25th Annual Compliance Institute

26. H3I Corporate Integrity Agreements: A Closer Look at How OIG and Providers Work with Independent Review Organizations

    25th Annual Compliance Institute  | Presenter(s): Amanda Copsey, Steven Ortquist  | April 22, 2021 

    • Background on CIAs and why they include an IRO and overview of the various types of IRO reviews, including newer updates

    • How data analytics and risk assessments factor in and keys to a successful IRO engagement

    • Lessons learned and takeaways beyond the CIA

27. H3J Telehealth: Where Do We Go from Here? Insights from a Panel of Strategy, Operations and Compliance Leaders

    25th Annual Compliance Institute  | Presenter(s): Megan Tucker-Hall, Neema Navai, Graeme Ossey, Charles Mazer  | April 22, 2021 

    • Hear from strategy, clinical operations and compliance leaders about their telehealth programs

    • Understand pain points and lessons learned during this period of accelerated telehealth growth

    • Discuss where the focus will be moving for future opportunities and planning

28. H4D From Compliance Support to Compliance Officer: Making it to the Top of the Compliance Profession

    25th Annual Compliance Institute  | Presenter(s): Jim Passey  | April 22, 2021 

    • Outline your career path to becoming a Compliance Officer

    • Apply strategies you can adopt immediately to begin your journey and set you up for success

    • Learn how to mentor up-and-coming compliance professionals to become a compliance officer

29. H4F COPS & OPS: Leveraging a Matrix Leadership Mindset to Achieve Compliant Operations in Hospice and Home Health

    25th Annual Compliance Institute  | Presenter(s): Kara Benedict, Adam Reed  | April 22, 2021 

    • Understand matrix management philosophy and how it differs from traditional organizational hierarchy

    • Describe the unique compliance challenges of the hospice and home health industry

    • Identify three opportunities to use this philosophy to achieve compliance in post-acute organizations

30. H4H The Evolution of FDR and Delegation Oversight: What are Health Plans Expecting of Their Providers?

    25th Annual Compliance Institute  | Presenter(s): Jennifer Village  | April 22, 2021 

    • Discuss plans expectations of providers; understand the role in identifying areas of noncompliance

    • Discuss CMS Program Audit trends and areas of increased scrutiny impacting access and quality to care

    • Discuss strategies to performing ongoing monitoring of compliance as a delegated medical group

31. H4I Evaluating and Executing Physician Practice Acquisitions in Today's Market

    25th Annual Compliance Institute  | Presenter(s): Lara Flatau, Brandt Jewell  | April 22, 2021 

    • Review industry trends as well as our client-based perspectives on physician practice acquisitions

    • Outline structural options and models for practice acquisition and affiliation; address viable alternatives to acquisition or sale and describe strategic considerations and implications for hospitals/health systems and provider groups

    • Discuss common pitfalls and recommendations for evaluating and executing practice acquisitions, and address key areas of due diligence from a legal, financial, and operational perspective

32. H1C Exclusions

    25th Annual Compliance Institute  | Presenter(s): Nicole Caucci, Donna Thiel, Joann Francis  | April 22, 2021 

    • Provide information on OIG’s exclusion authorities and processes as well as OIG’s guidance on screening for excluded individuals and entities, the effect of exclusion, and self-disclosure of the employment of excluded individuals

33. H3C Clinical Research v. Innovative Medical Treatment: Understanding the Differences and Avoiding Unnecessary Risk

    25th Annual Compliance Institute  | Presenter(s): Jennifer Mallory, Carrie Hanger  | April 22, 2021 

    • The distinctions between clinical research and innovative medical treatment may be blurred. This presentation will discuss the reasons for the differences between the two, the reasons for those distinctions, and the risks of ignoring those differences

    • Topics covered will include humanitarian use devices, emergency use authorization, and emerging therapies, such as therapies for Covid-19

    • Participants will evaluate how to use these distinctions to align their internal procedures to make sure they are mitigating risk

