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You are here : About  >  Conference Sessions  >  Monday

Monday, April 8

100s | 200s | 300s


Session

Title

Speakers




General Session: CMS Update

8:45 - 9:15 AM

KIMBERLY BRANDT, Principal Deputy Administrator for Operations, Centers for Medicare & Medicaid Services

General Session: OIG Update

9:15 - 9:45 AM

JOANNE CHIEDI, Principal Deputy Inspector General, OIG HHS

Break
9:45 - 10:00 AM


Breakout Sessions
10:00 - 11:00 AM 


101

101 Office for Civil Rights: HIPAA Update & Enforcement

LINDA SANCHES, Senior Advisor for Health IT and Privacy Policy, Office for Civil Rights


  
 102

Physician Engagement: How to Develop a Physician Champion Program

  • Physician engagement with the compliance program is essential to its effectiveness. Physicians who understand the importance of the compliance program are more likely to code/document better and complete required training on time
  • Presenters will share experiences of how physician champion programs at their respective organizations led to increased physician engagement and a reduction in physician compliance risks (e.g. increased quality of coding and documentation)
  • Presenters will share tactics on how to successfully implement physician champion programs regardless of the size of the organization. This includes the development of a work plan and physician champion job description
CARLOS CRUZ, SVP, Chief Compliance Officer, Tri-City Healthcare District

MELISSA MITCHELL, Chief Compliance Officer, Sinai Health System
 
103

Ask the Stark Law Professionals

  • General overview of the Stark Law
  • Bring your Stark Law questions and the panel will analyze and discuss “real time” potential Stark Law risks
  • “Live” answers to your Stark Law operational questions

ROBERT WADE, Partner, Barnes & Thornburg LLP

LESTER PERLING, Partner, Nelson Mullins Broad and Cassel LLP


DANIEL MELVIN, Partner, McDermott Will & Emery, LLP

 
104

The Seven Habits of an Effective Compliance and Ethics Professional

  • Understanding the compliance and ethics challenge
  • Positioning yourself for a successful career as a compliance and ethics professional
  • Strategies for enhancing your personal effectiveness
DANIEL ROACH, Chief Compliance Officer, Optum 360

 
105

Beyond Auditing and Monitoring and Towards Quality Improvement

  • Review how audit and monitoring findings can be integrated into a program of quality improvement
  • Discuss how institutions are developing quality improvement programs based in part on the analysis of auditing and monitoring findings
  • Explore how to develop quality improvement programs based on audit and monitoring findings

JOHN BAUMANN, Associate Vice President for Research Compliance, Indiana University

 
106

Will CMS Turn Down the Volume? Patient-Driven Payment Model (PDPM) and the Effort to Replace RUGs

  • Historical overview of SNF PPS payment methodology and the current Resource Utilizations Groups, Version 4 (RUGIV) for paying SNFs per diem rates for resident services with a review of associated compliance trends. Side-byside comparison of RUGs with PDPM in an effort to impart understanding of how SNF Medicare payments will change when providing care to residents with varying care needs
  • In depth analysis of proposed new PDPM case-mix index components, underlying assessment criteria for each that will affect individual resident reimbursement level determinations, additional resident data sources used by CMS to produce resident reimbursement, and review how reimbursement compliance will change if CMS adopts PDPM in its current form. Update on SNF therapy requirements and the CMS proposed 25% limit of a SNF resident’s therapy minutes by PT, OT, or SLP
  • Analysis of the impact of alterations of resident assessments and other elements of PDPM, including new required uses of multiple ICD-10 diagnosis codes on the Minimum Data Set (MDS) patient assessment. Evaluation of how PDPM will impact healthcare fraud and abuse laws such as the false claims act including a look at how MDS section GG will become central to payment scoring structure

MARK REAGAN, Hooper, Lundy & Bookman, P.C.

