Welcome and Announcements

Regulatory, Enforcement Updates and Hot Topics Raja Sekaran, Partner, Nossaman LLP

• Obtain an overview of the significant legal developments in compliance and fraud & abuse since the new federal administration
• Gain an appreciation for the kinds of information our attorney teammates seek from compliance professionals in evaluating legal risk
• Ask the legal questions that one does not have time or resource to ask at work

COVID-19 One Year Later from Compliance Perspective Cambria Haydon, Chief Privacy Officer, Exec Dir Comp Services, Providence St. Joseph Health David Lane, Chief Compliance Officer, Providence St. Joseph Health Tamra Smith, Compliance/Privacy Manager, Providence

• Discuss how COVID has affected the compliance and privacy program
• Learn about new elements of our compliance and privacy program that changed due to COVID
• Present on opportunities that arose because of the pandemic

Break

Managing and Addressing the Residual CARES Act Provider Relief Fund (PRF) Compliance Risks Melaney Scott, Health Care Consulting Senior Manager - Internal Audit, Moss Adams

• Understand the residual risks of retained PRF, even if subject to a single or financial related audit
• Consider the key compliance areas related to PRF funds
• Discuss audit strategies to address the risks and compliance areas

Mid-Conference Break

Networking and Discussion Connect with your fellow attendees and enjoy a free-flowing conversation about what stood out during the morning sessions or a compliance challenge you want feedback on. The objective here is to enable conference participants to network with and learn from each other and help overcome the isolation of the past months. This optional networking event will be held on Zoom and participants may choose to be on camera.

Privacy and Security Changes Roundup Margaret Hambleton, President, Hambleton Compliance, LLC Shirley Komoto, Risk Advisory Services, Senior Manager, BDO Deepak Chaudry, Advisory Director, Strategy,Technology & Transformation, BDO Digital Leeann Habte, Partner, Best, Best ,& Krieger, LLC

• Become familiar with recent changes to behavioral health, health, and California privacy laws
• Become familiar with the information blocking rule and related regulatory requirements
• Gain an understanding of what these legal changes mean for healthcare providers and the compliance considerations

Break

False Claims Act Liability in Post-Acute Care Lori Laubach, Partner, Moss Adams, LLP Judith Waltz, Partner, Foley & Lardner

• Discuss theories of FCA liability and ways to reduce associated risk, including the increase in CMP notifications
• Personal liability as it relates to FCA
• Discuss risk areas such as physician certifications, ,worthless, services, staffing shortages, and substandard care in relation to survey deficiencies
• Additional FCA risks related to insufficient documentation related to PHE waivers, COVID-related reporting and PPP/PRF reporting

Break

Recent Changes to Stark and AKS: What It Means for Compliance Robert Miller, Partner, Hooper, Lundy & Bookman, P.C. Bradley Ellis, Corporate Vice President, General Counsel, Scripps Health Richard Rifenbark, Principal, Polsinelli

• Understand recent changes to Stark and AKS and the reasons for such changes
• Apply knowledge of these recent changes to historical arrangements as well as new arrangements being proposed
• Sensitize participants to high-risk arrangements in light of the amended Stark and AKS regulations
• Inform future compliance program workplans

Conference Adjourns