Agenda

Monday, February 24

  • 07:00 AM - 08:00 AM
    Continental Breakfast (provided)
    Networking
  • 08:00 AM - 08:15 AM
    Welcome and Opening Remarks
    Breakout
  • 08:15 AM - 09:15 AM
    Introduction to Risk and Compliance Rosalind Cordini, Senior Vice President, Coding & Compliance Services, Coker Group
    • Understand healthcare's complex legal and regulatory environment
    • Identify key guidance pertaining to healthcare compliance and the governing body's oversight role
    • Identify mechanisms for identifying compliance risk areas
    • Understand mechanism for documentation of compliance risk in your organization
    Breakout
  • 09:15 AM - 09:30 AM
    Networking Break
    Networking
  • 09:30 AM - 10:30 AM
    Board and Management Responsibility for Compliance Oversight Daniel Roach, Chief Compliance Officer, Optum 360 Robert Michalski, Vice President and Chief Compliance and Privacy Officer, University of Florida Health Katherine Tarvestad, VP of Compliance, Medicare and Retirement, United Health Care Felicia Heimer, Senior Counsel, Office of Counsel To the Inspector General, U. S.
    • What is reasonable oversight of a compliance and ethics program?
    • What are the ideal qualifications and characteristics of a board member for compliance oversight?
    • How do you know if compliance matters are getting sufficient attention by the Board and the C-suite?
    Breakout
  • 10:30 AM - 10:45 AM
    Networking Break
    Networking
  • 10:45 AM - 11:45 AM
    Cybersecurity Roy Wyman, Attorney, Nelson Mullins Riley & Scarborough LLP Barry Mathis, Principal, PYA
    • Cybercrime, hacking, and ransomware
    • Risks to privacy
    • How to become and remain compliant
    Breakout
  • 11:45 AM - 01:00 PM
    General Session Luncheon Gregory Demske, Chief Counsel to the Inspector General, HHS-OIG
    Networking
  • 01:00 PM - 02:00 PM
    Compliance Program and Your IRS 990 Filings James Sheehan, Chief, Charities Bureau, NY Attorney General
    • The IRS 990 is an information return-32 plus pages of detail, 100 pages of instructions-now available as data-and more to come
    • Governance, management, and insider transaction reporting-who completes the entries? Who is responsible to ensure the answers are accurate?
    • Current research-predicting compliance risks from 990 responses
    • Case studies of organizational fairlures and risks from 990 reporting
    Breakout
  • 02:00 PM - 02:15 PM
    Networking Break
    Networking
  • 02:15 PM - 03:30 PM
    Stark and Anti-Kickback Compliance and Foreign Corruption Practices Act Compliance Steven Ortquist, Founder & Principal, Arete Compliance Solutions, LLC Keshia Thompson, Senior Counsel, OCIG - HHS Katherine Lauer, Partner, Latham & Watkins, LLP
    • An overview of both laws and how they intersect
    • The False Claims Act overlay
    • Recent enforcement actions
    • Practical approaches to mitigating risk
    Breakout
  • 03:30 PM - 03:45 PM
    Networking Break
    Networking
  • 03:45 PM - 04:45 PM
    Internal Investigations and Healthcare Compliance Matters Gabriel Imperato, Managing Partner, Nelson Mullins Riley & Scarborough James Rough, President, SunHawk Consulting LLC Shannon Sumner, Principal/Chief Compliance Officer, PYA
    • Why internal investigations are important
    • Board direction of internal investigations
    • Internal investigations and resolving compliance problems
    Breakout
  • 04:45 PM - 05:15 PM
    Q&A/Wrap-Up
    Breakout
  • 05:30 PM - 07:00 PM
    Networking Reception
    Networking

Tuesday, February 25

  • 07:00 AM - 08:00 AM
    Continental Breakfast (provided)
    Networking
  • 08:00 AM - 08:15 AM
    Opening Remarks/Housekeeping
    Breakout
  • 08:15 AM - 09:15 AM
    Effective Compliance Leadership Laura Ellis, Senior Counsel, HHS OIG Linda Epstein, General Counsel, Broward Health Judy Ringholz, VP of Compliance and Ethics & Chief Compliance Officer, Jackson Health System Daniel Roach, Chief Compliance Officer, Optum 360
    • What it takes to be an effective compliance officer
    • Board and leader role in developing an effective compliance leadership
    • The relationship and roles of the GC and Compliance Officer
    • What senior leaders should expect from the compliance officer
    Breakout
  • 09:15 AM - 09:30 AM
    Networking Break
    Networking
  • 09:30 AM - 10:30 AM
    Compliance Program Effectiveness Heather Fields, Shareholder, Chair - Hospital/Health Systems Practice, Reinhart Boerner Van Deuren s.c. Scott Remmich, Chief Compliance & Privacy Officer, Aspirus Inc James Rose, Managing Director, SunHawk Consulting LLC
    • Measuring outcomes as a key to regulatory expectations
    • DOJ’s guidance from April 2019 on the evaluation of how compliance programs should factor into your metrics
    • Metrics and measuring outcomes, not just activities
    Breakout
  • 10:30 AM - 10:45 AM
    Networking Break
    Networking
  • 10:45 AM - 11:45 AM
    Government Enforcement and the Opioid Crisis Matthew Whitmire, Director Medicaid Fraud Control Unit, Indiana Attorney General Chris Covington, Assistant Special Agent in Charge, HHS-Inspector General Allan Medina, Chief of the Department of Justice, Health Care Fraud Unit, Criminal Division, U.S. Department of Justice James Rough, President, SunHawk Consulting LLC
    Breakout
  • 11:45 AM - 12:45 PM
    Lunch
    Networking
  • 12:45 PM - 01:45 PM
    Healthcare Privacy & Security: Responsibility for Breaches Darrell Contreras, Chief Compliance Officer, Millennium Health Blaine Kerr, Sr. Director of Security and Privacy Compliance, Ensemble Health Partners
    • An overview of the HIPAA Privacy and Security regulations
    • A breakdown of these regulations in an easy to understand format
    • Understanding how to apply the Privacy and Secuirty Regulations to their daily compliance activities
    Breakout
  • 01:45 PM - 02:00 PM
    Networking Break
    Networking
  • 02:00 PM - 03:00 PM
    Healthcare Fraud and Compliance Update Gabriel Imperato, Managing Partner, Nelson Mullins Riley & Scarborough
    • Recent developments in enforcement and compliance
    • Individual accountability for organizational health care fraud
    • Cooperation and compliance program assessment
    Breakout
  • 03:00 PM - 03:15 PM
    Networking Break
    Networking
  • 03:15 PM - 04:45 PM
    Parkland Hospital Case Study Felicia Heimer, Senior Counsel, Office of Counsel To the Inspector General, U. S. Mary Findley, Sr. Director, Alvarez & Marsal Healthcare Industry Group Kathleen Murphy, Managing Director, Alvarez & Marsal Robert Martinez, Board Member, Parkland Health & Hospital System
    • Implementing a Systems Improvement Agreement with CMS and a Corporate Integrity Agreement with OIG and monitoring Parkland's transformation: Important perspectives from the Chief Compliance Officer, Board Member, Review Organization and Regulator
    • Parkland's governance and cultural overhaul - meaningful borad oversight, tone at the top, disclosure/non-retaliation, effective communication, buy-in at all levels
    • Using the experiences from Parkland's SIA and CIA to stand up sustainable and effective compliance and quality programs
    Breakout
  • 04:45 PM - 05:00 PM
    Wrap Up/Adjourn
    Breakout

Agenda subject to change.

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