25th Annual Compliance Institute

1. H1E Program Integrity Compliance & FWA Innovation Using Data Intelligence

   25th Annual Compliance Institute  | Presenter(s): Matthew Berls, Kristen Vigoren, Michael Jurmu  | April 22, 2021 

   • What is Program Integrity Compliance role (vs business role)

   • The new frontier in prevention

   • Using data intelligence to support regulatory compliance

2. H1B Compliance and Liability Considerations for Physicians and Organizations Employing Physician Assistants and Nurse Practitioners: A Review of Case Law and Complaints

   25th Annual Compliance Institute  | Presenter(s): Kevin Hickman  | April 22, 2021 

   • Discuss compliance concerns arising from changes to the BBA and SSA related to the use of PAs and NPs

   • Identify case law involving PAs, NPs, physicians, and organizations demonstrating compliance risks

   • Describe strategies to reduce risks of violating the AKS and FCA when employing PAs and NPs

3. H1D How to Become a Data-Driven Compliance Professional

   25th Annual Compliance Institute  | Presenter(s): Joseph Zielinski, James Rough  | April 22, 2021 

   • Discussion of how to incorporate data and metrics into your compliance program using DOJ's Guidance on the Effectiveness of a Compliance Program and OIG-HCCA Measuring Compliance Program Effectiveness as a foundation

   • See how to use the data you are already collecting to measure the effectiveness of your program

   • Attendees will have the opportunity to review and receive a tool that they can use to apply a data-driven approach to measuring their compliance program's effectiveness and demonstrate how their compliance program aligns with government requirements

4. H1F PDPM Year One: Insights from the Auditors

   25th Annual Compliance Institute  | Presenter(s): Karyn Kurth, Amie Martin, Shelly Maffia, Stacy Baker  | April 22, 2021 

   • Understand system, coding, and documentation risk areas identified by auditors in year one of PDPM

   • Discuss work plan auditing and monitoring recommendations to mitigate PDPM risks

   • Describe strategies employed by successful providers to overcome key PDPM compliance challenges

5. H4G Compliance Program Transformation: Opportunities, Strategies, and Creative Approaches

   25th Annual Compliance Institute  | Presenter(s): Dhara Satija, Thomas Delegram  | April 22, 2021 

   • Discuss ways to assess, innovate and transition from reactive to proactive mode of managing risks

   • Learn how to apply agile approach in compliance operations with clearly-defined goals and priorities

   • Gain insights into various value levers for reimagining and transforming day-to-day compliance operations

6. H1G Conducting a Rehab-Focused Risk Assessment: Identifying & Mitigating Your Risks

   25th Annual Compliance Institute  | Presenter(s): Yolunda Dockett, Holly Hester  | April 22, 2021 

   • Identify key elements of a rehab-focused compliance risk assessment

   • Discuss prioritization of risk assessment results

   • Describe a sample mitigation plan for identified risks

7. H1H Pandemics, Politics, and Value-Based Models, Oh My!

   25th Annual Compliance Institute  | Presenter(s): Elizabeth Mills, Kristen Woodrum, Justin Chamblee  | April 22, 2021 

   • The current status of value based models: what’s new, what’s in, what’s out, what the future may hold

   • An in-depth practical, legal and financial analysis of the impact recent events have had and/or may have on these models: COVID-19, Stark and AKS changes, CMS 2021 Final Rule

   • Real-world challenges organizations face in effectively implementing value-based models and practical strategies to mitigate those challenges

8. H1I The Roles of the Compliance Officer and the General Counsel

   25th Annual Compliance Institute  | Presenter(s): Laura Ellis, Cynthia Patton, Jack Rovner  | April 22, 2021 

   • The role of the compliance officer and the general counsel in the organization

   • The reasons why healthcare entities have different people fill these roles

   • The importance of a collaborative working relationship between compliance and legal that respects their separate roles

9. H3F Executive Compensation in Nonprofit Healthcare Compliance Issues and Strategies

   25th Annual Compliance Institute  | Presenter(s): James Sheehan  | April 22, 2021 

   • Learn to apply the rules governing "reasonable compensation" benefits/perks and expense reimbursement to executives under IRS and state law

   • Develop and review compliant plans and review processes for nonprofit executive compensation, including roles of compliance consultants, board compensation committees, and HR staff

   • Learn recent initiatives and executive compensation vulnerabilities from regulatory perspective, including employee loans, split interest life insurance, severance and change of control payments, terminal consulting agreements, and "poison pill" contracts

10. H1J Health Compliances Role in Multi-Unit, Cutting Edge AMC Investigations

    25th Annual Compliance Institute  | Presenter(s): Hoyt Sze, Kimberly Gillespie  | April 22, 2021 

    • Understand the mechanics of AMC investigations regarding high-risk issues affecting multiple units through discussion of a detailed case study

    • Apply strategies for ensuring investigation integrity while properly coordinating with other units

    • Identify privilege issues that might arise and how to address them