2020 Clinical Practice Compliance Conference

  1. Why Clinicians Should Be Concerned About the Stark Law and What to Do About It Now

    2020 Clinical Practice Compliance Conference  | Presenter(s): Steven W. Ortquist  | October 27, 2020 

    • Review the Stark Law, Anti-Kickback Statute, exceptions, and safe harbors

    • Discuss recent enforcement actions against physicians and physician practices

    • Examine critical compliance processes you can implement to mitigate Stark Law and Anti-Kickback Statute risk

  2. General Session: Short of Ventilators -- How We Wound Up Here Again, and Probably Will in the Future

    2020 Clinical Practice Compliance Conference  | Presenter(s): David N. Hoffman  | October 27, 2020 

    • When the COVID-19 pandemic passes, numerous task forces, workgroups, and blue-ribbon panels will be formed to draw lessons from the successes and failures of our current response efforts. But why were we so unprepared this time?

    • We know how we will respond after the pandemic passes because in each earlier public health emergency, we fell into the same scripted response

    • In this session, the presenter will describe his involvement in hospital planning in response to the SARS, MERS, H1N1, and Ebola events, and how compliance officers must make sure that lessons learned are implemented and not forgotten

  3. Incident To and Shared Visit Policy in Plain English

    2020 Clinical Practice Compliance Conference  | Presenter(s): David M. Glaser  | October 27, 2020 

    • Recognize why the statement “new problems cannot be billed incident to” is incorrect; in fact, the test is whether care is in the course of treatment

    • Recognize how private payers may apply different rules regarding shared visits and incident to

    • Learn to distinguish between “best practices” and “regulatory requirements”

  4. Integration of Safety Culture Training to Increase Compliance Awareness

    2020 Clinical Practice Compliance Conference  | Presenter(s): Pat Zawko  | October 27, 2020 

    • Add compliance training to safety culture training to increase compliance awareness

    • Embed compliance training in safety culture training to increase reporting

    • Integrate compliance training in safety culture training to make safer organizations and decrease patient harm

  5. The Physicians in My Practice Want to Get Involved in Clinical Research: What Do I Need to Know and Do?

    2020 Clinical Practice Compliance Conference  | Presenter(s): Jennifer J. Sartor, Sarah M. Couture  | October 27, 2020 

    • Research compliance basics for physician practice compliance officers

    • How to develop a simple research compliance plan

    • Best practices in implementing the research compliance plan while engaging physicians and practice administration

  6. Providers Coding and Documentation Audits. Data Mining and Collaborative Approach: The Key to Success

    2020 Clinical Practice Compliance Conference  | Presenter(s): Peiman Saadat  | October 27, 2020 

    • Create a constantly-evolving program

    • Use ongoing data mining, benchmarking, and trending alongside sampling reviews

    • Offer post-audit education and follow-ups

  7. HIPAA and Social Media

    2020 Clinical Practice Compliance Conference  | Presenter(s): Cathy Jefferson  | October 27, 2020 

    • HIPAA and social media are very challenging for our physician offices; this presentation will define this new era of communication

    • This presentation will help physician offices to make sure they are not violating HIPAA regulations as they relate to social media and what to do if you find yourself sitting in front of OCR

    • This presentation will provide tips and tricks to help educate your providers on how to participate in social media without violating HIPAA regulations

  8. Billing and Coding Cases Gone Wrong

    2020 Clinical Practice Compliance Conference  | Presenter(s): Jay McVean , C.J. Wolf  | October 27, 2020 

  9. Best Practices in Managing Third-Party Valuations

    2020 Clinical Practice Compliance Conference  | Presenter(s): Christopher Carnahan, Daniel P. Stech, Gary W. Herschman  | October 27, 2020 

    • Define, categorize, and scope types of valuations

    • Create internal standards, benchmarks, and valuation thresholds

    • Establish internal process flow, project management, and approval systems

  10. Reviewing Recent Activities Within the Opioid Crisis: Providers, Healthcare Entities, and Pharmaceutical Companies

    2020 Clinical Practice Compliance Conference  | Presenter(s): Karyn B. Holley  | October 27, 2020 

    • Review government agencies’ involvement, national statistics, scheduled substances, and indications for use of opioids

    • Examine recent events involving pharmaceutical companies, providers, and healthcare entities within the opioid crisis

    • Anti-Kickback Statute compliance tips for your program

  11. Building a Physician Practice Audit Program (That Your Physicians Will Appreciate!) (2020 Clinical Practice Compliance Conference)

    2020 Clinical Practice Compliance Conference  | Presenter(s): Mary A. Curry, Sarah M. Couture  | October 27, 2020 

    • Risk assessment: The foundation of your audit plan

    • Best practices for a physician practice audit plan

    • Essentials for physician and leadership engagement

  12. The New Normal: Benefits of Successfully Navigating Change in a Fast-Paced Health Care Workplace

    2020 Clinical Practice Compliance Conference  | Presenter(s): Scott Lesnick  | October 27, 2020 

    • Demonstrate a greater ability to successfully lead through and navigate a culture of change

    • Prepare a stronger vision to stay productive, engage as a leader, and develop stronger relationships at all levels, and three key factors that allow individuals to stress less, grow engagement, and produce even during challenging times

    • Improve your change management and communication skills to build a stronger, more agile staff/team, and learn to grow, mentor, and lead even during times of significant change

