Surviving a CIA

Glen Moyers Partner KPMG LLP
Felicia Heimer Senior Counsel, OIG
Diana Salinas Director of Compliance & Privacy Officer Leon Medical Centers

• Overview of the goals, objectives and specific elements of a CIA
• Tips on implementing and maintaining compliance, and establishing a good working relationship with OIG
• Case studies of “problematic” CIAs
• How strategies to survive under a CIA may be leveraged by all providers

Presentation
Evaluation

Fraud, Compliance and Telehealth

Thomas (T.J.) Ferrante Attorney Foley & Lardner Su Kim Operations Officer, OIG
Brian Martens Assistant Special Agent in Charge, OIG

• Recent enforcement trends as they relate to telemedicine
• Important fraud & abuse considerations for telehealth
• Strategies and emerging trends for compliant telehealth arrangements

Presentation
Evaluation

Compliance Scenarios and Resolutions

Gabe Imperato Managing Partner Nelson Mullins Broad and Cassel
Judy Ringholz VP & Chief Compliance Officer Jackson Health System

• Discussion of Hypothetical Compliance Matter; Report, Response and Resolution
• Internal Investigation of Reports of NonCompliant Activity
• Self Disclosure and Other Options for Resolution

Presentation
Evaluation

Privacy and Security Risk Assessment Best Practices

Connie Barrera Chief Information Security Officer, Information Technology Jackson Health System
Blaine Kerr Chief Privacy Officer Jackson Health System

• Understanding the cross-section between security and privacy to include deconstructing a robust security/privacy risk assessment program
• Analyzing the anatomy of a breach
• Operationalizing an enhanced systemwide security and privacy program and defining key measures of success

Presentation
Evaluation

Recent Developments and Physician Compensation Arrangements

Gabe Imperato Managing Partner Nelson Mullins Broad and Cassel

• Compliance Risk and Physician Compensation Arrangements: U.S. ex rel. Baklid-Kunz v. Halifax Medical Center; U.S. ex rel. Shackleford v. Tuomey Hospital; U.S. ex rel. Bookwalter v. University of Pittsburgh Medical Center.
• Application of Stark Law and Anti-Kickback Statute and Physician Compensation Arrangements; Fair Market Value and Prohibition on Payment Based on the Volume or Value of Referrals.
• Physician Compensation and Value Based Arrangements: Proposed Rules and Future Regulatory Modifications.
• Managing Risk and Physician Compensation Arrangements: Identification, Review and Advice.

Presentation
Evaluation

Developing an Ethical Culture

Judy Ringholz VP & Chief Compliance Officer Jackson Health System
Don Steigman Executive Vice President & Chief Operating Officer Jackson Health System

• Organizational Ethics: The Foundation for a Culture of Compliance
• Establishing an Ethical Foundation: The Role of Senior Leaders
• Top 5 Considerations for Laying the Foundation for Organizational Ethics

Presentation
Evaluation