1

Social Media Risks

  • Hiring Concerns
  • HIPAA Compliance
  • Responding to Healthcare Questions

*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, Managing Director, Action Compliance Services

Lynda Hilliard, Healthcare Compliance Professional, Hilliard Compliance Consulting

 
 AD2

Dealing with Privacy Breaches 

  • Learn how to assess a violation of the HIPAA Privacy Regulations
  • Understand how to perform a risk assessment for “low probability of compromise”
  • Discuss and assess the factors for determining if a breach is reportable

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

Compliance Today, Effectiveness Tomorrow: The Necessary Steps to Success

  • Explore the evolution of the healthcare compliance market over the last 20 years through a first-hand perspective of landmark investigations/settlements, while making preparations for increased risk which will be prevalent in the future
  • Learn about significant developments in the compliance marketplace in recent years, including the Yates Memo, updated OIG and DOJ guidance, and Supreme Court FCA rulings; and how to implement leading practices to mitigate against an enforcement action
  • Compliance problems are ubiquitous and should be proactively addressed with an effective compliance program. This discussion will focus on the tools to “sell” your program, demonstrate its effectiveness, and protect your entity against increasing risk
Bret S. Bissey, Senior VP Compliance Services, MediTract, Inc.

Kenneth Zeko, Senior Vice President, CHAN Healthcare

Sean R. McKenna, Shareholder, Greenberg Traurig, LLP

 

 
 202

The OIG’s New CIA Form: How Your Compliance Program Can Benefit

  • New CIA Provisions: What They (Could) Mean for Your Compliance Program
  • Do the New Provisions Enhance Compliance Programs?
  • How to Sell the New Provisions Without the Benefit of the CIA “Stick”

Steven W. Ortquist, Managing Director, Aegis Compliance & Ethics Center LLP

Nicole Caucci, Senior Counsel

 
 203

Dealing with a Worthless Services Allegation  

  • Factors to Consider in Moving Forward with Settlement vs. Litigation
  • Negotiating a Settlement & Quality Care CIA
  • Living Life with a Quality Care Monitor

Michael D. Smith, Chief Compliance Officer, Foundation Health Services, Inc.

Julie B. Mitchell, Attorney, Mitchell Day Law Firm, PLLC
 
 204

Successfully Resolving a Multi-Year OCR Investigation            

  • After multiple years of an OCR investigation related to a health plan breach, the investigation was successfully closed in 2016
  • The successful conclusion to this investigation is attributed to the health plan’s transparency and responsiveness
  • This presentation will summarize the experience and share the organizational, legal and compliance lessons learned from the multi-disciplinary team that responded to the investigation

Cliff Baker, Managing Partner, Meditology Services

Adam Greene, Partner, Davis Wright Tremaine, LLP

Karen M. Eastmond, Chief Compliance Officer, CenterLight Health System

 
205

Cleaning Up the Low Hanging Fruit to Protect Your Physician Practices

  • Learn about the “low hanging fruit” in most physician practices that can open the door to potential fraud and abuse
  • This session will provide overviews of high risk areas for physician practices such as “Incident To” billing, Billing 99211, Anti-coagulation Clinics, Physician Supervision of Diagnostic Testing, Use of Locum Tenens, and how you can determine your risks
  • Learn the steps to take to effectively minimize the risks to your organization and physicians through simple and effective education, auditing, and refunding processes

Vicki L. Dwyer, Chief Compliance Officer, Valley View Hospital

Nancy C. Kennedy, Chief Compliance & Privacy Officer; Chief Operations Officer, Galichia Medical Group

 
 206

“Random” is Not Necessarily “Valid”: Managing and Defending Against Statistics in Audits and FCA Claims

  • With the recent increases in government investigations and FCA cases, understanding the weaknesses and defenses available to counter overpayment and false claims is essential to protecting providers against these allegations
  • Learn to identify flawed statistical extrapolations and flawed assumptions
  • Learn practical suggestions for defending audit overpayments and false claim allegations based on statistical extrapolation

