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Handouts - 2018 - Regional - New Orleans

New Orleans Regional Conference
Friday, April 27, 2018
New Orleans, LA

CEU Application | Conference Brochure

Healthcare Fraud Enforcement Panel

A.G. (Alec) Alexander III, Deputy Administrator & Director, CMS Center for Program Integrity
Catherine M. Maraist, Partner, Breazeale, Sachse & Wilson, L.L.P.
André Lagarde, Assistant United States Attorney, Eastern District of Louisiana

  • Discussion of CMS Medicare Program Integrity activities in preventing and recovering improper Medicare payments, including coordination with the ZPICS, MACS and RACS
  • Will outline current federal law enforcement goals and objectives, including upcoming enforcement activity of the Medicare Fraud Strike Force in the Region Will examine how the DOJ evaluates Compliance Programs, including recent DOJ recommendations

Presentation 1 (2 slides/page)
Presentation 1 (3 slides/page)

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

Cyber Security: The Importance of Understanding Cyber security in a Complex Threat Environment

Mac McMillan, CEO, Cynergistek, Inc.

  • 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 organizationwide level

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

Effective Compliance – Helpful Steps to Achieving Success Measuring the Effectiveness of Your Compliance Program

Gregory J. Ehardt, JD, LL.M., VP and Chief Compliance and Privacy Officer, CHRISTUS Health
​​​​​​​Clay J. Countryman, JD, Breazeale, Sachse & Wilson, LLP
Donald H. Lloyd, II, MBA, President and Chief Executive Officer, CHRISTUS St. Patrick Hospital

  • Identify best practices for compliance programs from HCCA-OIG Compliance Program Resource Guide and DOJ Compliance Program Guidance.
  • Discuss compliance metrics to gather and report to Leadership and the Board.
  • Examine the impact of recent healthcare fraud settlements on the structure and operation of internal compliance operations.
  • Review approaches for addressing different compliance risks such as Stark Law, Anti-Kickback, HIPAA, and Payor contractual obligations.

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

OCR Update

Valerie Montoya, Equal Opportunity Specialist- Investigator, Office for Civil Rights- DHHS/OS

  • Recent Guidance
  • Audits
  • Enforcement Highlights

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

Mission Possible: A Team Approach Towards Compliance, Case Management, and Quality

Sandra Keller RN, BSN, CHC, VP Corporate Compliance, Lafayette General Health
​​​​​​​Karen Mai, HRIA, CHC, Corporate Compliance Manager, Lafayette General Health
Caroline Marceaux, RN, MSN, Chief Nursing Officer, Acadia General Hospital
Katie Schmaltz, RN, BSN, ACM, Director of Case Management, Acadia General Hospital

  • Practical guidance for incorporating compliance into operational processes
  • Leveraging technology and data to effect change.
  • Strategies for shifting from an external, regulatory focus to internal alignment

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

Enterprise Risk Management and Healthcare Compliance

Joyce Hall, Member, Watkins & Eager
​​​​​​​Jonathon Brouk, JD, Ass’t VP, Strategic Planning
Compliance & Privacy Officer, Children’s Hospital – LCMC Health
Eden Ezell, VP & Chief Compliance Officer, Ochsner Health System

  • Connection and value between Enterprise Risk Management and Compliance
  • Involvement of management and governance boards with the ERM process
  • Hot legal topics addressed through Enterprise Risk Management

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