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Handouts

Overall Survey | CEU Application | Conference Brochure

The Accidental Compliance Professional (Stories and Lessons Learned)

Roy Snell Former CEO SCCE & HCCA
Jenny O’Brien Chief Compliance Officer UnitedHealthcare

• Fill every hole that the rats might get through
• Sowing the seeds of compliance around the world
• College pranks gone wrong
• Compliance activism belongs in a rodeo

No Presentation Available
Evaluation

Pulling the RUG Out From Under Long Term Care – The Switch to PDPM

Greg Krzmarzick, RAC-CT Director, Compliance Officer Rehab Skilled and Senior Living Evangelical Lutheran Good Samaritan Society

• Define Patient Driven Payment Model (PDPM) and compare to existing Resource Utilization Group (RUG)
• Identify each component that will directly impact reimbursement under PDPM
• Identifying and addressing compliance risks under PDPM

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Evaluation

Mayo Clinic’s Journey to Develop Compliance Program Maturity and Effectiveness Measures

Leah Mudler Southwest Wisconsin Regional Compliance/Privacy Officer Mayo Clinic
Janelle Potter Northwest Wisconsin Regional Compliance/Privacy Officer Mayo Clinic

• Overview of Mayo Clinic’s experience developing an objective and outcomes based “Effectiveness Dashboard”
-Industry tools available and how are they are being used
- Challenges, limitations, and lessons learned
• Program improvement and benchmarking opportunities
• Next steps in the evolution of assessing program maturity and effectiveness

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Evaluation

Implementing an Effective Drug Diversion Compliance Program and Other Drug Matters that Affect Healthcare Compliance

William P. Stockmann Drug Enforcement Agency Diversion Program Manager Omaha Division Office

• Recognize controlled substance prescription red flags
• Discuss the requirements of a prescription; reporting requirements for a theft or loss; and understand the pharmacist responsibility
• Understand the administrative, civil, and criminal penalties
• Discuss current drug trends and recognize the potential avenues for diversion

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Evaluation

Coding Compliance Audits and Internal Audit

Bryan Beaudoin, PMP, CHFP, CPHRM Senior Manager Protiviti
Joe O’Malley Manager Protiviti

• Synergy between HIM/Coding quality audits and Internal Audit
• Effective use of coding quality audits to identify and manage potential compliance risks across the care spectrum
• Best practices for developing and executing a coding audit plan

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Evaluation

Compliance Challenges for Rural Providers

Julene Brown, MSN, RN, CHC, CHPC, CPC Chief Compliance Officer Essentia Health, Organizational Integrity and Compliance
Sheri Heinisch, MBA, CHC Regional Corporate Responsibility Officer, Catholic Health Initiatives Fargo Division
Mary Jo Henne BAN, RN, CHC Director, Compliance Officer Hospital Services Sanford Health

• Panel discussion on key compliance and regulatory risks impacting rural providers such as billing requirements and EMTALA
• Strategies to address the risks
• Lessons learned / best practices for your compliance programs

No Presentation Available
Evaluation