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You are here : Resources  >  Resource Overview  >  Past Conference Handouts  >  Compliance Institute  >  CI2018  >  monday
2018 Compliance Institute presentations and handouts

Monday

Conference session handouts are organized by the day they were presented and sorted sequentially:

Sunday   |   Monday   |   Tuesday   |   Wednesday

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* selected documents contain over 25 pages. Printing will be disabled during the institute, you will be able to print them before and after the conference.

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Did you miss a session you wanted to attend? Get a recording of a session you missed.

Attendee prices: Each session only $20 or get the whole conference for $499

(Online recordings, Attendee prices)


Track color key

General Compliance and Hot Topics

Long-Term Care

Privacy & Security

Physician Compliance

Compliance Lawyer

Auditing & Monitoring

Internal Audit

How to Succeed as a Compliance Professional

Quality of Care

Advanced Discussion Groups

Industry Immersion

Session

Title/Description

Speakers

General Session | 8:45 am - 9:15 am


GS1

OIG Update

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

Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services


General Session | 9:15 am - 10:15 am


GS2

Next Level Leadership

Presentation (3 slides/page)

Scott Eblin, Author, The Next Level and Overworked and Overwhelmed


Did you miss a session you wanted to attend? Get a recording of a session you missed.

Attendee prices: Each session only $20 or get the whole conference for $499

(Online recordings, Attendee prices)



Break Out Sessions | 11:00 am - 12:00 pm


101

General Compliance and Hot Topics

Healthcare Fraud Enforcement From The Trenches: The Top Government Enforcement Priorities in the Healthcare Space

  • Discussion of the top government enforcement trends affecting the healthcare industry
  • Describe recent updates in False Claims Act case law and litigation
  • Provide proactive compliance tips to healthcare providers to help such providers stay off of the government’s radar and avoid a costly and disruptive government investigation

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

Scott Grubman, Partner, Chilivis, Cochran, Larkins & Bever

Todd Swanson, Assistant United States Attorney, United States Attorney’s Office



102

General Compliance and Hot Topics

Strategies for Managing Conflict of Interests in the World of Innovation

  • Managing individual conflict of interests can pose challenges at institutions where innovation is both encouraged and rewarded. Review strategies for balancing entrepreneurial goals of individuals while maintaining compliance with institutional policies
  • Organizations are engaging in new and innovative relationships with industry as a means to achieve research and organizational objectives. Learn strategies for managing conflicts to avoid the appearance of bias in research
  • Building trust and communication is essential to a conflict of interest program. Discuss ways in which compliance officers can achieve these essential tools

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

Donnetta Horseman, Chief Compliance Officer, Moffitt Cancer Center



103

Long-Term Care

60-Day Overpayment Rule: What Does Due Diligence Really Mean?

  • Reactive and Proactive Activities
  • Who should be included in the process?
  • What is the scope of review when an overpayment is identified?

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

Amy Brantley, Chief Compliance Officer, AseraCare Hospice

Paula Sanders, Principal and Healthcare Chair, Post & Schell, P.C.



104

Privacy & Security

HIPAA Update: Policy and Enforcement

  • Current trends in HIPAA enforcement, including lessons learned from settlement agreement cases
  • Recent important guidance from OCR
  • Latest statistics on breaches reported to OCR

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

Iliana L. Peters, Shareholder, Polsinelli, PC

Marissa Gordon-Nguyen, Senior Advisor for HIPAA Policy, HHS Office for Civil Rights



105

Physician Compliance

QPP Year Two: Clinical Practice Guidelines and Improving Quality of Care

  • The Physician Quality Payment Program (QPP) is in performance year 2 and will impact 2019 physician reimbursement. A physician and compliance officer review QPP performance
  • Are you ready for QPP Quality scoring? We discuss how judicious use of Clinical Practice Guidelines (CPG’s) can impact quality of care—and quality scores
  • Making the QPP Quality case with Physicians: Consider strategies for improving quality and scoring under the QPP

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

Handout 1
Handout 2

D. Scott Jones, Chief Compliance Officer, Augusta Health

Richard E. Moses, Physician/Attorney, MedLaw Compliance LLC



106

Compliance Lawyer

Self-Disclosures: Report, Repayment, and the Options

  • Compliance attorneys and professionals know there is an obligation to report and return overpayments resulting from Stark Law and Anti Kickback Statute violations
  • The case law applying Stark and AKS to Medicaid creates a conundrum: what is the appropriate method for making a self-disclosure to a Medicaid program?
  • This session will include an in-depth discussion of a Medicaid self-disclosure case study and provide the pros and cons of various approaches