34. H4A Privacy Officer Roundtable: Part 2

    25th Annual Compliance Institute  | Presenter(s): Joan Podleski, Marti Arvin, Adam Greene  | April 22, 2021 

    • Highly interactive discussion of challenging privacy issues facing privacy officers, counsel, and staff

    • Audience-selected topics for discussion with the session facilitators and colleagues

    • Sharing of practical solutions from experts and peers for the tough day-to-day privacy struggles

35. H3A Privacy Officer Roundtable: Part 1

    25th Annual Compliance Institute  | Presenter(s): Joan Podleski, Adam Greene, Marti Arvin  | April 22, 2021 

    • Highly interactive discussion of challenging privacy issues facing privacy officers, counsel, and staff

    • Audience-selected topics for discussion with the session facilitators and colleagues

    • Sharing of practical solutions from experts and peers for the tough day-to-day privacy struggles

36. H4B Three Ways to Enhance Your Physician Compensation Review Process

    25th Annual Compliance Institute  | Presenter(s): Adam Klein, Heather Fields, Andrea Eklund  | April 22, 2021 

    • Learn where best-in-class policies fail to mitigate risk

    • Identify ways to increase flexibility and reduce stakeholder frustration

    • Implementing strategies for assessing aggregate risk as opposed to a case-by-case evaluation

37. H2I 340B Drug Pricing Program: Recent Updates and Compliance Tips

    25th Annual Compliance Institute  | Presenter(s): Jonathan Labuhn, Noelle True  | April 22, 2021 

    • Know about the latest 340B Program legislative, regulatory, judicial, and industry developments

    • Have a roadmap of what to include in a 340B policy and standard operating procedure

    • Understand the importance of collaboration between compliance and operations for a good 340B Program

38. H1A The Privacy & Marketing Dream Team: Developing and Maintaining a Professional Relationship with Your Marketing Department and Why It Matters

    25th Annual Compliance Institute  | Presenter(s): Lisa Taylor, Daniel Elmlinger  | April 22, 2021 

    • Leverage social media and your marketing team to monitor for online potential HIPAA violations

    • Collaborate with your marketing team to develop a more proactive privacy program

    • Learn why marketing and privacy can, and should, work together to help your organization succeed

39. H3D Ways Leaders Can Engage in Compliance Leadership

    25th Annual Compliance Institute  | Presenter(s): Gino Santorio, Laura Ellis  | April 22, 2021 

    • Build strong intradepartment culture and interdepartmental relationships to improve E&C success

    • How executive and senior leaders lead compliance by word and deed

    • How executive and senior leaders can engage and mentor managers on managing for compliance

40. W2C Reports of Non-Compliant Activity, Internal Investigations, Resolution and Self-Disclosure

    25th Annual Compliance Institute  | Presenter(s): Gabriel Imperato, Matthew Tormey  | April 21, 2021 

    • Methodology for internal investigations; establishment, personnel and resources, probable cause and preponderance of evidence, privilege, and findings of fact

    • Practical tips; investigation workplan, conducting interviews, collecting documents and e-data, establishing facts and final report

    • Resolution; remedial action and self-disclosure and managing the risk

41. WB1 Effective Compliance through Organizational Design

    25th Annual Compliance Institute  | Presenter(s): Donna Abbondandolo, Brian Mlinarsik, Brian Wells  | April 21, 2021 

    • Understand three types of options in compliance organization design

    • Compare and contrast beneficial characteristics of organizational designs

    • Determine an effective organizational design for your program

42. W3B Non-physician Provider Billing Compliance: Are Incident to and Split or Shared Regulations Giving You a Splitting Headache?

