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Handouts - 2017 - Regional - Dallas

Dallas Regional Conference
February 17, 2017
Dallas, TX

Conference Brochure

An Update on Government Enforcement Actions from the OIG and US Attorney’s Office

Karen Schandler Glassman Senior Counsel Office of Counsel to the IG, DHHS 
Lisa-Beth C. Meletta Assistant United States Attorney United States Attorney’s Office

  • Areas of interest to the government in health care enforcement 
  • Tools used by the government to conduct investigations 
  • How the USAO and OIG work together during health care investigations

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

ICD-10 – Denial Management – Medicare Advantage

Janice Jacobs Managing Director Berkeley Research Group, LLC

  • ICD-10 post implementation post mortem 
  •       How did we do? 
  •       What can we expect in 2017? 
  • Intersection of ICD-10 and Risk Adjusted Data Validation (RADV) audits 
  • Understanding the RADV audit process for Medicare Advantage Plans 
  • RADV audit appeals 
  • CMS early management of ICD-10, RAC and other government oversight

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

Effective Internal Investigations

Mary Findley Senior Vice President/Chief Compliance Officer Parkland Health and Hospital System 
Paul Leslie Executive Vice President/General Counsel, Parkland Health and Hospital System

  • Compliance Investigations Program: 
  •      Oversight and Management Structure 
  •      Systems, Processes, and Policies 
  •      Anatomy of an Effective Investigation 
  • Legal Considerations: 
  •      Attorney Client Privilege 
  •      Protecting Investigative Work Product

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

The Importance of Understanding Cybersecurity in a Complex Threat Environment

Marti Arvin, CHPC, CHRC, CHC-F, CCEP-F Vice President of Audit Strategy Cynergistik

  • Explain the current cybersecurity landscape in healthcare, including recent and emerging trends, and how these threats impact compliance programs  
  • Identify the risks posed to provider organizations by cyber attacks, and offer proven strategies for mitigating that risk 
  • Examine real-world examples of breaches caused by cybersecurity threats, such as phishing attacks, malware, ransomware and more 
  • Distinguish best practices for creating cybersecurity awareness at an organization-wide level

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

The Role of the Compliance Department in Today’s Challenging Quality Measurement Reporting Environment

Robin Brown Director, Advisory, Healthcare KPMG LLP 
Catherine O’Leary Managing Director, Advisory Services KPMG LLP

  • Overview of the CMS Quality Scoring methodology 
  • How does the Compliance Department align with the strategy for approaching quality and mitigating risk within the organization. 
  • What specific action items can an organization take to be successful in addressing quality and improving accuracy in measurement reporting?

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

Hot Topics in HIPAA Enforcement

Jamie Sorley Supervisor OCR 
Erica Broussard Investigator OCR

  • Highlight recent OCR enforcement actions 
  • Discuss recently issued OCR guidance 
  • Identify opportunities for improved compliance

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

Handout 1 (pdf)