Indianapolis Regional Conference
September 30, 2016
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
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”
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
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
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
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
- 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?
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