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You are here : About  >  Conference Sessions  >  Wednesday

Wednesday, April 10




Post Conference Breakout Sessions
8:00 - 10:00 AM


Privacy Officer Roundtable Part 1

  • Highly interactive discussion of the most challenging privacy issues facing privacy officers and other privacy counsel and staff
  • Audience members will select the privacy issues they would like to discuss, and will have the opportunity to learn from each other’s experience
  • Obtain practical solutions from experts and peers on some of the toughest day-to-day health information privacy challenges
MARTI ARVIN, Vice President, Audit Strategy, CynergisTek, Inc.

ADAM GREENE, Partner, Davis Wright Tremaine, LLP

JOAN PODLESKI, Chief Privacy Officer, Children’s Health


Compliant Physician Documentation in an Electronic World

  • The Documentation Guidelines for physicians were written over twenty years ago, before the widespread use of electronic records. CMS hasn’t updated these guidelines, but in some cases, Medicare Administrative Contractors have
  • This session will explore the compliance risks and common mistakes found in physician documentation in electronic records. We will review each type of service and give tips for documenting appropriately in an electronic record
  • We will review the findings of governmental and payer audits that found fraud and abuse in the use of electronic records. Learning from these cases to protect your organization!
KIMBERLY HUEY, President, KGG Coding & Reimbursement Consulting

, Director of Coding & Revenue Integrity, CliftonLarsonAllen, LLC

Managed Care Fraud: Enforcement and Compliance

MEGAN TINKER, Senior Advisor for Legal Affairs, HHS-OIG


A Paradigm Shift in Persuasive Communication that Will Accelerate Your Advancement

  • Your effectiveness and advancement in the field of healthcare compliance depends as much on your persuasive communication skills as it does on your technical knowledge
  • More than 99 percent of all people communicate in a manner that is diametrically opposed to the most effective approach for achieving desired outcomes
  • In this unique session you’ll see and learn how to apply a cutting-edge approach that leverages the science of persuasive communication and leave with practical techniques you can immediately implement to be more successful

CHUCK ROBERTS, President & CEO, Performance Management Group, Inc.


How Vendor Oversight Should Lead the Charge for Contracting with a New FDR

  • Assessing Internal Risk: Gauging similar vendors, specific needs, and breakdown of oversight program responsibilities between the functional areas and vendor oversight, and establishing oversight workflows
  • Exposure Risk of Vendor: How the risk assessment shapes your program. Involving functional areas in understanding what the vendor does (and doesn’t do) for your organization and how past, present, and potential risks affect oversight responsibilities
  • Ongoing Risk: Talk. Oversee. Audit. All aspects contribute to managing successful relationships. Grooves are great, but don’t let it become a rut you can’t get out of. Being comprehensive without surprises

JENNIFER JUSTINE E. PHILLIPS, M.ED, Sr. Manager Quality & Compliance, Arizona Complete Health

TAMMY SANCHEZ, Manager, Vendor Oversight, Compliance and Internal Auditing


Disaster Planning in Senior Living: HIPAA Still Matters

  • HIPAA disaster planning
  • HIPAA temporarily waived requirements
  • Social media in a disaster
BRITTANY PAPE, Director of Compliance, Senior Lifestyle Corporation

MARGARET SCAVOTTO, President, Management Performance Associates

SCOTT GIMA, COO, Management Performance Associates

The Intersection of Clinical Quality and Regulatory Requirements in the Conditions of Participation

  • How the backbone of Medicare hospital regulation creates internal friction when clinical aspects of COPs and the governance aspects of COPs collide and how to identify and manage the intersection
  • Managing the tension between systematized quality improvement and efficiency with the single hospitalfocused COPs
  • Lessons learned from an integrated health system’s transition to centralized efficiency while ensuring compliance with local COP requirements
JORDAN MUHLESTEIN, Compliance & Ethics Director, Intermountain Healthcare

MEGHAN FLAHERTY, Compliance/Regulatory Senior Partner, Intermountain Healthcare


Cyberbattle: A Practical Demonstration of Hacking and Defending Your Organization

  • In this session you will get a firsthand look at how cybercrime infiltrates healthcare organizations like yours. Learn how to counter hackers at every step through what is known as a CyberKill Chain
  • Understand how hackers think, work, and act. Experience real hacking scenarios and the counter attacks you can employ. Learn how to detect, prevent, and mitigate their tactics using actual examples from healthcare organizations
  • Fight the good fight with the best available weapons: cybersecurity tools and professionals who know your industry, and can work with you and your budget
LEE PAINTER, Principal, CliftonLarsonAllen LLP

DAVID ANDERSON, CliftonLarsonAllen LLP

Using 340B Drugs across the Continuum of Care: How to Provide Quality Service and Stay Compliant

  • Understand the risks and rewards of dispensing 340B drugs for your patients across the continuum of care
  • Understand the impact of current federal guidance on dispensing 340B drugs to patients
  • Describe policies and self-audit procedures to minimize risk and maximize patient benefits
MICHAEL GLOMB, Partner, Feldesman Tucker Leifer Fidell LLP

SUE VEER, CEO, Carolina Health Centers, Inc.


