25th Annual Compliance Institute

  1. W4J Nothing is Certain but Change... Dealing with the Changing Compliance and Reimbursement Requirements in Telehealth

    25th Annual Compliance Institute  | Presenter(s): Tonja Wise  | April 21, 2021 

    • Now what? The current landscape of telehealth changes to coding and reimbursement

    • But do we really need to document so much? Complying with telehealth documentation requirements

    • What about methodologies? Can I use my FaceTime now? Updates to complying with communications

  2. WB3 COVID-19 Oversight: An Integral Part of an Effective Corporate Compliance Program

    25th Annual Compliance Institute  | Presenter(s): Ann Marie Hennessy  | April 21, 2021 

    • Understand the importance of COVID-19 regulations as part of your corporate compliance program

    • Understand the need for oversight of testing requirements, implementation, and documentation

    • Importance of educating board of trustees and staff on facility's COVID-19 oversight and compliance

  3. WB4 Controlled Substance Diversion Prevention Programs: What Should You Do?

    25th Annual Compliance Institute  | Presenter(s): Amy Sala, Edward Soyka  | April 21, 2021 

    • Creating and maintaining a Drug Diversion Task Force; implementation of a response system

    • Best practice in maintaining a reactive and proactive controlled substance diversion program

    • Cultivating a “speak up” environment that prevents drug diversion and identifies resources for staff

  4. W3I How to Effectively and Legally Implement Telehealth in Your Organization

    25th Annual Compliance Institute  | Presenter(s): Joseph Zielinski, Katea Ravega  | April 21, 2021 

    • Discussion and analysis of CMS' telehealth requirements and how a compliance program can monitor them, including state-specific examples

    • Attendees will see how CMS' requirements mandate specific elements for telehealth visits to be appropriate for billing, including examples of changes related to the public health emergency and how CMS requirements can be different from state requirements

    • Discussion of best practices for effectively implementing telehealth in your organization and identify common pitfalls post-COVID-19

  5. W2G Role of Compliance in the IoT World

    25th Annual Compliance Institute  | Presenter(s): Alan Brill, John Bennett  | April 21, 2021 

    • There is a constant and consistent need for efficiency and the healthcare industry is not exempt

    • IoT devices are finding their way into healthcare institutions and there have been problems

    • Provide familiarization and a program for assuring compliance with best practices and applicable laws

  6. W3H OIG Developments

    25th Annual Compliance Institute  | Presenter(s): Robert Owens, Gary Cantrell, Erin Bliss, Gregory Demske  | April 21, 2021 

    • Discuss OIG investigations, audits, evaluations, enforcement actions, guidance documents, and other matters of interest to compliance professionals

  7. W2E Developing Metrics that Matter: Building a Meaningful Compliance Scorecard for Hospitals and Health Systems

    25th Annual Compliance Institute  | Presenter(s): Daniel Roach  | April 21, 2021 

    • Not all metrics are equal: Understanding the importance of meaningful metrics

    • Developing metrics that matter to the organization, your management, and the board

    • Learn how to build a robust compliance scorecard that drives behavior and demonstrates effectiveness

  8. General Compliance Session: Compliance on the Pandemic Front Lines

    25th Annual Compliance Institute  | Presenter(s): Elizabeth Wade, Patricia Kunz Howard, George Diaz, Derek Kang  | April 21, 2021 

    • Learn how front liners are coping with the stresses of compliance and patient care

    • Understand what compliance teams can expect of physicians, nurses and others at this time

    • Make compliance an integral, constructive part of your organization’s response plan

  9. W3F Integrity Works

    25th Annual Compliance Institute  | Presenter(s): Giovanni Gallo, Nicolas Gallo, Roy Snell  | April 21, 2021 

    • Be honest with yourself as a foundation for high-integrity action

    • Cope with and mitigate your bias, and work toward truth and civil debate

    • Apply a constant critical thinking process

  10. TB1 Interoperability: Industry perspectives

    25th Annual Compliance Institute  | Presenter(s): Jessica Cornelius, Jeff Kinnison, Francis Grabowski, Mike Sutten  | April 20, 2021 

    • Hear from leaders at organizations about their interoperability strategy

    • Learn about actions their companies are taking to transform healthcare through data sharing

    • Understand how they are addressing privacy and security risks and other compliance concerns

  11. T3E Who's Who in Your Hospital or Practice? Third Party Risk Management

    25th Annual Compliance Institute  | Presenter(s): Greg Gorecki, Edward Soyka  | April 20, 2021 

    • Developing a vendor risk assessment tool and why you need it

    • How to implement third party risk management oversight

    • Measuring success factors and effectiveness of TPRM

  12. T3I To the Pandemic and Beyond! Achieving and Sustaining Compliance for Your Telehealth Program

    25th Annual Compliance Institute  | Presenter(s): Laura Hepp Kessel, Katherine Cohen  | April 20, 2021 

    • Identify compliance risks in your telehealth program both during the COVID-19 pandemic and beyond

    • Discuss assessing and planning for long-term compliance within a changing regulatory landscape

    • Identify best practices for a successful proactive partnership between telehealth and compliance

  13. T4E Organizational Solutions for Implementing Effective Corrective Action and Prevention Plans (CAPA) Following Internal Quality Assurance Compliance Reviews

    25th Annual Compliance Institute  | Presenter(s): Natalie Ramello, Deepika Bhatia  | April 20, 2021 

    • Review risk-based quality assurance, audit scope, and methodology

    • Describe the use and benefits of internal monitoring and avenues to engage institutional leaders