    25th Annual Compliance Institute  | Presenter(s): Debbie Bohr  | April 21, 2021 

    • Learn how non-physician providers can improve the effectiveness of patient care while still conforming to your compliance program

    • Gain valuable insight and understanding to the challenging billing requirements to ensure healthcare compliance while enhancing revenue opportunities

    • Gain knowledge of how to monitor and audit these practices while learning through scenarios and open discussion

43. W4I Harnessing Business Intelligence Systems to Enhance Response and Prevention for Incident Management (IM)

    25th Annual Compliance Institute  | Presenter(s): Victoria Hoshower, Kristine Koontz, Glenn Mummey  | April 21, 2021 

    • This presentation outlines how Keystone Human Service’s teams leveraged a power Business Intelligence (BI) system and transformed IM across a multi-State organization by accomplishing the following:

    • Combined targeted leadership with an agile, robust BI system to re-tool the associated IM process, content, and structures vital to effectively pursue continuous quality improvement at all levels of the organization

    • Surfaced and informed real-time critical incident information for trending, designing, implementing and monitoring targeted improvement initiatives at all levels across the organization (individual, programmatic, cohort and system-wide)

    • Empowered staff at all levels to navigate the increasingly complex IM landscape to ensure the health, safety and welfare of individuals by monitoring and responding in a targeted manner to those IM process and outcome measures in their respective areas

44. W3D Engaging Clinicians in the Compliance Effort

    25th Annual Compliance Institute  | Presenter(s): Colleen Dennis, Kenneth Jenkins  | April 21, 2021 

    • Finding clinicians who can help move compliance to high priority

    • Engagement of clinicians in training initiatives

    • Building relationships and processes that ensure clinicians are engaged in compliance

45. W1A Business Continuity and Disaster Recovery: A Critical Component of Compliance and Risk Management

    25th Annual Compliance Institute  | Presenter(s): Johan Lidros  | April 21, 2021 

    • Every healthcare organization claims to have a business continuity/disaster recovery (BCDR) plan; many are inadequate, resulting in risk of extended down time, patient safety, and non-compliance

    • For a BCDR plan to be effective, an organization needs well-defined roles/responsibilities, defined measurements with regular reporting to relevant executive stakeholders and committees (compliance, quality/patient safety, IT governance, etc.)

    • This session will explain all the key components of BCDR from a healthcare perspective, regulatory requirements, best practice frameworks and case studies of strong implemented BCDR programs

46. W3J Effectiveness Reboot: Rebuilding an Existing Program from Scratch

    25th Annual Compliance Institute  | Presenter(s): Monica Freedle, Samantha Karpenko  | April 21, 2021 

    • Learn what makes an effective compliance program through exploring MultiCare's redesign objectives

    • Understand the program's customers to provide and implement accessible resources (code/charter/plan)

    • Reinforce new program with a commitment to program visibility/image through continual effort/evals

47. W1B The Evolving Landscape of Clinical Documentation: Exploring the 2021 E or M Changes

    25th Annual Compliance Institute  | Presenter(s): Cindy Hart, Compliance Officer  | April 21, 2021 

    • To identify the influence of the 2021 E/M changes on provider documentation; evolution to time and MDM

    • To simplify the documentation review process and provide effective monitoring and auditing tools

    • To explore the impact of the 2021 changes across the care continuum

48. W4B Provider Compensation - A Valuator's Perspective: Where Do Your Risks Map?

    25th Annual Compliance Institute  | Presenter(s): Tom Schnack, Jacki Jacox  | April 21, 2021 

    • Review the existing provider compensation Fair Market Value (FMV) guidance

    • Discover how to evaluate risks using a risk assessment heat map

    • Apply a risk assessment heat map approach to assess risks associated with setting provider compensation

49. W1C Electronic Health Records: Regulatory Risks and Compliance Issues

    25th Annual Compliance Institute  | Presenter(s): Felicia Heimer, James Cannatti  | April 21, 2021 

    • An overview of recent settlements with EHR software companies resolving allegations of violations of the FCA, AKS, and non-compliance with EHR program requirements

    • Explore potential compliance risks that providers must monitor when using EHR

50. W1D Compliance Datamining and Benchmarking: How Data-Driven Decision Making Can Boost Your Compliance Program Success!

    25th Annual Compliance Institute  | Presenter(s): Peiman Saadat  | April 21, 2021 

    • Datamining basics: How to start a compliance datamining program from scratch and advance it

    • Benchmarking and trending: Outliers and proper follow ups

    • Communicating the results and resolutions with all the stakeholders