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

Jennifer L. Edlind, Chief Compliance Officer, US Acute Care Solutions

Kristen Shemory, Associate, Vorys, Sater, Seymour and Pease LLP

Matthew E. Albers, Partner, Vorys, Sater, Seymour and Pease, LLP

Andrea Treese Berlin, Senior Counsel, OIG-U.S. Department of HHS



107

Auditing & Monitoring

You Know that They Say.…Curiosity Killed the Cat! Best Practices & Tips on How to Implement a Proactive Breach Detection Plan

  • How to comply with the administrative safeguards of the HIPAA Security rule, Moffitt Cancer Center implemented procedures to reqularly review records of information systems, such as audit logs, access, and security incident tracking reports
  • Audit Control Standard and evidence of user activity review are key features of OCRs investigation and Audits
  • Practical tips on how to monitor workforce member activities and actions. How to investigate, mitigate insider threats, and grow. How to transform from reactive to proactive

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

Shallie J. Bryant, Compliance Program Integrity Officer, Moffitt Cancer Center



108

Internal Audit

Managing Organizational Risk: The Mighty Triad of Compliance, Internal Audit, and Risk Management

  • Define the organizational roles and responsibilities of Internal Audit, Corporate Compliance and Risk Management
  • Discover how a partnership of audit, compliance and risk management can be a major advantage for an overall risk strategy
  • Consider the variety of audit tools available for organizations to manage risk; and discuss how to move from siloed risk-related activities to integrated risk management

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

Susan Thomas, Consulting Manager, PYA, PC

Sheila P. Limmroth, Privacy Officer/Legal Services Specialist, DCH Health System



109

How to Succeed as a Compliance Professional

IT for the Non-IT Compliance Professional

  • Develop and broaden a practical knowledge base of IT concepts and principles and how they apply in supporting the organization’s compliance program
  • Learn some of the key challenges that IT professionals face in maintaining an effective IT network within the organization and how Compliance and IT can collaborate effectively to deal with these challenges
  • Identify auditing and monitoring opportunities where IT and Compliance can partner in obtaining useful data to help assess key processes that maintain the security of the IT system

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

Frank Ruelas, Facility Compliance Professional, St. Joseph’s Hospital and Medical Center/Dignity Health



110

General Compliance and Hot Topics

How to Successfully Integrate A New Healthcare Entity into Your Compliance Program

  • How to conduct a thorough due diligence review, then develop and implement a detailed integration plan of the target's compliance program in the M&A process
  • Utilizing leading practices based on HCCA/OIG's Measuring Compliance Program Effectiveness: A Resource Guide, and what results may impact a buyer's evaluation of the target
  • Best practices and lessons learned on integrating a new healthcare entity into a larger healthcare system and its compliance program

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

Harriet E. Kinney, Director, Research Integrity & Compliance, Trinity Health

Christine Anusbigian, Specialist Leader, Deloitte & Touche LLP

Melissa Fury, Director, M&A Integration, Trinity Health



111

General Compliance and Hot Topics

4 out of 5 Dentists Recommend You Take Marketing Compliance Seriously

  • Discuss how your organization’s marketing and compliance programs intersect and overlap
  • Learn how to protect your organization against Stark, Anti-Kickback and HIPAA risks associated with marketing activity and how to mitigate those risks
  • How does the culture of compliance affect marketing activity? Integrating the culture of compliance into the marketing program

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

Brenda K. Manning, Compliance & Privacy Professional, University of Minnesota Physicians

Tomi Hagan, Senior Consultant, Compliance, Quorum Health Resources

  



112

Industry Immersion

Compliance Trends and Challenges for Substance Abuse and Behavioral Health Treatment Provider

  • Substance abuse and behavioral health treatment providers have experienced unprecedented recent growth in response to parity laws and expanded insurance coverage
  • This new growth, in turn, has contributed to a significant increase in regulation and enforcement by government agencies that are already struggling to keep up with a prescription opioid epidemic
  • Attendees will benefit from an in-depth discussion of the compliance challenges that providers need to be following right now and learn practical techniques and best practices for identifying, auditing, and evaluating their risks

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

Tony Maida, Partner, McDermott Will & Emery

Christopher Haney, Managing Director, Forensus Group, LLC

Matthew D. Vogelien, Regional Corporate Responsibility Officer

  



AD1

Advanced Discussion Groups

Communicating with Regulators

  • Discuss perceived and actual barriers, risks, and restrictions
  • Discuss common stress factors for Providers, Health Plans and Regulators
  • Understanding the consequences of positive/negative communication

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

Shawn DeGroot, President, Compliance Vitals



AD2

Advanced Discussion Groups

You’ve Put Your Compliance Program in Place: Now How Do You Manage the Department and Make It Work?

