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Handouts

Overall Survey | CEU Application | Conference Brochure

Post Acute Care – Long Term Care

  • Areas giving rise to False Claims Act liability in skilled nursing facilities, home health, and hospice
  • Challenges in compliance facing post-acute providers today, including TPE (Targeted Probe and Educate) and other medical review efforts
  • Designing and implementing effective strategies to minimize compliance risks in post-acute providers
  • What potential compliance challenges will SNFs and HHAs under their new “Patient-Driven” PPS?

Presentation

Evaluation

Claudia Reingruber, Shareholder, Saltmarsh, Cleaveland & Gund

 

HIPAA Hot Topics from the OCR

  • Discuss OCR guidance on the opioid Crisis and the 21st Century Cures Act
  • Review recent significant breaches and resolution agreements
  • Examine the life cycle of an OCR investigation and understand the differences between reported vs. unreported breaches

No presentation available

Evaluation

Emily Crabbe, OCR, SW Region

 

Compliance, Overpayments and Self Disclosure

  • Review of liability for failure to return known overpayments
  • Identification of an overpayment and the 60 Day Rule
  • Self disclosure options and strategies for overpayments

Presentation

Handout (.docx)

Evaluation

Gabe Imperato, Managing Partner, Nelson Mullins Broad and Cassel

Judy Ringholz, Vice President of Compliance and Ethics & Chief Compliance Officer, Jackson Health System

 

Auditing and Monitoring and Internal Investigation

  • Identification of compliance high risk areas,
  • Best practices in auditing & monitoring and reporting of correction action plans, and
  • Understanding the fraud tipping point, conducting internal investigations & organizational liability risk

Presentation 

Evaluation

L.T. Lafferty, CHC, CCEP, Partner, Holland and Knight

Angie Caldwell, Principal Healthcare Consulting, PYA

 

Government Enforcement Panel – Update on Federal/State Initiatives

No presentation available

Evaluation

Randy Harwell, Assistant US Attorney, United States Attorney’s Office

Felicia Heimer, Senior Counsel, Office of Counsel to the Inspector General, OIG

Jim Varnado, Director, Medicaid Fraud Control Unit, FL, Office of Counsel to the Inspector General

 

An Anatomy of a Corporate Integrity Agreement and Compliance

  • Why do health care organizations enter into CIAs?
  • Standard obligations and new developments under CIAs
  • Implementing CIA obligations and OIG oversight

Presentation 

Evaluation

Judy Ringholz, Vice President of Compliance and Ethics & Chief Compliance Officer, Jackson Health System

Felicia Heimer, Senior Counsel, Office of Counsel to the Inspector General, OIG

 

FWA Collaboration among the “Good Guys” to Effectively Fight Fraud, Waste and Abuse

  • Identify strengths and weaknesses with the collaborative approach to prevent, detect, correct, and resolve FWA issues
  • Discuss similarities and differences among industry entities and elaborate on what actions increase the effectiveness of the FWA Program
  • Share best practices and lessons learned in your fight against FWA including FWA Risk Assessment, other partnerships, etc.

No presentation available

Evaluation

Moderator:

Lou Saccoccio, CEO, National Health Care Anti-Fraud Association “NHCAA”

Panel:

Rick Munson, Program Integrity Chief Compliance Officer & VP of Investigations, United Health Care

Kelly Sauders, Consulting, Deloitte & Touche, LLP

Gary Cantrell, U.S. Dept. of Health & Human Services, OIG-OI-Law Enforcement