2020 Virtual Compliance Institute (CI)

26. Remotely Speaking: Strategies for Effective Remote Employees and Their Employers

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Niurka I. Adorno, Tomi K. Hagan, Kym J. Creekmore  | March 31, 2020 

    • Oh so far, yet still so close: Optimizing the opportunities that remote employment provides

    • Going the distance: Avoiding the pitfalls and compliance concerns with remote employment

    • You don’t have to be there, to be there: Tools, tips, and tricks to keep everyone connected

27. Boot Scootin' Compliance Boot Camp: How to Lasso Your Leaders into Becoming Compliance Champions

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Shanna Luke, Jordan B. Muhlestein  | March 31, 2020 

    • Acquire a tool kit for creating a plan to engage leaders to become champions for addressing high-risk compliance issues

    • Discuss practical methods to deliver education to executives and physicians

    • Identify pitfalls inherent in education in a healthcare setting and suggestions of how to minimize them

28. How to Understand Information Security Risk for the Non-IT Professional

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Ken Satkunam, Mark Schlader, Deanna Allen  | March 31, 2020 

    • Understand how to prioritize information security risks that have been identified through a risk analysis

    • Learn how to work cohesively with IT to develop a risk management plan that everyone can understand, accept, and realistically accomplish

    • Learn how to more effectively communicate information security risk and HIPAA Security Rule compliance to executive management and board members

29. Compliance Essentials: Internal Investigations and Self-Disclosures

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Leia C. Olsen, Tamar Terzian, Lori A. Wink  | March 31, 2020 

    • Understand the legal and practical considerations when deciding how and when to report compliance issues

    • Learn the anatomy of a compliance investigation, including when to perform an audit, the goals of the review, the steps in conducting the investigation, corrective action and follow-up

    • Identify key strategies for successfully coordinating investigations between the compliance department, in-house legal department, consultants and outside counsel

30. Think Big. Think Small. Managing Conflict of Interest

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Nathan Perumal  | March 31, 2020 

    • How do you manage potential COI for your organization?

    • How to identify various potential COI scenarios for your organization? And for yourself?

    • A roadmap to managing COI. Keep it simple, for starters

31. Compliance and the Board: Challenges and Best Practices

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Brian D. Annulis  | March 31, 2020 

    • Challenges to effective Board engagement

    • Communicating with the Board: Education and reporting

    • Continuing improvement: Further developing the compliance Board connection

32. GENERAL SESSION: Integrity

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Jenny O'Brien, Roy Snell  | March 31, 2020 

    • Can integrity be taught and measured?

    • What, if anything, can compliance officers do to improve integrity?

    • What are the factors that erode integrity that compliance teams should watch for?

33. Opioid Crisis: Big Pharma Got Us Here - Can Compliance Get Us Out?

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Cindy W. Hart, Jackie Robertson-Gutshall, Chris Covington  | March 31, 2020 

    • Discuss when Big Pharma execs became aware of opioid abuses and what actions they took (or did not take). Let’s talk about Project Tango

    • Learn how various government agencies are working to combat the opioid crisis through litigation, education, and a host of government and state regulations

    • Explore the role of compliance in the opioid crisis: From ethical sales campaigns, to PhRMA code adherence, to effective monitoring and auditing

34. The Laboratory Risk Assessment: The Process, the Top Risks, and What to Audit

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Andrea Treese Berlin, Barbara L. Senters  | March 31, 2020 

    • Review risk assessment best practices to create multidisciplinary teams to provide insight to vulnerabilities and to foster operational acceptance and implementation of compliance protocols into functional processes

    • Discuss a deep dive of top laboratory fraud and abuse risks

    • Discuss and receive suggested audit protocols to address lab risks as a basis for any laboratory compliance plan

35. Privacy Readiness: Do You Know Where Your PHI Lives with Medical Device Companies

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Kay Kay Chan, Alison Brunelle, Jason Vendel  | March 31, 2020 

    • Privacy regulations and enforcement continue to rise. With the new California Consumer Privacy Act (CCPA), General Data Protection Regulation (GDPR), and HIPAA, scrutiny is placed on entities to create effective privacy programs

    • This session will discuss a real life case study with a client who is a downstream privacy business associate of healthcare systems and provider groups

    • Do you know what happens to the data? How do medical devices develop controls to support downstream HIPAA compliant regulations? What privacy efforts are put in place when medical devices are operating across different countries?

36. The New Kids on the HIPAA Block: States' Attorneys Generals Join the Party

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Thora A. Johnson, Debra M. Lightner, Jaime Pego  | March 31, 2020 

    • In recent years, States’ Attorneys General have begun to exercise their authority to enforce HIPAA. In 2018, the total number of state settlements exceeded the total number of federal settlements

    • We will provide an overview of the life cycle of a State Attorney General action, along with recommendations for navigating the process and avoiding potential pitfalls

    • We will also discuss how to leverage such a challenging situation and use it as an opportunity to improve your organization’s overall privacy program and controls

37. Top IT and Cyber Risks to Include in Your Audit Plan-2020 Update

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Johan Lidros  | March 31, 2020 

    • The use and deployment of information technology (IT) is a critical success factor for healthcare organizations. The speed of change, complexity and new requirements in the technology arena impact the ability to manage risk and ensure compliance

    • In this session, participants will learn about the latest IT and cyber threats that can challenge their ability to deliver quality outcomes. They will learn how to best protect their data, ensure compliance and effectively monitor IT & cyber risks

    • We will discuss best practices in IT Governance and help participants become better prepared for the latest IT audit challenges. This will include references to excepted industry standards