  • Compliance metrics, dashboards and other reporting tools
  • Staff qualifications and selection
  • Developing self-directed highly motivated teams

No presentation or handout available

John Falcetano, Compliance/Privacy Officer, Brooks Rehabilitation Health



AD3

Advanced Discussion Groups

Let’s Talk Shop

  • Compliance projects/activities (investigations, measuring program effectiveness, etc.)
  • How you solved it or how can your peers in this discussion group help, and
  • Lessons learned

No presentation or handout available

Al Josephs, Compliance Consultant


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Break Out Sessions | 1:30 pm - 2:30 pm


201

General Compliance and Hot Topics

Reinventing the Internal Investigation: Practical Strategies for Ensuring a Yates-Informed Process

  • How legal privilege and Yates-requirements impact: investigation processes, witness interviews, documentation, and attorney ethical duties under the Rules of Professional Conduct
  • Key investigation process improvements that may enhance an organization’s ability to maintain privilege and obtain cooperation credit
  • Practical strategies for compliance officers and in-house attorneys to improve individual stakeholder compliance with investigation procedures

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

Handout 1 * will not print on site

Heather L. Fields, Shareholder, Chair-Hospital/Health Systems Practice, Reinhart Boerner Van Deuren s.c.

James G. Sheehan, Chief, Charities Bureau, NY Attorney General

Lisa Estrada, Senior Vice President and Chief Compliance Officer, Fresenius Medical Care North America

 



202

General Compliance and Hot Topics

What Your Employees Don’t Know Can Hurt You: Effective Compliance Education

  • How to assess employee training needs to best address internal compliance risks. Learner characteristics and learning styles will be addressed
  • How to use resources and various training methods for effective education. Examples of interactive and scenario based learning will be provided
  • How effective training translates to increased compliance. Learner comprehension will be addressed as it relates to learning styles

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

Andrea C. Merritt, Partner, Athena Compliance Partners

Ashlie S. Heald, Partner, Athena Compliance Partners



203

Long-Term Care

Pills, Providers and Problems: How to Investigate Drug Diversion in Long-Term Care

  • How the narcotics fraud/theft and abuse is handled in LTC today
  • Best practices on conducting effective internal investigations
  • What the DEA is doing and how you can help

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

Ben Purser, Purser Security Consulting Group

Donna Thiel, Chief Compliance Officer, ProviderTrust



204

Privacy & Security

Insider Threats: Healthcare Privacy & Security

  • The Current State of Healthcare Privacy & Security
  • Insiders are Responsible for 90% of Privacy & Security Incidents and Authorized Users Represent Your Organizations Greatest Risk—Why?
  • How to Detect & Prevent Privacy and Security Insider Threats

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

Michelle O’Neill, Director of Corporate Compliance/Privacy Officer, Summit Medical Group, PA



205

Physician Compliance

Hospice Physician Compensation: Top Trends and Compliance Concerns for Providers

  • Dealing with physicians who are paid an hourly rate but don’t want to document their time
  • Paying medical directors and hospice physicians for being on-call
  • Compensating physicians for travel time and face-to-face encounters

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

Darcy E. Devine, President, BuckheadFMV



206

Compliance Lawyer

OIG Developments 2018

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

Greg Demske, Chief Counsel to the Inspector General, HHS-OIG

Gary Cantrell, Deputy Inspector General for Investigations, HHS-OIG



207

Auditing & Monitoring

Welcome to the Alphabet Soup of OIG, MACs, UPICs and RACs

  • Participants will learn the various audit programs in use today
  • Steps to prepare for audits and response strategies
  • The levels of appeal/appeal process

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

Arlene F. Baril, Senior Director, Change Healthcare



208

Internal Audit

High Value Charge Capture and Revenue Integrity Assessments

  • Focus on a risk based approach for successfully understanding, assessing, and improving charge capture processes in healthcare organizations
  • Learn how to perform a current state assessment of charge capture / reconciliation procedures, overall monitoring, tracking and reporting to identify improvements and compliance concerns, and validate the effectiveness of key controls
  • Guidance will be provided on scoping considerations, tools and testing techniques when assessing the effectiveness of key controls, and leading practices / key controls implemented across top organizations

