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You are here : About  >  Conference Sessions  >  Tuesday
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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Choose a session block

General Sessions          500's           600's         700's

 

 

Tuesday, March 28

Session

Title

Speakers

General Sessions
8:45 AM - 9:30 AM


 

Human Trafficking and Modern Slavery: The Next Compliance Challenge

Margaret J. Hambleton, VP Corporate Compliance, Dignity Health 

William Shepherd, Partner, Holland & Knight


9:30 am - 10:30 am


Wonders of Spaceflight and Its Risks: Lesson from the Space Shuttle Program

  • The challenges and rewards of high risk environments at NASA and in commercial space flight
  • How to encourage a culture where people speak up and listen
  • Where cultures go wrong and the consequences when they do

Dr. Garrett Reisman, Director, Crew Operations, SpaceX


Break Out Sessions
11:00 AM - 12:00 PM
 
501

Data Dashboards: What Should You be Tracking

  • In this session we will discuss what an effective data dashboard could look like in order to stay as informed as possible on key metrics. In today’s data driven world, there is so much that can be tracked, learned and made transparent in order to maintain
  • Why data and metrics matter in an effective compliance program and who are the key stakeholders and how to coordinate data
  • What data should you be tracking to meet OIG and CMS metrics for quality and compliance. What additional data will you be required to track if under a CIA. We will review recent CIA’s for what the OIG requires
Susan Coppola, Sr. VP, Resident Care, Sunrise Senior Living

Michael Rosen, Co-Founder, ProviderTrust Inc

Donna J. Thiel, Director, ProviderTrust

 
 502

Navigating Medical Necessity Denials Management for All Payers

  • What should be included in a denials management and prevention strategy
  • The standard appeal processes for medical necessity denials
  • What are the challenges and some best practices surrounding appealing and preventing medical necessity denials
Ralph Wuebker, Chief Medical Officer, Optum Executive Health Resources

503

Bundled Payments and Other Risk Arrangements for Post-Acute Care Providers

  • Discussion of bundled payments and other risk arrangements for post-acute care (“PAC”) providers including the CMS Comprehensive Care for Joint Replacement Model
  • Discussion of compliance challenges presented by these risk arrangements for PAC providers
  • Discussion of fraud and abuse and contracting issues presented by these risk arrangements
Alan Schabes, Partner, Benesch, Friedlander, Coplan & Aronoff LLP

Shannon Drake, Senior Vice President, Chief Counsel, Kindred at Home
 
504

Medical Device Security: The Transition from Patient Privacy to Patient Safety

  • Describe how to deploy an effective compliance program to ensure medical device security risks can be mitigated to an acceptable level
  • Identify how healthcare Information Security needs to be adapted in order to address and mitigate the risk of a cyber-attack against medical devices
  • Identify the current security risks associated to medical devices as a result of our research and ongoing work with federal agencies and medical device manufacturers
Scott Erven, Managing Director, Health Industries Advisory Cyber Security & Privacy, PwC


 
505

Physician Engagement in the Compliance Process

  • Physicians as leaders; identifying opportunities for physicians to engage in compliance program oversight
  • Physicians as partners; opportunities in the day to day operations of the compliance program
  • Physicians as champions; leveraging relationships to demonstrate program compliance

R. Brett Short, Chief Compliance Officer, UK HealthCare/University of KY 

Sarah M. Couture, Associate, Aegis Compliance & Ethics Center LLP

 
506

Managed Care Fraud: Enforcement and Compliance

Pamela Brecht, Attorney/Partner, Pietragallo Gordon Alfano Bosick & Raspanti, LLP

Sarah Kessler, Associate Counsel, OIG HHS
 
507

Sampling and Statistical Methods for Compliance Professionals

  • Random and non-random sampling methods as applied to compliance audits along with mention of attribute and variable sampling
  • Descriptive and inferential statistical methods employing data derived from random audit samples
  • Overview of Predictive Modeling and Data Mining
           

Andrea C. Merritt, Partner, Athena Compliance Partners 


Frank C. Castronova, Health Care Management Biostatistician, BCBS of Michigan

 
 508

The How and When of Leveraging Internal Audit

  • Discuss how internal audit serves the organization
  • Learn how departments can leverage this function to serve as advisors both from a controls and consultative factor
  • Understand trends in internal audit, and how the function is changing for the future
           

Keith Graff, Director, PricewaterhouseCoopers 


Alice Louie, Manager, PricewaterhouseCoopers

 
 509

How to Keep Your Head Above Water in a Sea of Change

  • Strategies to identify what types of change your organization is dealing with and how to respond accordingly so you aren’t left wondering “how did I get here?”
  • The friends and enemies of a successful Compliance Professional... which do you possess?
  • Ever left wondering, now that I am here, what do I do next? We have some best practices that will help you define a path forward
 

Rick Irby, Senior Director, U.S. Ethics and Compliance Health and Wellness Practice Compliance, Walmart Stores, Inc.

