March 28 - 31, 2022
26th Annual Compliance Institute
Phoenix Convention Center, Phoenix, AZ, United StatesAgenda
All session times are in Mountain Standard Time (MST)
Sunday, March 27
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01:00 PM - 06:00 PMConference Registration Open
Monday, March 28
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07:15 AM - 08:00 AMFirst time attendee breakfast *Invitation Only
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08:30 AM - 10:00 AMBreakout Sessions#P01P01 Compliance 101 Sheryl Vacca, SVP/Chief Risk Officer, Providence St. Joseph Health Debbie Troklus, President, Troklus Compliance Consulting
Subject Area: General Compliance/Hot Topics
Level: Basic
- Define the steps in developing an effective compliance program
- Outline the regulations that are critical for review and application in developing a CP
- Discuss how to implement the CP after the development stage
In Person#P02P02 A Recipe for Compliance: How to Effectively Cook Education into Your Privacy Program Angela Alton, Vice President, Privacy Officer, Ann & Robert H. Lurie Children's Hospital of Chicago Tracy McCullough, Director, Compliance & Integrity Education, Ann & Robert H. Lurie Children's Hospital of ChicagoSubject Area: Privacy & Security
Level: Intermediate
- Measure and mix the ingredients necessary to build a high-value and effective educational program
- Build a buffet of education material (from big to bite-sized) for optimal digestion by the workforce
- Impress critics (regulators and stakeholders) by compiling a menu demonstrating educational compliance
In Person#P03P03 Unpacking the CY2022 Split Shared CMS Final Rule Maya Turner, Lead Ambulatory Coding Analyst, Franciscan AllianceSubject Area: Physician Compliance
Level: Basic
- Understand Components of Split Shared Billing
- Define CMS’s definition of facility setting
- The difference between Split Shared and Incident To billing
In Person#P04P04 Compliance Professionals and the False Claims Act Jacklyn DeMar, Director of Legal Education, Taxpayers Against Fraud Education Fund Gabriel Imperato, Managing Partner, Nelson Mullins Riley & Scarborough Michael Theis, Partner, Hogan Lovells LLPSubject Area: Compliance Law
Level:
- False Claims Act Developments and Compliance Risk
- Return of Overpayments and Deliberate Ignorance and Reckless Disregard
- Retaliation and Proposed Legislative Amendments
In Person#P05P05 Enforcement and Compliance Update for Physicians and Hospitals D. Scott Jones, Chief Compliance Officer, Augusta Health Sean McKenna, Partner, Spencer Fane LLPSubject Area: Physician Compliance
Level: Advanced
- Discuss important enforcement actions and cases that will inform and guide your compliance program
- Learn key elements of investigations, preparation, and defense from a current hospital compliance official and former federal prosecutor
- Advance your knowledge of emerging physician and hospital compliance risks based on trends and analysis of state and federal investigations and enforcement
In Person#P06P06 Does Compliance Have a Role in ESG? Roy Snell, ESG Officer, Author of IntegrityWorks, Co-founder of SCCE/HCCA, Osprey ESG Software Nakis Urfi, Product Compliance Officer, Babylon HealthSubject Area: Discussion Group
Level: Basic
- Define environmental, social and governance (ESG)
- Discuss what roles compliance may play in ESG
- Identify keys to collaboration across business areas
In Person -
10:00 AM - 10:15 AMBreak
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10:15 AM - 11:45 AMBreakout Sessions#P07P07 International Plan of Mystery: What Is International Compliance and Why Do U.S. Companies Need an International Compliance Plan? Autumn Smallwood, Director, Compliance, Moffitt Cancer Center Maggie Rubrecht-Scaffe, International Compliance Officer, Moffitt Cancer Center Donnetta Horseman, Chief Compliance Officer, Moffitt Cancer Center
Subject Area: General Compliance/Hot Topics
Level: Intermediate
- Learn the various components of an international compliance program and whether you are at risk. Obtain valuable tools and lessons learned to aid in building your international compliance program and hear from seasoned compliance professionals who have developed an international compliance program and the impact on the organization
- Understand why there is such a strong focus on foreign influence with US-based research/academia
- Learn about export controls, international data privacy laws, and other international laws that might affect your business even if you are 100 percent US based
In Person#P08P08 Employee Health Information: When Is It PHI Protected Under HIPAA? Gayland Hethcoat, Counsel, ArentFox SchiffSubject Area: Privacy & Security
Level: Intermediate
- Understand how HIPAA regulates use and disclosure of health information pertaining to healthcare providers' employees
- Distinguish between protected and unprotected employee health information under HIPAA
- Assess HIPAA privacy implications regarding healthcare provider employees' COVID vaccination and testing information
