Orange County Regional Healthcare Compliance Conference

1. COVID-19 One Year Later from a Compliance Perspective

   Orange County Regional Healthcare Compliance Conference  | Presenter(s): Tamra Smith, Cambria Haydon, David Lane  | June 11, 2021 

   • Discuss how COVID has affected the compliance and privacy program

   • Learn about new elements of our compliance and privacy program that changed due to COVID

   • Present on opportunities that arose because of the pandemic

2. False Claims Act Liability in Post-Acute Care (Orange County Regional Healthcare Compliance Conference)

   Orange County Regional Healthcare Compliance Conference  | Presenter(s): Judith A. Waltz, Lori Laubach  | June 11, 2021 

   • Discuss theories of FCA liability and ways to reduce associated risk, including the increase in CMP notifications

   • Personal liability as it relates to FCA

   • Discuss risk areas such as physician certifications, “Worthless” services, staffing shortages, and substandard care in relation to survey deficiencies

   • Additional FCA risks related to insufficient documentation related to PHE waivers, COVIDrelated reporting and PPP/PRF reporting

3. Managing and Addressing the Residual CARES Act Provider Relief Fund (PRF) Compliance Risks

   Orange County Regional Healthcare Compliance Conference  | Presenter(s): Melaney Scott  | June 11, 2021 

   • Understand the residual risks of retained PRF, even if subject to a single or financial related audit

   • Consider the key compliance areas related to PRF funds

   • Discuss audit strategies to address the risks and compliance areas

4. Privacy and Security Changes Roundup

   Orange County Regional Healthcare Compliance Conference  | Presenter(s): Shirley Komoto, Leeann Habte, Deepak Chaudry, Margaret Hambleton  | June 11, 2021 

   • Become familiar with recent changes to behavioral health, health, and California privacy laws

   • Become familiar with the information blocking rule and related regulatory requirements

   • Gain an understanding of what these legal changes mean for healthcare providers and the compliance considerations

5. Recent Changes to Stark and AKS: What It Means for Compliance

   Orange County Regional Healthcare Compliance Conference  | Presenter(s): Robert F. Miller, Rick Rifenbark, Bradley Ellis  | June 11, 2021 

   • Understand recent changes to Stark and AKS and the reasons for such changes

   • Apply knowledge of these recent changes to historical arrangements as well as new arrangements being proposed

   • Sensitize participants to high-risk arrangements in light of the amended Stark and AKS regulations

   • Inform future compliance program workplans

6. Regulatory, Enforcement Updates, and Hot Topics

   Orange County Regional Healthcare Compliance Conference  | Presenter(s): Raja Sékaran  | June 11, 2021 

   • Obtain an overview of the significant legal developments in compliance and fraud & abuse since the new federal administration

   • Gain an appreciation for the kinds of information our attorney teammates seek from compliance professionals in evaluating legal risk

   • Ask the legal questions that one does not have time or resource to ask at work

7. Hot Topics and Regulatory Update

   2022 HCCA Orange County Regional Healthcare Compliance Conference  | June 17, 2022 

   • Recent Developments in Anti-kickback and Self-Referral Laws

   • OIG Scrutiny of Provider Relief Funds

   • Fraud Enforcement Trends in Medicare Advantage

   • Office of Health Care Affordability : Coming Soon!

8. Internal Healthcare Investigations: Step by Step

   2022 HCCA Orange County Regional Healthcare Compliance Conference  | June 17, 2022 

   • Learn Key Methods for organizing and conducting an investigation

   • Understand various types of witness interviews

   • Overview investigative report formats and report writing techniques

9. Information Blocking Check-up

   2022 HCCA Orange County Regional Healthcare Compliance Conference  | June 17, 2022 

   • Information Blocking Primer: Background, Definitions, Examples of Information Blocking activities, Key Regulatory Provisions, and important implementation dates

   • Industry Landscape: An overview of the current state, how healthcare entities are complying, and where the industry is headed

   • Privacy-related implications of the Information Blocking rules and the relationship to HIPAA/HITECH

   • The 8 Exceptions to the Information Blocking Provision

10. Notices, more notices, and yet more notices: Charity Care and Surprise Billing Compliance Issues

    2022 HCCA Orange County Regional Healthcare Compliance Conference  | June 17, 2022 

    • Updating and implementing charity care policies and procedures in compliance with state and federal laws

    • Ensuring you are providing patients and providers with the "right" notices at the right time pursuant to AB 1020, AB 532, and the No Surprises Act (NSA)

    • Implementing the NSA Good Faith Estimate (GFE) requirement uniformly across hospital-based clinics and physician practices, both now and with an eye towards future implementation by CMS

    • Consideration of the Select Dispute Resolution (SDR) process for uninsured patients

11. Growing the Compliance Program: Transforming the Compliance Auditing and Monitoring to the Three Lines Model

    2022 HCCA Orange County Regional Healthcare Compliance Conference  | June 17, 2022 

    • How to take a proactive risk management approach for coding compliance under the 7 Elements of an Effective Compliance Program

    • Utilizing the three lines model to improve compliance monitoring and operational buy-in

    • Developing a risk-based audit and monitoring program