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

general compliance/ hot topicscompliance lawyeraudit and monitoringprivacy securitylong term care

quality of carephysician comllianceThe Compliance Professionaladvanced discussion groupsinternal audit



Sunday       Monday       Tuesday      Wednesday


Wednesday, March 29




Post Conference Breakout Sessions
8:00 AM - 9:45 AM


Decrypting a Ransomware Strategy

  • Phishing emails, unpatched programs, compromised websites, oh my! Learn from RWJBarnabas Health CISO Hussein Syed how to ensure that your organization has the technical safeguards to protect against ransomware attacks and minimize the damage caused by an attack
  • Extra! Extra! Get your policies and procedures! Learn about the policies and procedures that are crucial to your organization preparing for and surviving a ransomware attack, including data incident policies, business continuity plans, etc
  • You are the weakest link. Goodbye. An employee opening an innocent looking email is the simplest and most common way that a cyberattack begins. Learn how to train your employees about the threat of ransomware
Jenna Shedd-Sawl, Attorney, Obermayer Rebmann Maxwell & Hippel LLP

Hussein Syed, Chief Information Security Officer, RWJBarnabas Health

Erica Woebse, Attorney, Obermayer Rebmann Maxwell & Hippel LLP


How the “Three Amigos” of a Compliance Program— Compliance Officer, Legal, and Human Resources—Can Work Together to Support and Advance an Effective Compliance Program

  • Assess and identify how Compliance, Legal, and HR play critical roles in several key elements of a compliance program to include those related to policies and procedures, auditing and monitoring, response and investigation, and enforcement
  • Identify and learn how to align the strengths and weaknesses of these three areas so as to optimize their overall, collective contributions to the development of a compliance program
  • Identify risks to mitigate the potential of sub optimization in the level of collaboration among Compliance, Legal, and HR given their respective duties that support an effective compliance program
William K. Wong, Sr. Coding & Compliance Educator/Auditor, Providence Health & Services

Walter E. Johnson, Director of Compliance & Ethics, Kforce Government Solutions

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


340B Drug Pricing Self-Disclosures and Repayments: Success Stories and Lessons Learned

  • Discuss the mechanics of the 340B selfdisclosure requirements and handling of compliance violations in the following areas: duplicate discounts, patient definition (diversion), Group Purchasing Organization (GPO) prohibition, orphan drug exclusion
  • Present real life examples and recommendations for dealing with the gray areas in 340B guidance and discusses the ramifications of the proposed megaguidance. We will also convey leading examples when defining what constitutes a material breach
  • Discuss key financial, operational and compliance factors to consider when assessing if a 340B self-disclosure is warranted. Sharing of success stories and lessons learned when working with the drug manufacturers in good-faith on financial remedies
Emily Cook, Partner, McDermott Will & Emery

Karolyn Woo-Miles, Principal, Deloitte & Touche LLP

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

How to Navigate and Survive a Mega Breach

  • Discovery, investigation, data evaluation and remediation
  • Notification process and mitigation strategies
  • Lessons learned and recommendations for prevention

Nadia Fahim-Koster, Director, IT Risk Management, Meditology Services

Erin Fleming Dunlap, Shareholder, Polsinelli PC

Abby Bonjean, Abby Bonjean, Associate, Polsinelli PC


Lessons Learned: How Recent Enforcement Cases Provide Insight into Effective Compliance Programs for FMV and Commercial Reasonableness 

  • Learn what FMV and CR issues are driving recent enforcement activity for hospital-physician arrangements and transactions.
  • Use lessons learned from recent cases to analyze organizational processes, practices, and outcomes and identify high-risk FMV/CR compliance risk areas.
  • Develop improved organizational structures and processes to manage and reduce real world FMV/CR compliance risk.

Timothy Smith, Senior Managing Director, Ankura Consulting Group

Gregory Anderson, Partner, Horne LLP

Government Investigations and Compliance Matters: Roadmap for In-House Counsel and Compliance Professionals


Anna Grizzle, Partner, Bass, Berry & Sims PLC

Ryan Stumphauzer, Partner, O’Quinn Stumphauzer & Sloman 

Mahnu Daver, Partner, Arnold & Porter Kaye Scholer LLP 


Designing a Successful Analytics-Based Hospital Compliance Program and Securing Cross-Department Endorsement

  • Proactively identify hospital billing audit risk by transitioning from a manual to automated process by leveraging a risk rules engine, reducing costs and increasing efficiencies
  • Manage claims at risk through sophisticated algorithms and analytics
  • Ensure all departments, especially those beyond compliance, are onboard and see the role that the entire enterprise plays in compliance
Kate Conklin, Compliance Officer, UT Southwestern Medical Center

Trissi Gray, Assistant Director for Health System Affairs, UT Southwestern Medical Center


Monitoring and Auditing HIPAA Compliance

  • Learn how Cleveland Clinic structured its Integrity Office to leverage Internal Audit and Corporate Compliance resources
  • Gain insight on how the Clinic developed its approach to monitoring HIPAA compliance, involving both Internal Audit and Corporate Compliance resources
  • Learn about tools and processes that can be used to identify and reduce the risk of HIPAA incidences
Donald A. Sinko, Chief Integrity Officer, Cleveland Clinic

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

STRESS Makes You Distracted, Distraught, Dumb & Dead!