Tracy M. Field, Partner, Parker Hudson Rainer & Dobbs

Sandra Miller, Attorney, Womble Carlyle Sandridge & Rice LLP

 
 207

Implementing Drug Diversion Risk Rounds 

  • Why do this work? Internal drug diversion in healthcare is on the rise and regulatory agencies are taking action. This has been exhibited by the Massachusetts General Hospital DEA settlement in 2015. We will highlight key learnings from their action plan
  • Attendees will walk through a Diversion Risk Round using the monitoring tool which provides baseline information to clinical leaders on the security of medication storage, dispensing, wasting, and inventory management
  • Attendees will hear specific examples of issues found during the Risk rounds and the improvements made as a result. We will share our learnings and provide a detailed plan that could be applied at your organization  

Tracy E. Tracy, Senior Director Integrity and Compliance, HealthPartners

Sara Schroeckenthaler, Program Manager, HealthPartners


 
208

Sampling 101: A Primer for Conducting Self Disclosure and Internal Audits 

  • Get a solid understanding of the different types of sampling techniques available and which work best under different circumstances
  • Create your own samples for conducting selfdisclosure and internal audits
  • Learn how to defend yourself against CMS and private payer audits that use poor sampling techniques

Frank D. Cohen, Director of Analytics, Doctors Management LLC

 
 209

Yeah, but What’s in It for Me? Making Training and Communications Impactful, Relevant, and Fun!    

  • Impactful: Tailor your training and communications to be impactful, focusing on the ways different generations enjoy learning
  • Relevant: Learn how to use the Four Primary Motivators to emotionally resonate with each member of your audience
  • Fun!: Utilize best practices in adult learning to make your training and communications as enjoyable and memorable as possible
Kristy Grant-Hart, Owner, Spark Compliance Consulting

Calin M. Elardi, Compliance Project Manager, Sound Physicians
 
210

Conflicts of Interest and Big Data: What Can We Learn from Large Databases of Provider Disclosures?

  • This talk will focus on how big data analytics can be used to identify COI outliers at both a macro level (a hospital within a system) and the micro level (a provider within a hospital), to target compliance efforts where they are most appropriate
  • What are the top 10 COI disclosures? Does this vary based on the bed size or academic and research intensity of an organization? Does the for-profit vs. not-for-profit status of an institution influence the types and numbers of disclosures made?
  • Using publicly available and proprietary databases containing millions of disclosures, the speakers will provide insight into how compliance professionals can use data to gain useful insights and to identify and reduce COI risk at their institutions
William Sacks, VP Product Management, HCCS - A HealthStream Company

Alan Beer, Senior System Engineer, Carolinas HealthCare System
 
211

Audit Log Demands During Litigation: Response Conundrums from a Compliance Perspective

  • Increased awareness of electronic health record capabilities has resulted in an exponential increase in the legal demands for the production of audit logs for use in litigation
  • What are a covered entities obligations under HIPAA to retain these audit logs?
  • Are audit logs an accurate source of information on which to base clinical activity for litigation purposes?     

Carey Cothran, Executive Director, Corporate Compliance and Audit, WellStar Health Systems

Emily Reilly, Compliance Administrator, WellStar Health System

 
AD3

The Partnership of Risk and Compliance

  • Discuss the primary differences between the roles of risk and compliance
  • Identify the key areas where risk and compliance can gain synergies in their functional activities, e.g.: risk assessments, planning, training, communications, auditing and monitoring, etc.
  • Discuss metrics for identifying return on investment for this partnership

*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.

Sheryl Vacca, Chief Risk Officer, Providence St Joseph Health, 
 
AD4

Program Operational Components: Monitoring and Safeguards

  • Discussion of the routine monitoring processes
  • Share ideas on how to identify and develop program safeguards
  • Come prepared to share your most effective compliance tools

*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.