38. We Cannot Make This Stuff Up: Tales of Non-compliance and Risk Management

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Susan Prior, Regina K. Alexander  | March 31, 2020 

    • Through a series of sometimes extreme and other times humorous stories of good employees making poor decisions, costly errors, near misses, squabbles, and scandals, the presenters will discuss a variety of “hot” healthcare regulatory compliance and risk management challenges, as well as some new twists on some perennial favorites

    • Risk mitigation strategies associated with the cases discussed, practical tips for surviving and thriving in a busy healthcare environment, and lessons learned will be shared with attendees

    • Presenters will interact with the attendees and solicit input and questions to provide attendees with takeaways they can apply to their own tactical response to compliance and risk management challenges in their own organizations

39. A Changing Landscape: Kickback and Self-Referral Developments

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Tony Maida, Katherine Bowles  | March 30, 2020 

    • Learn about the changes CMS and OIG proposed to the Physician Self-Referral Law and Anti-Kickback Statute and insights on what the final rule will say

    • Understand the newest kickback law— Eliminating Kickbacks in the Recovery Act of 2018 (EKRA)—and how it impacts your organization

    • Review the latest government enforcement efforts for lessons to apply in your compliance program

40. A New Trend: OIG Mandated Six-Year Lookback Audits and Voluntary Refunds

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Denise Leard, Wayne Van Halem  | March 30, 2020 

    • While not a new requirement, this presentation will discuss the new trend of OIG mandating providers perform a six-year lookback audit once they have completed and published an audit of their own

    • We will discuss the requirements of providers who find themselves in this situation and what actions they should take in order to reduce risk and mitigate the impact of such a review

    • Lastly, it will discuss the legal implications for providers who may be found to be noncompliant with the six-year lookback rule

41. Compliance Policies and Procedures 101: How to Develop and Manage Your Compliance Policies

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Glena Jarboe, Litany Webster  | March 30, 2020 

    • Policy management: Administration of your organizations policies

    • Policy development: What compliance policies should you have and how to develop them

    • Policy implementation: Communication, accountability, and ongoing assessment/review

42. Breaking Down the Walls: 3 Proven Ways to Decrease Compliance Risk in the Revenue Cycle

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Emilie Sturm, Dawn Crump  | March 30, 2020 

    • Identify the top three compliance risks in the revenue cycle: how to manage disclosure of PHI within revenue cycle departments, how to evaluate levels of direct payer access to EHR systems, and how to effectively unite revenue cycle departments

    • Assess new ways for compliance officers to work collaboratively with revenue cycle leaders to reduce risk, bridge communication gaps, and promote teamwork while also supporting billing integrity, revenue recovery for the organization

    • Offer real-world guidance to improve compliance in centralized revenue cycle environment with focus on shoring up specific business office processes that may lead to inadvertent PHI disclosures during payer conversations, audits, and disputes

43. Create the Village: The Compliance or Revenue Cycle or Quality Partnership

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Barbara J. Piascik, Kerri McCutchin  | March 30, 2020 

    • Demonstrate how successful engagement of revenue cycle and quality in the compliance journey can maximize the effectiveness of all three areas

    • Identify real-world examples of risk based data analytics impacting all three areas

    • Improve understanding of regulatory and data requirements for each area

44. Building a Physician Practice Audit Program (That Your Physicians Will Appreciate!)

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Mary Curry, Sarah M. Couture  | March 30, 2020 

    • Risk assessment: The foundation of your audit plan

    • Structuring a best practice physician practice audit plan

    • Engaging physicians and reporting audit results

45. HIPAA Update & Enforcement

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Timothy Noonan  | March 30, 2020 

    • Describe recent HIPAA enforcement actions and recognize patterns of noncompliance

    • Identify best practices for HIPAA compliance

    • Identity key strategies for managing cybersecurity threats

46. Part 2 Compliance: Where Nobody Knows Your Name

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Mary L. Legerski, Vicki Bokar  | March 30, 2020 

    • Learn how to operationalize key provisions of 42 CFR part 2 Confidentiality of Substance Use Disorder Patient Records including the following: Obtaining patient consent, sharing information for health information exchanges, etc.

    • Identify substance abuse records that may be accessible in your electronic health record system that you haven’t even thought about

    • Learn how to engage information technology staff and business associates to assist the compliance team in implementing necessary controls and processes for Part 2 compliance which may differ from the controls and processes already in place for HIPAA

47. EHR or Documentation Risks and Impacts on Care or Quality and Payments: 2021 Changes

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Colleen A. Dennis, Kenneth M. Jenkins  | March 30, 2020 

    • Risks associated with templates, copy and paste, etc.

    • 2021: A Brave New World

    • Impacts to compliance and audit function

48. OIG Developments

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Greg Demske  | March 30, 2020 

    • COVID-19

    • HHS Top Challenges

    • OIG in FY 2019

    • Legal Developments

    • Select Industry Sectors

49. GENERAL SESSION: CMS Update

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Kimberly Brandt  | March 30, 2020 

    • COVID-19 Resources

    • CMS Coronavirus Waivers & Flexibilities

    • Telehealth

50. How to Prepare and Respond under the New DOJ Corporate Compliance Programs Criteria Using Real Case Examples

    2020 Virtual Compliance Institute (CI)  | Presenter(s): Shawn Y. DeGroot, Brian Flood  | March 30, 2020 

    • Review the new 2019 DOJ Corporate Compliance Programs guidance

    • Discuss and compare the new criteria or emphasis in the new 2019 DOJ guidance with prior and related guidance from DOJ and HHS

    • Discuss methods to prepare your organization, leadership and compliance program to pass a review under the new guidance using real case examples