In Person#P09P09 Coding Basics for the Non-Coding Compliance Professional Kimberly Huey, President, KGG Coding & Reimbursement Consulting Sandra Giangreco Brown, Director of Coding & Revenue Integrity, CliftonLarsonAllen, LLCSubject Area: How to Succeed as a Compliance Professional
Level: Basic
- Discover definitive resources needed for coding and billing as a compliance professional
- Managing the appropriate coding, billing, and compliance staff
- Demonstrate the importance of correct coding and appropriate documentation
In Person#P10P10 Doing Better with Data: Data Driven Quality Improvement for Compliance John Baumann, Associate Vice President for Research Compliance, Indiana UniversitySubject Area: Auditing & Monitoring
Level: Intermediate
- Discuss why we move beyond auditing/monitoring toward quality improvement
- Identify best practices for institutionalizing quality improvement
In Person#P11P11 Win, Place, and Show: Making a Trifecta Bet on Revenue Integrity, Risk Management, and Quality in Chronic Care Management Services Regina Alexander, Senior Manager & Director, IRO Services, BerryDunn Susan Prior, Principal, BerryDunnSubject Area: Risk Management
Level: Basic
- Define CMS requirements for delivery and reimbursement of chronic care management services, including conditions of payment and program integrity enforcement trends
- Discuss key CCM compliance, revenue integrity, quality, and risk management considerations, as well as the financial and quality implications of incorporating CCM as a means of practice improvement; presenters will use real world case studies to illustrate
- Develop CCM operations strategies that satisfy risk management, achieve revenue integrity objectives, and further your organization’s journey toward healthcare's quadruple aim
In Person#P12P12 Evidencing Compliance Program Effectiveness: A Workshop for Preparing Your Compliance Program Documentation Darrell Contreras, Chief Compliance Officer, Millennium HealthSubject Area: Discussion Group
Level: Advanced
- Use OIG guidance to establish the framework for demonstrating compliance program effectiveness
- Translate the effectiveness framework into a board report on key compliance program metrics
- Apply the framework to begin documenting and scoring your compliance program effectiveness
In Person -
11:45 AM - 01:15 PMLunch (On Your Own)
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12:00 PM - 01:00 PMSpeedNetworking - Pre Registration Required
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01:15 PM - 02:45 PMBreakout Sessions#P13P13 Hospital Charity Care: Disclosure, Reporting, Compliance, and Enforcement Issues for Free and Discounted Care to Uninsured and Underinsured Patients James Sheehan, Chief, Charities Bureau, NY Attorney General
Subject Area: General Compliance/Hot Topics
Level: Intermediate
- Understand the state and federal reporting and disclosure duties of hospitals for charity care
- Learn charity care enforcement initiatives by state Attorneys General, tax, and health agencies
- Develop hospital compliance programs to address charity care responsibilities and risks
In Person#P14P14 Cyber-Ransomware Incident: Lessons Learned from a Real-Life Incident Amanda Shelast, VP-Physician Services, DCHS Adrienne Chase, Compliance and Risk Officer, Dickinson County Healthcare SystemSubject Area: Privacy & Security
Level: Intermediate
- Experience what a real-life ransomware incident feels like and walk through the incident
- Best practices including business continuity and complying with an investigation
- Lessons learned and tips from a real-life ransomware incident
In Person#P15P15 Successful Launch: Mastering First-Year Program Assessment and Mitigation Angela Alton, Vice President, Privacy Officer, Ann & Robert H. Lurie Children's Hospital of Chicago Anne Daly, VP of Compliance, Samaritan Health System Ana-Cristina Navarro, Deputy Chief Compliance Officer, HealthRIGHT360Subject Area: How to Succeed as a Compliance Professional
Level: Basic
- Confidently conduct and document a comprehensive compliance program effectiveness risk assessment
- Identify and implement needed program enhancements for managing incidents, policies, and contracts
- Develop internal resources to build and sustain an engaged compliance culture
In Person#P16P16 Administrative Enforcement (CMS and OIG) Judith Waltz, Partner, Foley & LardnerSubject Area: Compliance Law
Level: Intermediate
- CMS: Billing privilege revocations-risks and strategies
- OIG: Civil monetary penalties and exclusions-risks and strategies
- Appeals of administrative actions
In Person#P17P17 Compliance Mistakes in Physician Practices Sandra Giangreco Brown, Director of Coding & Revenue Integrity, CliftonLarsonAllen, LLC Kimberly Huey, President, KGG Coding & Reimbursement ConsultingSubject Area: Physician Compliance
Level: Intermediate
- Explore common mistakes in compliance efforts in physician practices
- Identify low-cost (or free) compliance resources for physician practices
- Establish a starting point for compliance efforts in physician practices
