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Handouts

Overall Survey | CEU Application | Conference Brochure

MONDAY, FEBRUARY 24

Introduction to Risk and Compliance

Roz Cordini, JD, MSN, RN, CHC, CHPC, 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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Evaluation

Board and Management Responsibility for Compliance Oversight

Moderator:
Dan Roach, Chief Compliance Officer, Optum360, SCCE & HCCA Board Member

Panel:
Robert Michalski, Chief Compliance Officer, Baylor Scott & White Health, CHC, CHPC, CHRC
Katherine C. Tarvestad JD, Vice President and Chief Compliance Officer, Medicare & Retirement, UnitedHealthcare
Felicia Heimer, Esq., 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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Evaluation

Cybersecurity

Roy Wyman, Attorney, Nelson Mullins Broad and Cassel
Barry Mathis, CCSFP, Consulting Principal, PYA, PC

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

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General Session Luncheon

Gregory Demske, Chief Counsel to the Inspector General, Health and Human Services Office of the Inspector General

No Presentation Available
Evaluation

Compliance Program and Your IRS 990 Filings

James Sheehan, Esq., 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 assure the answers are accurate?
• Current research-predicting compliance risks from 990 responses

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Evaluation

Stark, Anti-Kickback and Foreign Corruption Practices Act Compliance

Moderator:
Kathy Lauer, Partner, Latham & Watkins, LLP

Panel:
Odell Guyton, CCEP, CCEP-I, SCCE Co-Founder, Compliance & Ethics Professional, SCCE & HCCA Board Member
Steven W. Ortquist, JD, CHC-F, Founder & Principal, Arete Compliance Solutions, LLC
Keshia Thompson, Senior Counsel, Office of Counsel to the Inspector General, Department of Health and Human Services

• 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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Evaluation

Internal Investigations and Healthcare Compliance Matters

Moderator:
Gabriel Imperato, Esq., CHC, Managing Partner at Nelson Mullins Broad and Cassel, SCCE & HCCA Board Member

Panel:
James Rough, CCEP, CFE, CHC, Founder and President of SunHawk Consulting, LLC
Shannon Sumner, CPA, CHC, 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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Evaluation

 

TUESDAY, FEBRUARY 25

Effective Compliance Leadership

Moderator:
Dan Roach, Chief Compliance Officer, Optum360, SCCE & HCCA Board Member

Panel:
Laura Ellis, JD, Senior Counsel, Health and Human Services Office of the Inspector General
Linda Epstein, Esq., General Counsel, North Broward Hospital
Judy Ringholz, JD, RN, Vice President of Compliance and Ethics & Chief Compliance Officer, Jackson Health System

• 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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Evaluation

Compliance Program Effectiveness

Moderator:
James Rose, Managing Director, SunHawk Consulting LLC

Panel: 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 how compliance programs should factor into your metrics
• Metrics and measuring outcomes, not just activities

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Evaluation

Government Enforcement and the Opioid Crisis

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

Panel:
Matthew Whitmire, Director, Medicaid Fraud Control Unit, Indiana Attorney Generals Office
Chris Covington, Assistant Special Agent in Charge, Health and Human Services Office of the Inspector General
Allan J. Medina, Chief of the Department of Justice, Health Care Fraud Unit, Criminal Division

• Understand the impact of the drug diversion on health care delivery systems
• Learn how law enforcement is combatting the opioid epidemic using a “Strike Force” model
• Discuss the impact of enforcement efforts and their unintended consequences

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Healthcare Privacy & Security: Responsibility for Breaches

Darrell Contreras, Esq., CHC-F, CHRC, CHPC, JD, HealthCare Partners, LLC
Blaine Kerr, CHPC,CISA, 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 Security Regulations to their daily compliance activities

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Healthcare Fraud and Compliance Update

Gabriel Imperato, Esq., CHC, Managing Partner at Nelson Mullins Broad and Cassel, SCCE & HCCA Board Member

• Recent developments in enforcement and compliance
• Individual accountability for organizational healthcare fraud
• Cooperation and compliance program assessment

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Evaluation

Parkland Hospital Case Study

Moderator:
Mary Findley, CHC, CHPC, Sr. Director, Alvarez & Marsal Healthcare Industry

Panel:
Felicia Heimer, Esq., Senior Counsel, Office of Counsel to the Inspector General, U.S.
Kathleen Murphy, Managing Director, Alvarez & Marsal Healthcare Industry Group
Robert Martinez, JD, CHC, 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 board 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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