    • Discuss strategies for evaluating the organizational effectiveness of corrective action planning

  14. T4H When Two Worlds Collide: Practical Compliance Strategies for Managing an Opioid Epidemic during a Global Pandemic

    25th Annual Compliance Institute  | Presenter(s): Nancy Ruzicka, Denise Hill  | April 20, 2021 

    • Discuss the impact of the COVID-19 pandemic/recent regulatory developments on the U.S. opioid epidemic

    • Demonstrate best practices for mitigating and managing opioid-related organizational risks

    • Identify new/modified strategies to address the competing demands of opioid and pandemic compliance

  15. T4J From Bumpy Road to Fast Lane in Telehealth: How a Pandemic Forced One Organization over the Hump

    25th Annual Compliance Institute  | Presenter(s): Tomi Hagan  | April 20, 2021 

    • Learn how barriers to telehealth implementation had a health system stuck in a rut

    • Examine how the organization kicked the telehealth project into high gear in response to COVID-19

    • Discuss the future path of telehealth in a post-waiver world

  16. TB3 Compliance in the COVID-19 Era: What Just Happened and Where Do We Go From Here?

    25th Annual Compliance Institute  | Presenter(s): Anna Grizzle  | April 20, 2021 

    • Gain understanding of CARES Act fund distribution requirements and potential compliance concerns

    • Review requirements of Section 1135 waivers during COVID-19 pandemic and post-pandemic implications

    • Learn tips for auditing compliance of and steps to take post-pandemic to avoid pitfalls

  17. T3D Living In Paradise: Thriving and Succeeding in a Remote Work Environment

    25th Annual Compliance Institute  | Presenter(s): Niurka Adorno, Kym Creekmore, Director of Compliance & Privacy  | April 20, 2021 

    • Can you hear me now? Using technology effectively

    • Where's Waldo? Managing expectations and performance

    • The right stuff: Practical tools and tips for success

  18. T1I Conducting Internal Investigations in 2021 and Beyond

    25th Annual Compliance Institute  | Presenter(s): Chuck Duross, Alec Koch, Sulaksh Shah  | April 20, 2021 

    • Learn about regulatory expectations including examples of investigations gone wrong

    • Learn about how COVID has changed the way investigations are conducted

    • We will also discuss other issues such as privacy, blocking statutes, state secret laws, etc.

  19. T3H COI ALERT: Sunshine Expansion and International Influence

    25th Annual Compliance Institute  | Presenter(s): C.J. Wolf, Andrew Hill, Rebecca Scott  | April 20, 2021 

    • Provide expertise in Open Payments expansion and international espionage risk

    • Leverage new COI data exploration to mitigate risk for your organization

    • Develop "boots-on-the-ground" best practices to manage changes in compliance programs

  20. T2A You Are Only as Secure as Your Riskiest Vendor

    25th Annual Compliance Institute  | Presenter(s): Kellie Worley, Dawn Polen-Morgenstern  | April 20, 2021 

    • Identify a framework for a vendor risk management (VRM) program and developing a foundation

    • Develop strategies to identify, evaluate, and reduce risk

    • Maintain consistency across VRM to accurately assess acceptable/unacceptable risks

  21. T1C Selling and Buying the Brooklyn Bridge or Leasing the Battery Tunnel During the Age of COVID: The Deal is Done, Now What?

    25th Annual Compliance Institute  | Presenter(s): Daniel Meier  | April 20, 2021 

    • How to maintain compliance with a multi-specialty/multi-state acquisition involving private equity including regulatory compliance and enforcement, licensing, HIPAA, health benefits and employment considerations with a focus on the impact of COVID

    • Compliance, risk management and credentialing: Minimum necessary versus best business practices

    • A compliance officer’s playbook: Creating action plans for a robust compliance program fitting for future acquisitions

  22. T1D Work Smarter Not Harder: Effective Annual Work & Audit Plan Development Strategies

    25th Annual Compliance Institute  | Presenter(s): Kristin Meador, Brenda Manning  | April 20, 2021 

    • Learn how to assess, rate and account for changing organizational risk

    • Calculate available staff time to devote to meeting plan objectives

    • Successfully engage your team: Track individual, team, and department performance

  23. T1E How to Successfully Navigate a CMS Risk Adjustment Data Validation Audit

    25th Annual Compliance Institute  | Presenter(s): Ahmed Salim  | April 20, 2021 

    • Development of a project plan including aligning on audit deadlines/milestones with stakeholders

    • Utilizing audit tracking tools to assist in the completion of the risk adjustment validation audit

    • Report out findings to key stakeholders identifying program gaps and development of corrective action

  24. T1F Skilled Nursing Abuse and Neglect: CMS Developments and Compliance Strategies

    25th Annual Compliance Institute  | Presenter(s): Sara Rudow, Sean Fahey  | April 20, 2021 

    • Review of regulations and CMS focus: Expansion of F-Tags and alert icon

    • Explore recent OIG and congressional activities addressing abuse and neglect in long-term care

    • Identify strategies to support compliance and training efforts

  25. T1G The Opioid Crisis a.k.a. Prescription Drug Abuse Epidemic: From the Provider's Perspective

    25th Annual Compliance Institute  | Presenter(s): Sonal Shah  | April 20, 2021 

    • Explore controlled substances, drug diversion, opioid misuse, patient brokers, and risk to patients

    • Study regulatory requirements: CSA, SUPPORT Act, EKRA, DEA reporting, HIPAA, ADA

    • Understand hospital liability, compliance responsibility, and opioid diversion and detection programs