JOSEPH GREENMAN, Shareholder, Lane Powell

 
107

Mergers & Acquisitions During a Time of Healthcare Transformation: Whether Managed Care, Provider, or Ancillary Services—Compliance Professional Considerations to Support Expansion of Your Business Model

  • Due Diligence: How to get Compliance a seat at the table? Scope of review—what to ask for and look for? How to highlight identified compliance risks?
  • Integration: Where to start—sign vs. close? How to prioritize—people, process, technology? Who are your partners?
  • Case Examples: Lessons learned, business model considerations, sample templates and tools
ANDREA EKEBERG, Compliance Director, UnitedHealthcare

SHIRLEY QUAL, Compliance Officer, UnitedHealthcare
 
 108

Surviving the Compliance Storm: Beyond a Risk Assessment—Partnering with the C-Suite to Develop an Enterprise Risk Management System

  • Develop an approach for identifying, evaluating, responding to, and monitoring risks and opportunities. This method helps you develop a systematic approach to analyze both the internal and external environmental factors impacting your enterprise
  • How to partner with clinical stakeholders to identify risks impacting the enterprise and discover ways to develop a risk response strategy and cascade these risks and mitigation strategies throughout the organizational structure with C-Suite buy in
  • Demonstrate an Enterprise Risk Management model which includes a risk register, risk assessment tool, sample interview questions and risk project plan. These tools will help illustrate a method to methodology implement a comprehensive enterprise risk plan

STEVEN SAMPLE, Assistant Medical Center Director, Southern AZ VA Health Care System

LISA MOORE, Compliance and Business Integrity Officer, Southern Arizona VA Health Care System

 
 109

Healthcare Compliance Auditing for Zones of Risk

  • Dive into compliance auditing zones of risk to understand auditing techniques that address risk
  • Eliminate confusion by examining zones of risk to define audit focus
  • Review best practices and examples of controls to address these zones of risk
DEBI WEATHERFORD, Executive Director Internal Audit, Piedmont Healthcare

DEBRA MUSCIO
, SVP, Chief Audit, ERM, Privacy, Security, Ethics & Compliance Ofcr, Community Medical Centers

  
 110

Conducting a Behavioral Health Risk Assessment

  • How to conduct a compliance risk assessment for behavioral health providers,
  • Recommendations for identifying, prioritizing and mitigating behavioral health compliance and privacy risks
  • How to ensure that both HIPAA and 42 CFR Part 2 requirements are addressed in the risk assessment
TIM TIMMONS, Privacy and Security Officer, Greater Oregon Behavioral Health

TODD JACOBSON, Corporate Compliance Officer, Greater Oregon Behavioral Health, Inc.

 
 111

Compliance Culture Case Studies

  • Federal guidance makes clear that an effective compliance program requires a strong culture to support it. Practical experience also teaches us that culture will make or break a compliance program
  • Using court cases and news headlines, we will walk through real-world fact patterns and decisions that shaped both negative and positive cultures, and their impact on compliance
  • We will brainstorm steps providers can take to promote a positive culture of compliance, as well as strategies to counteract negative culture forces. Approaches will include board involvement, staff training, accountability and incentives, and more
MARGARET SCAVOTTO, President, Management Performance Associates

SCOTT GIMA, COO, Management Performance Associates
 
112

Due Diligence for Acquisition and Partnerships: What to Consider When Bringing a Small Private Practice Into a Large Health System or Academic Medical Center

  • Outline and discuss the strategy, analysis and due diligence necessary for determining fit, aligning appropriate resources and implementing a successful transition for acquisition or partnership with another practice
  • Discuss common goals, areas of compromise and deliverables in order to navigate logistical hurdles and contractual negotiations
  • Share lessons learned and provide practical tips to ensure thorough due diligence from beginning to go-live and thereafter

DISCUSSION GROUPS are filled first‑come, first‑served. Attendance is limited to the first 50 attendees. Session selection is not available for these sessions.

CATHERINE MASOUD, Compliance and Privacy Manager for External Affairs, University of KY, UK HealthCare

JOHN ALLEN, Chief Administrative Officer, University of Kentucky, UK HealthCare

HARRY DADDS, Attorney at Law, Stoll, Keenon & Ogden

 
113

ACO Compliance Program Implementation When You Are Not All In the Same Family

  • Demonstrate how to introduce, evaluate, and maintain an effective compliance education program when participants are from different organizations and therefore have various levels of integration and attention to the ACO
  • Lessons learned on how to implement an auditing program when participants are from multiple organizations
  • Identify best practice for implementation of a Response Line and Policies for this type of hybrid ACO organization
JENNIE HENRIQUES, Chief Compliance & Audit Officer, South Shore Health System