In Person#P18P18 Building and Implementing an Arrangements Compliance Program: What is Required? Dwight Claustre, Retired Compliance Professional Jim Passey, Vice President, Chief Audit & Compliance Officer, HonorHealthSubject Area: Discussion Group
Level: Advanced
- Thorough review and discussion of the components of a successful arrangement compliance program
- Discussion of alternatives and solutions for common challenges and roadblocks
- Review of the substantive requirements for assuring arrangement remain compliant with Stark and AKS
In Person -
02:45 PM - 03:00 PMBreak
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03:00 PM - 04:30 PMBreakout Sessions#P19P19 Research Compliance 101: Fundamentals and Complexities Wendy Schroeder, Global Manager, IVD Clinical, NAMSA Kelly Willenberg, CEO, Kelly Willenberg and Associates
Subject Area: General Compliance/Hot Topics
Level: Basic
- Describe research compliance underlying rules and regulations
- Review major topic area complexities: Human subject protection, animal research, foreign influence, federal awards, export controls, research misconduct, conflict of interest, and clinical trial billing
- Discuss where and how to address research compliance areas
In Person#P20P20 A Provider, an HIE, and a Health IT Developer Walk into a Bar... to Discuss the Information Blocking Rule Joseph Walker, HIPAA Privacy Officer & Security officer, MyHealth Access Network, Inc. Josh Mast, Director and Product Regulatory Strategist, Cerner Nick Weil, Consultant and Attorney, Epsilon Life Sciences Mark Neu, Chief Compliance Officer, Renown HealthSubject Area: Privacy & Security
Level: Intermediate
- Explore the new information blocking rule and its outsized impact on the healthcare industry
- Tackle common challenges in patient privacy, security, and interoperability among covered entities
- Learn techniques to comply with health information requirements and collaborate with data partners
In Person#P21P21 The Boiling Frog: How to Prevent Compliance Officer Burnout Ellen Hunt, Principal Consultant & Advisor, Spark Compliance Consulting Melanie Sponholz, Chief Compliance Officer, Waud Capital PartnersSubject Area: How to Succeed as a Compliance Professional
Level: Intermediate
- Recognize early signs of career burnout while there's still time to make effective changes
- Employ practical, everyday strategies to maintain equilibrium and enjoy what you do
- Learn how to build a professional network that gives you superpowers
In Person#P22P22 Successful Risk-Based Audit Plan: Data Mining Methodologies and Communication Regina Gurvich, Chief Compliance, Privacy, & Risk Officer, OMNI Ophthalmic Management ConsultantsSubject Area: Auditing & Monitoring
Level: Advanced
- Engaging clinicians and the administrative matrix in the discussion of vulnerabilities and risk appetite
- Setting a standard audit approach with data mining, trending, and building educational channels and a report card
- Setting the tone of accountability by engaging all levels during the post-audit debrief/alignment with QIP/MIP
In Person#P23P23 Seeing Risk in a Different Light Natalie Bulger, Risk Manager, VHACO Office of Integrity and Compliance (10OIC) Andria Nichols, Compliance Auditor, VHACO Office of Integrity and Compliance (10OIC) Nicholas Boyd, Program Analyst, VHACO Office of Integrity and Compliance (10OIC)Subject Area: Risk Management
Level: Intermediate
- Apply strategies to implement standardized risk management processes across a diverse population
- Optimize agility and flexibility to enhance risk management strategies and risk culture
- Develop systems to support collaborative risk identification and risk management
In Person#P24P24 Board Communication for Compliance and Privacy R. Brett Short, Chief Compliance Officer, UK HealthCare / Univ of KY Samantha Kelen, Chief Compliance Officer, Stellar HealthSubject Area: Discussion Group
In Person -
04:30 PM - 06:00 PMWelcome Reception in Exhibit Hall
Tuesday, March 29
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07:00 AM - 08:00 AMContinental Breakfast in Exhibit Hall
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08:00 AM - 08:15 AMWelcome & Opening Remarks
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08:15 AM - 08:45 AMGeneral Session: OIG Updates Christi Grimm, Inspector General, OIG, Dept of Health & Human SvcsIn Person/ Virtual
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08:45 AM - 09:15 AMGeneral Session: CMS Updates Jean Moody-Williams, Deputy Center Director, CMS, Center for Clinical Standards and QualityIn Person/ Virtual
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09:15 AM - 09:45 AMCoffee Break
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09:45 AM - 10:45 AMBreakout Sessions#101101 Board Oversight of Compliance Programs: Helping Your Board Succeed Steven Ortquist, Founder & Principal, Arete Compliance Solutions, LLC
Subject Area: General Compliance/Hot Topics
Level: Intermediate
- Understand board fiduciary duties
- Review recent litigation and case law developments
