Skip to main content

2019 Compliance Institute Handouts

April 7 - 10, 2019 | Boston, MA

Session handouts are organized by conference day. All handouts are in PDF format. (Adobe Reader) with 2 slides per page.

Conference Brochure  CEU Application 

P1 HIPAA Privacy Officer 101

Presentation

P2 Compliance Challenges for Advanced Practice Providers

Presentation

P3 False Claims Act Developments Part 1

No Presentation Available
Handout 1
Handout 2

P4 Leveraging Your Compliance Committee: Practical Approaches to Maximize Your Compliance Committee’s Role, Overall Effectiveness, and Value to the Organization

Presentation

P5 Auditing & Monitoring for Health Insurers

Presentation
Handout

P6 Beyond the Elements: Operationalizing Compliance

Presentation
Handout 1
Handout 2
Handout 3
Handout 4
Handout 5
Handout 6
Handout 7
Handout 8
Handout 9
Handout 10

P7 Compliance 2.0

Presentation
Handout 1
Handout 2
Handout 3
Handout 4

P8 Capture the Big Picture! Design a Risk Assessment Framework that Accurately Depicts Your Risk Landscape

Presentation

P9 Physician, Quality and Compliance Collaboration for a More Effective Compliance Program

Presentation

P10 Compliance Program Start Up: What Are the Basics Needed for Your Infrastructure?

Presentation

P11 Launching Ladies into Senior Leadership

Presentation

P12 Incident Response: Best Practices in Breach Management

Presentation

P13 Size Does Not Matter: How Any Physician Practice—Small or Large—Spots a Compliance Issue

Presentation

P14 False Claims Act Developments Part 2

No Presentation Available
Handout 1
Handout 2

P15 Overcoming Management Pushback to Achieve Compliance

Presentation

P16 The Intricate Journey of Auditing and Monitoring Clinical Contractual Agreements

Presentation

P17 Developing Your Hospice Compliance Risk Assessment

Presentation
Handout

P18 What Big Data Reveals about Compliance Adherence and How to Launch and Sustain a Compliance-Driven Culture Built On Foundational Components that Reward Conformity, Enhance Productivity and Deliver Cost Savings Across an Organization

Presentation

P19 Increasing Compliance and Reducing Risk Through Information Governance Practices

Presentation
Handout 1
Handout 2

P20 Physician Compliance and Risk Assessment: A Two-Year, Performance Improvement Continuing Medical Education Model to Improve Quality & Compliance

Presentation

P21 Compliance Program, Program Integrity, and Fraud, Waste, and Abuse—Where Does It All Fit? A Lesson in Marrying the Compliance Program, Program Integrity, and a Fraud, Waste, and Abuse (FWA) Prevention Program and Making it Work!

Presentation

P22 Recent and Emerging Issues Related to Clinical Laboratory Testing and How to Prevent Them

Presentation Part 1
Presentation Part 2

 

P23 An Effective Privacy Program Built Through Strategic Vision and Leadership Support

Presentation

P24 Student Documentation: The Good, Bad, and Ugly

Presentation

P25 Viewing Investigations from a Different Angle: Understanding the Varying Perspectives of Counsel, Compliance Officer and Prosecutor to Improve Your Internal Investigation Process

Presentation

P26 Integrating Compliance Departments in Mergers

Presentation

P27 Auditing Clinical Trial Billing: A Real-World Approach

Presentation

P28 Actively Assess and Audit Your Post-Acute Service Lines

Presentation
Handout

P29 Smooth Sailing into Joint Venture Compliance: Providers, Payers and Vendors Are Aligning by Forming Joint Ventures, but Rough Seas Await Anyone Not Aware of Important OIG Caveats—Learn Best Practices for Smooth Sailing Into OIG’s Safe Harbors

Presentation

P30 Risk Assessments: Building Your Risk Program, Developing Partnerships, and Mitigating Risk

Presentation

P31 Population Health, Quality and Compliance: A Look at the Process

Presentation
Handout

P32 Research Compliance for the Hospital Compliance Officer

Presentation

P33 Three CIA Provisions that Will Enhance Your Compliance Program

Presentation

P34 The Art of Conducting Effective HIPAA Privacy Intake and Investigative Interviews

Presentation
Handout 1
Handout 2

P35 Telehealth Contracting for Compliance Officers: Core Concepts, Best Practices and Tips

Presentation

P36 Whistleblowers: Who Are They, Why Do They Blow the Whistle, and Managing the Risk

Presentation

P37 Who’s On First? Applying Learning's from Abbott and Costello to Achieve Healthcare Compliance Effectiveness