JoAnn M. Stevens, Senior Director, U.S. Ethics and Compliance, Health and Wellness Operations Compliance, Walmart Stores, Inc


 
 510

Join the JV (Joint Venture) Team! Best Practices for Providers, Payers and Vendors to Align Business Development, Legal Affairs and Corporate Compliance and Control Compliance Risk Before and After a Joint Venture Go-Live

  • Overview of Different JV Models: JV models to best align the partners and purposes: new enterprises, purchased assets, equity ownership models, and management services agreements, with a brief overview of Stark issues
  • Decision-Making and Joint Governance: Managing divergent interests to get buy-in from partners. Define a Code of Conduct, converge policies, and delineate responsibility for implementing and maintaining an effective compliance program
  • Auditing, Monitoring and Reporting: Due diligence during development, DRA and OMIG requirements, navigating a Risk Assessment and audit Work Plan, addressing findings, and reporting for independence and accountability

J. Eric Sandhusen, Corporate Compliance Director & Privacy Officer, Northwell Health 


Maria Joseph, Corporate Compliance Director & Privacy Officer, Northwell Health

  
 511

Investigative Interviewing: What Researchers Have Found Works and Doesn’t Work

  • In this educational and entertaining session from a former U.S. Department of Justice attorney, you will learn which techniques are effective and which are not
  • Learn how to use scientifically validated interviewing techniques proven to obtain more information from witnesses
  • Learn advanced interviewing techniques that make it easier to differentiate between truthtellers and those who are deceptive
 Michael Johnson
 
 

AD2b/repeat

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
 

 AD3b/repeat

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


 
AD4b/repeat 

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
 
Break Out Sessions
1:00 PM - 2:00 PM
 
601

Compliance, The C-Suite, and The Board Of Directors: What To Report And How?

  • Maintaining an effective compliance program in a heighted enforcement climate while still helping to move the business forward
  • Effective communication strategies for interacting with Senior Management and the Board
  • How to address problem areas, given the increased risk of enforcement—both civil and criminal—and the focus on individual accountability with the leadership team              
George Breen, Shareholder, Epstein Becker & Green PC

Lisa Melamed, Vice President of Corporate Compliance and Corporate Compliance Officer, Laser Spine Institute

Felicia Heimer, Senior Counsel, HHS Office of Inspector General
 
 602

How to Use and Not Abuse MGMA and Other Survey Data in FMV Compliance Programs: Why Flawed Data Usage Leads to Increased Compliance Risk

  • Understand the facts about what the survey data represent and how the data can be used appropriately for FMV
  • What data analytics show about the relationship of compensation to productivity, quality, and compensation stacking
  • Learn to use statistically valid and supportable methods in applying data for FMV physician compensation

Timothy Smith, Senior Managing Director, Ankura Consulting Group

Meghan Wong, Assistant Director, Data Solutions, MGMA

 
 603

Are You Billing the New PT and OT Evaluation Codes Properly?

  • Understand definitions of new PT and OT evaluation codes
  • Learn the components that will determine the level of the evaluation code billed
  • Take away an audit tool to ensure your therapy departments compliance         

Shawn M. Halcsik, Corporate Compliance Officer, Encore Rehabilitation 


Nancy J. Beckley, President, Nancy Beckley & Associates LLC

 
 604

Study of 1000 Vendor Security Practices

  • This presentation will cover the results from the most expansive study conducted to date of the security practices for 1000 vendors that provide products and services to healthcare providers and payers
  • The results of the study includes fascinating statistics about the prevalent gaps in security required to protect PHI
  • The presentation also includes practical case study for proactively mitigating your vendor breach risk                
Alex Masten, Client Engagement Lead, Corl Technologies

Peter Merrill, Director Information Systems, Dartmouth Hitchcock

Laura C. Morgan, System Director, Internal Audit and Corporate Compliance, Edward-Elmhurst Health
 
