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Agenda

Monday

 
Registration and Continental Breakfast (provided) 7:30 – 8:00 am
Welcome / Introduction 8:00 – 8:05 am
Introduction to Healthcare Compliance 
  • High-level overview of Healthcare compliance program elements
  • Sharing problems and practices in implementing a compliance program
  • Understanding of the seven elements
8:05 – 10:05 am
Break 10:05 – 10:35 am
Compliance Oversight and Infrastructure
  • Understand the importance of structure vs. operations
  • The components of an effective compliance infrastructure
  • Implementation of a compliance program, selection of qualified staff, and budgeting for program
10:35 am – 12:20 pm
Lunch (provided) 12:20 – 1:20 pm
Standards, Policies, and Procedures 
  • The importance of having a standards of conduct
  • Essentials components of policies and procedures
  • Evaluating the adequacy of compliance Standards and Policies
1:20 – 2:50 pm
Break 2:50 – 3:20 pm

HIPAA

  • A high-level overview of the privacy and security regulations
  • Understand how to break down HIPAA issues
  • Apply HIPAA rules to scenarios and breaches
3:20 – 5:20 pm
   

Tuesday

 
Continental Breakfast (provided) 7:30 – 8:00 am
CHC Certification Discussion 8:00 – 8:15 am

Risk Assessment

  • Understanding the risk assessment process
  • Effective ways to conduct a risk assessment
  • Tools to implement a risk assessment process
8:15 – 10:00 am
Break 10:00 – 10:30 am

Auditing and Monitoring

  • Understand the basics of auditing and monitoring
  • Develop a compliance audit and monitoring risk based plan 
  • Reporting and communicating auditing and monitoring results
10:30 am – 12:15 pm
Lunch (provided) 12:15 – 1:15 pm

Education and Training

  • Understanding how adults learn
  • Adult learning techniques, effective teaching styles, topics of interest, and evaluation of the educational programs
  • The difference between general and focused/targeted education
1:15 – 2:45 pm
Break 2:45 – 3:15 pm

Organizational Ethics

  • Ethical conduct and responsibilities of the compliance officer
  • Duties of the compliance professional
  • Board obligations related to an ethical culture
3:15 – 5:00 pm
Networking Event (optional) 5:00 pm
   

Wednesday

 
Continental Breakfast (provided) 7:30 – 8:00 am

Conflicts, Discipline, and Incentives

  • Understand conflicts of interest
  • Practical ways to implement a conflicts of interest process
  • How discipline and incentives should be integrated into the compliance program
8:00 – 9:30 am
Break 9:30 – 10:00 am

Stark Law and Anti-Kickback Statute

  • Understand the Stark Law and Anti-Kickback Statute and how they work in practice
  • Discusses case studies that illustrate compliance risks and current areas of focus for enforcement agencies
  • Explore compliance processes needed to prevent AKS and Stark violations
10:00 – 11:45 am
Lunch (provided) 11:45 am – 12:45 pm

Reimbursement

  • Basic billing and reimbursement terminology 
  • Billing and reimbursement risk areas 
  • Mitigating billing and reimbursement risk areas
12:45 – 2:30 pm
Break 2:30 – 3:00 pm

Internal and External Investigations

  • Responding to enforcement agency investigations
  • Compliance professionals and best practices for internal investigations
  • Privilege, confidentiality and internal investigations
3:00 – 4:45 pm
   

Thursday

 
Continental Breakfast (provided) 7:30 – 8:00 am

Legal Risks, False Claims Act, and Self-Disclosure

  • Legal risks and healthcare compliance
  • False Claims Act and compliance programs
  • Self-Disclosure and resolution of compliance liability
8:00 – 9:30 am
Break 9:30 – 10:00 am

Compliance Program Effectiveness

  • Why evaluate compliance programs
  • Compliance program effectiveness indicators
  • Response, reporting and follow-up to compliance program effectiveness reviews
10:00 – 11:45 am
Academy Ends 11:45 am
CHC Exam Check-In Time 12:45 pm
Exam Time — Certified in Healthcare Compliance (CHC)® Exam (optional)

The CHC exam is optional. You must apply and pay for the exam separately from the Academy.
1:00 – 4:30 pm

Agenda is subject to change