Presentation

P38 A System-wide Approach to 340B Compliance in a Multi-state Integrated Health System

Presentation
Handout

P39 From Volume to Value in Post Acute Care: Your New Compliance Data Points

Presentation
Handout

P40 Compliance Program Operations vs Conducting a Complex Investigation

Presentation

P41 The Risks and Benefits of Healthcare Consolidation on Innovation and Clinical Research in Health Systems and Hospitals, Conducting Due Diligence and the Compliance Risk Mitigation Strategies to Help You Sleep at Night

Presentation

P42 The Quality-Compliance Collaborative in FQHCs Illustrating the Evolving Model for American Healthcare

Presentation

P43 Examining the Foundational Features of a Patient Protection-Driven Compliance Program

Presentation

P44 Next Generation Compliance: How Metrics Should Drive Your Compliance & Ethics Program

Presentation
Handout 1
Handout 2
Handout 3

GENERAL SESSION: CMS Update

Presentation

GENERAL SESSION: OIG Update

No Presentation Available

GENERAL SESSION: Lead at Your Best, Live at Your Best

No Presentation Available
Handout

101 Office for Civil Rights: HIPAA Update & Enforcement

Presentation

102 Physician Engagement: How to Develop a Physician Champion Program

Presentation

103 Ask the Stark Law Professionals

Presentation

104 The Seven Habits of an Effective Compliance and Ethics Professional

Presentation

105 Beyond Auditing and Monitoring and Towards Quality Improvement

Presentation

106 Will CMS Turn Down the Volume? Patient-Driven Payment Model (PDPM) and the Effort to Replace RUGs

Presentation

107 Mergers & Acquisitions During a Time of Healthcare Transformation: Whether Managed Care, Provider, or Ancillary Services—Compliance Professional Considerations to Support Expansion of Your Business Model

Presentation
Handout

108 Surviving the Compliance Storm: Beyond a Risk Assessment—Partnering with the C-Suite to Develop an Enterprise Risk Management System

Presentation

109 Healthcare Compliance Auditing for Zones of Risk

Presentation

110 Conducting a Behavioral Health Risk Assessment

Presentation
Handout 1
Handout 2
Handout 3
Handout 4
Handout 5

111 Compliance Culture Case Studies

Presentation

112 Due Diligence for Acquisition and Partnerships: What to Consider When Bringing a Small Private Practice Into a Large Health System or Academic Medical Center

Presentation

113 ACO Compliance Program Implementation When You Are Not All In the Same Family

Presentation

114 Blockchains Technology: Move Fast and Break Things Reconsidered

Presentation

115 OIG Compliance Monitoring: Practitioner and Small Business Integrity Agreements

Presentation

 

201 Anatomy of an Attack: Key Security Trends

Presentation

202 Lessons Learned From Teaching a Provider Documentation Remediation Course

Presentation

203 Fraud and Abuse Laws 101 & OIG’s Role

Presentation

204 When Compliance Isn’t the Only Hat You Wear: The Art of Allocation of Time and Resources While Maintaining an Effective Compliance Program

Presentation
Handout 1
Handout 2

205 Data Analytics and Risk-Based Methodologies in Refreshing Revenue Compliance Auditing & Monitoring

Presentation

206 Long-Term Care Requirements of Participation Compliance Responsibilities

Presentation

207 Navigating the Changing Regulatory and Enforcement Landscape Relating to Opioids

Presentation

208 Risk Assessment Workshop: Are You Assessing All Your Risks? Learn How to Design an All-Encompassing Risk Assessment Framework

Presentation

209 You Don’t Know What You Have Until It’s Gone, and Then It Is Too Late: The Benefits of a Data Management Audit

Presentation

210 Navigating Behavioral Health Risks and Confidentiality Tough Spots

Presentation
Handout 1
Handout 2

211 A Compliance Case Study from the Trenches with Current and Former DOJ Prosecutors

Presentation

212 What Do Carnegie Hall and Good Security Incident Response Plans Have in Common: To Get There You Have to Practice, Practice, Practice!