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

Jennifer Stout, Senior Manager, Protiviti

Don Billingsley, Director, Protiviti



209

How to Succeed as a Compliance Professional

Intoxicated Leadership: How to Avoid Leading Under the Influence of Your Emotions

  • Learn ways in which you can influence an employee before, during, and after a difficult conversation. How does emotion influence our success as leaders in communication, vision casting, and supporting our team members?
  • Learn how the body perceives and responds to conflict. Learn more about what are today’s “sabre tooth tigers,” and why the body is programed to survive conflict, not resolve it
  • Illustrate an “Intoxicated Leader”; discuss how the millennial generation differ in their need for leadership

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

Benjamin Martin, Lieutenant, Henrico County Division of Fire


210

General Compliance and Hot Topics

Could It Happen to You? Lessons from Today’s Headline Cases

  • We see the dangers and the sensational headlines, join us in exploring a series of case studies from recent matters such as Forest Park. To prepare, be aware!
  • Discuss practical suggestions and messaging to create compliance champions among leadership and providers
  • What are the best practices we can implement to increase vigilance, minimize our response time and mitigate our risk?

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

Nancy Vasto, Compliance Officer, USPI

Susan Gillin, Deputy Branch Chief, Administrative and Civil Remedies Branch, Office of Counsel to the Inspector General



211

General Compliance and Hot Topics

Maybe You Can’t Go to Europe, But that Does Not Mean It Won’t Come to You: The GDPR Implications For U.S. Healthcare Providers

  • The General Data Protection Regulations (GDPR) and how it applies to health care providers in the United States
  • Similarities and differences between HIPAA and GDPR
  • Compliance implications and best practices for preparing for the May 25, 2018 effective date for GDPR

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

Joseph Dickinson, Partner, Smith Anderson

Timothy Opsitnick, Executive Vice President and General Counsel, TCDI



212

Industry Immersion

DMEPOS Audit Trends: What to Expect and How to Respond

  • Despite reduced reimbursements, CMS continues to invest significant money in oversight activities, this session will discuss current audit trends, particularly with the RACs and UPICs, and focus particularly on responding to and appealing the audit findings successfully to avoid any long-term negative impact for suppliers
  • Learn to identify major trends being seen in the audit environment and methods to avoid denials and successfully appeal overpayments
  • Learn to identify key actions audit contractors can take to impact suppliers as well as the best approach to respond

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

Wayne H. van Halem, President, The van Halem Group - A Division of VGM Group, Inc.

Richard Ross Burris III, Shareholder, Polsinelli



AD4

Advanced Discussion Groups

Compliance Officer Ethics Scenarios

  • Discuss 5 ethics scenarios that the compliance officer may encounter
  • Review the role of ethics in compliance programs
  • Identify ethics frameworks to use in decision-making

No presentation or handout available

Ryan Meade, Dir Regulatory Compliance Studies, Loyola University, Chicago School of Law



AD5

Advanced Discussion Groups

The Intersection of Compliance and Quality Management

  • Discuss ways to effectively and positively collaborate with quality management on mitigating risks to improve organization outcomes
  • List the key role differences between quality and compliance
  • Discuss methods to bridge any “turf” gaps with quality or other operational units when implementing compliance program

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

Lynda Hilliard, Healthcare Compliance Professional, Hilliard Compliance Consulting



AD6

Advanced Discussion Groups

Mitigating the Battle Scars

  • Discuss who are the enemies and what are we doing to make them allies
  • Discuss and share mitigating processes
  • Discuss and share tools used to ease the battle scars

No presentation or handout available

Dwight Claustre, Managing Director, Ankura Consulting Group, LLC




Did you miss a session you wanted to attend? Get a recording of a session you missed.

