Indianapolis Regional Conference
September 30, 2016
Indianapolis, IN
Benchmarking Compliance Programs
Bret S. Bissey, MBA, FACHE, CHC, CMPE, Senior Vice President, Compliance Services, MediTract, Inc.
- The U.S. Department of Health and Human Services, Office of Inspector General in its compliance guidance documents cites the need for benchmarking and evidence of compliance program effectiveness.
- Learn the differences and similarities between benchmarking and effectiveness.
- Learn of techniques and tools to measure identified areas of your compliance program to assist in the benchmarking process
- Learn techniques to “sell” your benchmarking efforts to your Leadership and Board
- Discussion will focus on the interactions amongst the compliance effectiveness benchmarking, budgeting, and planning processes to achieving best practice
Presentation (2 slides/page)
Presentation (3 slides/page)
What have we learned from Halifax, Tuomey, North Broward, Adventist, and Columbus Regional Health?
Robert Wade, Partner, Krieg Devault
- Types of physician financial arrangements being attacked
- What should hospitals be doing from a legal/compliance perspective based upon recent settlements
- Is “commercial reasonableness” overshadowing “fair market value”
Presentation (2 slides/page)
Presentation (3 slides/page)
Handout 1 (docx)
Handout 2
Handout 3
IT HIPAA Security/Privacy
Stephen Reynolds, Partner, Ice Miller LLP
Kim Metzger, Partner, Ice Miller LLP
- Status of OCR Phase 2 audits
- Lessons from prior OCR enforcements
- Implementing guardrails to stop compliance issues before they begin.
- Risk analysis and risk management.
- Cyber insurance
Presentation (2 slides/page)
Presentation (3 slides/page)
Coding and CDI Compliance Programs—Avoiding Headaches
Diana Adams, Consultant, RRA, Inc.
- Discovering who the healthcare industry watchdogs are for coding and CDI programs
- Understand the history of Clinical Documentation Improvement (CDI) programs
- Getting involved with the CDI and coding teams from the compliance standpoint
- Ensuring the coding and CDI reflect an accurate picture of clinical care being given
Presentation (2 slides/page)
Presentation (3 slides/page)
Research and Compliance
Kevin Eskew, CHC, Chief Operating Officer, Aegis Compliance & Ethics Center LLP
- Document the essential elements of a Research Compliance program
- Detail how research compliance challenges may differ depending on the structure of your health system
- Discuss the importance and roles of key stakeholders (i.e., investigators, coordinators, departmental administrators) to research compliance
Presentation (2 slides/page)
Presentation (3 slides/page)
Bundled Payments
Robyn McGann, RN, MBA, Manager and Compliance OfficerAlignment, Strategy and Reform, Stryker Performance Solutions
- What is meant by bundled payment and why it is relevant?
- The various forms of bundled payment
- BPCI
- CJR
- Commercial bundles
- Compliance parameters in the voluntary BPCI program
- Compliance lessons translated by CMS into the mandatory CJR program
- What does this mean for hospital compliance plans going forward?
Presentation (2 slides/page)
Presentation (3 slides/page)
ACO
Joy Heim, Compliance Officer, Franciscan ACO, Inc.
- Why Accountable Care? The Triple Aim
- Why participate? Improve population health through value based purchasing
- Why Compliance? ACO statutes, regulations, and waivers
Presentation (2 slides/page)
Presentation (3 slides/page)