DONNA SCHNEIDER, Vice President, Corporate Compliance and Internal Audit, Lifespan
 
 114

Blockchains Technology: Move Fast and Break Things Reconsidered

  • Blockchain technology is attracting investment and interest into solution serving the healthcare industry, yet few professional understand how they function
  • Learn how blockchain technology operates and understand the implications for regulatory compliance related to patient information access, privacy and data retention
  • Take away a risk analysis framework to share in your organization to educate others involved in blockchain development and adoption before problems arise
SCOTT STREIBICH, Director, Research Compliance Operations, Johns Hopkins University
 
115

OIG Compliance Monitoring: Practitioner Integrity Agreements and Small Business CIAs

  • How to ensure you are complying with your IA and what to do if you find a problem
  • What makes an IA different from a CIA, recent changes to IAs, and what they mean;
  • Examples of common issues OIG sees in CIA compliance; examples of situations in which we have assessed stipulated penalties

ADRIENNE SHELFER, Program Analyst, Office of the Inspector General 

NICOLE CAUCCI, Deputy Branch Chief, Office of the Inspector General 

CORNELIA DORFSCHMID, Executive Vice President, Strategic Management Services LLC


Coffee Break with Exhibitors
11:00 - 11:30 AM


Breakout Sessions

11:30 AM - 12:30 PM


201

Anatomy of an Attack: Key Security Trends

  • Discover key trends in healthcare cybersecurity, breaches, costs to the industry, and the overall motivation for these attackers to gain access to sensitive information including PHI
  • Describe the anatomy of attacks and security breaches occurring in healthcare, using real world examples and scenarios, covering attacker’s processes for gaining a foothold, privilege escalations, lateral network movement, and data exfiltration tactics
  • Recommend key cybersecurity controls and areas of focus for compliance personnel to team with information security personnel to jointly manage the risks to your organization in a proactive manner
KEVIN DUNNAHOO, Associate Director, Protiviti

 
 202

Lessons Learned From Teaching a Provider Documentation Remediation Course

  • Documentation doesn’t have to be difficult or lengthy; it must be accurate, relevant, complete, and specific
  • Optimal documentation supporting maximally specific diagnosis codes results in improved demonstration of medical necessity, ICD-10 and CPT coding, quality metrics, and reimbursement
  • Ongoing provider education and formative feedback is essential for improving clinical documentation, specific diagnosis code choice, and appropriate evaluation and management level selection
SALLY STREIBER, Director of Provider Compliance, University Hospitals

ERICA REMER, President, Erica Remer, MD, Inc.

 
203

Fraud and Abuse Laws 101 & OIG’s Role

  • A 20,000 foot overview of AKS, Stark, Bene Inducement Civil Monetary Penalty, False Claims Act, and Exclusions Law from OIG and private firm perspectives
  • The information will be tailored to compliance officer audience as opposed to lawyers, and will focus on how compliance officers can and do interact with OIG
KAREN GLASSMAN, Senior Counsel, Office of Counsel to the IG, DHHS

JILL WRIGHT, Special Counsel, Foley & Lardner, LLP  

 
 204

When Compliance Isn’t the Only Hat You Wear: The Art of Allocation of Time and Resources While Maintaining an Effective Compliance Program

  • Facing the reality that Compliance Officers in smaller organizations may have additional responsibilities
  • Interactive discussion on prioritization of risks and initiatives to maximize efficient use of time and resources
  • Promotion of a culture of compliance and program awareness when compliance isn’t your only job
TOMI HAGAN, Chief Compliance Officer, Great River Health System

GARY JONES, Attorney, Midwest Compliance Associates, LLC
 
205

Data Analytics and Risk-Based Methodologies in Refreshing Revenue Compliance Auditing & Monitoring

  • Demonstrate how a risk-based approach to revenue compliance auditing and monitoring targets critical resources at the most important risks
  • Show real-world examples of risk-based data analytics in revenue compliance (i.e. Evaluation and Management services)
  • Exhibit how data visualization bridges the gap between challenging data interpretation and consistent organizational understanding of compliance risk
ANDREW KINS, Manager, Regulatory and Compliance Operations, Mayo Clinic

