All session times are in Central Daylight Time (CDT)
Monday, October 26
08:50 AM - 09:00 AMOpening Remarks
09:00 AM - 10:00 AMGeneral Session: OIG Update
10:00 AM - 10:15 AMBreak
10:15 AM - 11:15 AMBreakout Sessions#101101: Compliance and the Board: Challenges and Best Practices Brian Annulis, Sr Managing Director, Ankura Consulting Group
Intermediate#102102: E&M Documentation Changes for 2021
- Understanding challenges to effective board engagement
- Using best practice communication with the board
- Further enhancing the compliance/board connection
- Understand what’s changing and what’s not in 2021 for ambulatory office encounters
- Learn to navigate the new MDM table
- Update your knowledge of using time to select level of service
11:15 AM - 11:30 AMBreak
11:30 AM - 12:30 PMBreakout Sessions#201201: Building a Risk-Based Audit Plan Frank Cohen, Director of Analytics and Business Intelligence, Doctors Management LLC
Basic#202202: Uncovering Hidden Pitfalls in Medical Director Contracts Allison Pullins, VP, Chief Strategy and Operating Officer, MD Ranger Inc Joseph Piccolo, VP Corporate Compliance, Inspira Health Brian Colonna, HIPAA Manager of Privacy, Renown Health
- CMS has made it quite clear that healthcare providers need to step up their game with respect to risk-based audit methods. The day of the random probe audit is over.
- Both CMS and private payers have implemented advanced statistical systems that rely upon predictive analytics to identify high-value targets, meaning providers that are most likely to be tagged for an audit.
- In this session, attendees will learn about the Fraud Prevention System that is used by CMS to intercept payments for suspicious claims and how they can use more advanced analytics to improve their risk assessments and lower their audit risk.
- Every hospital, no matter the size, has medical directorship agreements that contain numerous compliance risks, which may not be obvious to even rigorous compliance teams.
- Learn best practices to mitigate risks lurking in directorships, such as commercially unreasonable agreements, stacking, “shopping” for rates, and more.
- Don’t reinvent the wheel. Understand how to integrate best practice approaches to medical director contract compliance with your existing compliance and contracting program. No policy for medical directorships? Create one using simple guidelines.
12:30 PM - 01:15 PMMid Conference Break
01:15 PM - 02:15 PMGeneral Session: The Seasoned Professional’s Guide to Managing Stress and Preventing Sharon Grossman, Psychologist, Coach, Consultant, Author, Speaker, Coaching by Sharon
- Identify burnout’s symptoms for early intervention
- Develop self-awareness to increase stress management and prevent burnout
- Build up mental discipline to make you resilient to stress and burnout bulletproof
02:15 PM - 02:30 PMBreak
02:30 PM - 03:30 PMBreakout Sessions#301301: From Provider to Researcher and Patient to Subject: Responsibility and Role Changes in the Conduct of Practice-Based Human Subjects Research John Baumann, Associate Vice President for Research Compliance, Indiana University
Basic#302302: Risk Matters That Merit Attention Amid a Crisis Valerie Cloud, Assistant Vice President Corporate Compliance, Atrium Health
- Explore the responsibility and role transformations that occur when health care providers conduct research with their patients
- Identify best practices for when health care providers conduct research with their patients
- Avoid common mistakes when the provider/researcher and patient/subject roles are blended
- Learn how to swiftly identify, track, and mitigate emerging risk
- Learn how monitoring questionnaires and self-reporting tools can drive better internal controls and risk management
- Learn how to manage and monitor your risk responses
03:30 PM - 03:45 PMBreak
03:45 PM - 04:45 PMBreakout Sessions#401401: Mitigating the Risks from Opioid Prescribing: A Legal and Medical Perspective Amy Fogelman, Physician Consultant, MED LAW Consulting, LLC Jesse Caplan, Managing Director, Corporate Oversight, Affiliated Monitors, Inc.
Intermediate#402402: HIPAA Security: Common Mistakes Made by Physician Practices Marti Arvin, Executive Advisor, CynergisTek, Inc.
- Healthcare providers who engage in inappropriate opioid prescribing are increasingly subject to discipline by professional medical and nursing boards, civil medical malpractice liability, and, in the most egregious cases, criminal prosecution.
- Healthcare organizations should be proactive in ensuring they have effective opioid prescribing compliance programs that incorporate all relevant laws, regulations, CDC guidelines, and applicable standards of practice.
- This program provides detailed information on the risks of opioid prescribing and the associated elements of an effective compliance program from a former healthcare regulator and a physician with expertise in opioid prescribing practices.
- Failure to conduct adequate user access monitoring
- Lack of an adequate disaster recovery process, including a strong incident response plan
- Deficient basic security measures on devices and networks
04:45 PM - 05:00 PMBreak
05:00 PM - 06:00 PMConference Social Event: Live Piano Show
- Interact and engage with your fellow attendees at this request-driven piano show!
- Bring your song requests and a favorite beverage for this musical variety show with thousands of songs spanning many decades and genres
Tuesday, October 27
09:00 AM - 10:00 AMBreakout Sessions#501501: The Physicians in My Practice Want to Get Involved in Clinical Research: What Do I Need to Know and Do? Jennifer Sartor, Vice President, Compliance, National Spine and Pain Centers Sarah Couture, Managing Director, Ankura Consulting Group
Basic#502502: HIPAA and Social Media Cathy Jefferson, Compliance Officer, University Hospitals
- Research compliance basics for physician practice compliance officers
- How to develop a simple research compliance plan
- Best practices in implementing the research compliance plan while engaging physicians and practice administration
- HIPAA and social media are very challenging for our physician offices; this presentation will define this new era of communication.
- This presentation will help physician offices to make sure they are not violating HIPAA regulations as they relate to social media and what to do if you find yourself sitting in front of OCR.
- This presentation will provide tips and tricks to help educate your providers on how to
10:00 AM - 10:15 AMBreak
10:15 AM - 11:15 AMBreakout Sessions#601601: Providers Coding and Documentation Audits. Data Mining and Collaborative Approach: The Key to Success Peiman Saadat, Vice President, Corporate Compliance Officer, AdvantageCare Physicians
Intermediate#602602: Do the Right Thing: A Federally Qualified Health Center’s Response to a Randomized Audit by the Office of Inspector General Robyn Hoffmann, Corp. Compliance Officer and QI Liaison, Fair Haven Community Health Clinic, Inc.
- Create a constantly evolving program
- Use ongoing data mining, benchmarking, and trending alongside sampling reviews
- Offer postaudit education and follow-ups
- Provide an overview of the goals of the Health Resources and Services Administration’s Access Increases in Mental Health and Substance Abuse Services (AIMS) award of $200 million in supplemental funding to Federally Qualified Health Centers (FQHCs) in 09/17
- Describe one FQHC’s approach in coordinating its response to the Office of Inspector General (OIG) randomized audit of AIMS grantees in May 2019
- Outline the lessons learned by the FQHC at the close of the OIG’s on-site audit and the anticipated timeline for the OIG’s release of its final report
11:15 AM - 11:30 AMBreak
11:30 AM - 12:30 PMBreakout Sessions#701701: Reviewing Recent Activities Within the Opioid Crisis: Providers, Healthcare Entities, and Pharmaceutical Companies Karyn Holley, Corporate Compliance Officer, VNA Health Group