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Handouts - 2018 - Regional - Boston

Boston Regional Conference
September 7, 2018
Boston, MA

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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)

Handout 1
Handout 2