HCCA Conference Slides and Recordings

  1. COVID-19 Compliance Landscape: Provider or Payer Perspective

    2020 Minneapolis Regional Healthcare Compliance Conference  | Presenter(s): Kelsey Brodsho Lawson, Ann Kinsella  | September 11, 2020 

    • Recognizing compliance risks during shifting federal and state requirements for coverage, cost-sharing and billing

    • Optimizing relationships with operational and financial staff to document decisions and mitigate risks

    • Enforcement priorities/trends and effective internal auditing and monitoring when resources are stretched

  2. Compliance Officer Panel (2020 Minneapolis Regional Healthcare Compliance Conference)

    2020 Minneapolis Regional Healthcare Compliance Conference  | Presenter(s): Cindy Matson, Tobi Tanzer, Lucky Wagner  | September 11, 2020 

    • Review the importance of a compliance program in today’s environment and share ideas to get a program started or revitalized

    • Discuss professional development and career progression in healthcare compliance, along with the challenges and benefits of the profession

    • Identify qualities of a successful compliance officer and hallmarks of a successful compliance program

  3. Current Fraud Trends & Public or Private Partnership

    2020 Minneapolis Regional Healthcare Compliance Conference  | Presenter(s): Gary Cantrell, Rick Munson  | September 11, 2020 

    • The value of private public partnerships in combatting health care fraud

    • OIG’s efforts to combat health care fraud schemes

    • COVID-19’s impact on health care fraud (emerging schemes and enforcement challenges)

  4. Designing Learner-Centered Compliance Education

    2020 Minneapolis Regional Healthcare Compliance Conference  | Presenter(s): Kelsey Arneson,  | September 11, 2020 

    • Methods for designing compliance education that won’t bore the audience

    • Adult learning principles to optimize learner outcomes

    • Easy-to-apply visual design tips to elevate the professionalism of your end product

  5. Fraud, Waste & Abuse Hot Topics (2020 Minneapolist Regional Healthcare Compliance Conference)

    2020 Minneapolis Regional Healthcare Compliance Conference  | Presenter(s): Steve Lokensgard, Jesse Witten  | September 11, 2020 

    • Understand the key concepts included in the proposed regulatory changes to the Stark Law and Anti-Kickback Statute and how they may affect future enforcement efforts

    • Learn about the temporary COVID-related waivers to the Stark Law and Anti-Kickback Statute

    • Be aware of current enforcement trends, including risks related to COVID-related funding

  6. Telemedicine and Professional Billing

    2020 Minneapolis Regional Healthcare Compliance Conference  | Presenter(s): Dawn Backlund, Kelly Cusick  | September 11, 2020 

    • Telemedicine pre- and post-COVID and future outlook

    • Changes in professional coding and documentation post-COVID and for 2021

    • Compliance hot spots and audit practices/ topics in these areas for 2021

  7. NIST Cybersecurity Framework: A Gold Standard for HIPAA Compliance; A U.S. Cyber Defense Standard

    2020 HCCA Web Conference  | Presenter(s): Ali Pabrai  | August 26, 2020 

    • Review how the NIST standard appropriately addresses HIPAA mandates

    • Walk through how the NIST cybersecurity framework aligns with NIST SP 800-53, NIST SP 800-34, NIST SP 800-61 and many others

    • Examine the organization and the specific requirements of the NIST cybersecurity framework

    • Step through the seven key steps to align your enterprise compliance program with the NIST cybersecurity framework

  8. CMS' Comparative Billing Reports: Compliance Tools for Physicians and Other Outpatient Providers

    2020 HCCA Web Conference  | Presenter(s): Kim Hrehor, Annie Barnaby  | August 25, 2020 

    • Learn about CMS’ CBR program, which supports efforts to educate providers and protect the Medicare Trust Fund

    • CBRs summarize Medicare Part B claims data for a provider, comparing their statistics to national data

    • CMS produces CBRs for a variety of topics that are vulnerable for improper Medicare payments

  9. The HCP (Health Care Professional) Compliance Toolkit: Security and Managing Data in a Digital World

    2020 HCCA Web Conference  | Presenter(s): Kristina Podnar, Hema Lakkaraju  | August 20, 2020 

    • Understanding the present health industry digital data landscape

    • How are HCPs impacted?