KATE WELTI, Revenue Compliance Analyst, Mayo Clinic

 
 206

Long-Term Care Requirements of Participation Compliance Responsibilities

  • Benefits of a long-term care compliance program
  • Building a compliance program on the long-term care requirements of participation compliance responsibilities
  • Steps to ensure ongoing compliance program effectiveness
JOHN DAILEY, Healthcare Compliance Manager

SEAN FAHEY, Attorney, Hall Render Killian Heath
 
 207

Navigating the Changing Regulatory and Enforcement Landscape Relating to Opioids

  • Overview of current regulatory and enforcement landscape related to the opioid epidemic and potential risks for physicians and other healthcare providers and facilities, including review of enforcement actions
  • Physician and hospital perspectives on balancing the current enforcement environment with quality patient care
  • Practical advice from medical and legal perspectives on navigating the changing enforcement minefield and developing compliance processes to protect against potential issues

ANNA GRIZZLE, Partner, Bass, Berry & Sims PLC

TIZGEL HIGH, Vice President, Associate General Counsel, Legal, LifePoint Hospitals

JERRY WILLIAMSON, Healthcare Consultant/Adjunct Professor of Law, Loyola University Chicago, School of Law
 
208

Risk Assessment Workshop: Are You Assessing All Your Risks? Learn How to Design an All-Encompassing Risk Assessment Framework

  • Hands-on experience! Join us to design and improve your risk assessment framework; capture a complete view of your organization’s risk environment; and, understand how to organize your risks into a dynamic, functional, multi-tiered framework
  • Receive step-by-step guidance, worksheets; and the chance to collaborate with compliance professionals from similar organizations
  • Discover risk assessment methodologies and approaches that fit your needs, ensure collection of accurate and comprehensive data, and allows you to successfully prioritize and mitigate risks
MARCIE SWENSON, Vice President, Skyda Consulting   

AMANDA JEX , Attorney, Skyda Consulting


WADE THORNOCK, Compliance Director, Blue Cross of Idaho
 
 209

You Don’t Know What You Have Until It’s Gone, and Then It Is Too Late: The Benefits of a Data Management Audit

  • Why a data management audit is the first necessary step to understanding your data vulnerability
  • Recommended steps in auditing your data management program, including steps to verify data ownership, categories, security, location, traceability, and criticality
  • How a data management audit adds value to an organization’s disaster recovery program, incident response planning, and risk assessments
MARTI ARVIN

DON AHART, Internal Auditor, Hunterdon Healthcare
 
210

Navigating Behavioral Health Risks and Confidentiality Tough Spots

  • This presentation will examine the top compliance risks for behavioral health providers, including lessons learned from recent OIG and DOJ settlement reports and risk areas identified in the current OIG Work Plan
  • Steps for building an action plan for risk prevention and mitigation will be reviewed. Strategies for mitigating high risk behavioral health areas, such as telehealth, psychotherapy, and opioid treatment program services will be highlighted
  • 42 CFR Part 2 “tough spots” will be identified and examined with best practices discussed. These problematic areas include payment issues, coordination of care, mandated reporting, duty to warn situations, and law enforcement requests for information
PURVI SHAH KHARE, Director of Corporate Compliance, Rosecrance Health Network

JUDITH JOBE, Senior Vice President and Chief Administrative Officer, Rosecrance Health Network


KELLY EPPERSON, VP, and General Counsel, Rosecrance Health Network
 
211

A Compliance Case Study from the Trenches with Current and Former DOJ Prosecutors

  • Using a real-life case study, DOJ healthcare fraud prosecutor Nat Yeager and former healthcare fraud prosecutor David Schumacher will discuss the numerous and challenging compliance issues that arose in a recent federal healthcare fraud investigation
  • Topics to be discussed include arrangements with physicians that potentially violate the Anti-Kickback Law, interactions with insurance companies that give rise to fraud charges and false claims, and practices that implicate HIPAA criminal liability
  • Discuss current DOJ healthcare enforcement priorities and trends

DAVID SCHUMACHER, Partner, Hooper, Lundy & Bookman, PC

NATHANIEL YEAGER, Chief, Health Care Fraud Unit, U.S. Attorney’s Office, District of Massachusetts

 
212

What Do Carnegie Hall and Good Security Incident Response Plans Have in Common: To Get There You Have to Practice, Practice, Practice!

