New Orleans Regional Conference
Friday, April 27, 2018
New Orleans, LA
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
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
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.
Valerie Montoya, Equal Opportunity Specialist- Investigator, Office for Civil Rights- DHHS/OS
- Recent Guidance
- Enforcement Highlights
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
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