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Handouts - 2017 - Regional - Houston

Houston Regional Conference
Friday, December 8, 2017  
Houston, TX

CEU Application | Conference Brochure

Year in Review/Current State of Healthcare

Frank Sheeder, CCEP, Partner, Alston & Bird

  • Current legal trends
  • Hot enforcement and compliance issues
  • Practical approaches for compliance

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

Government Enforcement Update

Tina Ansari, Assistant U.S. Attorney, Department of Justice

  • USAO/DOJ structure and function
  • Overview of current healthcare fraud
  • Civil and Criminal statutes, proceedings,
  • and remedies

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

Details, Details: Dealing with Specific Billing and Operational Issues

Lori Lauback, CHC, Partner Reg. Compliance Practice, Moss Adams, LLP

  • Specific issues in billing and operations related to development and implementation of a compliance plan in a medical group.
  • The current OIG plan and how it relates to medical groups.
  • Billing and operational issues the OIG has identified and investigated.
  • Various methods of implementing a successful audit and monitoring program related to coding and billing with examples from existing medical groups.

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

Houston we have a problem: OCR audits, BAs and breaches

Marti Arvin, Vice President, Audit Strategy, CynergisTek, Inc.

  • Analysis of the findings of the OCR audits, the news is not good
  • Overview of the process for managing the risks associated with Business Associates
  • Discussion of the risk that standard BAA language creates for covered entities in breach notification.

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

Privacy and Security Compliance: Texas and Beyond

George Gooch, CEO, Texas Health Services Authority
Ed Jones, COO, Third Rock, Inc.
Sarah Churchill Llamas, Shareholder, Winstead PC

  • Learn about the Texas privacy and security certification program run by the Texas Health Services Authority.
  • Learn about Texas-specific privacy and security regulations.
  • Learn about common mistakes highlighted in recent HIPAA settlements.

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

The Do's and Don'ts and Government Trends of Voluntary Self-Disclosures

Julie Sullivan, Partner, Husch Blackwell

  • The legal, financial, and enforcement trends identified from recent CMS and OIG voluntary self-disclosure protocols, including CMS's Self-Referral Disclosure Protocol for Stark Law violations, and OIG's Self-Disclosure Protocol for federal Anti-Kickback Statute (alone or in combination with other law) violations based on recent settlements.
  • The U.S. Department of Justice's key focal areas for healthcare fraud and abuse which can help providers weigh the value in voluntarily self-disclosing non-compliance issues against the potential for enforcement.
  • The key considerations in deciding whether to self-disclose or not, things to consider prior to self-disclosing.
  • How to proceed with voluntary self-disclosure under a government protocol.

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

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