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Handouts - 2018 - Regional - New York

New York Regional Conference
Friday, May 11, 2018
New York, NY

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Hot Topics in Compliance

Kelly Sauders, Partner - Life Sciences & Health Care, Deloitte
Terrie Estes, CHC, CHPC, Vice President, Corporate Compliance and Chief Compliance Officer, Office of Privacy and Corporate Compliance, Yale New Haven Health

  • Highlights of OIG and OMIG Work Plans and ongoing audit activity
  • Pharmacy compliance risks
    • Charge capture/billing
    • 340b programs
    • Opioid abuse / OIG and other efforts
  • Recovery Audit Contractors (RAC)
  • focus areas/activity
  • Coding and billing risk areas

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

Social Media in Medicine

Lynn A. Stansel, Vice President & Counsel, Compliance Montefiore Medicine Academic Health System

  • Considerations in utilizing social media in the health care environment, for both clinical and nonclinical purposes
  • Navigating privacy and security concerns, including challenges of “de-identifying” patient information online
  • Understanding legal and employment issues related to social media usage, including discussion of scope and method of investigations
  • Compliance tips in using social media to advance medicine and appropriately market and advertise

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

The Compliance Officer’s Role in Ethical Leadership

Robert Hussar, Partner, Barclay Damon
Debra M. Lightner, Senior Vice President and Chief Compliance Officer, EmblemHealth
Wayne McNulty, Senior Vice President and Chief Compliance, Audit, and Privacy Officer, Western Connecticut Health Network
Lesmore Willis Jr., Division Director of QA, Training Director, and Compliance Officer

  • Cerebral Palsy of Westchester
  • Setting and living a higher standard
  • Keying in on communication
  • Leveraging presence
  • Maintaining a compliance mindset

No presentation or handouts available

Providing FDR Oversight – What you can do to make sure your FDR is doing what they are supposed to do

Nataliya Averyanova CHC, Compliance Professional
Caron Cullen, CHC, Health Care Consultant, Compliance Strategies

  • Review important contract provisions regarding FDR Oversight to set expectations before you sign the deal.
  • Share FDR compliance evaluation strategies and tools that you may use in the FDR oversight process.
  • Discuss best practices and a real case study that teaches us to “Trust but Verify” because FDRs don’t always do what they say they do.

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

Healthcare Security and Privacy:Risks and Best Practices

Melissa Zambri, Esq., Partner, Barclay Damon, LLP
​​​​​​​Jeffrey Pereira, CISM, Principal Consultant, NYSTEC

  • Healthcare risk landscape overview
  • HIPAA compliance update
  • Security best practices
  • Privacy best practices

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

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

Compliance Issues Associated with Value Based Payments

Robert Belfort, Partner, Manatt, Phelps and Phillips  

  • Structuring compliance responsibilities for VBP networks
  • Expanding the compliance work plan to address VBP risk areas
  • Evaluating VBP referral relationships under Stark and the Anti-Kickback Statute
  • Developing strategies for self-disclosure of non-compliance

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

Compliance Issues Related to Prescription of Controlled Substances (Opioids, Drug Diversion)

Kimberly New, JD, BSN, RN, Partner, Diversion Specialists, LLC
​​​​​​​Stephen Kay, Special Agent, DHHS OIG
Brendan Vallely, Investigator, NYS Health Bureau of Narcotic Enforcement

  • Best practices for building an institutional drug diversion prevention, detection, and response program
  • Methods for detecting diversion
  • by healthcare personnel
  • Responding to drug diversion incidents

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

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