Attendee prices: Each session only $20 or get the whole conference for $499

(Online recordings, Attendee prices)


Break Out Sessions | 3:00 pm - 4:00 pm



301

General Compliance and Hot Topics

Telemedicine: Regulatory Compliance Concerns in a Rapidly Changing Environment

  • Telemedicine is a fast-growing and evolving healthcare delivery method that is heavily regulated
  • There are multiple potential regulatory issues involved, including reimbursement, state and federal referral laws and the anti-kickback states; information privacy issues; medical device laws; malpractice considerations; and credentialing and privileging
  • Compliance professionals need to be involved and learn more about the ways that telemedicine is governed geographically, FDA and FTC considerations, and diligence to ensure PHI and billing information is transmitted securely to and from their organization

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

Sharon Blackwood

Lidia Niecko-Najjum, Associate, Polsinelli



302

General Compliance and Hot Topics

Special Issues for Global Compliance Officers

  • Compliance professionals in the health care and life sciences industries who oversee business conduct occuring outside the United States face special and unique challenges
  • The panelists will have a roundtable and interactive discussion to highlight some of those challenges, including through the use of case studies
  • Some of the unique challenges that will be discussed include the impact of foreign laws governing attorney client privilege, work product, privacy, and state secrets

No presentation or handout available

Moderator:
Winston Chan, Partner, Gibson, Dunn & Crutcher LLP

Trisha Fleischhacker, Director, Ethics & Compliance, Medtronic

Jeffrey Young, Anti-Corruption Counsel, Gilead Sciences



303

Long-Term Care

New RoPs: The Role of the Board and Compliance in the Facility Assessment Process and Risk of Non-Compliance

  • Discuss key indicators of dashboard reporting for implementation to the Board and Compliance
  • Evaluate effective assessment strategies
  • Identification of high risk areas of noncompliance

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

Linda Taetz, SVP Chief Compliance Officer, Mariner Health Central, Inc.

Christine Zack, Chief Strategy & Business Development Officer, The AMD Card, LLC



304

Privacy & Security

The Revised Substance Use Disorder Privacy Regulations of 42 C.F.R. Part 2

  • In 2017, for the first time in 30 years and in the midst of the ongoing opioid epidemic in the United States, federal regulators revised 42 CFR Part 2, which governs the confidentiality of a patient’s substance use disorder records and information
  • These substantive revisions represented SAMHSA’s effort to modernize the Part 2 regulations in light of the significant technological and regulatory changes in the healthcare system since Part 2’s last revision in 1987
  • This session will provide an overview of Part 2, discuss some of the more significant revisions from the final rule, including the revised patient consent requirements, and explore some of the practical compliance challenges faced by Part 2 providers

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

Handout 1
Handout 2

Richard Chapman, Chief Privacy Officer, University of Kentucky HealthCare

Litany Webster, Compliance Manager, University of Kentucky HealthCare

Glena Jarboe, Program Manager, University of Kentucky HealthCare



305

Physician Compliance

Why Managing Physician Contracts Is Like a Game of Whack-A-Mole and How to Position Your Health System to Win

  • Physician contracts, one of the 4 large areas of risk for hospitals. Why is this an area of risk, tactics for minimizing risk on contract setup and best practices for collecting time and making physician payments to minimize risk
  • Case study, IL. Why compliance is like a game of whack-a-mole. Take the journey with the CCO of a nine hospital system over a 12 year path to minimize compliance risks with physician contracts. Tips, tracking documents and suggested processes offered
  • Case study, NJ. Tips for process, people and structure. Accountability for physician contracts is a matrix throughout the organization involving multiple departments. Learn how a health system in NJ led by legal setup process to manage effectively

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

Gail Peace, President, Ludi

Jerry Burgess, Chief Corporate Responsibility Officer, AMITA Health

Kelly Walenda, Sr VP Legal Services and Chief Privacy Officer, Jefferson Health, New Jersey Division



306

Compliance Lawyer

Kickback and Stark Law Developments

  • Enforcement trends and other recent developments in kickback and Stark Law
  • What changes to expect from the Trump administration
  • Practical tips for navigating kickback and Stark Law compliance

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

Handout (docx)

Jennifer Michael, Branch Chief, Industry Guidance Branch, Office of Counsel to the Inspector General

Charles Oppenheim, Partner, Hooper Lundy Bookman, PC

Marlan Wilbanks, Senior Partner, Wilbanks and Gouinlock LLP

Scott Withrow, Partner, Withrow, McQuade & Olsen, LLP



307

Auditing & Monitoring

CMS Surveys: What Can We Learn?

