Compliance Concerns Related to the Opioid Epidemic
Jeff Fitzgerald Shareholder Polsinelli PC
• Overview of regulation of controlled substances
• Recent developments in opioid prescribing and dispensing
• Practical tips for compliance reviews and risk mitigation
Presentation
Evaluation
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The Art of Benchmarking for Risk. How to target your outliers without needing a math degree.
Jared Krawczyk Director Nektar Analytics
• Explore benchmarking techniques needed to assess the risk of a physician’s coding patterns (E/Ms, Modifiers, Productivity, Procedural Billing)
• Demonstrate how to organize the analysis results into one comprehensive physician compliance scorecard
• Discuss how to apply the benchmarking results for the entire medical group into a singular prioritized audit plan. (Providing actual example audit plans)
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Evaluation
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Tips for Conducting Interviews During Internal Investigations
David Glaser Shareholder Fredrikson & Byron P.A.
• Strategies for gathering information: Should you use the carrot or stick?
• Tips for protecting the privilege, including how “overlabelling” can backfire
• Why some of the classic tips about interviewing may not be the most effective
Presentation
Evaluation
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Compliance Impact of Virtual Services (Telemedicine, Remote Patient Monitoring, Care Management)
Martie Ross Principal PYA Consulting Susan Thomas, CHC Consulting Manager PYA Consulting
• Describe the approaches to virtual health technologies and services
• Explore the potential to support patientcentered care and improve access to care
• Examine the reimbursement options for virtual services
• Discuss the regulatory compliance issues with virtual services
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What a General Counsel Should Know About Compliance
Brian M. Vazquez General Counsel, Kansas Department of Health & Environment
• Should the legal function be separate from the compliance function
• If legal and compliance functions are to be combined, does the organization’s structure / operations lend itself to manageable legal and compliance issues
• Should a general counsel promote a robust compliance program as a legal defense strategy
• Specific compliance areas that require competence by both a general counsel
Presentation
Handout
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Compliance Considerations for Health Care Providers and Hospitals Related to Medical Marijuana in Missouri
Lyndall Fraker Director for Medical Marijuana and Deputy Director/Counsel for Medical Marijuana Missouri Department of Health and Human Services
• Review the Medical Marijuana Program for Missouri.
• Update program status and progress.
• Preview upcoming dates and goals
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