Thursday, February 27
07:30 AM - 08:25 AMRegistration and Continental Breakfast (provided)
08:25 AM - 08:30 AMWelcome and Opening Remarks
08:30 AM - 09:30 AMBreakout Sessions#HAK01Handling Self-Reports with The Alphabet Soup of Regulators Brian Flood, Partner - Attorney, Husch Blackwell LLP
HCCA#SAK01Training Programs - One size does not fit all! Ute Kragl, Former Compliance Officer, Department of Defense
- The basics of a Self-Report under federal and state rules,
- The requirements to make a due diligence inquiry, analyze for a repayment, make self-referral or all the above under the 60 Day Rule,
- How to make tactical and strategic decisions to meet the legal requirements and
- How to handle frequent business challenges that come with a review that may lead to a Self-Report
- Building an interactive and repeatable training program for the workforce.
- Interpret laws, regulations, and policies in layman’s terms, telling them the risks and consequences, and instilling an incident reporting culture.
- Conduct trend analysis and add to awareness updates.
09:30 AM - 09:45 AMNetworking Break
09:45 AM - 10:45 AMBreakout Sessions#HAK02Key Challenges in Cybersecurity Mark Boutwell, Technical Director, DoD
HCCA#SAK02Compliance Session TBD Sheryl Vacca, SVP/Chief Risk Officer, Providence St. Joseph HealthSCCE
- Investment in cybersecurity by an organization’s leadership is crucial to acquiring the necessary resources to implement and sustain a robust program.
- Communication between the applicable organizational programs like cybersecurity, compliance, and training is critical to deliberate planning, implementation, and sustainment.
- A training program that arms the workforce with the required knowledge and experience for today’s cyber threats.
10:45 AM - 11:00 AMNetworking Break
11:00 AM - 12:00 PMBreakout Sessions#HAK03Cybersecurity Audit to Protect Healthcare Records Andrea Baker, IT Manager, Risk Advisory Services, BDO USA LLPHCCA#SAK03Tips for Conducting Interviews During Internal InvestigationsSCCE
12:00 PM - 01:00 PMLunch (provided)
01:00 PM - 02:00 PMBreakout Sessions#HAK04A Practical Approach to Risk Assessment and How it Ties to Compliance Effectiveness Elizabeth Wade, Corporate Compliance Officer, Signature HealthCARE
HCCA#SAK04The Value a Compliance Committee Brings to Your Compliance Program Lea Fourkiller, Managing Director, Ankura Consulting
- Understand how Risk Assessment, Monitoring and Auditing, Compliance Work Plans and Reporting drive Compliance Effectiveness
- Learn how to quantify and track results to demonstrate Compliance Effectiveness to your Compliance Committee and Board
- Tools and Resources to help you assess your organization’s Compliance Effectiveness and measure results
- What is the value proposition for a Compliance Committee?
- Who should be a member of the Compliance Committee?
- What would a Compliance Committee agenda look like?
02:00 PM - 02:15 PMNetworking Break
02:15 PM - 03:15 PMBreakout Sessions#HAK05Compliance Session TBD Debbie Troklus, Senior Managing Director, Ankura Consulting GroupHCCA#SAK05Fraud, Bribery, Anti-Corruption Robert Mroz, Managing Director, Forensic Investigation & Litigation Svcs, BDO USA LLP Glenn Pomerantz, Partner, Forensic Investigation & Litigation Svcs, BDO USA LLP
- GDPR and its impact on anti-corruption investigations
- Risk assessment for corruption/DOJ’s re-evaluation of corporate compliance programs
- Case Studies: Corruption at the highest levels: Brazil, Israel, Canada
03:15 PM - 03:30 PMNetworking Break
03:30 PM - 04:30 PMBreakout Sessions#HAK06Updates from OCR in HIPAA Privacy, Security, and Breach Enforcement Danielle Archuleta, SEOS, U.S. Department of Health and Human Services
HCCA#SAK06Future Risk: Why Compliance Won’t be Good Enough and What to Do About It Howard Mannella, Managing Principal, Alternative Resiliency Services Corp
- HHS/OCR Updates and Highlights
- Recent Enforcement Activity
- Focus areas for HIPAA compliance
- Understand the changing nature of Risk, from blockchain to machine learning/AI to innovative political terror
- Understand WHY Compliance will not be enough to protect your organizations
- Take away practical tips and practices to immediately start moving from Compliance to Risk Reduction
Friday, February 28
08:30 AM - 09:30 AMContinental Breakfast (provided)
09:30 AM - 10:30 AMBreakout Sessions#HAK07Clinical Trial Billing - A Tour through the Rules (and how to get your systems to do it for you) Wendy Portier, Independent Consultant, Kelly Willenberg and Associates Cynthie Lawson, Consultant, Self-Employed
HCCA#SAK07Is Your Compliance Program Effective? Lea Fourkiller, Managing Director, Ankura Consulting Debbie Troklus, Senior Managing Director, Ankura Consulting Group Sheryl Vacca, SVP/Chief Risk Officer, Providence St. Joseph Health
- Understand how to apply the CMS clinical trial billing rules
- Conduct a mock review of hospital and professional claims using a coverage analysis
- Using systems to help streamline processes
- Discussion of measurements to be used to monitor effectiveness
- Discussion of the DOJ/HCCA/OIG effectiveness documents
- Interactive discussion conduct compliance effectiveness assessments
10:30 AM - 10:45 AMNetworking Break
10:45 AM - 11:45 AMBreakout Sessions#HAK08Federal Regulations for Research with Alaska Native People Terry Powell, IRB Administrator, Alaska Native Medical Center
HCCA#SAK08Compliance Session TBDSCCE
- 2018 Final Rule
- What Changed and What Stayed the Same
- Overview of Research Review with Alaska Tribal Health Organizations
11:45 AM - 12:45 PMLunch (provided)
12:45 PM - 01:45 PMBreakout Sessions#HAK09The Art of Benchmarking for Risk: How to Target your Outliers without needing a Math Degree Jared Krawczyk, Director of Analytics, Nektar Analytics
HCCA#SAK09Compliance Session TBD Miranda Strong, Associate General Counsel, Chief Ethics and Compliance Officer, Bering Straits Native CorporationSCCE
- 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)
01:45 PM - 02:00 PMNetworking Break
02:00 PM - 03:00 PMBreakout Sessions#HAK10Building an Effective Investigative Team Mike Sandulak, Director of Investigations, Providence St. Joseph Health Traci McCall, Compliance Specialist, Providence Health & Services Stephanie Tasker, Regional Compliance Director, Providence St. Joseph Health
HCCA#SAK10Cloud Computing and Mobility Mark Boutwell, Technical Director, DoDSCCE
- Evaluation: Identifying goals, assessing the current program, leveraging internal resources, and defining roles/responsibilities and scope of work. Ensuring investigations are valuable (consistent, high quality), variable (adaptable), and visible
- Investigation program elements: Building the team (identifying the right investigators and partners, and developing the right knowledge and skills), assembling the critical tools for your investigation’s program, and developing metrics to monitor progress including real life application scenarios.
- Communicating for success and sustainability: Delivering well-written and complete reports, demonstrating an effective investigations process to reporters and stakeholders, and obtaining buy-in from senior leaders, stakeholders, and your team
03:00 PM - 03:10 PMOverall Evaluation
Agenda subject to change.