#101

101: Compliance and the Board: Challenges and Best Practices Brian Annulis, Sr Managing Director, Ankura Consulting Group View Description

• Understanding challenges to effective board engagement
• Using best practice communication with the board
• Further enhancing the compliance/board connection

Intermediate

#102

102: E&M Documentation Changes for 2021 View Description

• 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

Intermediate

#201

201: Building a Risk-Based Audit Plan Frank Cohen, Director of Analytics and Business Intelligence, Doctors Management LLC View Description

• 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.

Basic

#202

202: 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 View Description

• 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.

Intermediate

#301

301: 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 View Description

• 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

Basic

#302

302: Risk Matters That Merit Attention Amid a Crisis Valerie Cloud, Assistant Vice President Corporate Compliance, Atrium Health View Description

• 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

Intermediate

#401

401: 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. View Description

• 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.

Intermediate

#402

402: HIPAA Security: Common Mistakes Made by Physician Practices Marti Arvin, Executive Advisor, CynergisTek, Inc. View Description

• 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

Advanced