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The Accidental Compliance Professional (Stories and Lessons Learned)

Roy Snell Former CEO SCCE/HCCA

• 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


Privacy is the New Security: Why Privacy Risks Are Overshadowing Security Risks

Marti Arvin VP, Audit Strategy CynergisTek

• Discussion of the common privacy risks faced by healthcare organizations
• Discussion of the implications of privacy issues in other industries and the impact on healthcare organizations
• Identifying ways to address the common privacy risks
• Update on the privacy enforcement activity including state and federal law


False Claims Act for Puerto Rico

Jorge Perez-Casellas Senior Director Ankura
Niurka I. Adorno González, JD, CHC Compliance Officer Molina Healthcare of Puerto Rico

• Discussion of the recent Puerto Rican False Claims Act
• Implications for Health Care organizations
• Compliance, Risk and Challenges


Crisis Management and Healthcare Services: Lessons Learned from Hurricane Irma and Maria

Caterina Lausell General Counsel MC-21 LLC
Marla Hadad Legal Affairs Director ASES

• HIPAA Privacy & Disclosures in Emergency Situations
• Business Continuity & Disaster Plan Compliance Effectiveness


Implementation and Effectiveness of Compliance Programs and Anatomy of a Corporate Integrity Agreement

Heidi Sorenson Of Counsel Foley & Lardner LLP
Lori Laubach Partner Moss Adams

• What regulators are expecting
• Discuss the board role and senior management accountability
• Ideas on how to assess the implementation, culture and effectiveness of your program


Auditing, Monitoring, and Investigations

Dwight Claustre, CHC-F, CHRC, CHPC President/CEO Healthcare Compliance Professional, LLC
LT Lafferty Partner Holland & Knight LLP

• Auditing & Investigations…What is similar and what is different?
• Auditing & investigations…Which comes first?
• Auditing & Investigations…Can they work together?



What to do When the Government Comes Knocking: An Insider Perspective on Government Subpoenas

Scarlett S. Nokes Counsel Bradley

• Learn how the government investigates cases and how certain healthcare providers come to the attention of the government
• Understand the government’s use of various investigative techniques including subpoenas, Civil Investigative Demands, and data analytics
• Take away practical proactive compliance steps to help steer clear of government scrutiny


Navigating the Changing Regulatory and Enforcement Landscape Relating to Opioids

Scott Grubman Partner Chilivis, Cochran, Larkins & Bever LLP
Silvia N. Colón Diversion Program Manager DEA-Caribbean Division

• A discussion of the government’s enforcement initiatives related to opioid fraud and abuse
• The mechanics of a government investigation and how to properly and effectively respond
• Proactive tips on how healthcare providers can avoid a costly investigation


Counsel and Compliance Professionals: Cooperating for Effective Compliance

Gabriel L. Imperato Managing Partner Nelson Mullins Broad and Cassel
Miglisa Capo-Suria VP Legal Affairs Metro Pavia Health System The External Counselor’s Role

• Investigation of situation • Discussion of strategy and defense (self disclosure or response to notice of violation)
• Decision making
• Frequent issues: overpayment The Internal Counselor’s Role
• Support in preparation of compliance and audit plan
• The frequent/daily issues and management tools
• New issues and support in development of policies
• Referral to external counsel when needed


Compliance Programs in Puerto Rico

Marie Muntaner Partner MM & Associates LLC,

• Healthcare Care sector in Puerto Rico - Road map and compliance approach
• New Medicaid Fraud Unit in Puerto Rico (Ley 154 de 23 de julio de 2018)
• Weakness in Medicaid Manage Care Organizations Office of Inspector General Report July 2018


Risk Assessments and Enterprise Risk Management

Lori Laubach Partner Moss Adams

• Understand risk assessment strategies to identify the highest risks to achieving organization objectives
• Identify ways to mitigate risk in key areas through internal audits or reviews
• Utilize effective processes to monitor and assess internal control performance over time