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Handouts - 2016 - Regional - Scottsdale

Scottsdale Regional Conference
Friday, November 11, 2016
Scottsdale, AZ

Conference Brochure

Healing the Healer: How to Find Happiness in a HighStress Profession

Saud Juman, CEO & President, PolicyMedical

  • Address the multiple causes of stress within the healthcare and compliance world and realign yourself to your profession
  • Understand how to better take care of yourself (mentally, physically and emotionally) so that you can better care for your patients and employees
  • Learn realistic techniques to combat burnout and stress through using helpful tactics such as meditation, journaling and affirmations

Presentation (2 slides/page)
Presentation (3 slides/page)

Communicating with Regulators and Enforcement: Open Dialogue

James Rough, Associate Director, Navigant Consulting

Vanessa Templeman, Deputy Inspector General, Arizona Health Care Cost Containment System
Robert McAuliffe, Assistant Director, U.S. Department of Justice, Civil Division, Commercial Litigation Branch (Frauds)
James Schwegel, Supervising Special Agent, Arizona Attorney General’s office


Recent OIG Trends

Gerry Roy, Chief Compliance / Privacy Officer, Phoenix Children’s Hospital

  • Current state of the OIG: Funding, resources and outlook
  • OIG focus: Who influenced the agenda and why
  • “…And they were wearing guns!” Common myths about the OIG dispelled and how to work successfully with them

Presentation (2 slides/page)
Presentation (3 slides/page) 

Imbedding Compliance within an organization as a value add

Kimulet Winzer, West Region Compliance Director, UnitedHealthcare Compliance, UnitedHealthcare Community & State

  • Don’t just check the box
  • Developing partnerships
  • Developing a “Go To” presence

Presentation (2 slides/page)
Presentation (3 slides/page)

OCR Update

Alicia Brown, Supervisor, Pacific Region , Office for Civil Rights (OCR)Department of Health and Human Services

  • Commonly missed critical components in social media guidelines
  • Staff training and HIPAA need-to know
  • Giving leadership the tools they need to address violations and concerns

Presentation (2 slides/page)
Presentation (3 slides/page)

60 Day Rule

Ken Briggs, Associate, Polsinelli
Armando Torres, Compliance Manager, Maricopa Integrated Health System

  • What constitutes credible information of an overpayment?
  • Who should decide whether there has been credible information of an overpayment or not?
    • Contract officer v. compliance office
      v. management v. in-house counsel
    • v. outside counsel v. someone else
  • Who investigates and is there a way create a privileged or protected setting to the investigation?
  • Can the privilege or protection created survive a self-report?

Presentation (2 slides/page)
Presentation (3 slides/page)

AECC Update (Arizona Ethics and Compliance Council)

Cheyenne Ross, Arizona Vice President of Compliance & Regulatory Affairs, Centene Corp

Presentation (2 slides/page)
Presentation (3 slides/page)