HCCA 27th Annual Compliance Institute

76. Compliance, Quality of Care, and Patient Safety - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Discuss the functions of quality of care, medical necessity, and patient safety oversight as integral components of a compliance program

    • Review recent government enforcement actions relating to quality of care and patient safety

    • Identify practical approaches to maximizing the integration of compliance, quality and patient safety, and ways to measure the effectiveness of related processes and systems

77. What Healthcare Compliance Professionals Should Know about Cost Reports - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Learn Medicare cost report basics

    • Identify key compliance risk areas and how they may impact reimbursement

    • Understand how to include cost reporting in your auditing and monitoring plan

78. Point and Counterpoint: Enforcement and Defense Perspectives in Investigations - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Differing government and defense perspectives in an investigation

    • Points of agreement and disagreement

    • How to successfully navigate a government investigation in light of this insight

79. It's De-identified, or Is It? - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Explore the HIPAA Safe Harbor and Expert Determination Methods of De-identification

    • Compare and contrast HIPAA De-Identification with Anonymization/ Pseudonymization under GDPR

    • Examine evolving technologies and methodologies used to match disparate data sets

80. Discovery Hot Topics in FCA Qui Tam Litigation - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Understanding what types of discovery issues arise in qui tam litigation

    • Employing effective strategies when responding to discovery requests

    • Special FCA discovery considerations: Technology assisted review, maintaining privilege, experts

81. Sampling and Extrapolations: How to Apply to Your Proactive and Problematic Audits - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Review the various types of sampling used in compliance auditing

    • Address the approach to extrapolations and related calculations

    • Review the steps to take when your audit results are extrapolated to the population

82. Telehealth Post PHE - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • A brief review of the CMS telehealth components required for reimbursement

    • The extended telehealth services post PHE, from the 2023 MPFS final rule

    • Tele-Mental Health expanded services and the future of telehealth

83. Using Flowcharts to Reinforce and Strengthen the Efficiency of Compliance Program Activities, Project Management, and Process and Procedure Design - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Achieve higher efficiency, consistency, and accuracy by using flowcharts in process development

    • See how flowcharts drive increased collaboration within an organization when other processes fail

    • Learn the critical components and methods used in constructing flowcharts including free options

84. Evaluation and Management (E/M) Coding and Documentation Guidelines for Physicians - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Discuss how updates in E/M coding and documentation requirements impact your compliance program

    • Analyze strategies for education and training for E/M documentation

    • Explore examples of medical decision making as a requirement of E/M coding and documentation

85. Discuss HHS-OIG Advisory Opinions with Former OIG Officials - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Hear a Chief Compliance Officer discussion with former HHS-OIG officials who drafted advisory opinions and anti-kickback statute safe harbors, including when and why an organization should consider submitting an advisory opinion request

    • Understand how to successfully navigate the advisory opinion process with an eye towards a favorable opinion (and learn when it's best to avoid asking OIG altogether)

    • Emerge with a clear understanding of when your organization should present the "next big idea" to OIG, and how to structure a request to maximize the chances of receiving a favorable opinion

86. The Compliance Committee: How to Change It from Just Another Meeting to a Vital Component of Your Compliance Program - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Managing the basics: Who to include, meeting frequency, committee size, and other questions

    • Engaging committee members in committee work and promoting positive contributions to the compliance program

    • New responsibilities: Policies, training, the compliance risk assessment

87. Extreme Makeover E&C Edition: ROI Pitch Fixer-Upper - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Assess the weak points of a standard compliance budget proposal

    • Reinvent with a data-driven approach that speaks board and finance language to gain buy-in

    • End with an extreme makeover of both your ROI case and your proposal deck in easy-to-follow principles

88. Enterprise Risk Management Black Swan Event: Never Saw It Coming - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Risk, compliance, and strategy, a 20/20 view

    • The Rx to help organizations move unknown risk to known risk

    • How to bring focus to leadership and the board

89. The Anatomy and Pathology of the Deal: A Post Mortem Analysis - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • A case study: deal gone awry including next steps for growth, disclosures, and equitable claims

    • The morning after: escrows, R&W insurance, Root Cause Analysis, audits and P&Ps

    • Post mortem: Avoid missteps through contract review, security assessment, in-depth coding analysis

90. Managing the Disclosure of PHI to Law Enforcement during Crisis Encounters - CI0423

    HCCA 27th Annual Compliance Institute  | May 15, 2023 

    • What information does law enforcement need and why do they need it when responding to a crisis?