  • The CMS Survey & Certification Process determines compliance with specific standards and conditions and is crucial to patient care and hospital operations. Compliance is enhanced by collaboration between Compliance, Quality, and Risk Departments
  • Non-compliance with the standards and conditions put patients and our hospitals at risk: Conditions of Participation-Coverage-Payment. Consider materiality, the implied certification theory, and their role in determining false claims, and overpayments
  • Compliance professionals’ analysis of identified deficient standards and conditions can augment and drive continuous improvement

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

Anne S. Daly, Corporate Compliance Officer, Ann & Robert H. Lurie Children’s Hospital of Chicago

Barbara Martinson, Senior Director, Ankura Consulting Group, LLC

David Wright, Director, Survey and Certification Group, Centers for Medicare & Medicaid Services



308

Internal Audit

Transforming Clinical Care Through the Use of Nursing Documentation Audits

  • Discuss common findings from clinical documentation audits
  • Identify best practices for conducting internal nursing documentation audits
  • Describe how clinical documentation audits help to transform clinical care and increase quality of care

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

Aliya Aaron, Principal, AMR Healthcare Consulting LLC



309

How to Succeed as a Compliance Professional

Leveraging Employee Survey Data to Measure Awareness and Effectiveness of Your Program

  • Understand the importance of conducting an all employee, management, and risk assessment surveys to measure the awareness and effectiveness of your compliance program
  • Tips for properly implementing your survey program and how to avoid common pitfalls
  • Learn how to utilize data to identify compliance risks and build an effective work plan

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

Michael McAuliffe, Corporate Compliance Officer, Lowell General Hospital



310

General Compliance and Hot Topics

Current Compliance Guidance and Scrutiny by HHS OIG and DOJ

  • Key considerations from OIG’s Compliance Effectiveness Resource Guide for Providers, including HHS OIG administrative review, FCA investigations, and individual accountability
  • Demonstrating Compliance implementation in response to government scrutiny, such as presenting compliance efforts to the government, pitfalls in sharing information, and review by DOJ’s compliance counsel
  • Best practice compliance measures: for patients and government scrutiny, including—the gold standard, when measures fail—self disclosures and documented efforts, and examples from cases and Corporate Integrity Agreements

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

Handout 1
Handout 2 * will not print on site
Handout 3
Handout 4 * will not print on site
Handout 5 * will not print on site
Handout 6 * will not print on site
Handout 7 * will not print on site
Handout 8 * will not print on site
Handout 9 * will not print on site

Lisa S. Rivera, Partner, Bass, Berry & Sims PLC

Ted L. Radway, VP Compliance, Kindred Healthcare

Benjamin Schecter, Civil Chief, U.S. Attorney’s Office, W.D.KY

Karen Glassman, Senior Counsel, Office of Counsel to the IG, DHHS

 



311

General Compliance and Hot Topics

One Happy Family: How to Integrate New Entities and Joint Ventures

  • Discuss how Compliance can add value to the due diligence process
  • Share a standardized approach to integrating new service and providing high level oversight
  • Take away sample tools and processes to accomplish these goals

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

Handout 1 (docx)
Handout 2 (docx)

Brandon Goulter, Facility Compliance Professional, Dignity Health

Dawnese Kindelt, Sr Compliance Dir/Physician Integration, Dignity Health



312

Industry Immersion

Back from the Brink: Transforming a Psychiatric Rehabilitation Program on the Heels of a Self-Report

  • The psychology of self-reporting: how to navigate your autonomic nervous system’s flight, “fight” or freeze responses
  • It takes a village—and a detailed work plan: Using an integrated Compliance-Quality Management framework to systematically develop and implement an improvement work plan and meet performance requirements in the context of limited organizational resources
  • Sustaining the Improvements: Proven QPM methods for securing the improvements, continued attention to workforce transformation and the critical nature of communication and collaboration with external administrative entities

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

Kristine Koontz, Vice President of Quality & Clinical Services, Keystone Human Services Inc

Victoria Hoshower, Quality and Performance Manager



AD7

Advanced Discussion Groups

 Strategically Shape Compliance & Ethics Outcomes

  • Create a forum of discussion with participants regarding the key strategies that help drive a compliant and ethical culture
  • Provide sample documents, methods and resources that can be used to leverage change and impact organizational results
  • Discuss best practices that participants are utilizing to foster networking and an opportunity to learn from one another

No presentation or handout available

Deann Baker, Sutter Care at Home Compliance Officer, Sutter Health



AD8

Advanced Discussion Groups

Privacy Officer & Researcher: The Reluctant Partnership

  • What are the differences in HIPAA requirements in the research world?
  • What are the HIPAA requirements that are the same as in the clinical world, but still a challenge for Researchers and their Covered Entities?
  • How does a Privacy Officer become their Researchers’ best friend?

