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