    • How can we meet their needs and still protect a client's protected health information?

    • How can we avoid conflicts with law enforcement and meet the needs of our clients when they are in crisis?

91. How to Secure the Remote Worker - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Know the information security risks associated with remote workers

    • Understand the basics in protecting PHI that may be viewed or created in the home environment

    • Understand the risks with contractors and vendors with remote access

92. Do's and Don'ts of Overpayment Audits - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Understand the federal overpayments statute: what it covers (and doesn't) and what's required

    • Identify key do's and don'ts of internal audit design and recognize potential pitfalls

    • Know when to involve legal to help assess and scope a potential overpayment concern

93. Clinical Research Billing Auditing: A Simplified Approach to Effective Risk Mitigation - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Explore the basics of clinical research billing and primary risks faced when billing for research

    • Identify the primary challenges to compliant billing and the controls that can mitigate risk

    • Discuss a suggested framework for designing your own practical and risk based approach to auditing

94. General Compliance Session: The FBI on Healthcare and Cyber Risks - CI0423

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Learn the latest trends in hacking and ransomware

    • Understand other risks healthcare is facing from bad actors

    • See how to better protect your organization and how law enforcement can help

95. Using Data to Reduce False Claims Act (FCA) Risks - CI0423

    HCCA 27th Annual Compliance Institute  | April 26, 2023 

    • Examine the government's use of data to shape healthcare enforcement priorities and expectations

    • Identify internal and external key data sources to incorporate into a quality and compliance program

    • Better understand how to use data analytics to drive quality and compliance initiatives

96. Third Partying: Effective Management of Third Party Risk - CI0423

    HCCA 27th Annual Compliance Institute  | April 26, 2023 

    • Understanding regulations and compliance risks in the use of third parties

    • Exploring challenges to effective third party management

    • Implementing effective solutions to third party compliance management

97. Health Care and Private Equity: Compliance, Control, Ethical and Mission Risks - CI0423

    HCCA 27th Annual Compliance Institute  | April 26, 2023 

    • Recognize compliance issues and risk management concerns with private equity in health care: History, control, quality, access, ethical duties for professionals

    • Conduct due diligence in uncovering and evaluating compliance risks from private equity partners: Entities, individuals, business relationships

    • Understand special risk concerns for nonprofit health entities and physician groups in private equity relationships

98. CI0423_ Discuss HHS-OIG Advisory Opinions with Former OIG Officials

    HCCA 27th Annual Compliance Institute  | April 25, 2023 

    • Hear a Chief Compliance Officer discussion with former HHS-OIG officials who drafted advisory opinions and anti-kickback statute safe harbors, including when and why an organization should consider submitting an advisory opinion request

    • Understand how to successfully navigate the advisory opinion process with an eye towards a favorable opinion (and learn when it's best to avoid asking OIG altogether)

    • Emerge with a clear understanding of when your organization should present the "next big idea" to OIG, and how to structure a request to maximize the chances of receiving a favorable opinion

99. Dealing with Stakeholder Pushback - CI0423

    HCCA 27th Annual Compliance Institute  | April 26, 2023 

    • Common stakeholder pushback themes

    • Some of the best responses to pushback we have seen

    • How to support a culture of compliance in light of pushback

100. Work Smarter Not Harder! Using Data to Drive Compliance Program Effectiveness - CI0423

     HCCA 27th Annual Compliance Institute  | April 26, 2023 

     • Data and compliance: why data matters for effectiveness and why compliance officers struggle with it

     • Examples of using data to enhance effectiveness: risk assessment, auditing, and more

     • Trending and reporting: using data to demonstrate effectiveness and plan program evolution