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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

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P2 Compliance Challenges for Advanced Practice Providers

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P3 False Claims Act Developments Part 1

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

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P5 Auditing & Monitoring for Health Insurers

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P6 Beyond the Elements: Operationalizing Compliance

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P7 Compliance 2.0

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

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

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

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P11 Launching Ladies into Senior Leadership

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P12 Incident Response: Best Practices in Breach Management

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

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P14 False Claims Act Developments Part 2

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P15 Overcoming Management Pushback to Achieve Compliance

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P16 The Intricate Journey of Auditing and Monitoring Clinical Contractual Agreements

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P17 Developing Your Hospice Compliance Risk Assessment

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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

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P19 Increasing Compliance and Reducing Risk Through Information Governance Practices

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

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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!

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

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

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P24 Student Documentation: The Good, Bad, and Ugly

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

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P26 Integrating Compliance Departments in Mergers

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P27 Auditing Clinical Trial Billing: A Real-World Approach

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P28 Actively Assess and Audit Your Post-Acute Service Lines

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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

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

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

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P32 Research Compliance for the Hospital Compliance Officer

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P33 Three CIA Provisions that Will Enhance Your Compliance Program

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

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

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

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

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

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

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P40 Compliance Program Operations vs Conducting a Complex Investigation

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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

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

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

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

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GENERAL SESSION: CMS Update

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GENERAL SESSION: OIG Update

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101 Office for Civil Rights: HIPAA Update & Enforcement

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102 Physician Engagement: How to Develop a Physician Champion Program

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103 Ask the Stark Law Professionals

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104 The Seven Habits of an Effective Compliance and Ethics Professional

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105 Beyond Auditing and Monitoring and Towards Quality Improvement

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

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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

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

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109 Healthcare Compliance Auditing for Zones of Risk

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110 Conducting a Behavioral Health Risk Assessment

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111 Compliance Culture Case Studies

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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

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

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114 Blockchains Technology: Move Fast and Break Things Reconsidered

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115 OIG Compliance Monitoring: Practitioner and Small Business Integrity Agreements

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201 Anatomy of an Attack: Key Security Trends

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202 Lessons Learned From Teaching a Provider Documentation Remediation Course

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203 Fraud and Abuse Laws 101 & OIG’s Role

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

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

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206 Long-Term Care Requirements of Participation Compliance Responsibilities

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207 Navigating the Changing Regulatory and Enforcement Landscape Relating to Opioids

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

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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

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210 Navigating Behavioral Health Risks and Confidentiality Tough Spots

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

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

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

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214 Compliance at the Point of Sale

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215 OIG Developments 2019

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

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302 Is Your Practice a Government Target?

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

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304 How Bias and Perception Impact Compliance

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305 Facing an Extrapolation? Steps for Checking the Statistical Approach

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

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307 Independent Investigations: The Compliance Role

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308 HHS Cybersecurity Top Threats and Best Practices

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

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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

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

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312 Making Compliance Education Your First Defense

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313 Somewhere Beyond the OIG: Discussion of Exclusion Checks

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

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315 Women in Cybersecurity: Shattering the Career Mystique

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401 GDPR Update: Privacy Across the Pond

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402 HCCs and Providers: Get Paid for What You Do

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

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404 Frankly Speaking

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405 Drip Drop: Infusion Auditing Made Simple

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406 Compliance’s New Role in the Survey Process

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

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

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

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

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411 The Spyware Nightmare

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

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413 Drug Diversion: A Multidisciplinary Approach

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414 Working with Integrity: Taking the Right Path

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

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501 Data, Monitoring and the Culture of Privacy

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

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

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504 Internal Investigations: Refining Your Interviewing Skills

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

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506 Compliance for Hospice and Home Care

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507 Everything Under The Sun(shine)

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

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

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

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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

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

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513 The State of Exclusions and OIG Enforcement Actions

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

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

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

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

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

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

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

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

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

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

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

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

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611 Theranos Case Study: What Went Wrong?

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

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

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

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615 Patient Incentives or Inducements? Avoiding Pitfalls and Managing Risks

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

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

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703 Criminal and Civil Liability for Overpayments

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704 Five Strategies to Create Compliance Allies

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705 The Compliance Professional’s Approach to Auditing Rehabilitation Services

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

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

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708 Risk Management & Internal Investigations

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

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

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

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712 Health IT Risk Roundtable

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713 EHR Documentation Risks and Internal and External Reviews

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714 Statistical Sampling in Healthcare Audits and Investigations

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

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W1 Privacy Officer Roundtable Part 1

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W2 Compliant Physician Documentation in an Electronic World

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W3 Managed Care Fraud: Enforcement and Compliance

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

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

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W6 Disaster Planning in Senior Living: HIPAA Still Matters

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

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

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

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

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W11 Privacy Officer Roundtable Part 2

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W12 Developing Compliant Physician Compensation Arrangements in the Current Enforcement Environment

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W13 Responding to Government Investigations and Compliance Matters

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W14 The CI Is Over: Now What?

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

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W16 Home Health and Hospice: Enforcement Trends and Compliance

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

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

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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

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

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