Presentation

213 Communicating with Your Audit and Compliance Committee from Both a Compliance Officer’s and Board Member’s Perspective

Presentation
Handout

214 Compliance at the Point of Sale

Presentation
Handout 1
Handout 2

215 OIG Developments 2019

Presentation

301 Data Protection, Privacy, and Security in the Healthcare Industry Year in Review: State Enforcement Focus Areas in 2018 and Outlook for 2019

Presentation

302 Is Your Practice a Government Target?

Presentation

303 Hidden Treasure or Hidden Kickback? If It Looks too Good to Be True, It Might Be an Anti-Kickback/Stark Violation

Presentation

304 How Bias and Perception Impact Compliance

Presentation

305 Facing an Extrapolation? Steps for Checking the Statistical Approach

Presentation

306 Creating a Compliance Plan in the New Post-Acute World

Presentation

307 Independent Investigations: The Compliance Role

Presentation

308 HHS Cybersecurity Top Threats and Best Practices

Presentation

309 Hidden Risk Area: Patient Grievances—Are You Prepared for a Survey?

Presentation
Handout 1
Handout 2
Handout 3

310 You Can Lead a Horse to Water and You Can Make It Drink: The Role of the Work-Plan In Developing and Implementing POCs in Behavioral Health

Presentation

311 Year One of a Compliance Journey: A First Year Under a CIA: Tips to Prepare for and Implement Best Practices for Your CIA

Presentation

312 Making Compliance Education Your First Defense

Presentation

313 Somewhere Beyond the OIG: Discussion of Exclusion Checks

Presentation

314 How the Centers for Medicare and Medicaid’s Targeted Probe and Educate (TPE) Program Can Support Your Organization’s Compliance Program

Presentation

315 Women in Cybersecurity: Shattering the Career Mystique

Presentation

401 GDPR Update: Privacy Across the Pond

Presentation

402 HCCs and Providers: Get Paid for What You Do

Presentation

403 The Relationship Between Lawyers and Their Healthcare Clients: A Perspective from Both Sides of the Equation

Presentation

404 Frankly Speaking

Presentation

405 Drip Drop: Infusion Auditing Made Simple

Presentation

406 Compliance’s New Role in the Survey Process

Presentation

407 Culture Is King: Strategies for Developing and Maintaining a Culture of Ethics and Compliance

Presentation

408 Effective Risk Management in Medicare Compliance: How to Detect, Prevent, and Correct Issues

Presentation
Handout

409 Top Cyber-Risks to Include in Your Audit Plan-Update

Presentation

410 EMTALA and Behavioral Health: Myths, Mired Down, and Making Sense of It All

Presentation
Handout 1
Handout 2
Handout 3
Handout 4
Handout 5

411 The Spyware Nightmare

Presentation

412 Compliance Engagement: How to Meet the Compliance Program of Your Dreams

Presentation

413 Drug Diversion: A Multidisciplinary Approach

Presentation

414 Working with Integrity: Taking the Right Path

Presentation

415 Fraud and Abuse Regulation, Compliance, and Value-Based Purchasing: The Search for Greater Alignment

Presentation

 

501 Data, Monitoring and the Culture of Privacy

Presentation

502 Coding Experts and Attorneys: From the Trenches, a Collaborative Approach to Audit Response

Presentation

503 Physician Relationships in the Academic Medical Center Context: Anti-Kickback and Stark Law Issues

Presentation

504 Internal Investigations: Refining Your Interviewing Skills

Presentation
Handout 1
Handout 2
Handout 3

505 Charge Master and Charge Management Risk: What Compliance Professionals Need to Know

Presentation

506 Compliance for Hospice and Home Care

Presentation

507 Everything Under The Sun(shine)

Presentation

508 Protecting the Bottom-line: Defending Claims with Policies & Procedures

Presentation

509 Effectively Managing Risk: The Intersection of Compliance, Enterprise Risk Management and Internal Audit

Presentation

510 Internal Audit’s and Compliance’s Role in Addressing Enterprise Risk: Behavioral Health

Presentation

511 Whistleblower’s Ethical Journey: A Real-Life Case Study on the Discovery of Fraud, Investigative Success, the $2.3 Million Payback, and the Retaliatory Consequences of Reporting Wrongdoing

Presentation
Handout

512 Next Generation Compliance Program: Moving from Mitigation to Strategy!

No Presentation Available

513 The State of Exclusions and OIG Enforcement Actions

Presentation

514 Labs, Recovery Homes, and Treatment Centers, Oh My! Follow Us Down the EKRA Brick Road

Presentation

515 Compliant Billing for Inpatient Rehab: How to Avoid Documentation Perils

Presentation



601 HIPAA Privacy and Social Media: How to Create a Culture of Confidentiality

Presentation

602 Can’t We All Just Get Along? Physician Satisfaction and Compliance Are Not Mutually Exclusive In Physician Arrangements

Presentation

603 Selling and Buying the Brooklyn Bridge: Lessons Learned from M&A Due Diligence

Presentation

604 Hands On Keys Computer Lab: Computer Tips, Tricks, and Internet Hacks to Make You a More Efficient and Effective Compliance Professional