- Discuss 10 practical strategies to help your board succeed
In Person/ Virtual Intermediate#102102 Healthcare Privacy & Security during the 2021-22 PHE & beyond from the USHHS Office for Civil Rights Yun-Kyung Lee, Deputy Regional Manager, US DHHS Office for Civil Rights - Pacific RegionSubject Area: Privacy & Security
Level: Intermediate
- Understand the practical applications of HHS/OCR COVID-19 related HIPAA/HITECH Notices and Guidance
- Track recent privacy and security incidents and HHS/OCR Resolution Agreements
- Learn preventive measures covered entities and business associates can take to safeguard PHI
In Person/ Virtual#103103 How to Apply the New AKS and Stark Law Rules to Your Compliance Program Tony Maida, Partner, McDermott Will & EmerySubject Area: Compliance Law
Level: Advanced
- Gain insight into the most significant AKS and Stark rulemaking in many years
- Learn how to apply these new rules to your compliance arrangement’s approval and auditing process
- Consider how your organization can use the new value-based safe harbors and exceptions
In Person/ Virtual#104104 Planning and Preparing for the Investigation Michael Sandulak, Exec Director, Invest/Phys Sec, Providence HealthSubject Area: Investigations
Level: Intermediate
- Developing an overall investigation plan, from the initial report to case completion
- Understanding the importance of building rapport and recognizing unconscious bias in conducting investigations
- Drafting an investigation report and preparing the response to wrongdoing
In Person/ Virtual#105105 Audit Framework for a COVID-19 Admissions Audit from Start to Finish Amy Nicewander, Compliance Director, Integris HealthSubject Area: Auditing & Monitoring
Level: Intermediate
- Defining Scope and Determining What to Audit Through Data
- Pulling It All Together, Quantification of Any Overpayments and Accountability
- Reporting the Results
In Person#106106 Compliance Needs Project Management Too! Caitlin Holleran, VP Corporate Compliance, Sharp Healthcare Dhara Satija, Director, Paul Hastings LLPSubject Area: How to Succeed as a Compliance Professional
Level: Basic
- Understand what project management is and why it is important for effective compliance work
- Review overlaps in roles and responsibilities between project management and compliance activities
- Showcase effective and commonly used project management tools in compliance projects and share case studies
In Person#107107 The CMS Comparative Billing Report (CBR) Program: Compliance Tools for Physicians and Other Outpatient Providers Annie Barnaby, Outreach/Education Specialist, RELI GroupSubject Area: Physician Compliance
Level: Basic
- Learn about the Comparative Billing Report CBR program created by CMS to provide education
- CBRs offer provider peer to peer comparison data for Medicare Part B claims
- CBRs support the auditing component of internal compliance programs
In Person#108108 Drive Down Risk: New Strategies for Internal Audits Susan Marre, Director of Billing Compliance, Dana-Farber Cancer Institute Dawn Crump, Sr. Director Revenue Integrity Solutions, MRO CorpSubject Area: Risk Management
Level: Intermediate
- Identify ways to enhance your internal audit process for compliance improvement and risk
- Analyze proven best practices implemented at Dana-Farber Cancer Institute to reduce risk and cost
- Define specific business intelligence data and analytics used to identify and resolve risks
In Person -
10:45 AM - 11:15 AMCoffee Break
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11:15 AM - 12:15 PMBreakout Sessions#201201 Program Integrity: How Fraud and Abuse Has Evolved as a Result of the Pandemic Dennis Toomey, Director, Protiviti Adrian Czapla, Manager - Healthcare Risk & Compliance, Protiviti Fernando Alvarez, Associate Director, Protiviti
Subject Area: General Compliance/Hot Topics
Level: Intermediate
- Post-pandemic fraud and abuse trends
- Best practices to detect, investigate, mitigate, and deter fraud and abuse
- How counter fraud technology has evolved and is being incorporated
In Person/ Virtual#202202 Your Audit Plan Is on Point...but How Is Your Monitoring Game? Tonja Wise, Vice President of Compliance and Ethics, Florida Cancer SpecialistsSubject Area: Auditing & Monitoring
Level: Basic
- So many audits, so little time: Why do we keep monitoring?
- Deciding where to focus attention and why
- Managing time and leveraging resources: Make it work for you
In Person/ Virtual#203203 Navigating the Challenges of "Other Duties as Assigned" Kelsey Lawson, Chief Risk & Compliance Officer, Hennepin HealthcareSubject Area: How to Succeed as a Compliance Professional
Level: Intermediate
- Discuss challenges that can develop when compliance professionals are asked to perform other roles
- Understand examples of roles that can present conflicts of interests for compliance professionals
- Identify tactics for navigating requests for performing other organizational roles and duties
In Person/ Virtual#204204 Caution Ahead: Hot Point Home Health Compliance Issues