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HHS-OIG Compliance Priorities for 2019 and Beyond

Christi Grimm Chief of Staff, OIG Dept of Health & Human Services

• Learn about the latest innovations in how OIG works to prevent healthcare waste, fraud, and abuse.
• Understand how OIG detects compliance issues, including the use of data to detect quality of care concerns.
• Hear about fraud trends in home- and community-based services, ancillary services including laboratories, and fraudulent telemarketing of durable medical equipment.


Today’s Compliance Issues

James Sheehan, JD Chief, Charities Bureau NY Attorney General

• #MeToo in Health Care- trends and Compliance officer responsibilities
• What your IRS 990 says about your organization, your program, and you
• The future of pharmaceutical patient assistance programs

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Hot Topics in Compliance: External Audit Activity and More

Robert Bacon, MHA VP & Billing Compliance Officer Penn Medicine, U. of Pennsylvania Health System

• Know the ABCs about TPEs: Evaluate institutional state of readiness;
• Gain appreciation for the proposed changes to Evaluation and Management services: Understand and plan for potential implications; and,
• Practical considerations for a billing compliance programs


Enforcement Trends – Compliance Investigations

Sean McKenna, JD Law Office of Sean McKenna, PLLC

• Hear from a former federal prosecutor about government compliance and enforcement trends.
• Obtain insights into how compliance investigations are initiated and handled.
• Learn leading compliance practices to reduce or mitigate enforcement actions.


Cyber Security: The Increasing Threat

Thomas Balcavage VP Information Security Thomas Jefferson University Hospitals
Jimmy Joseph Managing Director Deloitte & Touche LLP

• What is the current cyber risk landscape in the healthcare industry?
• How is cyber security becoming a business imperative in this day and age of health care reform and digital transformation?
• What are the regulatory/statutory/industry standard compliance drivers for cyber security in the healthcare industry and how to use them as an impetus to mature cyber security capabilities?


Privacy and Security: Beyond the Rules to Program Effectiveness

Terrie Estes, FACHE, CHC, CHPC VP Corporate Compliance & CCO Yale New Haven Health

• The rules we all know
• Effective monitoring and response
• Best practice in communication (Don’t tell me what not to do; tell me what to do)