HCCA 27th Annual Compliance Institute

  1. EEEkkk: The Three E's of a Program Assessment - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Evaluate controls and gaps by understanding the risk environment and exploring business operations

    • Explain program universe by documenting the findings in a tool, executive summary, or dashboard

    • Employ action plans based on the findings to close caps

  2. Observation Status; Huge Difference in Revenue, Don't Get in a Trick Bag - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Major difference between OBS and Full Admit

    • Knowing the key documentation triggers in medical necessity for OBS vs inpatient

    • Medical decision making and your physician documentation: Reducing the denials of full admission

  3. Privacy Problems in the Pediatric Environment - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Privacy Right of Access with parents and legal guardians

    • Whose rights win: Parents and adolescents in healthcare

    • What rights do non-parents have? The problems of extended families, foster parents and others

  4. Keeping Pace with New Federal Rules on Patient Transparency for the Behavioral Health Provider - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Understand what is covered and required under the No Surprises Act and the 21st Century Cures Act-Information Blocking and ONC Health IT Certification

    • Review compliance dates and the new federal protections afforded to consumers

    • Share practical strategies to minimize the potential for penalties and maintain compliance

  5. Laboratory Update? It's Déjà Vu All Over Again - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Covid-19 testing, the role of labs in telemedicine and genetic testing

    • The Eliminating Kickbacks in Recovery Act (EKRA)

    • Recent OIG reports and compliance measures to address these major issues in the laboratory industry

  6. Top Cyber-Risks to Include in Your Audit Plan: 2023 Update - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Learn why the secure and effective use of IT is a critical success factor for healthcare compliance

    • Discuss the latest IT and cyber threats challenging healthcare and how to protect against them

    • Take a deep dive into best practices for ensuring effective compliance and monitoring of cyber risks

  7. The Zen of ESG Program Development: How to Create an ESG Program Aligned with the Elements of an Effective Compliance Program - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Understand the overlap of the elements of a great ESG program and an effective compliance program

    • Leverage your existing compliance skills and experience to align your ESG and compliance programs

    • Develop strategies to evaluate ESG program maturity and address ESG issues in the context of M&A

  8. Breach Response: Covered Entity and Business Associate: Whose Role Is It Anyway? - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Discuss the importance of proactively identifying roles and responsibilities of a CE and BA

    • Examine the challenges of differing risk postures and how it impacts breach response

    • Dive into the importance of identifying applicable enforcement agencies during a large breach

  9. Strengthening Your Compliance Program against Anti-kickback Risk - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Discuss compliance processes and practical tips for reducing Anti-Kickback Statute risk in your organization

    • Identify potentially risky relationships and arrangements within your organization

    • Highlight common AKS risks to avoid

  10. Ensuring Correct Billing and Coding for Provider Based Departments - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Review regulatory guidelines that guide and define Provider Based Departments

    • Discuss the key steps in ensuring PBDs are set up correctly prior to providing services

    • Discuss ongoing internal audits to identify areas of risks and how to remediate areas of concern

  11. An Engaging Compliance Program on a Budget: It's Possible! - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Identify common barriers of engagement in a compliance program

    • Explore budget-friendly solutions to engage your workforce

    • Walk away with tangible cost-saving measures to apply to your compliance programs

  12. Building an Effective Investigation Triad: The Collaboration of Compliance, Quality and Human Resources - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Understand the respective roles of Compliance, Quality and Human Resources in investigations

    • Build and utilize incident and policy management systems to support effective investigations

    • Develop work flows for uncovering facts, interviewing staff and addressing accountability

  13. Coding Compliance Monitoring and Auditing for Physician Practices - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Revisiting the OIG's Compliance Program Guidance for Physician Practices

    • Gain insight into coding compliance monitoring and auditing activities

    • Hot topics in physician practice coding and billing

  14. 2023 OIG Risk Areas - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Learn the importance of a practice-wide compliance program and how to set one up

    • Mitigate risks by learning where to focus audit efforts

    • Discover how the False Claims Act could impact your practice

  15. Award Presentation and General Compliance Session: The Future of Technology in Healthcare - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    GS2 - Award Presentation and General Compliance Session: The Future of Technology in Healthcare

  16. Culture of Integrity Boos and Cheers: Which Companies Have Ghosted Ethical Cultures and Which Are Living Their Best Lives? - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Discussion of what the culture of integrity data says and myth busting a common misconception

    • Best practice examples and analysis from shining stars and lessons learned from egregious fails

    • Identifying common threads to help practitioners continue living their best lives in integrity

  17. Fiduciary Duties and Compliance Program Oversight: Helping Your Board Succeed - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Understand Board of Directors' duty of loyalty and duty of care

    • Review recent case law and settlement developments affecting the board's oversight duties

    • Discuss strategies for helping your board succeed in its oversight role

  18. Enhancing a DEA Compliant Control Substances Program within a Dynamic Research Environment - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Maintain a compliance structure to track the life cycle of controlled substances

    • Promote education and training to create a controlled substance compliance culture

    • Standardize practices and devise risk mitigation strategies to combat diversion

  19. Maintaining Compliance through Patient-Centric Approaches - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Evaluating financial toxicity in clinical research studies to prevent financial toxicity for patient

    • Contemplate awareness of staffing around medical billing and potential risks

    • Manage negative outcomes by being culturally sensitive to preventing financial loss

  20. Rising Strong, Building High Performing Compliance Teams - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Understand what high performing teams looks like and how to cultivate them

    • Share lessons learned, tools and methods for working with compliance teams to ensure success

    • Discuss best practices for team performance and how you can get the most out of your team members

  21. How Might We? A Design Thinking Framework for Co-creating Effective Compliance Risk Mitigation - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Maintain a compliance structure to track the life cycle of controlled substances

    • Promote education and training to create a controlled substance compliance culture

    • Standardize practices and devise risk mitigation strategies to combat diversion

  22. Cybersecurity & Incident Response: 2023 Update on Threat Actors and Best Practices for Detecting, Avoiding and/or Responding to a Cybersecurity Incident - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Current cyber threats: Update on trends in cyberattacks and risk areas for healthcare providers

    • Incident Response: Real-world examples of how to handle incident response, including notification

    • Lessons learned from recent breach response, insurance coverage and best practices

  23. ACOs and CINs: Auditing & Monitoring for Compliance Hotspots - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Differentiate between ACOs and CINs and their respective compliance needs and challenges

    • Define antitrust presumption and auditing & monitoring techniques for your compliance program

    • Discuss tools and strategies for auditing and monitoring various types of waiver programs

  24. Medical Directors, Attending Physicians: How to Stay in Compliance with Regulations, Contracting and Credentialing - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Identify strategies to ensure attending physicians are meeting the regulatory requirements for physician visits

    • Describe approaches to managing medical director stipends to ensure compliance with their agreement

    • How to ensure these practitioners are properly credentialed to care for your residents

  25. Beyond HIPAA: Protecting Health Data in the Next Generation of Consumer Privacy Laws - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Privacy compliance no longer ends with HIPAA, as new laws increasingly regulate health data

    • Innovations in telehealth, adtech, and martech demand datasets on the frontier of traditional PHI

    • Threat actors are innovating, too, presenting dynamic security risks to our data-rich environments