    • What and why HCPs need to understand the digital data landscape

    • Governance and compliance tools and processes to manage data holistically and in different contexts

    • Practical immediate steps and longer-term practices

  10. Have the Rules Changed for Compliance for Healthcare Provider Transactions Over the Past Three Decades

    2020 HCCA Web Conference  | Presenter(s): Max Reiboldt, Thomas D. Anthony  | August 18, 2020 

    • Review the past 30+ years and contrast with the current healthcare transaction landscape as well as identify the forces behind the changes in transactions considering what lies beyond today

    • Review simplicity of transactions of the 80’s and discuss political landscape and transactions of the 90’s; consider the legal/regulatory environment during these years

    • Examine the new era of transactions of the early 2000’s and evaluate features of “full” alignment of the 2010’s and beyond; consider how legal ramifications changed during these years and discuss the relative legal/regulatory and economic/governance challenges of transactions today versus 20-30 years ago

  11. Department of Justice and Office of Inspector General Enforcement & Compliance Update

    2020 HCCA Web Conference  | Presenter(s): Gabriel Imperato, Hannah Cross  | August 14, 2020 

    • COVID-19 and the Impact on Department of Justice and Office of Inspector General Enforcement Priorities

    • Department of Justice and Office of Inspector General Commitment to Fraud and Abuse Enforcement during the Pandemic

    • Anti-Kickback, Stark and False Claims Act Developments

  12. COVID-19 Workplace Safety Training Required in Numerous States

    2020 HCCA Web Conference  | Presenter(s): Michael Johnson  | August 13, 2020 

    • Which states require Covid-19 safety training?

    • Which states strongly recommend employers provide such training?

    • What topics must be addressed in the training in each of the required training states?

    • How does the training content differ in some states depending on your industry?

  13. How to Prescribe Opioids to Treat Pain and Avoid Legal Sanction

    2020 HCCA Web Conference  | Presenter(s): Alicia Davis  | August 10, 2020 

    • Learn what triggers a prescriber audit, define “best practice” and discuss state opioid prescribing requirements

    • Discuss how to effectively respond to a government inquiry/investigation: Embracing the vulnerability assessment and corrective action plan

    • Where did they go wrong? Learn practical strategies to mitigate risk and demonstrate compliance through review of case studies involving government inquiry into provider opioid prescribing behaviors

  14. Telehealth - Perils and Pitfalls

    2020 HCCA Web Conference  | Presenter(s): James Dunnick  | August 03, 2020 

    • Discuss the origination of telehealth to understand our current and future needs

    • Recognizing the rules of payers and the laws of states

    • Discuss compliance rules with telehealth to protect your economics

    • Define the skill sets needed for the members of the telehealth team

  15. HIPAA Hot Topics and Current Trends

    2020 HCCA Web Conference  | Presenter(s): Kelly McLendon  | July 30, 2020 

    • Recap of the recent OCR guidance and their important topics and areas of focus

    • ONC 21st Century Cures Act Interoperability and Data Blocking rules

    • Other regulator's rules and guidance, SAMSHA, FTC, and Cures Act

    • Hot security topics such as ransomware, social media and engineering, hacking, mobile devices

    • Privacy and Security Risk Analysis and other assessments of privacy and security compliance

  16. Billing Compliance in Clinical Trial Operations - Mitigating Risk and Fundamentals

    2020 HCCA Web Conference  | Presenter(s): Sachit Verma  | July 29, 2020 

    • Understand Prospective Reimbursement Analysis for clinical research to ensure segregation of routine versus research-related protocol-required items and services