  • We will discuss the importance of an Incident Response and how to develop one
  • Discuss table top exercises, how they improve incident response plans and how to conduct one
  • We will lead the participants through an abbreviated table top exercise

DISCUSSION GROUPS are filled first‑come, first‑served. Attendance is limited to the first 50 attendees. Session selection is not available for these sessions.

JOSEPH DICKINSON, CHPC, JD, Partner, Smith Anderson

SHERYL VACCA, SVP/Chief Risk Officer, Providence St. Joseph Health

 
213

Communicating with Your Audit and Compliance Committee from Both a Compliance Officer’s and Board Member’s Perspective

  • What information should be communicated to the audit and compliance committee?
  • How to engage your committee
  • How to be an effective committee member

JODI LAURENCE, Attorney, Baker Donelson

JOSE PERDOMO, SVP, Chief Ethics & Compliance Officer, Miami Children’s Health System

 

214

Compliance at the Point of Sale

  • Setting up internal controls to ensure the accuracy and reliability of captured financial information, including patient payments (satellite clinics/hospitals) and retail sales (nutritional services)
  • Implementation of physical and system controls to safeguard assets and setting up payment collection point for clinical front desk operations and retail cashier locations
  • The adoption of meaningful training for registration clerks and cashiers
C. J. WOLF, Senior Compliance Executive, Healthicity

DARRYL RHAMES, Director of Compliance, University Health System

 
215

OIG Developments 2019

  • Hear from senior OIG officials about OIG’s recent work, including the 2018 National Takedown
  • Learn about enforcement trends, industry-specific findings, and developments related to opioids work
  • Discuss OIG’s current priorities
GREG DEMSKE, Chief Counsel to the Inspector General, HHS-OIG

Lunch
12:30 - 1:30 PM


Networking and Dessert with Exhibitors

1:30 - 2:00 PM


Break Out Sessions
2:00 - 3:00 PM 


301 

Data Protection, Privacy, and Security in the Healthcare Industry Year in Review: State Enforcement Focus Areas in 2018 and Outlook for 2019

  • This session, featuring experienced government and defense counsel, will address what healthcare entities should know about state privacy and security enforcement, and the key focus areas in the current enforcement climate
  • We will consider the lessons healthcare entities can learn from recent enforcement efforts 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

ESTHER CHAVEZ, Sr. Asst Attorney General, Office of TX Attorney General

SARA CABLE, Assistant Attorney General and Director of the Data Privacy & Security Section, Consumer Protection Division, Massachusetts Attorney General’s Office

 
302 

Is Your Practice a Government Target?

  • The CMS, along with private payers, are using advanced statistics and predictive modeling to identify providers that are considered potential billing and coding abusers. These providers are then targeted for complex chart audits
  • One of the tools used is the Fraud Prevention System (FPS), which relies upon predictive models for risk identification. Short of that, auditors (and the media) use the Public Use Files to point out physicians they think are abusing Medicare dollars
  • In this session, attendees will learn about how the FPS works and how to interpret the Public Use Files to get an a priori look at Medicare risk for their providers. If you want to know what the auditors know, this is the session for you

FRANK COHEN, Director of Analytics, Doctors Management LLC


 
 303

Hidden Treasure or Hidden Kickback? If It Looks too Good to Be True, It Might Be an Anti-Kickback/Stark Violation

  • Tips for identifying potentially problematic terms in arrangements such as: Speaker Fees, Lease Arrangements, Business Deals, Marketing, Physician Owned Labs, Other Freebies
  • An overview of the AKS and examples of conduct that has resulted in settlements and CIAs from the perspective of OIG and outside counsel
  • Descriptions and discussions of arrangements that look “too good to be true,” and probably are
AMANDA COPSEY, ACRB Senior Counsel, Office of the Inspector General


 
 304

How Bias and Perception Impact Compliance

  • Breaking down why people make bad decisions
  • Understanding how risk perception and inherent tendencies negatively impact Compliance Programs
  • Utilizing tools to identify bias to increase compliance within your organization
AHMED SALIM, Deloitte

