25th Annual Compliance Institute

  1. H1C Exclusions

    25th Annual Compliance Institute  | Presenter(s): Nicole Caucci, Donna Thiel, Joann Francis  | April 22, 2021 

    • Provide information on OIG’s exclusion authorities and processes as well as OIG’s guidance on screening for excluded individuals and entities, the effect of exclusion, and self-disclosure of the employment of excluded individuals

  2. H3C Clinical Research v. Innovative Medical Treatment: Understanding the Differences and Avoiding Unnecessary Risk

    25th Annual Compliance Institute  | Presenter(s): Jennifer Mallory, Carrie Hanger  | April 22, 2021 

    • The distinctions between clinical research and innovative medical treatment may be blurred. This presentation will discuss the reasons for the differences between the two, the reasons for those distinctions, and the risks of ignoring those differences

    • Topics covered will include humanitarian use devices, emergency use authorization, and emerging therapies, such as therapies for Covid-19

    • Participants will evaluate how to use these distinctions to align their internal procedures to make sure they are mitigating risk

  3. H4A Privacy Officer Roundtable: Part 2

    25th Annual Compliance Institute  | Presenter(s): Joan Podleski, Marti Arvin, Adam Greene  | April 22, 2021 

    • Highly interactive discussion of challenging privacy issues facing privacy officers, counsel, and staff

    • Audience-selected topics for discussion with the session facilitators and colleagues

    • Sharing of practical solutions from experts and peers for the tough day-to-day privacy struggles

  4. H3A Privacy Officer Roundtable: Part 1

    25th Annual Compliance Institute  | Presenter(s): Joan Podleski, Adam Greene, Marti Arvin  | April 22, 2021 

    • Highly interactive discussion of challenging privacy issues facing privacy officers, counsel, and staff

    • Audience-selected topics for discussion with the session facilitators and colleagues

    • Sharing of practical solutions from experts and peers for the tough day-to-day privacy struggles

  5. H4B Three Ways to Enhance Your Physician Compensation Review Process

    25th Annual Compliance Institute  | Presenter(s): Adam Klein, Heather Fields, Andrea Eklund  | April 22, 2021 

    • Learn where best-in-class policies fail to mitigate risk

    • Identify ways to increase flexibility and reduce stakeholder frustration

    • Implementing strategies for assessing aggregate risk as opposed to a case-by-case evaluation

  6. H2I 340B Drug Pricing Program: Recent Updates and Compliance Tips

    25th Annual Compliance Institute  | Presenter(s): Jonathan Labuhn, Noelle True  | April 22, 2021 

    • Know about the latest 340B Program legislative, regulatory, judicial, and industry developments

    • Have a roadmap of what to include in a 340B policy and standard operating procedure

    • Understand the importance of collaboration between compliance and operations for a good 340B Program

  7. H1A The Privacy & Marketing Dream Team: Developing and Maintaining a Professional Relationship with Your Marketing Department and Why It Matters

    25th Annual Compliance Institute  | Presenter(s): Lisa Taylor, Daniel Elmlinger  | April 22, 2021 

    • Leverage social media and your marketing team to monitor for online potential HIPAA violations

    • Collaborate with your marketing team to develop a more proactive privacy program

    • Learn why marketing and privacy can, and should, work together to help your organization succeed

  8. H3D Ways Leaders Can Engage in Compliance Leadership

    25th Annual Compliance Institute  | Presenter(s): Gino Santorio, Laura Ellis  | April 22, 2021 

    • Build strong intradepartment culture and interdepartmental relationships to improve E&C success

    • How executive and senior leaders lead compliance by word and deed

    • How executive and senior leaders can engage and mentor managers on managing for compliance

  9. H1B Compliance and Liability Considerations for Physicians and Organizations Employing Physician Assistants and Nurse Practitioners: A Review of Case Law and Complaints

    25th Annual Compliance Institute  | Presenter(s): Kevin Hickman  | April 22, 2021 

    • Discuss compliance concerns arising from changes to the BBA and SSA related to the use of PAs and NPs