    • Manage strategies for budget development to enhance research revenue

    • Review billing grids to aid in front and back end billing process

    • Make key decisions in clinical research billing practices and compliance

  17. How to "Draft" the Right Staff onto your Compliance Team in the League of Healthcare

    2020 HCCA Web Conference  | Presenter(s): Donna Schneider  | July 23, 2020 

    • Link the US Department of Justice Evaluation of Corporate Compliance Programs guidance documents to the importance of having the right staff on your team

    • Identify the important soft skills and recognize observable behaviors that staff need to have along with the technical breadth of knowledge in order to be successful in the compliance field and engage in sometimes difficult conversations

    • Lessons learned on how to assess and work with your staff to be successful in their roles

  18. HIPAA, Data Security, and the Remote Workforce

    COVID-19 Essentials for Healthcare Compliance Programs  | Presenter(s): Catie Heindel, Ashley Huntington, Mark Lanterman  | July 21, 2020 

    • Assess HIPAA considerations in the new environment

    • Discover how to ensure remote workers are maintaining adequate security

    • Explore strategies for defending your organization from cyber breaches and attacks

  19. Managing the New Day-to-Day

    COVID-19 Essentials for Healthcare Compliance Programs  | Presenter(s): Margaret Hambleton, David Lane  | July 21, 2020 

    • How to adjust your program in light of the explosion of telehealth and new methods of serving patients

    • Effectively audit/monitor your programs

    • Revisiting your policies and procedures to meet the new reality

    • Learn 5 tactics for maintaining lines of communication with remote workers

  20. The Enforcement Environment: The Constants and Latest Priorities

    COVID-19 Essentials for Healthcare Compliance Programs  | Presenter(s): Robert DeConti  | July 21, 2020 

    • Learn OIG’s current enforcement priorities

    • Understand ongoing government actions and their implications on your compliance program

    • Apply the government’s expectations for behavior to your healthcare providers

  21. The New World of Billing and Coding

    COVID-19 Essentials for Healthcare Compliance Programs  | Presenter(s): Kimberly Huey, Sandra Giangreco Brown  | July 21, 2020 

    • Understand how to navigate the emergence of state-by-state rules that limit collections

    • Implement changes to Diagnostic Coding (pre-4/1/20 and post-4/1/20); Coding for new services; Cost sharing modifier CS

    • Recognize when Provider-Based Department billing (including patient home) could be claimed under a Medicare program

  22. Waivers, Telehealth, and The Latest Regulatory Changes from CMS

    COVID-19 Essentials for Healthcare Compliance Programs  | Presenter(s): Kimberly Brandt  | July 21, 2020 

    • Understand the full range of COVID flexibilities

    • Differentiate between Blanket Waivers and Requested Wavers

    • Recognize and understand how new Telehealth law changes impact your compliance program

  23. Using ADRs and Denials to Enhance Your Post-Acute Compliance Workplan

    2020 HCCA Web Conference  | Presenter(s): Kelly Murray, Sonu Kumar  | July 16, 2020 

    • Describe the process of the Targeted Probe and Educate prorgam

    • How to avoid the top denials for Hospice, Skilled Nursing Facilities and Long-Term Care

    • How to integrate ADR and denial metrics into your compliance work plan

  24. Q1-Q2 2020 Enforcement Trends and What They Mean For Your Company

    2020 HCCA Web Conference  | Presenter(s): Payal Salsburg  | July 15, 2020 

    • Assessing compliance risk in light of recent enforcement trends and whether the trends apply to your organization

    • Healthcare and Pharma enforcement risk areas, including financial relationships with medical providers, medical necessity of services, home healthcare and rehab facility fraud, and genetic/drug testing schemes

    • COVID-19 related concerns with telemedicine, false marketing of treatments, and accessing federal and state government monetary aid

  25. Telehealth Regulatory Changes for COVID-19

    2020 HCCA Web Conference  | Presenter(s): Chandra L. Stephenson, Janine S. Devine  | July 14, 2020 

    • Provide a very brief overview of the pre-COVID telehealth environment

    • Discuss the federal expansion waivers and related guidance provided

    • Compare/Contrast the categories of virtual health services