2022 Clinical Practice Compliance Conference

1. News from the OIG Desk, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Trends in telehealth oversight and enforcement

   • Compliance and enforcement matters related to physicians

   • Update on the OIG Work Plan
     

2. Performance Management: How Compliance Can Impact Operational Effectiveness, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Understanding the importance of establishing a comprehensive governance structure from board to department

   • Identify the critical functions for setting goals, monitoring performance, and ensuring comprehensive action plans

   • Utilizing an effective methodology to achieve your organizational goals
     

3. Patient Portals and More: Addressing Information Blocking and Other Recent Developments Impacting Patient Communications, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Develop approaches to patient portals that are reasonable and meet compliance obligations

   • Respond to patient requests outside portals in a compliant yet practical manner

   • Understand the key ways in which information blocking impacts patient communication practices

4. The Bull in the China Shop: Creating the Ultimate Internal Coding & Billing Compliance Program, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Explain the importance of an effective coding/billing compliance program

   • Demonstrate the impact an effective coding/billing compliance program has on the bottom line

   • Discuss how to create tools and resources for an effective coding/ billing compliance program

5. Balancing the Duty of Confidentiality and the Investigative Demands of Law Enforcement: An Ethical Analysis in Two Case Studies, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Identify when the police and the courts make reasonable vs. unreasonable demands of providers

   • Learn to frame the need to protect patient confidentiality as a standard of care compliance duty

   • Develop skills for communicating refusal to disclose patient information without being adversarial

6. Unprofessional Behavior: Key Challenges in Organizational Compliance, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Describe unprofessional behavior that undermine a culture of compliance

   • Identify connections between unprofessional behaviors and clinical outcomes

   • Demonstrate the importance of interdepartmental collaboration to identify and address unprofessional behavior

7. Stark Law Group Practice Definition and In-Office Ancillary Services Exception: Do We Comply?, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Understand the Stark Law basics as they apply to Physician Group Practices

   • Comply with Group Practice Definition/In-Office Ancillary Services Exception

   • Comply with Stark Law in Physician Organization/Group Practice

8. Using High Reliability Tools in Your Compliance Program, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Learn how to use High Reliability tools to improve the effectiveness of your compliance program

   • How to take a STAR moment, use SBARs, and when to ARCC potential compliance issues

   • How to use High Reliability tools to improve your compliance and HIPAA policies

9. Preparing for and Responding to Audits and Investigations, CP22

   2022 Clinical Practice Compliance Conference  | October 11, 2022 

   • Identify concrete actions that will improve your response to medical record requests

   • Understand why myths like "Do Not Send Any Outside Records" are both wrong and harmful

   • Obtain tips for writing appeal letters

10. Let's Talk About Compliance: Strategies for Communicating Compliance Risk, CP22

    2022 Clinical Practice Compliance Conference  | October 11, 2022 

    • Be Brief: What information should you be sharing with the C-Suite, and why?

    • Be Relevant: What to share with Physicians, APPs, and staff about Compliance and Risks?

    • Be Gone: What information is for your Compliance department only?

11. A New Look at Core Billing Issues (e.g., Incident-To, Split/Shared Services, Critical Care), CP22

    2022 Clinical Practice Compliance Conference  | October 11, 2022 

    • We'll review enforcement cases that are still occurring in these areas

    • What rules have changed or been updated regarding these topics

    • Practical tips for success in the real world as it relates to these risk areas

12. Advancing Your Cybersecurity Practices Through 405(d), CP22

    2022 Clinical Practice Compliance Conference  | October 11, 2022 

    • Provides additional context, guidance, and more concrete targets

    • Identifies controls specific to the size of the organization

    • Ensures alignment of threats and controls
      

13. You Acquired a New Practice: Now What?, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Integrating Compliance Program Essentials within 90 days of closing a new deal

    • Using due diligence reports to evaluate and establish a baseline for newly acquired practices

    • Developing program effectiveness assessment tools when resources are limited

14. Real World of Conflict of Interest (COI), CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Provide an overview of conflicts of interest: What is a conflict of interest? What types of conflicts are you (or should you be) managing?

    • Discuss the importance of CMS Open Payments and the OIG Special Fraud Alert of November 2020

    • Review Hypothetical "Real World" COI scenarios: what questions to ask; whom else to involve; next steps/managing a conflict

15. Coding Compliance Auditing and Monitoring for Physician Practices, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • The what and why behind compliance programs and differentiating between auditing and monitoring

    • Coding compliance monitoring activities

    • How to conduct coding compliance monitoring and auditing
      

16. Complying With the CMS Emergency Preparedness Rule: Infection Control and Cybersecurity FY2023 Priorities, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Learn attributes of CMS Emergency Preparedness Rule, focusing on new infection and cyber controls

    • Learn seven critical digital techniques to ensure annual compliance and effective emergency response

    • Review a digital schematic of compliance for one provider of five emergency response requirements

17. What's Love Got To Do With This...Privacy Matters!, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Why privacy and security is a family matter

    • PHI in my family, Oh My!

    • Discussion and scenarios when "love" went wrong

18. If You Build It, They Will Comply: One Healths System's Physician Compliance Program Implementation Journey, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Learn how to build a multi-faceted physician compliance program from the ground up

    • Learn how to engage stakeholders in program development, implementation, and optimization

    • Learn how to identify key audit risk areas in a physician compliance program

19. Physician Related Fraud Risk-Navigating Recent Enforcement Developments, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Discuss the healthcare enforcement trends in the U.S

    • Describe fraud & abuse by physicians in the ambulatory setting using case law to illustrate fraud

    • Provide guidance & recommendations to ensure compliance with federal and state laws to avoid fines
      

20. Clarifying EMTALA Confusion: Clinically Stable vs. Stable for Transfer vs. Stabilized, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Differentiate the use of the term "stable" in emergency department settings and with EMTALA

    • Describe the impact of "stabilized" versus "unstabilized" on transfers and discharges

    • List expectations for stabilizing treatment to stay in compliance with EMTALA

21. Identifying Key Compliance Risks and Developing Effective Training and Auditing Strategies, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Gain an understanding of key risk areas facing clinical practices

    • Learn how to approach risks using different assessment techniques: training, analytics, auditing

    • Demonstrate a continuous improvement process within your compliance program

22. CMS Updates, CP22

    2022 Clinical Practice Compliance Conference  | October 12, 2022 

    • Learn about newest initiatives and announcements from the CMS Office of Burden Reduction & Health Informatics

    • Understand CMS' Strategic Pillars, Framework for Health Equity, and recent actions to drive improvements

    • Gain insight on CMS' compliance-related priorities and rulemaking updates