Jawanna King, Regional Compliance Director, Tenet Healthcare Corporation

Jeff Paul, Regional Compliance Director, Tenet Healthcare

 

AD5

Pointers and Pitfalls in Managing Work-Life Balance, Stress, and Burnout in the Compliance Profession           

  • To bring compliance professionals together for a professional exchange of common stress points
  • Discuss the personal impact of the electronic communication
  • Learn from each other’s knowledge and experience      

*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, Global Business Process Management Compliance Officer, Navigant Cymetrix

 

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


 
301 

Compliance Challenges in the Yates Memo Era

  • What Does the Risk of Heightened Criminal and Civil Enforcement and Focus on Individual Accountability Mean for Your Compliance Program
  • A veteran prosecutor and experienced defense counsel will provide compliance personnel with practical information for their compliance programs in light of DOJ’s focus on individual/ corporate accountability      

Gina Simms, Principal, Baker Ober Health Law Group 

George Breen, Shareholder, Epstein Becker & Green PC

Tarra R. DeShields, Assistant US Attorney, US Attorney’s Office for the District of Maryland


 
302 

The Blame Game: Accountability in Healthcare Compliance

  • Learn best practices about how to best manage your business associate and examine what a business associate agreement should entail
  • Learn adequate data safeguards and security policies and procedures in order to respond effectively to a data breach
  • Learn what your organization can do to be prepared for a security incident

Rick Kam, President & Co-Founder, ID Experts


 
 303

Making the Most of a CIA

  • How to get past the "this isn't fair" phase
  • How to make the most of the expertise of the Monitors and the OIG
  • Top five tips to implementing a CIA
Laura Ellis, Senior Counsel, OIG HHS

Donna J. Thiel, Director, ProviderTrust

 
 304

Managing the Business Associate Relationship: From Onboarding to Breaches

  • Health care providers and payers have a duty to ensure that the vendors in which they entrust PHI will protect it and use it appropriately—we will discuss business associate onboarding strategies, pitfalls and best practices
  • Ensuring ongoing compliance with HIPAA and other privacy laws by your business associates is challenging—we will discuss monitoring your business associates, auditing rights and handling disputes
  • Business associates are a leading cause of breaches for health care providers and payers—we will discuss how to best prepare your organization upfront should a breach occur and special considerations for handling a business associate breach
William J. Roberts, Associate, Shipman & Goodwin, LLP

Jay Hodes, President, Colington Consulting



 
 305

Split Shared/Consulting Services…to Split Share or Consult Is the Question

  • Discuss clinical case scenarios to understand the importance of billing accurately for split shared and consulting E/M services
  • Review an audit plan used to validate levels of E/M codes
  • How to code split/shared or consulting services rendered by providers in the same specialty in an office setting
Nicole S. Huff, Chief Compliance & Privacy Officer, St. Luke’s University Health Network

Andrea J. Riccelli, Supervisor, Provider Services Compliance, St. Luke’s University Hospital


 
 306

Advice of Counsel and Good Faith Reliance: Best Practices in a Risky Environment

  • The necessary elements for reliance upon that legal advice and the form the advice may take, and the consequences of that form (oral or written, the stated facts and assumptions upon which the advice is based)
  • Collateral damage-the individual and organizational consequences of asserting an advice of counsel defense, including waiver of applicable privileges, securities and public reporting, discovery of attorney and client files
  • The ethical duties and responsibilities of the attorney when the client asserts an advice of counsel claim, the “oops” problem in depositions, and the doctrine of “selective disclosure”

Kevin McAnaney, Attorney, Law Office of Kevin G. McAnaney

James Sheehan, Chief, Charities Bureau, NY Attorney General


 
 307

Physician Arrangements: Conducting the Audit & Ensuring a Resolution

  • Conduct a mock audit of a physician arrangement by reviewing key areas of focus as defined by the Stark law
  • Discuss the role distinctions between the compliance officer and legal counsel when issues are identified
  • Learn how to effectively report results to get management & legal buy-in

Juliette Stancil, Regional Compliance Officer, Presence Health

Anne E. Brummell, Regional Compliance Officer, Presence Health

 


 
 308

Auditing Compliance for Clinical Documentation and Coding: Collaboration Is Key!

