2023 HCCA Clinical Practice Compliance Conference

1. After the Public Health Emergency, What's Next for Telehealth?

   2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

   • Examine the flexibilities that have become permanent for Medicare reimbursement as well as those that have been extended through December 31, 2024, by the Consolidated Appropriations Act 2023

   • Understand the DEA's proposed permanent rules to allow the prescription of controlled medications via telemedicine for specific controlled substances and time periods with the end of the Ryan Haight Act

   • Discuss the end of the OCR's privacy enforcement discretion at the end of the PHE and its guidance on how to provide audio-only telehealth services in compliance with the HIPAA privacy rule

2. When Overpayments Become Reverse False Claims

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Everyone in healthcare compliance knows of the duty to return overpayments, but at what point are overpayments violating the False Claims Act?

   • Learn of the exact obligations providers have to identify and return overpayments

   • Learn about when retaining overpayments crosses a line, invites whistleblowers, and becomes a reverse false claim subject to treble damages to the government

3. A to Z's of Compliance and Privacy Clinic Walkthroughs

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Learn how to use compliance and privacy walkthroughs to validate program effectiveness and prioritize risk in a clinical environment

   • Compliance and privacy walkthroughs are more than just checking a box: Walk away with how-to's for getting buy-in, developing, beginning, and implementing your walkthrough assessment tools

   • Conducting compliance and privacy walkthroughs is not just for finding what is wrong but also for seeing what is working: Learn the many benefits of periodic walkthroughs and how to implement these findings across multiple clinics
     

4. Ensuring Compliance in CLIA-Waived Laboratories: Best Practices and Pitfalls to Avoid

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Fostering a culture of compliance and accountability within the laboratory

   • Maintaining documentation of laboratory testing and equipment maintenance

   • Building strong relationships with accrediting organizations and regulatory agencies

5. Making the Switch from Hospital Compliance to Clinical Practice Compliance: Lessons from the Field

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • How clinical practice compliance differs from hospital compliance and why it matters

   • Becoming an effective compliance department of one (or two)

   • Risk assessment and prioritizing compliance and privacy risks to make the most impact

6. The Practice Manager's Toolkit for HIPAA Compliance

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Provider's privacy and confidentiality obligations

   • Risk assessment tools to identify opportunities for improvement, including the use of EMR surveillance

   • Effective methods to train and reinforce a message of compliance

7. Assuring Medicare Compliance for Behavioral Health Services

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Classify the groups of behavioral health professionals that are eligible for Medicare reimbursement and identify the categories of other behavioral health practitioners who are eligible to render services based on incident-to guidelines

   • Develop a succinct telehealth training checklist for behavioral health clinicians, including the relevant Medicare timeline for when in-person visit requirements must be implemented

   • Create a Plan-Do-Study-Act (PDSA) model and an internal audit tool using Medicare's Checklist for Outpatient Psychiatric Services, to help assure that documentation meets the necessary program and patient criteria for Partial Hospitalization Program (PHP) and for Community Mental Health Center initial evaluations, treatment plans, and discharge plans
     

8. Effective and Efficient Compliance Training for Billing Providers

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Tips to develop a comprehensive training program

   • Scaling based on size and service line

   • Best practices and pitfalls to avoid
     

9. Medical Necessity Missteps

   2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

   • Review recent compliance enforcement actions due to medical necessity missteps

   • Explore ideas for proactively monitoring medical necessity

   • Enhance your knowledge of medical necessity risk areas

10. ICD-10-CM/PCS Coding Changes for 2024:What's Next?

    2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

    • Highlights from the new 2024 ICD-10-CM/PCS codes

    • Social Determinants of Health (SDoH): How does that affect payor and provider environments?

    • Changes in the Post PHE environment

11. Physician Compensation: Managing and Monitoring Compliance Risks

    2023 HCCA Clinical Practice Compliance Conference  | October 10, 2023 

    • Address key risks and mitigating factors associated with physician compensation arrangements

    • Review physician compensation models, including employed and contracted

    • Discuss various monitoring techniques to control risk and ensure compliance

12. Telemedicine: Navigating the Regulatory and Ethical Landscape

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

13. Understanding the Government's Data Analytics Capabilities and Using Data to Audit Physician Practices

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Understanding the Government's data analytics capabilities

    • Using claims data to monitor and audit physician practices

    • Current hot coding and billing areas and using data to mitigate risk in these areas

14. Compliance Considerations in Decentralizing Clinical Trials

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Describe the differences between centralized and decentralized clinical trials

    • Discuss the compliance considerations when decentralizing clinical trials

    • Discuss how to operationalize laws and regulations related to decentralized clinical trials

15. Anatomy of a Compliance Issue: The Progression Through the Seven Elements

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Every compliance issue implicates nearly all, if not all, of the seven elements of a compliance program

    • This session will take a compliance issue, analyze it against each element, and identify whether and how each element applies

    • We will address each element in the context of the issue and how its application can advance the correction and future detection or prevention of that issue

16. How-To: Vendor Compliance

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Who is considered a vendor?

    • Why are they important to the healthcare industry?

    • Challenges and risks of the vendor world

    • Making things easy- basics of a vendor oversight program

17. Adjusting Your RISK for FY 2024: HCC Coding and Documentation Compliance

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Discuss the elements of MEAT and TAMPERE

    • Evaluate documentation for proper HCC coding assignment

    • Discuss risk adjustment and managed care and how does it affect the bottom line for physician practices, hospitals, and ASCs

18. HIPAA and HITRUST: Evidence-Based Compliance

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Align HIPAA compliance with HITRUST certification in 2024

    • Review industry best practices for HIPAA compliance

    • Examine key steps for HIPAA audit readiness

19. A Healthcare Case Study in Fraud and Collaboration with Clinical and Medical Coding Teams

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • False Claims Act, Conflict of Interest, and Misrepresentation of a Provider were discovered during the investigation

    • Medical Practice Acquisition with little due diligence in costly litigation and complete dissolution of the practice

    • The varied experience allowed for unique and different transaction reviews resulting in the identification of additional fraud

20. Base Jumping: Climbing from a Medical Group to a Hospital Outpatient Department & Lessons Learned

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

21. EMTALA: Identify Your Risk and Develop Mitigation Strategies

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • Provide brief review of federal EMTALA requirements for hospitals

    • Identify EMTALA regulations at greatest risk for noncompliance

    • Discuss practical strategies to maintain compliance with EMTALA regulations

22. Build Your Business Through Better Decision Making

    2023 HCCA Clinical Practice Compliance Conference  | October 11, 2023 

    • The biggest mistakes people make when facing hard decisions

    • How stress and anxiety impact your decision-making

    • The perils of multitasking

    • Tips for managing stress before making decisions

    • The steps everyone can take to protect the long-term health of their brains