December 10, 2021
Houston Regional Healthcare Compliance Conference
Houston, TX, United StatesAgenda
Friday, December 10
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07:30 AM - 08:25 AMRegistration and Continental BreakfastHoustonTX
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08:25 AM - 08:30 AMWelcome and AnnoucementsHoustonTX
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08:30 AM - 09:30 AMPartnering to Reduce Healthcare Fraud and OIG Healthcare Fraud Trends Derek Simmons, Special Agent, OIG, HHS
- Inform participants on the mission of HHS and HHS organizational structure
- Discuss resources available to assist in the detection and prevention of healthcare fraud
- Provide participants with an overview of current healthcare fraud schemes/trends impacting the healthcare industry
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09:30 AM - 09:45 AMBreakHoustonTX
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09:45 AM - 10:45 AMEnforcement Update Sean McKenna, Partner, Spencer Fane LLP
- Hear from a former prosecutor and regulator regarding the state of affairs for healthcare providers, operational, and compliance professionals
- Catch-up on recent theories, trends, and outcomes in a variety of liability settings
- Gain insights into current state and federal enforcement initiatives
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10:45 AM - 11:00 AMBreakHoustonTX
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11:00 AM - 12:00 PMKicking tires and being at the right table: Delegation of Authority, Screening Vendors and Due Diligence Kenneth Zeko, Principal Advisor, Hall Render Advisory Services
- Identifying and scrutinizing 3rd party relationships
- Screening tips for vendors and other third parties
- Due diligence for vendors and other third parties
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12:00 PM - 01:00 PMLunch (provided)HoustonTX
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01:00 PM - 02:00 PMConsidering how Compliance Programs are Like the Weather Karen Spillar, VP, Enterprise Risk Management & Chief Compliance Officer, The University of Texas Health Science Center at Houston
- Understanding the importance of creativity and simplicity
- Implementing risk-based, easily-relatable measurement tools
- Using proactive tools to detect future risks
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02:00 PM - 02:15 PMBreakHoustonTX
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02:15 PM - 03:15 PMWhat you need to know about price transparency and surprise billing – then how should you monitor? Lori Laubach, Partner, Moss Adams, LLP Kinal Patel, Senior Counsel, Foley & Lardner LLP
- Understand the scope, risk, and impact of Federal price transparency rules
- Identify the provider requirements under the Federal No Surprises Act and Texas analogies
- Develop compliance strategies and audit processes to address price transparency and surprise billing requirements; and what compliance should consider if complaints are reported
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03:15 PM - 03:30 PMBreakHoustonTX
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03:30 PM - 04:30 PMFlying Under the Radar: Case Study in Data Driven Fraud Detection Ally Montillo, Investigator/IA, OIG, HHS
- Learn about the False Claims Act and national investigation into an alleged nationwide improper billing scheme
- Examine how enforcement actions can stem directly from the use of data analytics
- Identify and proactively combat fraud risks early in the healthcare context through the use of data analytics
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