Boston Regional Conference
September 7, 2018
Boston, MA
CEU Application | Conference Brochure
Billing Compliance Issues in Inpatient and Outpatient Behavioral Health Programs
Wendy Chartrand, CHC, Privacy Ofcr/Corp Compliance Director, UMass Memorial Health Alliance – Clinton Hospital
Kelly J. Sauders, CPA, MBA, Partner, Deloitte Advisory
Torrey Young , JD, MPH, Senior Counsel, Foley and Lardner LLP
- Documentation requirements specific to various behavioral health programs
- Provider licensure and scope of services implications
- Training, auditing and monitoring, and tools
Presentation (2 slides/page)
Presentation (3 slides/page)
Billing Data Analysis
Jim Bryant, BA, JD, Vice President & Chief Compliance Officer, Brigham Health
Steve Gillis , Director, Compliance Coding Billing & Audit, Partners Healthcare
David Yarin, Principal, Deloitte Advisory
- Transforming Raw Data into Meaningful Analytics
- Understanding Data capture and use in Data analysis
- Discussion of existing technologies to facilitate compliance activities such as data analytics, auditing and monitoring
- Discussion and demonstration of robotics process automation (“Data bots”) and their use in compliance functions
Presentation (2 slides/page)
Presentation (3 slides/page)
How to Educate, Respond, and Survive an EHR Phishing Attack – Perspectives from the Fields of IT Security and Privacy
Andrew (Andy) Seward, Chief Information Security Officer, Elliot Health System
Linda Jo Spencer, Chief Compliance and Privacy Officer, Middlesex Health System
Glenn Wilson,Senior Manager, Deloitte
- What are the phishing attackers looking for and how can you prevent their success?
- How to educate your organization against a Phishing Attack from the IT Security and Privacy Officer Perspective
- A real life scenario of what happens when your organization experiences a phishing attack, and how Privacy and IT Security professionals coordinated the response
- Specific tools/trainings leading industry experts advise use to advise on how best to prepare, educate and defend against a phishing attack
Presentation (2 slides/page)
Presentation (3 slides/page)
Why do I have to worry about 42 C.F.R. Part 2 – Confidentiality of Substance Use Disorder Patient Records?
Hannah Baldwin, JD, CHC, CHPC, Compliance Manager, Elliot Health System
Lisa Adragna, Clinical Integration Program Director, Partners Healthcare
Christine Griffin, JD, HIM, Director and Privacy Officer, Massachusetts General Hospital
Travis Smith, JD, MPH, Head of Policy & General Counsel, Collective Medical Technologies
- Gain an understanding of 42 C.F.R. Part 2 and the various programs that may be considered SUD programs, including Drug Courts, Inpatient, Partial Hospitalization, Residential, Intensive Outpatient Treatment, and Medication Assisted Treatment Programs
- Sharing (or not sharing) health information)
- From a Provider’s perspective
- From an Integrated Delivery Network’s perspective
Presentation (2 slides/page)
Presentation (3 slides/page)
Understanding the FBI’s Role in A Health Care Fraud Investigation
Rita Iacone, Supervisory Special Agent, Health Care Fraud Squad, Boston Division, FBI
- Explain the mission of the FBI with respect to Health Care Fraud
- Discuss the FBI’s partnership with federal, state agencies and private industry partners
- Discuss investigation framework & investigative techniques
No presentation available
Understanding the OIG’s Self-Disclosure Protocol: Experiences from the Field
John W. O’Brien, Senior Counsel, Office of Counsel to the Inspector General, U.S. Department of Health and Human Services
Lawrence W. Vernaglia, J.D., M.P.H, Chair, Health Care Industry Team, Foley & Lardner LLP
- Overview of the SDP process and its benefits
- OIG’s expectations and experiences for entities filing under the SDP
- Thoughts on what types of compliance challenges should be brought through the SDP vs. other reporting methodologies (MAC refund, CMS self-referral disclosure protocol, State Attorney General, Department of Justice, other law enforcement)
- Tips and advice to help make the SDP process be more efficient
Presentation (2 slides/page)
Presentation (3 slides/page)