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HIPAA Privacy and TCPA as it Relates to Unsecure Text Messages

Paul R. Hales J.D. Attorney at Law Paul R. Hales, Attorney at Law, LLC

• Healthcare Email and Text Message Laws – Simple Steps to Avoid Danger
• HIPAA Privacy, Security Rules and 3 Step Safe Harbor
• CMS Conditions of Participation/Coverage
• Telephone Consumer Protection Act (TCPA)


Tips for Conducting Interviews During Internal Investigations

David Glaser Fredrikson & Byron, P.A.

• Strategies for gathering information: Should you use the carrot or stick?
• Recognize how some unconventional strategies, including telephone interviews, can be surprisingly effective.
• Learn how to educate witnesses while avoiding acts that may be considered obstruction of justice.


Clinical Trials Billing Compliance: Auditing and Monitoring Tactics

Allison Ritchie Senior Consultant, Protiviti Andy Smith Associate Director, Protiviti

• Clinical Trials: A regulatory overview
• Clinical Trials Billing: Auditing monitoring tactics
• Clinical Trials Billing Compliance Audit: A case study


DOJ and HHS Enforcement Trends

Bill Young Assistant Special Agent in Charge DHHS/OIG/OI
Suzanne Moore Assistant US Attorney US Attorney’s Office E District of MO

• Organizational of OI and EDMO USAO: Where do cases come from?
• Healthcare fraud trends nationally and in EDMO.
• Recent cases.


The Art of Benchmarking for Risk. How to Target Your Outliers Without Needing a Math Degree.

Jared Krawczyk Director, Nektar Analytics

• 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)


Medical Marijuana Panel

Jane Drummond General Counsel and Vice President of Legal Affairs, Missouri Hospital Association

Steve Levine Partner, Husch Blackwell LLP
Dr. Sam Bhayani Chief Medical Officer of Washington University Faculty Practice Plan
Dr. Sunil Sinha Vice President and Chief Medical Officer of BJC Medical Group

• Patient Certification – Process and Issues
• Legal and Ethical Considerations for the Practitioner
• Organizational Compliance Concerns