Presentation

605 The Fifth Element of an Effective Compliance Program: Monitoring, Auditing, and Internal Reporting Systems

Presentation

606 Experimental Drugs, Marijuana, and Complementary Medication Use in Long-Term Care Settings: Risks and Best Practices

Presentation

607 When the Patient Is Biased: The Intersection of Compliance, Inclusion, and Culture

Presentation
Handout

608 Real-World Strategies for Identifying, Measuring, and Reporting Risk

Presentation

609 Teaming Together: How Compliance Can Work with the Evolving Role of Internal Audit

Presentation

610 Navigating Privacy Requirements When Integrating Mental Health, Substance Use Disorder and Primary Care Services

Presentation

611 Theranos Case Study: What Went Wrong?

Presentation
Handout

612 Cultures of Integrity: We Know What They Are and What They Should Look Like, But How Do We Get There?

Presentation

613 Telehealth or TeleHELL? Understanding the Complexities of Telehealth Beyond the Initial Set Up

Presentation

614 The #MeToo Movement: What Compliance Officers Should Know and How to Be Prepared

Presentation

615 Patient Incentives or Inducements? Avoiding Pitfalls and Managing Risks

Presentation

701 Cutting Through the Noise: Determining Whether Your Vendor’s Security Incident Is a Breach

Presentation

702 Physician Practice Enforcement Actions: Could You Be Next Year’s News?

Presentation

703 Criminal and Civil Liability for Overpayments

Presentation

704 Five Strategies to Create Compliance Allies

Presentation

705 The Compliance Professional’s Approach to Auditing Rehabilitation Services

Presentation
Handout

706 M&A Transactions in Home Health and Hospice: Compliance and Due Diligence—How Do I Get This Right?

Presentation

707 Tales from the Trenches: An Inside Look at How Different Organizations Account for and Meet the Challenges of MACRA

Presentation
Handout 1
Handout 2
Handout 3
Handout 4
Handout 5
Handout 6

708 Risk Management & Internal Investigations

Presentation

709 Home Health Agency: Audit Strategies and Common Red Flag Findings

Presentation

710 Mental Health Parity: Managing Compliance Across Commercial, Medicaid, and Duals Products

Presentation

711 Experiencing the Unimaginable: A Compliance Case Study of the Mass Shooting in Las Vegas

Presentation

712 Health IT Risk Roundtable

Presentation

713 EHR Documentation Risks and Internal and External Reviews

Presentation

714 Statistical Sampling in Healthcare Audits and Investigations

Presentation

715 Compliance Challenges and Tips for American Indians and Alaskan Natives (AI/AN)

Presentation
Handout

W1 Privacy Officer Roundtable Part 1

No Presentation Available

W2 Compliant Physician Documentation in an Electronic World

Presentation

W3 Managed Care Fraud: Enforcement and Compliance

Presentation

W4 A Paradigm Shift in Persuasive Communication that Will Accelerate Your Advancement

No Presentation Available

W5 How Vendor Oversight Should Lead the Charge for Contracting with a New FDR

Presentation

W6 Disaster Planning in Senior Living: HIPAA Still Matters

Presentation

W7 The Intersection of Clinical Quality and Regulatory Requirements in the Conditions of Participation

Presentation
Handout 1
Handout 2
Handout 3
Handout 4

W8 Cyberbattle: A Practical Demonstration of Hacking and Defending Your Organization

Presentation

W9 Using 340B Drugs Across the Continuum of Care: How to Provide Quality Service and Stay Compliant

Presentation

W10 Investigational Device Exemption (IDE) and Humanitarian Device Exemption (HDE) Device Coverage & Billing: Compliance Insights

Presentation
Handout

W11 Privacy Officer Roundtable Part 2

No Presentation Available

W12 Developing Compliant Physician Compensation Arrangements in the Current Enforcement Environment

Presentation

W13 Responding to Government Investigations and Compliance Matters

Presentation

W14 The CI Is Over: Now What?

Presentation

W15 What You Need to Know to Audit and Monitor the Revenue Cycle

Presentation

W16 Home Health and Hospice: Enforcement Trends and Compliance

Presentation

W17 It’s Time For a Revolution: Assessing the Effectiveness of Your Code of Conduct

Presentation
Handout

W18 Only Take a Calculated Risk: Empowering Leaders to Make Risk-Informed Decisions with a Modern Enterprise Risk Management Program

Presentation

W19 Can We Let Patients Starve Themselves to Death—Even If They Have Dementia—and Can We Get Paid for It? Ethics and Reimbursement at the End of Life

Presentation

W20 Assess Your Provider-Based Clinics for Compliance with CFR 413.65: A Comprehensive Approach

Presentation
Handout