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Handouts - 2016 - Regional - Indianapolis

Indianapolis Regional Conference
September 30, 2016
Indianapolis, IN

Conference Brochure

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)


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)