605

How to Develop Benchmarking Scorecards to Transition to Risk-Based Physician Auditing/Monitoring

  • Explore and give examples of the critical benchmarking techniques needed to assess the risk of a physician’s coding patterns
  • Demonstrate how to organize the analysis results into one comprehensive physician compliance scorecard
  • Discuss how to apply the benchmarking results to create a proactive risk-based audit plan. (Providing actual example audit plans)

Jared Krawczyk, Mathematician, Nektar Analytics 


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

 
 606

Self-Disclosure: Obligations, Options, Outcomes

  • Obligations:  A review of the relevant legal requirements and environment, including the 60 Day Rule 
  • Options:  How to decide whether to disclose and where to disclose
  • Outcomes:  What to expect in resolving the disclosure under each option
Frank Sheeder, Partner, Alston & Bird

Tony Maida, Partner, McDermott Will & Emery

David Fuchs, Associate Counsel, Office of Counsel to the IG, U.S. Department of Health and Human Services
 
 607

CMS Provider Network Accuracy: Risk Assessment and Monitoring Strategies for Medicare Advantage Plans

  • Discussion of CMS communications regarding their concerns and the impact to beneficiaries when network information is incorrect
  • How to develop auditing activities including an assessment to identify potential risk areas for ongoing monitoring
  • How to set up routine monitoring activities and documenting/disseminating results                 
Philip J. Masser, Medicare Compliance Officer, Geisinger Health Plan
 
608

How to Get Audit-Ready in 7 Steps 

  • Learn what it takes to get audit-ready pass an OCR audit with success, and meet compliance requirements
  • Learn why a four-factor risk assessment is one of the most important things you can do to assess your risks, determine your security holes, and make necessary patches
  • Learn how to be proactive and take control of your privacy, security, and compliance practices, including building the right team, gathering the facts, preparing your responses
Kimberly B. Holmes, Senior Vice President & Counsel, Cyber Insurance, Liability & Emerging Risks, ID Experts

Heather M. Noonan, Senior Project Manager, ID Experts
 
 
 609

Building Your Healthcare Compliance Resume             

  • Starting to build your healthcare compliance resume can be a daunting task. These tips and suggestions from a seasoned professional will assist you in becoming a well-rounded compliance professional and assist you in setting your career in motion
  • What do you want your career to be? What types of modalities interest you/What types of jobs should you consider as you build your resume and how do you know if they are right? Are there people you can ask? How do you evaluate your progress?
  • Learn, learn, learn all you can about your chosen profession. Develop resources, join organizations, attend conferences. Above all, get involved. Develop lifetime relationships. Become the compliance professional you admire                  
Cristine M. Miller, Partner, Mountjoy Chilton Medley LLP

 
610

What’s Next in Washington?

  • A look at what is coming down the pipe from regulators
  • The likely impact of the new Administration on healthcare enforcement
  • What Congress is thinking about in terms of healthcare legislation
Kimberly Brandt, Chief Oversight Counsel, US Senate Finance Committee, Majority Staff

  
 611  

Compliance Is Ruff: A Dog’s Approach

  • Techniques used in the service dog training industry to gain compliance and correct unwanted behaviors
  • Methods utilized in the service dog training industry to work through challenging or difficult situations
  • How to apply these techniques and methods to enhance the effectiveness of a compliance program

Kimberly A. Lansford, Chief Compliance Officer, Shriners Hospitals for Children

Carol Lansford, Executive Director, Valor Service Dogs

Gabe II, Service Dog, Warrior Canine Connection

 


 
AD5b/repeat

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 


Robert Ossoff, Maness Professor of Laryngology and Voice, Vanderbilt University Medical Center

 
AD6b/repeat

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

 

AD7b/repeat

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

 

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


 
701 

Helpful Tips for Value Based Payment (VBP) Compliance Programs

  • Identifying the Compliance Program nuances under various VBP Programs (i.e. MSSP ACO, DSRIP, Bundle Payments)
  • Tips on leveraging your existing Compliance Program to compliment the VBP Compliance Program requirements
  • How best to engage participants and providers to participate in VBP compliance programs
               

Aaron J. Lund, Director of Compliance & Privacy Officer, Northwell Health

Greg Radinsky, VP, Chief Corporate Compliance Officer, Northwell Health


 
702 

Strategic Considerations in Resolving Voluntary Disclosures to CMS, OIG, and DOJ

  • Review relevant legal authorities, the final 60day Overpayment Rule, and the CMS, OIG, and DOJ disclosure protocols
  • Discuss key benefits, risks, and implications of voluntary repayment and self-disclosures to different government entities
  • Learn practical strategies regarding damages calculation methodologies, scope of releases, penalties, and other considerations when determining how to make and resolve a disclosure to the government

Patrick Garcia, Associate Counsel, Hall, Render, Killian, Heath & Lyman, P.C.