  • How stress affects YOU emotionally, physically & cognitively
  • Your stress: Identifying its origins & developmental processes
  • Realistically managing stress—it’s not just fixed with a day at the spa
Debi I. Hinson, Chief Research and Associate Compliance Officer, Columbus Regional Health

Albert Eaton
, Director of Behavioral Science, Family Medicine Residency, Midtown Medical Center


Driving Quality of Care Through Culture Change Strategies: Identifying Culture Challenges, Collecting Data to Show Value for Change, and Creating Culture Change by Demonstrating What’s in It for Me?

  • Designing, collecting, and comparing data statistics and survey results on quality of care to pinpoint stagnation or potential cultural barriers to improving quality of care within your organization
  • Understanding the existing culture, individual psychology and creating culture and change champions by leveraging the Centers for Medicare and Medicaid Services (CMS) Quality Strategy, the HHS National Quality Strategy and other guidelines
  • Examples and discussions of inexpensive programs, friendly competitions, and other tools that can be used to drive targeted changes in quality of care within organizations

Jalal Clemens, Compliance Program Manager, Stanford University


Building Your Toolbox to Manage Conflict of Interest: Sunshine, Open Payments, and Investigations 

  • Explore the key points of the Sunshine Act
  • Explain Industry’s approach to “Sunshine” reporting and the Open Payments lifecycle
  • Leverage your resources to conduct meaningful investigations when data doesn’t match
Rebecca M. Scott, Clinical Research Comp Manager and COI Manager, UK HealthCare

Andrew H. Hill, Clinical Research Charge Auditor, UK HealthCare Office of Corporate Compliance

CJ Wolf, Senior Compliance Executive, Healthicity
Post Conference Breakout Sessions
 10:00 AM - 11:45 AM


Criminal and Civil Enforcement Trends: Focus on Federal Enforcement of Fraud and Abuse Involving Hospice Programs and Opioid Abuse

  • During the past year, the Office of Inspector General and Depart of Justice have increased scrutiny of fraud and abuse involving Hospice programs and opioid prescribing patterns. Recent cases illustrate that Hospice programs are fertile ground for fraud
  • Learn how civil and criminal enforcement processes are being used to combat the problems associated with Hospice providers caring for non-terminal pts, and involving commonly abused opioids, by identifying high-risk beneficiaries and outlier prescribers
  • Areas of the False Claims Act, Medicare Administrative Contractor coverage guidelines, local coverage determinants and Medicare Hospice eligibility will be highlighted to assist attendees in developing and maintaining effective compliance programs
Sean Bosack, Attorney, Godfrey & Kahn, S.C.

Michelle Frazier, SVP Chief Compliance Officer, Aurora Health Care

Stacy Ward, Partner, von Briesen and Roper

Christine Anusbigian, Specialist Leader, Deloitte & Touche LLP

Medicare Overpayment 60-Day Rule: What Your Compliance and Auditing Departments Need to Know

  • Review the key legal, operational and technical takeaways from the ACA 60-Day Report and Repay Statute
  • Discuss the implications of reasonable diligence—and credible information—as defined in the clarified rule
  • Review strategies for proactive compliance activities that will reduce risk of overpayments and limit exposure of provider

Tracey M. Nixon, Principal, ROC Healthcare Advisors

Christina A. Hughes, Counsel, Powers Pyles Sutter & Verville, PC

Peter W. Thomas, Principal, Powers Pyles Sutter & Verville


How to Overcome Growing Pains by Maturing your Compliance Program from the Wonder Years to the Golden Years: Physician-Hospital Arrangements

  • The Wonder Years: Understand common legal and regulatory compliance pitfalls in new and maturing physician-hospital relationships
  • Coming of Age : Learn to successfully implement key operational and compliance success factors and instill a culture of compliance post-transaction to ensure long term success
  • Gray Zone: Present best practices in handling complex and subjective government guidance to protect your investment, including critical planning steps and key considerations in contract renewals
Tynan Olechny, Consulting Principal, PYA

Ross Burris, Shareholder, Polsinelli PC

Valerie G. Rock, Consulting Manager, PYA


Privacy Officer Roundtable

  • Highly interactive discussion of the most challenging privacy issues facing privacy officers and other privacy staff
  • Audience members will select the privacy issues that they would like to discuss, and will have the opportunity to learn from each other’s experience
  • Focused on practical solutions to some of the toughest day-to-day privacy challenges