WALTER JOHNSON, Director of Compliance & Ethics, Kforce Government Solutions


 
 305

Facing an Extrapolation? Steps for Checking the Statistical Approach

  • Overview of the types of sampling techniques, sampling errors, and biased sampling
  • Addressing the calculations behind the extrapolations and determining whether there is a need to question the statistical approach to the calculation to ensure you do not overpay
  • Presentation of real life investigations, sampling, and extrapolations. Review take-aways to ensure proper sampling and extrapolation during investigations
ANDREA MERRITT, Partner, Athena Compliance Partners

FRANK CASTRONOVA, Part-Time Faculty, Wayne State University


 
 306

Creating a Compliance Plan in the New Post-Acute World

  • Risks are changing with new payment models and inter-operability; what risks should you consider building into your compliance plan
  • OIG Work Plan monthly updates; Do you update your plan monthly? How do you incorporate this new information?
  • Are you prepared for the future? How does your plan incorporate the new Requirements of Participation?
BARB DUFFY, Shareholder, Lane Powell

DONNA THIEL, Chief Compliance Officer, ProviderTrust

 
 307

Independent Investigations: The Compliance Role

  • Independent Investigations-too important to be left to lawyers alone-the compliance officer and board committee role in proposing and overseeing independent investigations
  • In Weinstein’s Wake—379 high-profile accusations in seven months—how should organizations choose, plan, manage and report independent investigations of misconduct and legal violations? Lessons from Wells Fargo, Rochester, NPR, Uber, VW and other recent cases
  • Regulators have identified “employee misconduct risk,” behaviors or business practices that are illegal, or unethical, as risks to the whole organization— what are the new legal, regulatory and other stakeholder views on effective investigations?

JAMES SHEEHAN, Chief, Charities Bureau, NY Attorney General

KENYA FAULKNER, Chief Ethics & Compliance Officer, Office of Ethics & Compliance, The Pennsylvania University

 
 308

Cyber Security for Industrial Controls

  • Facilities and Building Management Software Commission is a building automated systems commissioning and security firm. We design physical (IOT) Internet of Things security parameters and conduct advanced network penetration testing
  • At Facilities and Building Management Software Commission we commission new BAS installs, testing at every phase of implementation; conducting penetration test on the installed software, hardware and communication network annually to maintain security
  • Facilities rely on machines running completely different software packages that require communication

JAMES HOUSTON, Managing Director, Facilities and Building Management Software Comission


 
 309

Hidden Risk Area: Patient Grievances—Are You Prepared for a Survey?

  • Understand CMS expectations for a compliant patient grievance program. Attendees will be provided tools to assess the effectiveness of their patient grievance program
  • Hear how DCH Health System re-designed the patient grievance process in response to a Department of Public Health survey. Learn what to expect and how to respond to a survey
  • Learn how you can identify compliance issues that may be embedded in patient grievances. Discuss how your facility’s response to a grievance may pose a compliance risk
SHEILA LIMMROTH, Privacy Officer/Legal Services Specialist, DCH Health System

SUSAN THOMAS
, Consulting Manager, PYA

 
 310

You Can Lead a Horse to Water and You Can Make It Drink: The Role of the Work-Plan In Developing and Implementing POCs in Behavioral Health

  • Describe fundamental process and content elements needed within a Behavioral Health Plan of Correction (POC), from targeted individual/event level responses to systematic organization-wide improvements
  • Provide tips and resources on strategically engaging interdisciplinary teams to maximize organizational resources and minimize disruption of services while developing and implementing the POC Work-Plan
  • Share lessons learned and provide practical quality management methodologies and take-home tips to ensure “how good by when” POC implementation and methods to preserve gains across time
KRISTINE KOONTZ, VP Quality & Clinical Services, Keystone Human Services Inc

VICTORIA HOSHOWER, Assistant Director of Quality, Keystone Human Services

MICHELLE SEIDLE, Quality, Keystone Human Services

 
311 

Year One of a Compliance Journey: A First Year Under a CIA: Tips to Prepare for and Implement Best Practices for Your CIA

  • Attendees will get a broad overview of one organization’s (Mercy’s) journey as it navigated the first-year requirements of a CIA. We will cover the evolving requirements of a CIA, how organizations can plan for year 1, and how to prepare governance & leadership
  • Attendees will review how to prepare Certifying Employees so they are not surprised by and can be comfortable providing the Management Certification. We will review steps Mercy took to create a process to identify, investigate, and cure potential risks
  • The presentation will also address how to change the culture of your organization. We will provide tips and identify best practices to change the culture of an organization, starting at the top with the board & CEO, and reaching down to entry-level workers
STEVE PRATT, Hall, Render, Killian, Heath & Lyman, P.C.