    • Identify case law involving PAs, NPs, physicians, and organizations demonstrating compliance risks

    • Describe strategies to reduce risks of violating the AKS and FCA when employing PAs and NPs

  10. H1D How to Become a Data-Driven Compliance Professional

    25th Annual Compliance Institute  | Presenter(s): Joseph Zielinski, James Rough  | April 22, 2021 

    • Discussion of how to incorporate data and metrics into your compliance program using DOJ's Guidance on the Effectiveness of a Compliance Program and OIG-HCCA Measuring Compliance Program Effectiveness as a foundation

    • See how to use the data you are already collecting to measure the effectiveness of your program

    • Attendees will have the opportunity to review and receive a tool that they can use to apply a data-driven approach to measuring their compliance program's effectiveness and demonstrate how their compliance program aligns with government requirements

  11. H1F PDPM Year One: Insights from the Auditors

    25th Annual Compliance Institute  | Presenter(s): Karyn Kurth, Amie Martin, Shelly Maffia, Stacy Baker  | April 22, 2021 

    • Understand system, coding, and documentation risk areas identified by auditors in year one of PDPM

    • Discuss work plan auditing and monitoring recommendations to mitigate PDPM risks

    • Describe strategies employed by successful providers to overcome key PDPM compliance challenges

  12. H4G Compliance Program Transformation: Opportunities, Strategies, and Creative Approaches

    25th Annual Compliance Institute  | Presenter(s): Dhara Satija, Thomas Delegram  | April 22, 2021 

    • Discuss ways to assess, innovate and transition from reactive to proactive mode of managing risks

    • Learn how to apply agile approach in compliance operations with clearly-defined goals and priorities

    • Gain insights into various value levers for reimagining and transforming day-to-day compliance operations

  13. H1G Conducting a Rehab-Focused Risk Assessment: Identifying & Mitigating Your Risks

    25th Annual Compliance Institute  | Presenter(s): Yolunda Dockett, Holly Hester  | April 22, 2021 

    • Identify key elements of a rehab-focused compliance risk assessment

    • Discuss prioritization of risk assessment results

    • Describe a sample mitigation plan for identified risks

  14. H1H Pandemics, Politics, and Value-Based Models, Oh My!

    25th Annual Compliance Institute  | Presenter(s): Elizabeth Mills, Kristen Woodrum, Justin Chamblee  | April 22, 2021 

    • The current status of value based models: what’s new, what’s in, what’s out, what the future may hold

    • An in-depth practical, legal and financial analysis of the impact recent events have had and/or may have on these models: COVID-19, Stark and AKS changes, CMS 2021 Final Rule

    • Real-world challenges organizations face in effectively implementing value-based models and practical strategies to mitigate those challenges

  15. H1I The Roles of the Compliance Officer and the General Counsel

    25th Annual Compliance Institute  | Presenter(s): Laura Ellis, Cynthia Patton, Jack Rovner  | April 22, 2021 

    • The role of the compliance officer and the general counsel in the organization

    • The reasons why healthcare entities have different people fill these roles

    • The importance of a collaborative working relationship between compliance and legal that respects their separate roles

  16. H3F Executive Compensation in Nonprofit Healthcare Compliance Issues and Strategies

    25th Annual Compliance Institute  | Presenter(s): James Sheehan  | April 22, 2021 

    • Learn to apply the rules governing "reasonable compensation" benefits/perks and expense reimbursement to executives under IRS and state law

    • Develop and review compliant plans and review processes for nonprofit executive compensation, including roles of compliance consultants, board compensation committees, and HR staff

    • Learn recent initiatives and executive compensation vulnerabilities from regulatory perspective, including employee loans, split interest life insurance, severance and change of control payments, terminal consulting agreements, and "poison pill" contracts

  17. H1J Health Compliances Role in Multi-Unit, Cutting Edge AMC Investigations

    25th Annual Compliance Institute  | Presenter(s): Hoyt Sze, Kimberly Gillespie  | April 22, 2021 