  • Learn how an effective partnership between Compliance, Coding and Clinical leadership can lead to an effective internal auditing and education program
  • Hear how an Auditing Compliance Committee and a Clinical Documentation Improvement Committee work together to identify trends and develop effective provider education that increases provider engagement and improves accuracy rates
  • Leave this session with a template for creating an effective internal auditing program that engages providers, EHR trainers, coders and compliance and results in clinical documentation improvements
            

Debbie G. Morgan, Compliance Officer, Clinica Family Health

Justin Wheeler, VP of Clinical Services, Clinica Family Health


 
 309

Risk: A Fundamental 4-Letter Word for Compliance Professionals

  • Understand how to break down risk into its fundamental components so that associated or related mitigating activities are better aligned to reduce the identified risk to an acceptable level
  • Identify the strengths and weaknesses of using qualitative and quantitative approaches to assessing risk and how they differ and how they are surprisingly similar
  • Evaluate how other compliance program elements, particularly auditing and monitoring, can provide valuable and meaningful information on how well the identified risks are being managed
Frank Ruelas, Facility Compliance Professional, St. Joseph’s Hospital and Medical Center/Dignity Health

 


 
 310

You Don’t Need to Be a Wizard to Solve Today’s Compliance Challenges: Seven Steps to Ensure Your Compliance Program Follows the Yellow Brick Road

  • Current trends in government enforcement in Home Health and Hospice
  • Seven elements of an effective compliance program and practical solutions to assist organizations in the implementation of their compliance program
  • Overview of current Home Health and Hospice CIAs to include DHSS and OIG expectations for compliance programs 
Karen Bommelje, Senior Manager, Compliance, Simione Healthcare Consultants, LLC

John R. Hamilton, Vice President of Compliance, Kindred Healthcare


 
311  Overlapping Surgery Developments
Sara Kay Wheeler, Partner, King & Spalding

Alana Sullivan, Chief Compliance Officer, Erlanger Health System
 
AD6

 Operational Components of a Compliance Program

  • What are the fundamental safeguards and how do we monitor?
  • Share your approach to annual compliance training
  • How do you measure compliance program effectiveness?

*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.

Alvin Josephs, Senior Director, Compliance Operations, Tenet Healthcare Corporation

Ryan Whitehill, Manager Ethics & Compliance Training, Tenet Healthcare Corporation

 
 AD7 Providers Expanding into Managed Care
  • Compliance Program Structure Implications
  • Risk Assessment Considerations
  • Regulatory Audit Readiness

*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.

 
Jenny M. O’Brien, Chief Compliance Officer, UnitedHealthcare

 
 AD8

Beyond the Law: Business Ethics & the Compliance Officer

  • Examine 4 business ethics scenarios that compliance officers find themselves in
  • Discuss approaches to examining ethical quandaries
  • Dialogue on the boundaries and limits to decisions that are legal questions but ethical questions

*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, Director Regulatory Compliance Studies, Loyola University Chicago School of Law

 

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


 
401

Down the Rabbit Hole: Compliance Investigations, Corrective Action Planning, and Self-Disclosure

  • Explore best practices and the roles of Legal, Compliance and outside counsel in conducting internal compliance reviews, corrective action planning, and disclosure decision-making
  • Review the analysis for determining whether an overpayment has been received and compliance with the 60 Day Overpayment Rule
  • Discuss the benefits and risks of self-disclosure and strategic considerations in deciding where to disclose
Tony Maida, Partner, McDermott Will & Emery

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

 
 402

Congratulations on that New Hospital/Provider Practice Acquisition! Compliance Lessons Learned the Hard Way

  • Why Compliance and Internal Audit need to be part of the acquisition due diligence team (and what can go wrong if they are not)
  • How to prioritize compliance activities in the immediate post-acquisition period
  • How integration of an effective compliance program can mitigate acquired compliance risks

Donald A. Sinko, Chief Integrity Officer, Cleveland Clinic

Vicki R. Bokar, Senior Director Corporate Compliance, Cleveland Clinic

 
 403

Mitigating Hot Button Risk Areas in Home Health & Hospice

  • Explore current and potential future risk areas in home health and hospice
  • Learn what to look for in your documentation and how to improve it
  • Review practical tips/tools such as PEPPER to lower risk and prepare for auditors

