Orange County Regional Healthcare Compliance Conference
Virtual , Pacific Daylight Time (PDT)Agenda
Friday, June 17
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08:30 AM - 09:30 AMHot Topics and Regulatory Update Charles Oppenheim, Partner, Hooper Lundy Bookman, PC Stephanie Gross, Associate, Hooper, Lundy & Bookman, PC
- Recent Developments in Anti-kickback and Self-Referral Laws
- OIG Scrutiny of Provider Relief Funds
- Fraud Enforcement Trends in Medicare Advantage
- Office of Health Care Affordability : Coming Soon!
Basic -
09:30 AM - 09:45 AMBreak
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09:45 AM - 10:45 AMInternal Healthcare Investigations: Step by Step Christie Moon, Principal, Moon Compliance Consulting, LLC
- Learn Key Methods for organizing and conducting an investigation
- Understand various types of witness interviews
- Overview investigative report formats and report writing techniques
Basic -
10:45 AM - 11:00 AMBreak
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11:00 AM - 12:00 PMInformation Blocking Check-up Deepak Chaudry, Senior Managing Director, Digital Health - HeaIth Solutions, FTI Consulting Matthew Schwartz, Senior Director Health Solutions , FTI Consulting
- Information Blocking Primer: Background, Definitions, Examples of Information Blocking activities, Key Regulatory Provisions, and important implementation dates
- Industry Landscape: An overview of the current state, how healthcare entities are complying, and where the industry is headed
- Privacy-related implications of the Information Blocking rules and the relationship to HIPAA/HITECH
- The 8 Exceptions to the Information Blocking Provision
Basic -
12:00 PM - 12:45 PMMid-Conference Break
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12:45 PM - 01:45 PMWhat you Need to know about the Post Acute World :Home Health- Hospice and Skilled Nursing Facilities Sandra Piersol, Compliance Officer, McBee, a division of Netsmart Technologies, Inc.
- Home Health; Risk areas in Home Health, Discuss CMS and OIG audit focus, Value-Based purchasing Overview
- Hospice; What is hot in Hospice, Quality indicators and public reporting
- Skilled Nursing Facilities; Key Goals in OIG nursing home oversight, Private Equity interest and how the Biden administration will look at this
Basic -
01:45 PM - 02:00 PMBreak
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02:00 PM - 03:00 PMNotices, more notices, and yet more notices: Charity Care and Surprise Billing Compliance Issues Felicia Sze, Founding Partner, Athene Law, LLP Eric Chan , Partner, Athene Law, LLP
- Updating and implementing charity care policies and procedures in compliance with state and federal laws
- Ensuring you are providing patients and providers with the “right” notices at the right time pursuant to AB 1020, AB 532, and the No Surprises Act (NSA)
- Implementing the NSA Good Faith Estimate (GFE) requirement uniformly across hospital-based clinics and physician practices, both now and with an eye towards future implementation by CMS
- Consideration of the Select Dispute Resolution (SDR) process for uninsured patients
Basic -
03:00 PM - 03:15 PMBreak
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03:15 PM - 04:15 PMGrowing the Compliance Program: Transforming the Compliance Auditing and Monitoring to the Three Lines Model Jalanna McNab, VP, Compliance Monitoring & Regulatory Support, LifePoint Health
- How to take a proactive risk management approach for coding compliance under the 7 Elements of an Effective Compliance Program
- Utilizing the three lines model to improve compliance monitoring and operational buy-in
- Developing a risk-based audit and monitoring program
Basic
Session Levels
All sessions have a knowledge level associated with them, these levels are just guidelines and you are free to attend sessions of any level.
Basic: Program knowledge level most beneficial to Compliance Professionals new to a skill or an attribute. These individuals are often at the staff or entry level in organizations, although such programs may also benefit a seasoned professional with limited exposure to the area.
Intermediate: Program knowledge level that builds on a basic program, most appropriate for Compliance Professionals with detailed knowledge in an area. Such persons are often at a mid-level within the organization, with operational or supervisory responsibilities, or both.
Advanced: This level focuses on the development of in-depth knowledge, a variety of skills, or a broader range of applications. Advanced level programs are often appropriate for seasoned professionals within organizations, and professionals with specialized knowledge in a subject area.