2020 Alaska Regional Conference

1. A Practical Approach to Risk Assessment and How it Ties to Compliance Effectiveness

   2020 Alaska Regional Conference  | Presenter(s): Betsy Wade  | February 28, 2020 

   • Understand how Risk Assessment, Monitoring and Auditing, Compliance Work Plans and Reporting drive compliance effectiveness

   • Learn how to quantify and track results to demonstrate compliance effectiveness to your Compliance Committee and Board

   • Tools and resources to help you assess your organization’s Compliance Effectiveness and measure results

2. Building an Effective Investigative Team

   2020 Alaska Regional Conference  | Presenter(s): Mike Sandulak, Stephanie Tasker  | February 28, 2020 

   • Evaluation: Identifying goals, assessing the current program, leveraging internal resources, and defining roles/responsibilities and scope of work. Ensuring investigations are valuable (consistent, high quality), variable (adaptable), and visible

   • Investigation program elements: Building the team (identifying the right investigators and partners, and developing the right knowledge and skills), assembling the critical tools for your investigation’s program, and developing metrics to monitor progress including real life application scenarios.

   • Communicating for success and sustainability: Delivering well-written and complete reports, demonstrating an effective investigations process to reporters and stakeholders, and obtaining buy-in from senior leaders, stakeholders, and your team

3. Clinical Trial Billing - A Tour through the Rules (and how to get your systems to do it for you)

   2020 Alaska Regional Conference  | Presenter(s): Wendy Portier, Cynthie Lawson  | February 28, 2020 

   • Understand how to apply the CMS clinical trial billing rules

   • Conduct a mock review of hospital and professional claims using a coverage analysis

   • Using systems to help streamline processes

4. The Art of Benchmarking for Risk: How to Target your Outliers without Needed a Math Degree

   2020 Alaska Regional Conference  | Presenter(s): Jared Krawczyk  | February 28, 2020 

   • 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)

5. Key Challenges in Cybersecurity

   2020 Alaska Regional Conference  | Presenter(s): Mark Boutwell  | February 27, 2020 

   • Investment in cybersecurity by an organization’s leadership is crucial to acquiring the necessary resources to implement and sustain a robust program.

   • Communication between the applicable organizational programs like cybersecurity, compliance, and training is critical to deliberate planning, implementation, and sustainment.

   • A training program that arms the workforce with the required knowledge and experience for today’s cyber threats.

6. Boards Oversight Role: The Right Questions to Ask

   2020 Alaska Regional Conference  | Presenter(s): Debbie Troklus  | February 27, 2020 

   • Understanding the Boards role in the compliance program

   • Designing board education

   • Questions that Board Members should be asking of the Compliance Officer

7. Cybersecurity and Safeguarding Healthcare Records

   2020 Alaska Regional Conference  | Presenter(s): Andrea Baker  | February 27, 2020 

   • Today's Threat Landscape

   • IT Security Maturity Assessment

   • Cybersecurity and its Impact on Healthcare

8. Updates from OCR in HIPAA Privacy, Security, and Breach Enforcement

   2020 Alaska Regional Conference  | Presenter(s): Danielle Archuleta  | February 27, 2020 

   • HHS/OCR updates and highlights

   • Recent enforcement activity

   • Focus areas for HIPAA compliance

9. Handling Self-Reports with The Alphabet Soup of Regulators

   2020 Alaska Regional Conference  | Presenter(s): Brian Flood  | February 27, 2020 

   • The basics of a Self-Report under federal and state rules

   • The requirements to make a due diligence inquiry, analyze for a repayment, make self-referral or all the above under the 60 Day Rule

   • How to make tactical and strategic decisions to meet the legal requirements

   • How to handle frequent business challenges that come with a review that may lead to a Self-Report