Investigational Device Exemption (IDE) and Humanitarian Device Exemption (HDE) Device Coverage & Billing: Compliance Insights

  • The key FDA and CMS regulations affecting IDE and HDE device use and coverage, and the corresponding roles and responsibilities across a health system—including Compliance, Providers, IRB, Clinical Trials Office, Supply Chain, and Billing
  • Tips for how Compliance departments can promote collaboration and successful partnerships across a health system (such as education and outreach, task forces, and policy review) to reduce regulatory risk and promote system-wide compliance
  • Sample process for analyzing IDE and HDE devices as they enter a health system to help ensure compliant device usage and billing

JOHN DORTERO, Compliance Specialist, UW Medicine Compliance

10:00 - 10:15 AM

Post Conference Breakout Sessions
10:15 - 11:45 AM


Privacy Officer Roundtable Part 2

  • Highly interactive discussion of the most challenging privacy issues facing privacy officers and other privacy counsel and staff
  • Audience members will select the privacy issues they would like to discuss, and will have the opportunity to learn from each other’s experience
  • Obtain practical solutions from experts and peers on some of the toughest day-to-day health information privacy challenges
MARTI ARVIN, Vice President, Audit Strategy, CynergisTek, Inc.

ADAM GREENE, Partner, Davis Wright Tremaine, LLP

JOAN PODLESKI, Chief Privacy Officer, Children’s Health


Developing Compliant Physician Compensation Arrangements in the Current Enforcement Environment

  • Use of case studies based upon recent cases and settlements highlighting potential compliance pitfalls associated with physician compensation arrangements
  • Discussion of regulatory framework for developing compliant physician compensation arrangements to avoid the common pitfalls leading to enforcement actions
  • Practical tips for structuring and managing physician compensation arrangements to ensure ongoing compliance
ANNA GRIZZLE, Partner, Bass, Berry & Sims PLC

Responding to Government Investigations and Compliance Matters

LAUREN MARZIANI, Senior Counsel, Office of Counsel, HHS-OIG

The CI Is Over: Now What?

  • Attendees will perform a self assessment using the 5WH1 model to identify next steps on actions to take once they arrive back at their own organizations
  • Compliance professionals will share with one another what they see as the most effective options to exercise within their organizations to show that their time and resources spent in attending the Compliance Institute was a sound investment
  • Strategies will be discussed and those interested will have a chance to participate in an ongoing support group to help the stick to their action plans that are based on what they learned while attending the Compliance Institute

FRANK RUELAS, Principal, HIPAA College


What You Need to Know to Audit and Monitor the Revenue Cycle

  • Fundamentals of outpatient & inpatient revenue cycle in any provider setting
  • Understand where data is collected or managed and the pitfalls at each point
  • Assessing risk to design auditing and monitoring program

CO-SPEAKER: KELLY NUESKE, Executive Consultant, Pinnacle Enterprise Risk Consulting Services


Home Health and Hospice: Enforcement Trends and Compliance

  • Home health and hospice enforcement trends: key areas of focus for audits, investigations and enforcement by the federal government
  • Behaviors that can lead to investigation and enforcement: physician and facility relationships, marketing, sales, billing, and medical record documentation
  • Best practices for auditing and monitoring
JENNIFER KILDEA DEWANE, Vice President & General Counsel, Elara Caring

KATHLEEN MCDERMOTT, Partner, Morgan Lewis & Bockius LLP

KENNY KRAFT, Senior Counsel, OIG HHS

It’s Time For a Revolution: Assessing the Effectiveness of Your Code of Conduct

  • Review the Guidance and Effectiveness Measures related to the Code of Conduct to establish the requirements and goals for the Code of Conduct
  • Bring your Code of Conduct (or follow along) to draft new standards that provide meaningful guidance that can be remembered and recalled by employees
  • Discuss mechanisms to publicize the new standards for guidance, high visibility, and reinforcement for employees
DARRELL CONTRERAS, Chief Compliance Officer, Millennium Health

PAUL BELTON, Vice President Corporate Compliance, Sharp HealthCare


Only Take a Calculated Risk: Empowering Leaders to Make Risk-Informed Decisions with a Modern Enterprise Risk Management Program

  • Discover the critical components for a successful Enterprise Risk Management program. These steps include crafting your charter, identifying ERM champions across your organization, and aligning with organizational strategy
  • Acquire new methods for uncovering, aggregating, and reporting on enterprise risks, your organization’s risk tolerance, and key risk indicators
  • Gain tools for evaluating the effectiveness of your Enterprise Risk Management program. Program will include lessons learned from building and implementing our ERM program. Learn from our mistakes so you don’t have to make them!
STEPHEN MACKEY, Senior Auditor, Ochsner Health System

ASHLEY FERDINAND, Compliance Manager, Ochsner Health System

Can We Let Patients Starve Themselves to Death— Even If They Have Dementia— and Can We Get Paid for It? Ethics and Reimbursement at the End of Life

  • As the incidence of dementia increases there is growing awareness among patients of their ability to make decisions about care including explicit refusal of assisted oral feeding, even while receiving symptom management through hospice or palliative care
  • Why are clinicians and institutions often reluctant to support a patient’s decision to refuse oral feeding, particularly in the presence of dementia? It is often due to misunderstandings about the CMS definitions of Abuse, Neglect and Immediate Jeopardy
  • The session will examine regulatory and reimbursement challenges including CMS charges of failure to provide adequate nutrition and hydration to support and maintain life, which providers and institutions must confront with patients who do not want to
DAVID HOFFMAN, Chief Compliance Officer, Carthage Area Hospital


Assess Your Provider-Based Clinics for Compliance with CFR 413.65: A Comprehensive Approach

  • Learn how to turn the Provider-Based Requirements from CFR 413.65 into a compliance assessment document for auditing each element of the regulation (sample tool will be provided)
  • Develop a Provider-Based assessment workplan which incorporates operational owners into the compliance assessment process
  • Compile findings in a manner that supports efficient tracking and oversight to monitor gaps and corrective actions

SAMANTHA KARPENKO, Manager Corporate Compliance, Multicare Health System

PALI LIPOMA, Director, Corp Compliance & Chief Compliance Officer