    • Understand the mechanics of AMC investigations regarding high-risk issues affecting multiple units through discussion of a detailed case study

    • Apply strategies for ensuring investigation integrity while properly coordinating with other units

    • Identify privilege issues that might arise and how to address them

  18. H3G Weathering the Compliance Storm Forecast for the Future!

    25th Annual Compliance Institute  | Presenter(s): Debra Phillips, Steven Sample  | April 22, 2021 

    • Develop an approach for identifying, evaluating, responding to, and monitoring risks and opportunities. This method helps you develop a systematic approach to analyze both the internal and external environmental factors impacting your enterprise

    • How to partner with clinical stakeholders to identify risks impacting the enterprise and discover ways to develop a risk response strategy and cascade these risks and mitigation strategies throughout the organizational structure with C-Suite buy-in

    • Demonstrate an enterprise risk management model to include a risk register, risk assessment tool, sample interview questions, and risk project plan. These tools will help illustrate a method to methodology implement a comprehensive enterprise risk plan

  19. H2B Got Comparative Data? CBRs for Physicians or Other Outpatient Providers

    25th Annual Compliance Institute  | Presenter(s): Annie Barnaby, Kimberly Hrehor  | April 22, 2021 

    • Utilize CMS' provider-specific comparative data reports (CBRs) to focus on Medicare vulnerabilities. CMS produces CBRs on a national level in support of their efforts to protect the Medicare trust fund

    • Understand how to interpret a CBR and the potential benefits to an internal compliance program. The CBR supports adherence to coding guidelines, integrity of claims submission, and compliant operations

    • Access additional educational resources to support further compliance activities, such as training materials, a sample CBR, and national- and state-level aggregate data

  20. H3E Achieving Revenue Cycle Success Through Compliance

    25th Annual Compliance Institute  | Presenter(s): Kelsey Lawson, Rachel Pugliano  | April 22, 2021 

    • Connect compliance and the revenue cycle to best support operational success

    • Examine the differences and similarities between compliance and charge capture functions

    • Share examples that incorporate revenue cycle improvements as part of the compliance review

  21. H2C Anti-Kickback and Stark Law Developments: Where Are We Now and Where Are We Going?

    25th Annual Compliance Institute  | Presenter(s): Tony Maida, Amy Kearbey  | April 22, 2021 

    • Review policy clarifications and changes in the proposed (or final) AKS and Stark rules

    • Examine COVID-19 AKS and Stark waivers and planning for when they expire

    • Learn how to protect your organization and strengthen your compliance program on AKS and Stark

  22. H3B Physician Arrangements Compliance: Identifying, Assessing and Mitigating Physician Arrangements Risk

    25th Annual Compliance Institute  | Presenter(s): Steven Pratt, Kenneth Zeko, Jerry Lear  | April 22, 2021 

    • Identifying and assessing key physician arrangement risk areas

    • The types of compliance activities the government might expect to see

    • Practical steps to mitigate physician arrangements risk

  23. H2D Congratulations New Compliance Officer and Risk Manager and Infection Control and Accreditation, and those Other Duties

    25th Annual Compliance Institute  | Presenter(s): Sharon Taylor, D. Michelle Kinneer  | April 22, 2021 

    • Compare the skills and alignment when the compliance officer is responsible for more than one role

    • Describe the benefits and drawbacks when one has multiple roles and learn how to be successful

    • Critique presented scenarios identifying key aspects depending on the particular role or lens

  24. H2E Self-Audits: Are You Looking at the Right Data?

    25th Annual Compliance Institute  | Presenter(s): Tonja Wise  | April 22, 2021 

    • Planning the work: How do we decide where to audit?

    • Leveraging your resources: What do we really need?

    • Process and methodology: How much is too much?

  25. H4J 42 CFR Part 2 In Complex Service Settings

    25th Annual Compliance Institute  | Presenter(s): David Nelson  | April 22, 2021 

    • How to determine if you must implement 42 CFR

    • Electronic record access decisions

    • Framework for making documentable decisions