Orlando Regional Conference
February 2, 2018
Lake Buena Vista, FL
CEU Application | Conference Brochure
Managed Care/Enforcement and Compliance
Daniel Seifried, Manager, Deloitte Advisory Health Plans, Deloitte & Touche LLP
Kimberly Ramey, Deloitte & Touche LLP
L.T. Lafferty, CCEP, CHC, Partner, Holland & Knight LLP
- Enforcement Trends in Medicare Managed Care
- Impact of Enforcement Trends on Providers & Health Plans
- Proactive Approaches to Enforcement Trends
Presentation 1 (2 slides/page)
Presentation 1 (3 slides/page)
Presentation 2 (2 slides/page)
Presentation 2 (3 slides/page)
Corporate Integrity Agreements and Compliance Program Effectiveness
Bob A. Wade, Partner, Healthcare Department, Barnes & Thornburg LLP
Felicia E. Heimer, Senior Counsel, Office of Counsel to the Inspector General Office of Inspector General U.S. Department of Health and Human Services
- Key elements of a CIA
- Potential negotiable terms for a CIA
- How to use recent CIAs to shape an organization’s legal/compliance function
Presentation (2 slides/page)
Presentation (3 slides/page)
Discover How HHS–OCR Investigates Breaches, Determines Outcomes, Identifies Common Compliance Failures, and Tracks Results!
Emily Crabbe, JD, Investigator, U.S. Department of Health and Human Services, Office for Civil Rights, Southeast Region
- Describe the OCR investigation process to discover if a breach happened and did the entity take the measures necessary to safeguard Protected Health Information.
- Review HIPAA Hot Topics and common compliance failures identified in specific cases.
- Offer trends and statistics about reported cases and outcomes within the Southeast Region.
Compliance and Overpayments
Karen Makara, Executive Director, Ernst & Young LLP
Gabriel Imperato, CHC, Managing Partner, Broad & Cassel, LLP
- Is it voluntary or obligated?
- Report and repayment rule
- Resolution and releases
Presentation (2 slides/page)
Presentation (3 slides/page)
CIA Success Story: Settlement, Implementation, Effectiveness
Laura Ellis, Senior Counsel, Office of Counsel to the Inspector General, U.S. Department of Health and Human Services
Georgia Dodds Foley, former Amerigroup Chief Compliance Officer
Rita Isnar, Senior Vice President, Strategic Management (the Amerigroup IRO)
Hear the former Amerigroup Chief Compliance Officer, IRO representative, and OIG attorney- discuss how, after challenging settlement negotiations, Amerigroup embraced its CIA, worked with OIG, and improved the effectiveness of its Compliance Program
Presentation (2 slides/page)
Presentation (3 slides/page)
Telehealth Legal and Compliance Issues for Hospital Systems
Anna G. Small, MSN, JD, CNM, CHC, Chief Compliance Officer, Shriners Hospitals for Children
Thomas (T.J.) Ferrante, Attorney at Law, Foley & Lardner LLPTelehealth Legal and Compliance Challenges in Hospital Systems
- Changes to Medicare billing, coding and enrollment rules for telehealth services
- The growth of evolving “non-face-to-face” services and how they differ from traditional “telemedicine” services
- Trends in state medical board telemedicine practice standards
Presentation (2 slides/page)
Presentation (3 slides/page)
Enforcement and Compliance Update
Gabriel Imperato, CHC, Managing Partner, Broad & Cassel, LLP
Kelly Sauders, Advisory Partner, Deloitte
- OIG Work Plan Priorities
- Enforcement Developments
- Compliance Program Strategies for Managing Risk
Presentation 1 (2 slides/page)
Presentation 1 (3 slides/page)
Presentation 2 (2 slides/page)
Presentation 2 (3 slides/page)