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Handouts

Thursday, February 21


Healthcare Compliance Track

General Compliance Track

Compliance Investigations

Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group

  • Exploring Fundamentals of Conducting an Investigation
  • Your Role as an Investigator
  • Quality and Consistency in Investigations

Presentation

Evaluation

Lessons (Not) Learned Programs

Mel Jessee, CCEP. Quality Programs Manager, Alyeska Pipeline Service Company

  • The business case for Knowledge Management (KM)
  • Understanding why most lessons learned programs fail
  • A quality process approach to “Learning Lessons”
  • Simplify for success by leveraging technology

Presentation

Evaluation

 

Accurately Assess Your Risk Landscape: Learn How to Design a Risk Assessment Framework and Methodology

Marcie Swenson, VP & Senior Counsel, Skyda Consulting, Healthicity

  • Learn how to develop a risk assessment framework with an accurate scope that represents a complete view of your organization’s risk environment.
  • Understand how to organize your risk assessment and ensure your complete risk profile is incorporated into a dynamic, functional, multi-tiered framework.
  • Discover risk assessment methodologies and approaches that elicit accurate and comprehensive information, gather critical data, and facilitate successful risk prioritization and mitigation.

Presentation 

Evaluation

Incident Response: How You React Matters

Kevin Feldis, Partner, Perkins Coie LLP

Data breaches, ransomware attacks and business email compromises

  • Employee misconduct
  • Environmental disasters
  • Government subpoenas
  • Dawn raids by federal agents

No presentation available

Evaluation

 

Ethics is the Cornerstone and Foundation

Dwight Claustre, CHC-F, CHPC, CHRC, Managing Director, Ankura Consulting

  • What has happened with Ethics in business today?
  • Where does ethics fit in an organization?
  • What are the benefits of an ethical culture?

Presentation

Evaluation

The Art and Science of Enterprise Risk Management (ERM)

Jeffrey Driver, Faculty Associate, Arizona State University

  • Compare traditional risk management with enterprise risk management.
  • Identify hard and soft tactics to elevate ERM effectiveness.
  • Explore next generation ERM potential.

Presentation

Evaluation

 

Incident To, Shared Visits and Other Encounters with Non-physician Practitioners

David Glaser, Shareholder, Fredrikson & Byron PA

  • Understand why the belief “you can’t bill for a new problem ‘incident to’” is wrong.
  • Learn what we know (and don’t) about direct supervision, including the definition of “office suite.”
  • Receive practical advice about how the regulations and Manual instructions differ.

Presentation

Evaluation

Incentives and Creative Education

Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group

  • Common misconceptions and objections to incentives.
  • Where do incentives and education intersect?
  • Creative ideas that make education fun.

Presentation

Evaluation

 

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The Alaska Healthcare Fraud Task Force

Chris Gonzales, Special Agent , Federal Bureau of Investigation

John C. Cagle, Assistant Attorney General, Director – Alaska Medicaid Fraud Control Unit

Douglas W. Jones, Manager, Medicaid Program Integrity, Department of Health & Social Services

Kyle T. Mitchum, Assistant Special Agent in Charge, HHS, OIG

  • Health care fraud trends – Nationwide and in Alaska
  • Health care fraud – Damage, cost and penalty
  • Health care fraud reporting

No presentation available

Evaluation

Leading Compliance: How to Gain Buy-in and Commitment

Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, President, CCB, Board Member, SCCE/HCCA

  • Discuss the Compliance Officer’s role in obtaining commitment for the Compliance Program
  • Discuss ways the Compliance Officer can employ to solicit buy-in from the Board and Senior Management.
  • Discuss why commitment to the Compliance Program is critical to its effectiveness.

Presentation

Evaluation

 

Understanding the Board’s Role in Compliance Oversight

Steve Ortquist, CCEP, CHC-F, CHRC, Senior Managing Director, Ankura Consulting Group

  • Foundations: The board’s legal obligations and how they apply
  • Recent developments in compliance guidance and enforcement
  • Strategies to help your board meet its oversight obligations.