Kathryn A. Krenz, Clinical Analyst, Brookdale Senior Living

Kimberly M. Hrehor, Director, TMF Health Quality Institute


 
404 

Mobile Health (mHealth) Applications in a Healthcare Environment

  • Legal and Privacy implications regarding the expansion of mobile health applications in combination with patient-centric care
  • HIPAA and the liability for clinical providers in a world of Smartphones, Tablets, and Smartwatches
  • Discussion of the oversight process for health apps, including FDA, FCC, and federal regulations
Brandon Goulter, Facility Compliance Professional, Dignity Health

Steven R. Baruch
, Service Area Compliance Director, Dignity Health

 
405 

Making Compliance Work in Physician Practices

  • How to Effectively Communicate Across Practices
  • Training Methods for Practices—It’s All About Buy In
  • Major Initiatives Impacting Physician Practices
Betty Baber-Kinsey, Phys. Practices Compliance Officer, Tenet Healthcare

 
406

Federal Administrative Sanctions: Exclusion and Civil Money Penalties

  • OIG’s Focus on its Affirmative Administrative Remedy Authority 
  • Navigating CMS’ Revocation Authority – Its Not the Same as Exclusion 
  • The Impact of the Government Administrative Remedies on Providers 

Julie Kass, Lawyer, Baker Ober Health Law Group

Lauren Marziani, Senior Counsel, OIG HHS


 
407

Research Risks Assessments: What Must be Considered and Why

  • Discuss the importance of research risks for compliance officers
  • Delve into how research risks affect approval, IRB review, consent, and indemnifications
  • Describe how risk can be minimized using preliminary risk assessments

Sarah Fowler-Dixon, Education Specialist, Human Research Protection Office, Washington University School of Medicine


 
408

Dynamic Board Reports: What Do They Really Want to Know?

  • Board Expectations
  • Key Metrics to share
  • Program risk and growth needs

Ruth Krueger, Enterprise Compliance Program Manager, Sanford Health

Cindy J. Matson, VP Health Services Compliance, Sanford Health

 
 409

How to Get More LinkedIn Views than Roy: Practical Tips for Improving Your LinkedIn Profile & Getting Employers to Seek You Out

  • Learn valuable tips on how to make yourself stand out in a sea of over 400 million users
  • Find out about common mistakes users make with their profiles
  • Learn how to attract employers, network and stop wasting time with the online job application black hole

Brenda K. Manning, Privacy & Regulatory Affairs Director University of Minnesota Physicians

 
 410

Medicare FDRs and Compliance Programs: What the Feds Expect and Tips for Ensuring Your Organization Satisfies the Requirements

  • Understand the current status of Medicare managed care compliance program requirements for “first tier” and “downstream” and “related” entities
  • Learn how to effectively achieve compliance
  • Gain insights for negotiating compliance program provisions in managed care agreements
Heather L. Fields, Shareholder, Chair - Hospital/Health Systems Practice, Reinhart Boerner Van Deuren s.c.

Catherine M. Boerner, President, Boerner Consulting LLC

Jenny M. O’Brien, Chief Compliance Officer, UnitedHealthcare
 
411  TBA


 
 AD9

Strategies for Managing Potential Overpayments and Compliance with the 60-Day Rule

  • Discuss 60-day rule developments, including CMS’s rulemaking and enforcement developments
  • Explore compliance challenges for providers attempting to navigate the 60-day rule in the face of real-world obstacles
  • Share practical strategies for meeting these challenges, including approaches to monitoring and reporting potential overpayments

*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


 
 AD10

 

Program Operational Components: Monitoring and Safeguards

 

*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, Chief Privacy Officer, Children’s Health

Brian Annulis, Partner, Meade Roach & Annulis, LLP

 
AD1b
(repeat)

Social Media Risks

  • Hiring Concerns
  • HIPAA Compliance
  • Responding to Healthcare Questions

*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, Managing Director, Action Compliance Services 

Lynda Hilliard, Healthcare Compliance Professional, Hilliard Compliance Consulting


 

  • 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