February 24 - 25, 2020
2020 Board & Audit Committee Compliance Conference
Fort Lauderdale, FL, United StatesAgenda
Monday, February 24
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07:00 AM - 08:00 AMContinental Breakfast (provided)
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08:00 AM - 08:15 AMWelcome and Opening Remarks
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08:15 AM - 09:15 AMIntroduction 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
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09:15 AM - 09:30 AMNetworking Break
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09:30 AM - 10:30 AMBoard and Management Responsibility for Compliance Oversight Daniel Roach, Chief Compliance Officer, Optum 360 Robert Michalski 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?
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10:30 AM - 10:45 AMNetworking Break
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10:45 AM - 11:45 AMCybersecurity Roy Wyman, Attorney, Nelson Mullins Broad and Cassel Barry Mathis, Principal, PYA
- Cybercrime, hacking, and ransomware
- Risks to privacy
- How to become and remain compliant
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11:45 AM - 01:00 PMGeneral Session Luncheon Gregory Demske, Chief Counsel to the Inspector General, HHS-OIG
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01:00 PM - 02:00 PMCompliance 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
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02:00 PM - 02:15 PMNetworking Break
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02:15 PM - 03:30 PMStark 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
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03:30 PM - 03:45 PMNetworking Break
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03:45 PM - 04:45 PMInternal Investigations and Healthcare Compliance Matters Gabriel Imperato, Managing Partner, Nelson Mullins Broad and Cassel 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
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04:45 PM - 05:15 PMQ&A/Wrap-Up
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05:30 PM - 07:00 PMNetworking Reception
Tuesday, February 25
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07:00 AM - 08:00 AMContinental Breakfast (provided)
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08:00 AM - 08:15 AMOpening Remarks/Housekeeping
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08:15 AM - 09:15 AMEffective 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
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09:15 AM - 09:30 AMNetworking Break
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09:30 AM - 10:30 AMCompliance 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
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10:30 AM - 10:45 AMNetworking Break
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10:45 AM - 11:45 AMGovernment 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
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11:45 AM - 12:45 PMLunch
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12:45 PM - 01:45 PMHealthcare Privacy & Security: Responsibility for Breaches Darrell Contreras, Chief Compliance Officer, Millennium Health Blaine Kerr, Chief Privacy Officer, Jackson Health System
- 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
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01:45 PM - 02:00 PMNetworking Break
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02:00 PM - 03:00 PMHealthcare Fraud and Compliance Update Gabriel Imperato, Managing Partner, Nelson Mullins Broad and Cassel
- Recent developments in enforcement and compliance
- Individual accountability for organizational health care fraud
- Cooperation and compliance program assessment
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03:00 PM - 03:15 PMNetworking Break
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03:15 PM - 04:45 PMParkland 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
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04:45 PM - 05:00 PMWrap Up/Adjourn
Agenda subject to change.