Presentation
Handout 1
Handout 2
Evaluation

Using Data Analytics to Mitigate Compliance Risk

Gerry Zack, CEO, HCCA & SCCE

  • How analytics can be used to monitor compliance
  • Analytics for assessing allegations and performing investigations
  • Design of an analytics program using simple tools anyone can master

Presentation

Evaluation

Friday, February 22

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Healthcare Compliance Track

General Compliance Track

Preparing for Alaska’s Medicaid Coverage and Payment Provider Reviews

Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group

Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, Sr. President, CCB, Board Member, SCCE/HCCA

  • Discuss Alaska’s new regulation regarding Medicaid coverage and payment, audits and reviews.
  • Discuss how to plan for these provider audits.
  • Discuss how to prepare your providers for these audits.

Presentation

Evaluation

Mobile Technology in the Workplace

Mark Boutwell, Intelligence Analysis Technical Director, Department of Defense

  • Personal devices within the workplace introduce dynamic opportunities for technical and human threats.
  • Technical and non-technical controls and other considerations regarding personal devices in the workplace.
  • The human factor; employee intent to comply or not comply with organization policy and guidance.

Presentation

Handout (.docx)

Evaluation

 

Provider Fraud from the Prosecution Perspective

John C. Cagle, Assistant Attorney General, Director - Alaska Medicaid Fraud Control Unit

Katherine Matos, Senior Counsel, Office of Inspector General-U.S. Department of Health and Human Services

  • Overview of Alaska’s state Medicaid provider criminal liability provisions.
  • Alaska Medical Assistance False Claim and Reporting Act (Civil False Claims Act)
  • What to do when OIG/MFCU Investigators make investigatory requests.

Presentation

Evaluation

Beyond The Investigation…What is the Root Cause

Dwight Claustre, CHC-F, CHPC, CHRC, Managing Director, Ankura Consulting

  • Why it is important to look at the root cause.
  • Provide guidance on developing a root cause process.
  • Practical application of a root cause analysis.

Presentation

Handout

Evaluation

 

Building a Culture and Network of Compliance

David S. Lane, CHC, Chief Compliance Officer, Providence St. Joseph Health

Stephanie Tasker, Regional Compliance Director, Alaska Region, Providence St. Joseph Health

  • Learn the importance of adjusting your compliance program to your mission and values.
  • Discuss the importance of being proactive rather than reactive.
  • Recognize the culture of “know” is better than the culture of “no”
  • How to align with key partners and expand your network.

Presentation

Evaluation

What Problem Are You Solving? A Tactical Approach to Training

Ricardo P. Pellafone, Founder, Broadcat

  • Focusing on function, not format, to take a problem-centered approach
  • How to know when training is appropriate— and when you should do something else
  • Practical questions you need to answer before you start making or buying training

Presentation

Evaluation

 

Information Technology and Data Challenges in Healthcare

Mark Boutwell, Intelligence Analysis Technical Director, Department of Defense

  • Resiliency is key to maintain real-time services and data access.
  • Healthcare has greatly benefited from advances in information technology, revealing challenges that must be addressed while sustaining essential services.
  • Mobile and remote access technologies pose unique challenges to the healthcare industry.

Presentation

Handout (.docx)

Evaluation

Compliance Officer’s Round Table

Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, President, CCB, Board Member, SCCE/HCCA

Steve Ortquist, CCEP, CHC-F, CHRC, Senior Managing Director, Ankura Consulting Group

Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group

Dwight Claustre, CHC-F, CHPC, CHRC, Managing Director, Ankura Consulting

  • An interactive workshop discussing the value of an effective compliance program.
  • Explore with the audience on how to get buy in from compliance from leadership.
  • Audience will participate in a question and answer session with a compliance expert panel regarding compliance-related topics.

No presentation available

Evaluation