8:45 – 9:30 am

US Sentencing Commission

• How the Organizational How the Organizational Sentencing Guidelines Address Sentencing Guidelines Address Compliance and Ethics Programs Compliance and Ethics Programs

9:30 – 10:30 am

The False Claims Acts: Are There Any Limits?

• The False Claims Act: Are there any limits?

11:00 am – 12:00 pm

501: Learning from Risk Management—Integrating Failure Mode
       and Effect Analysis and Root Cause Analysis into Your
       Compliance Program

• Learning from Risk Management Integrating Root Cause Analysis and Failure Mode & Effect Analysis into Your Compliance Program
• Learning from Risk Management – Applying Root Cause Analysis and Failure Mode and Effect Analysis to our Compliance Programs

502: Strategies for Auditing and Improving the Charge Capture
       Process

• Strategies for Auditing & Improving the Charge Capture Process

503: Quality of Care Issues: How are They Perceived by the
       Enforcers?

• Quality of Care Issues: How are they perceived by the Enforcers?

504: HIPAA Security— Ready or Not

• Enabling Solutions for HIPAA Compliance

505: Internal Investigations: Common Conundrums, Conflicting
       Agendas, and How to Deal With Them

• Internal Investigations: Common Conundrums, Conflicting Agendas, and How to Deal With Them: Part 1
• Internal Investigations: Common Conundrums, Conflicting Agendas, and How to Deal With Them: Part 2
• Compliance Action Plan

506: SOX, Corporate Governance and Working with the Board

• SOX, Corporate Governance and Working with the Board

507: Ensuring Quality of Care in Hospitals: the Tenet Experience

• Quality of Care and Compliance

508: The HCCA Code of Ethics: Why it Matters in a
       Post-Enron World

• Code of Ethics for Health Care Compliance Professionals

1:45 – 2:45 pm

601: Top 10 Things a CO Needs to Know

• Top 10 Things a CO Needs to Know U.S. Attorneys’ Perspective

602: E&M Sampling Methodologies

• Evaluation/Management (E/M) Sampling Methodologies

603: Part 1 Enforcement Risks: Anti-Kickback & Stark

• The Anti-Kickback and Stark Laws: Hot Topics, Recent Developments, Practical Advice - Thornton
• Stark Law 2005: Overview, Recent Developments & Hot Topics - Weinreich

3:00 pm – 4:00 pm

701: HCCA/AHIA Compliance Auditing & Monitoring

• HCCA - AHIA Auditing & Monitoring Focus Group Progress Report

702: Charity or Fraud: When Good Deeds Won’t Go Unpunished

• Federal Poverty Guidelines
• Allina Hospitals & Clinics Charity Care Policy
• Charity or Fraud? When Good Deeds Won’t Go Unpunished

703: Part 2 Enforcement Risks: Anti-Kickback & Stark
       (see session 603)

Industry Immersion 1:45 – 5:45 pm

ii6: Payor/Managed Care

• Payor - Managed Care - Boord
• Payor - Managed Care - Cornell
• Payor - Managed Care - Tanzer
• Market Conduct Standards-1
• Market Conduct Standards-2
• Regulatory Review Guidance Document 10-15
• Sample Attestation of Minimum Necessary Access 10-04
• Sample CAP template
• Sample File Documentation CMS
• Sample Internal Certification
• Sample Notice To Employees of Regulatory Reviews
• Sample Regulatory Review Log template
• Sample work plan

ii7: HIPAA/Privacy

• Privacy Compliance Focus Group

ii8: Research

• Sample Policy Institutional Review Board Policy And Procedures Review Of External Adverse Events
• Review Of External Adverse Event Report Flow Chart -1
• Review Of External Adverse Event Report Flow Chart -2
• UC Davis Policy and Procedure Manual

ii9: Physician Group Practice (no documents available)

ii10: Large Health Systems

• Large Health Systems Industry Immersion

ii11: Long Term Care

• The Anti-Kickback Law: Leveling the Field
• Long Term Care Compliance
• Overpayment Refund Form
• Sample Board Resolution