TONY KRAWAT, Mercy Health
 
312 

Making Compliance Education Your First Defense

  • Knowing Your Risk Areas: Compliance Education is known as the “First Defense” for compliance risk. Performing organization-wide risk assessments prior to developing compliance education content is crucial in preventing these risks
  • A Role-Specific Approach: All roles within a healthcare organization are not created equal. Each role involves specific compliance risks and requires education to prevent those risks from happening. The group will discuss how to tailor education modules to the major roles within an organization
  • Making an Impact: Effective Compliance Education requires interactive modules and evaluations. The group will discuss leveraging technology to make content that will keep employees engaged during their compliance education and create a lasting impression

DISCUSSION GROUPS are filled first‑come, first‑served. Attendance is limited to the first 50 attendees. Session selection is not available for these sessions.

NOUSHEEN PIRANI, Compliance, GoHealth Urgent Care
 
 313

Somewhere Beyond the OIG: Discussion of Exclusion Checks

  • We all know we should check the OIG exclusion lists for excluded individuals and entities, but what other sources should we be checking and how often? We will review available guidance and also poll the audience to gauge industry standards
  • What do you do with: State exclusions for your own state? State exclusions that are not your state? GSA/SAM exclusions (SNAP, HUD, DOJ, etc.)? If you find an exclusion, what do you do next? For an employer? For a vendor? For a referring provider?
  • Who are the key stakeholders in your organization that need to be involved in this process? When do you need to report an exclusion for a non-OIG exclusion?
 
EMILY REILLY, Compliance Administrator, Wellstar Health System

CAREY COTHRAN
, Executive Director, Regulatory Compliance and Privacy, Peidmont Healthcare

NICOLE CAUCCI, Deputy Branch Chief, Office of the Inspector General

 
 314

How the Centers for Medicare and Medicaid’s Targeted Probe and Educate (TPE) program Can Support Your Organization’s Compliance Program

  • How TPE can help reduce claim denials and appeals
  • How to utilize the education resources available to you
  • How TPE audits can be incorporated into your organizations auditing and monitoring program
 
LEA FOURKILLER, Managing Director, Ankura Consulting

 
 315

Women in Cybersecurity: Shattering the Career Mystique

  • Cybersecurity is one of the best technology jobs rated by U.S News & World Report’s “Best Technology Jobs.” However, Forbes Magazine states about 10% of the cybersecurity workforce is made up of women
  • An expert panel will address common misconceptions young people (including women) have about information security careers and the skills required for success
  • Important support systems, mentoring and ways to encourage women in healthcare information security careers will be discussed. Questions from the audience will be addressed by the panel

MALIHA CHARANIA, Senior IT Risk Management Consultant, Meditology Services, LLC

ANAHI SANTIAGO, Chief Information Security Officer, Christina Care Health System Services, LLC

MONIQUE HART, Executive Director, Information Security, Piedmont Healthcare


Break

3:00 - 3:15 PM 


Opening Remarks and Awards Presentation
3:15 - 3:30 PM


General Session: Lead at Your Best, Live at Your Best
3:30 - 4:30 PM

To lead at your best, you need to live at your best. In this keynote, Scott Eblin, best-selling author and global leadership educator, will teach you how to:

  • Raise your levels of awareness and intention to ensure the highest and best use of your time and attention.
  • Lead at your best even when your calendar is packed and your inbox is jammed. 
  • Live at your best to create positive outcomes at work, at home and in your community.
SCOTT EBLIN, Author, The Next Level and Overworked and Overwhelmed

Networking Reception in Exhibit Hall
4:30 - 6:30 PM


  • 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