No presentation or handout available

Joan Podleski, Senior Director & Chief Privacy Officer, Children’s Health



AD9

Advanced Discussion Groups

Risk Assessments: The Critical Role of Assessing and Managing Risk in Today’s Enforcement and Compliance Environment

  • Explore developments emphasizing the role of an active and effective enterprise wide risk management program and discuss wide ranging authority and other best practices for enhancing an organization’s ability to effectively assess and manage risk
  • Examine the role of various stakeholders in the risk management process (including compliance, legal, internal audit, senior leadership and governing bodies)
  • Identify challenges commonly experienced by organizations attempting to enhance risk management programs and consider potential solutions

No presentation or handout available

Sara Kay Wheeler, Partner, King & Spalding


Did you miss a session you wanted to attend? Get a recording of a session you missed.

Attendee prices: Each session only $20 or get the whole conference for $499

(Online recordings, Attendee prices)




Break Out Sessions | 4:30 pm - 5:30 pm


401

General Compliance and Hot Topics

Hot Topics in Retail Pharmacy Compliance

  • Compliance strategies related to the U.S. opioid epidemic and DEA investigations
  • Discount programs in the wake of lawsuits alleging that club prices are the “usual & customary” charges that should have been passed on to payors
  • Review of overpayments post-Escobar, scrutiny of pharmacy rewards, government audit initiatives, and other hot topics

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

Selina Coleman, Sr. Associate, Norton Rose Fulbright

Daniel P. Fitzgerald, Senior Counsel, Commercial Litigation Dept., Walgreen Co.

Don L. Bell, Senior Vice President & General Counsel, National Assn of Chain Drug Stores



402

General Compliance and Hot Topics

How Comprehensive Risk Assessments and Work Plans Set the Foundation for Successful Compliance Programs

  • In this session, we will discuss approaches for identifying internal and external risks and prioritizing considering the likelihood and magnitude of impact of legal, financial and reputational harm
  • We will discuss developing a work plan that can efficiently and effectively mitigate identified risks and monitoring the plan’s progress
  • We will identify practical tips for success, including the need for flexibility in a rapidly changing regulatory and enforcement environment

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

Handout 1
Handout 2
Handout 3 (xlsx)

Carl D. Winekoff, Principal, Winekoff Consulting

Andrei M. Costantino, VP of Integrity & Compliance, Trinity Health



403

Long-Term Care

New RoPs: Survey Trends, Implementation Challenges and Upcoming Compliance Requirements

  • Compare survey trends before and after implementation
  • Develop effective tactics to implementation challenges
  • Integrate upcoming compliance requirements with current initiatives

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

Mary Evans, Owner, Executive VP, Covenant Care

Sue Acquisto, Corporate Compliance Officer, Covenant Care



404

Privacy & Security

Data Protection, Privacy and Security Issues in the Health Care Industry: What Are the State Enforcers Looking At?

  • This session, featuring Assistant Attorney Generals from the States of Connecticut and Texas, will address what health care entities should know about State privacy and security enforcement, and the key focus areas in the current enforcement climate
  • We will consider the lessons health care entities can learn from recent enforcement efforts at both the State and Federal levels and how a compliance program can assist with risk mitigation efforts
  • We will also discuss some best practices for organizations in handling privacy and security investigations brought by State enforcers and, conversely, identify where organizations can go wrong in handling the investigation

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

George Breen, Shareholder, Epstein Becker & Green PC

Esther Chavez, Sr. Asst Attorney General, Office of TX Attorney General



405

Physician Compliance

Physicians and Compliance: Are They Oil and Water?

  • Physicians are busy. Learn key strategies for successfully engaging them in the compliance program
  • Physicians are strong-willed. Explore approaches for resolving compliance conflicts with physicians
  • Physicians are smart. Earn their respect by demonstrating how the program is implementing compliance intelligently

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

C.J. Wolf, Senior Compliance Executive, Healthicity



 406

Compliance Lawyer

Effective Internal Investigations of Compliance Matters: Best Practices and Preservation of Privilege

  • Steps to establish legal privileges for information gathered during an internal investigation
  • Best practices in identifying, collecting, and working with data and records
  • Working with external and internal forensics experts