  13. Do the Right Thing: A Federally-Qualified Health Center's Response to a Randomized Audit by the Office of Inspector General

    2020 Clinical Practice Compliance Conference  | Presenter(s): Robyn M. Hoffmann  | October 27, 2020 

    • Provide an overview of the goals of the Health Resources and Services Administration’s Access Increases in Mental Health and Substance Abuse Services (AIMS) award of $200 million in supplemental funding to Federally Qualified Health Centers (FQHCs) in 09/17

    • Describe one FQHC’s approach in coordinating its response to the Office of Inspector General (OIG) randomized audit of AIMS grantees in May 2019

    • Outline the lessons learned by the FQHC at the close of the OIG’s on-site audit and the anticipated timeline for the OIG’s release of its final report

  14. From Provider to Researcher and Patient to Subject: Responsibility and Role Changes in the Conduct of Practice-Based Human Subjects Research

    2020 Clinical Practice Compliance Conference  | Presenter(s): John Baumann  | October 26, 2020 

    • Explore the responsibility and role transformations that occur when healthcare providers conduct research with their patients

    • Identify best practices for when healthcare providers conduct research with their patients

    • Avoid common mistakes when the provider/researcher and patient/subject roles are blended

  15. General Session: OIG Update - Advancing Oversight with Data and Analytics

    2020 Clinical Practice Compliance Conference  | Presenter(s): Renata Maziarz Miskell  | October 26, 2020 

    • Overview of HHS OIG

    • COVID-19 Oversight

    • Advancing Oversight with Data and Analytics

  16. General Session: The Seasoned Professional's Guide to Managing Stress and Preventing Burnout

    2020 Clinical Practice Compliance Conference  | Presenter(s): Sharon Grossman  | October 26, 2020 

    • Identify burnout’s symptoms for early intervention

    • Develop self-awareness to increase stress management and prevent burnout

    • Build up mental discipline to make you resilient to stress and burnout bulletproof

  17. HIPAA Security: Common Mistakes Made by Physician Practices

    2020 Clinical Practice Compliance Conference  | Presenter(s): Marti Arvin  | October 26, 2020 

    • Failure to conduct adequate user access monitoring

    • Lack of an adequate disaster recovery process, including a strong incident response plan

    • Deficient basic security measures on devices and networks

  18. Mitigating the Risks from Opioid Prescribing: A Legal and Medical Perspective

    2020 Clinical Practice Compliance Conference  | Presenter(s): Amy G. Fogelman, Jesse Caplan  | October 26, 2020 

    • Healthcare providers who engage in inappropriate opioid prescribing are increasingly subject to discipline by professional medical and nursing boards, civil medical malpractice liability, and, in the most egregious cases, criminal prosecution

    • Healthcare organizations should be proactive in ensuring they have effective opioid prescribing compliance programs that incorporate all relevant laws, regulations, CDC guidelines, and applicable standards of practice

    • This program provides detailed information on the risks of opioid prescribing and the associated elements of an effective compliance program from a former healthcare regulator and a physician with expertise in opioid prescribing practices

  19. E&M Documentation Changes for 2021

    2020 Clinical Practice Compliance Conference  | Presenter(s): Lynn Myers  | October 26, 2020 

    • Understand what’s changing and what’s not in 2021 for ambulatory office encounters

    • Learn to navigate the new MDM table

    • Update your knowledge of using time to select level of service

  20. Building a Risk-Based Audit Plan

    2020 Clinical Practice Compliance Conference  | Presenter(s): Frank D. Cohen  | October 26, 2020 

    • CMS has made it quite clear that healthcare providers need to step up their game with respect to risk-based audit methods. The day of the random probe audit is over

    • Both CMS and private payers have implemented advanced statistical systems that rely upon predictive analytics to identify high-value targets, meaning providers that are most likely to be tagged for an audit

    • In this session, attendees will learn about the Fraud Prevention System that is used by CMS to intercept payments for suspicious claims and how they can use more advanced analytics to improve their risk assessments and lower their audit risk

  21. Risk Matters That Merit Attention Amid a Crisis

    2020 Clinical Practice Compliance Conference  | Presenter(s): Valerie T. Cloud  | October 26, 2020 

    • Learn how to swiftly identify, track, and mitigate emerging risk

    • Learn how monitoring questionnaires and self-reporting tools can drive better internal controls and risk management

    • Learn how to manage and monitor your risk responses

  22. Uncovering Hidden Pitfalls in Medical Director Contracts

    2020 Clinical Practice Compliance Conference  | Presenter(s): Allison Pullins, Joseph A. Piccolo, Brian S. Colonna  | October 26, 2020 

    • Every hospital, no matter the size, has medical directorship agreements that contain numerous compliance risks, which may not be obvious to even rigorous compliance teams

    • Learn best practices to mitigate risks lurking in directorships, such as commercially unreasonable agreements, stacking, “shopping” for rates, and more

    • Don’t reinvent the wheel. Understand how to integrate best practice approaches to medical director contract compliance with your existing compliance and contracting program. No policy for medical directorships? Create one using simple guidelines

  23. Compliance and the Board: Challenges and Best Practices (2020 Clinical Practice Compliance Conference)

    2020 Clinical Practice Compliance Conference  | Presenter(s): Brian D. Annulis  | October 26, 2020 

    • Understanding challenges to effective board engagement

    • Using best practice communication with the board

    • Further enhancing the compliance/board connection