Adam Greene, Partner, Davis Wright Tremaine, LLP

Marti Arvin, Vice President of Audit Strategy, CynergisTek


Pay for Performance 2017: Meeting New Physician Quality Reporting and Payment Requirements

  • As the healthcare industry shifts away from fee-for-service medicine, physicians will be rated and paid for services based on quality of care and outcomes
  • Medical practices must ensure physician quality of care measures are publically reported as part of the PQRS and MACRA
  • This session will provide compliance professionals with all the information, strategies and tools needed to comply with the PQRS and MACRA
Catherine Gorman-Klug, Director of Quality, Nuance Communications, Inc.

Anthony Oliva, Chief Medical Officer, Nuance Communications, Inc

Compound Pharmacy Prosecutions: Past Lessons and Future Trends

  • Panelists will discuss some of the most common fact patterns that led to government scrutiny, including medical necessity, AntiKickback Statute concerns, verification of prescriptions, and other topics
  • Panel will also include a conversation about parallel proceedings, the perils associated with such investigations, and best practices for defending parallel proceedings
  • Further conversation will focus on future investigative priorities and emerging trends in government investigations
Ryan Stumphauzer, Partner, O’Quinn Stumphauzer & Sloman

Elizabeth D. Shaw, Partner, RezLegal, LLC

Jason Mehta, Assistant United States Attorney, U.S. Attorney’s Office for the Middle District of Florida

Effective Auditing Program for Managed Care Plans

  • Discuss impact of CMS annually published protocols on Managed Care Plan Auditing Program
  • Review case scenarios to understand how to audit Medicaid managed care plans
  • Understand the importance of auditing vendor transactions for compliance

Nicole S. Huff, Chief Compliance & Privacy Officer, St. Luke’s University Health Network 

Deborah M. Johnson, Senior Director Compliance and Internal Audit, Peach State Health Plan 


MIPS, APMS, QRUR, and CMS Data: How Do Your Physicians Compare?

  • MIPS, APMS, QRUR reports, and CMS data provide a wealth of information that can be used for—or against—your doctors. How do your physicians compare? How can you best use the big data available now?
  • Physicians may not be aware of the extensive on-line profile they now have, thanks to CMS. How do you alert your doctors to review—and if needed, challenge published; performance data?
  • With the implementation of MIPS and APMS, even more data will be available to the public and for CMS review. How do you help doctors navigate the quality minefield and present the best image and earn the best reimbursement?
D. Scott Jones, VP, Healthcare Compliance and Risk, HPIX Medical Mutual Insurance Company

Richard E. Moses, Physician/Attorney, Jeanes Hospital Temple Health

Mergers and Acquisitions for Compliance Professionals

  • Pre-transaction: The compliance perspective of due diligence
  • Post-transaction: integrating policies and procedures across a variety of departments
  • Auditing and integration of documentation, coding billing operations, and evaluating referral relationships
Sharon Blackwood, Chief Compliance Officer, Palmetto Health Tuomey

Jose A. Tabuena, Compliance and Privacy, PrincipledEdge

Donnessa Vessakosol, Manager, Strategic Value Group, LLC


Don’t Let Your Quality Program Face the Risk Apocalypse: Practical Approaches to Implementing and Integrating ERM and Compliance with Quality

  • Learn practical approaches of working with physician leadership to identify, integrate, and measure quality risks and metrics in an ERM program
  • Discuss effective methods of discussing and reporting ERM from a quality and compliance perspective with senior management and the Board
  • Learn and discuss approaches to developing quality risk champions to help drive positive outcomes in your quality program
Ron Skillens, SVP, ERM & Chief Compliance Officer, JPS Health Network

Frank Rosinia, Chief Quality Officer, JPS Health Network

Do You Know What Your Business Associates’ Subcontractors & Vendors are Doing with Your PHI & ePHI?

  • Learn how to identify, assess, audit, & monitor the Subcontractors & Vendors that your Business Associates use. Learn the privacy, security, & compliance requirements regarding your Business Associates’ Subcontractors & Vendors
  • Hear effective strategies for gaining cooperation and compliance from your Business Associates regarding their Subcontractors & Vendors. Take home tips, tools, and tactics for managing your Business Associates’ Subcontractors & Vendors
  • Address the difficult topics—What if you don’t approve of one of your Business Associates’ Subcontractors or Vendors? What if one of your BAs’ Subcontractors or Vendors has a data breach? How do you terminate a BA’s Subcontractor or Vendor?
Web Hull, Privacy, Data Protection, & Compliance Advisor, Global Privacy & Compliance Group