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

James Holloway, Shareholder, Baker Donelson

Gerry Zack, Incoming CEO, SCCE & HCCA



407

Auditing & Monitoring

Best Practice: A Partnership Approach to a More Powerful Coding Compliance Program

  • Establishing and maintaining a credible coding compliance program is a unique challenge for compliance leaders. Independent audit companies provide objectivity, but most engagements aren’t fully optimized leaving unresolved issues and unmet objectives
  • Attendees to this session hear how DeKalb Medical Center designed and implemented a hybrid, partnership program for coding compliance to reduce risk, increase integrity and improve documentation across three campuses and a 30-practice physician group
  • Speakers detail how technology and real-time analytics were used to achieve KPI results, garner physician buy-in, and build comprehensive compliance reporting dashboards to communicate with senior leadership and achieve compliance goals

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

Carla D. Cashio, Chief Compliance Officer, DeKalb Medical

Julia Hammerman, Director, Compliance and Education, himagine solutions



408

Internal Audit

340B Program Outlook: An Auditor’s Toolkit for 2018 and Beyond

  • Understand key risks related to the Pharmacy 340B program
  • Review auditing and monitoring approaches to address risk areas
  • Discuss examples of control improvements for regulatory compliance

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

Debi Weatherford, Executive Director Internal Audit, Piedmont Healthcare

Anthony Lesser, Senior Manager, Deloitte



409

How to Succeed as a Compliance Professional

Compliance Today, Effectiveness Tomorrow: the Necessary Actions to Achieve Success

  • Discuss the evolution of the healthcare compliance market over the last 2 decades through an experienced perspective of investigations/settlements, while preparing for increased risk which continues
  • Learn of significant developments in the compliance marketplace, including updated OIG and DOJ guidance, and Supreme Court FCA rulings; and best practices to implement processes to mitigate against enforcement action(s)
  • Compliance problems surround us and should be proactively addressed with an effective program. The discussion will focus on the tools needed to “sell” your program, demonstrate effectiveness and mitigate risk for your entity

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

Bret S. Bissey, Compliance Professional

Sean McKenna, Law Office of Sean McKenna, PLLC

 



410

General Compliance and Hot Topics

Betting on Your Provider-Based Status?

  • Understand the new provider-based legal requirements
  • Implement a provider-based compliance program
  • Special emphasis and discussion on rules relating to shared space

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

Steve Lokensgard, Partner, Faegre Baker Daniels

Dan Roach, Chief Compliance Officer, Optum 360



411

General Compliance and Hot Topics

CMS Playbook: What’s New and What’s Next in 2018

  • Discuss the agency’s burden reduction and regulatory reform efforts
  • Hear updates on CMS investigations, audits and appeals processes
  • Learn about the agency’s work combating the opioid epidemic

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

Kimberly Brandt, Principal Deputy Administrator for Operations, CMS



AD10

Advanced Discussion Groups

Navigating the Gray Zones of the Anti-Kickback Statute

  • Review the boundaries of the Anti‑Kickback Statute, Special Fraud Alerts and Advisory Opinions
  • Identify techniques for applying the Anti‑Kickback Statute to situations that fall outside of the specific guidance
  • Discussion to analyze and apply the techniques to specific case scenarios

Handout (.docx)

Darrell Contreras, Chief Compliance Officer, Millennium Health



AD11

Advanced Discussion Groups

Engaging your Executive Team and Board in a Strategic Vision for Your Compliance Program

  • Compliance program strategies? Is that an oxymoron?
  • Soup Nazi, Servpro or Smoky Bear? Creating and changing perceptions
  • What Drucker really said: the balancing act. Establishing objectives/measuring outcomes and building/nurturing relationships

No presentation or handout available

Steve Ortquist, Senior Managing Director, Ankura Consulting Group, LLC



AD1b/repeat

Advanced Discussion Groups

Communicating with Regulators

  • Discuss perceived and actual barriers, risks, and restrictions
  • Discuss common stress factors for Providers, Health Plans, and Regulators
  • Understanding the consequences of positive/negative communication

No presentation or handout available

Shawn DeGroot, President, Compliance Vitals



AD2b/repeat

Advanced Discussion Groups

You’ve Put Your Compliance Program in Place: Now How Do You Manage the Department and Make It Work?

  • Compliance metrics, dashboards and other reporting tools
  • Staff qualifications and selection
  • Developing self-directed highly motivated teams

No presentation or handout available

John Falcetano, Compliance/Privacy Officer, Brooks Rehabilitation Health


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