Kenneth Kraft, Senior Counsel, OIG HHS


 
 703

Cybersecurity in the Post-Acute Arena

  • Security 101 for a Compliance Officer
  • What are the most important areas to be monitored by a Compliance Officer?
  • Easy metrics for a Compliance Officer to monitor
Amy Brantley, EVP, Chief Compliance Officer, Golden Living

Lisa Spears, Chief Information Officer, Golden Living

 
 704

Bored with Your Board’s Lack of Interest?             

  • This session will discuss methods for engaging the Board in the Information Security and Privacy Programs: Understanding the basics for why the Board must be involved
  • What the Board needs to know
  • Being a translator for the Board
Joseph Dickinson, Counsel, Tucker Ellis

Marti Arvin, Vice President of Audit Strategy, CynergisTek

 
705

Physician Training on Medical Necessity: What Is Important for Clinical Trials and How Does It Impact Revenue Integrity?

  • Create a sustainable monitoring program for PIs
  • Auditing and monitoring to help the cause not hinder it
  • Leverage expertise and tools to do so
Kelly M. Willenberg, Owner, Kelly Willenberg, LLC

 
706

Kickback and Stark Law Development

  • Enforcement Trends and Other Recent Developments in Kickback and Stark Law
  • What Changes to Expect from the Trump Administration
  • Practical Tips for Navigating Kickback and Stark Law Compliance
Katherine Lauer, Partner, Latham & Watkins, LLP

Charles B. Oppenheim, Partner, Hooper Lundy Bookman, PC

Heather Westphal, OIG HHS


 
707

Creating a Vendor Oversight & Monitoring Program in 10 Steps

  • Understanding what is needed for a successful Program. We’ll focus on the basic requirements necessary to create an operational and functional Oversight and Monitoring Program
  • 10 Steps to create a program unique to your organization. Presenting 10 steps to use to create an efficient Program. During this portion, we’ll focus on what is currently in place, and how to optimize vendor resources
  • What to do with all the data? We’ll discuss and present how to use your unique program to create successful dashboards, audit responses, and risk monitoring

Kay Mesia, CEO/Chief Compliance Officer, Two International


 
708

Conducting an Internal Compliance Investigation When the Government Claims You Have False Claims

  • Learn when and how you should conduct an internal investigation; How to get started; Who to interview; Preserving the Attorney Client Privilege; Working with Government Attorneys
  • What are the major pitfalls to avoid during internal investigations?
  • How the recent U.S. Supreme Court Decision in Escobar will impact internal investigations, the government and qui tam relators

Joan W. Feldman, Partner, Shipman & Goodwin, LLP


 
709

Strategies for Professionalism When Tantrums Aren’t an Option

  • Learn strategies for remaining professional under challenging circumstances such as conducting investigations and consulting to defensive leaders
  • Learn strategies for communicating professionally with physicians and healthcare leaders
  • Learn how to better manage yourself in order to reduce your overall stress

Frank Ruelas, Facility Compliance Professional, St. Joseph’s Hospital and Medical Center, Dignity Health

Jay P. Anstine, President, Bluebird Healthlaw Partners, LLC


 
 710

Challenges for Academic Medical Centers

  • Dealing with teaching physicians and residents
  • Documentation in the medical record
  • How to manage the academic mission— teaching, research and healthcare
Lisa A. Taylor, Director and Chief Compliance Officer, UC Health R.

Brett Short, Chief Compliance Officer, UK HealthCare/University of KY

  
 711  

OIG Panel

 Robert Owens, Deputy Inspector General for Management and Policy, OIG HHS

Christi Grimm, Special Assistant To the Principal Deputy Inspector General, Dept of Health & Human Svcs

Gary Cantrell, Deputy Inspector General for Investigations, OIG HHS

Gregory Demske, Chief Counsel to the Inspector General, HHS OIG

Gloria Jarmon, Deputy Inspector General for Audit Services, OIG HHS

 
AD8b/repeat

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

 
 AD9b/repeat

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


 
 AD10b/repeat

Privacy and Research

 

*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