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Agenda

 

Monday, February 24

 

7:00 AM – 5:30 PM

 

Registration

 

 

7:00 – 8:00 AM

 

Continental Breakfast (provided)

 

 

8:00 – 8:15 AM

 

Welcome and Opening Remarks

 

 

8:15 – 9:15 AM

 

Introduction to Risk and Compliance

  • Key areas of consideration in developing and implementing a compliance program
  • Risk areas for consideration by the board
  • Steps a board may take in considering management accountability related to compliance risks

 

9:15 – 10:00 AM

 

Networking Break

 

 

10:00 – 11:00 AM

 

 

Board and Management Responsibility for Compliance Oversight

  • 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?

Dan Roach, Chief Compliance Officer, Optum360

Robert Michalski, Chief Compliance Officer, Baylor Scott & White Health

 

11:00 – 11:15 AM

 

Networking Break

 

 

11:15 – 12:30 PM

 

Cyber Security

  • Cybercrime, hacking, and ransomware
  • Risks to privacy
  • How to become and remain compliant

 

12:30 – 1:30 PM

 

 

Keynote Luncheon

 

 

1:30 – 2:30 PM

 

 

Healthcare Privacy & Security: Responsibility to Breaches

Darrell Contreras, Esq., CHC-F, CHRC, CHPC, JD, HealthCare Partners, LLC

 

2:30 – 2:45 PM

 

Networking Break

 

 

2:45 – 3:45 PM

 

Anti-Corruption and Anti-Bribery – Foreign Corruption Practices Act

  • FCPA basics
  • Recent trends and enforcement actions
  • Observations and lessons learned

Odell Guyton, SCCE Co-Founder, CCEP, CCEP-I, Managing Director, Klink & Co. Inc.

 

3:45 – 4:00 PM

 

Networking Break

 

 

4:00 – 5:00 PM

 

Stark and Anti-Kickback Compliance

  • An overview of both laws and how they intersect
  • The False Claims Act overlay
  • Recent enforcement actions
  • Practical approaches to mitigating risk

 

 

5:00 – 5:30 PM

 

Q&A/Wrap-Up

 

 

5:30 – 7:00 PM

 

Networking Reception

 

 

Tuesday, February 25

 

7:00 AM – 5:00 PM

 

Registration

 

 

7:00 – 8:00 AM

 

Continental Breakfast (provided)

 

 

8:00 – 8:15 AM

 

Day 2 Opening Remarks/Housekeeping

 

 

8:15 – 9:15 AM

 

Ways Leaders Can Engage in Compliance Leadership

  • How the Board Can Convey the Importance of Compliance to the organization
  • How Executive and Senior Leaders Lead Compliance by Word and Deed
  • How Executive and Senior Leaders Can Engage and Mentor Managers on managing for compliance

 

 

9:15 – 9:30 AM

 

Networking Break

 

 

9:30 – 10:30 AM

 

 

Compliance Program Effectiveness

James Rose, Managing Director, SunHawk Consulting LLC

Heather Fields, Attorney, Reinhart Boerner Van Duren

Scott Remmich, Chief Compliance & Privacy Officer, Aspirus

 

  • Measuring Outcomes as a Key to Regulatory Expectations
  • DOJ’s Guidance from April 2019 on the Evaluation of Compliance Programs Should Factor Into Your Metrics
  • Metrics and Measuring Outcomes, Not Just Activities

 

 

10:30 – 10:45 AM

 

Networking Break

 

 

10:45 – 11:45 AM

 

 

Government Enforcement and the Opioid Crisis

Dustin Hemp, Special Agent, Office of the Arizona Attorney General Criminal Division, Health Care Fraud and Abuse

Matthew Whitmire, Director, Medicaid Fraud Control Unit, Office of the Attorney General Curtis Hill

 

11:45 – 12:45 PM

 

Lunch

 

 

12:45 – 1:45 PM

 

Internal Investigations and Compliance Matters

Gabriel Imperato, CHC, Managing Partner at Nelson Mullins Broad and Cassel

James Rough, CCEP, CFE, CHC, Founder and President of SunHawk Consulting, LLC

 

  • Why internal investigations are important
  • Board direction if internal investigations – when and why?
  • Internal investigations and resolving compliance problems

 

 

1:45 – 2:00 PM

 

Networking Break

 

 

2:00 – 3:00 PM

 

 

Healthcare Fraud and Compliance Update

Gabriel Imperato, CHC, Managing Partner at Nelson Mullins Broad and Cassel

 

  • Recent developments in enforcement and compliance
  • Individual accountability for organizational health care fraud
  • Department of Justice Compliance Counsel and enforcement and compliance in the new administration

 

 

3:00 – 3:15 PM

 

Networking Break

 

 

3:15 – 4:45 PM

 

WellCare Case Study

 

 

4:45 – 5:00 PM

 

Wrap Up/Adjourn