March 30 - April 1, 2020
2020 Virtual Compliance Institute
Virtual , Central Daylight Time (CDT)Agenda
The virtual conference times are listed in Central Daylight Time (CDT)
Monday, March 30
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08:50 AM - 09:40 AMWelcome Announcements & General Session: CMS Update Kimberly Brandt, Partner, Tarplin, Downs & Young Gerry Zack, CEO, SCCE & HCCA
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09:40 AM - 10:00 AMGeneral Session: OIG Update Christi Grimm, Principal Deputy Inspector General, OIG, Dept of Health & Human Svcs
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10:00 AM - 10:15 AMBreak 15 Minute Break
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10:15 AM - 11:15 AMBreakout Sessions#101101 - HIPAA Update & Enforcement Timothy Noonan, Deputy Director, Health Information Privacy Division, U.S. Department of Health and Human Services, Office for Civil Rights
- Describe recent HIPAA enforcement actions and recognize patterns of noncompliance
- Identify best practices for HIPAA compliance
- Identity key strategies for managing cybersecurity threats
Room 1#201201 - Rethinking the Code of Conduct: Building Effectiveness through Simplification Darrell Contreras, Chief Compliance Officer, Millennium Health- Review the existing guidance on the Code of Conduct, this session will evaluate what is required for an “effective” code of conduct. This will set the stage for simplifying to a 1-page code of conduct
- Evaluate the goals and realities of the existing code of conduct to facilitate discussion on designing a new, 1-page version of the code of conduct
- Discuss and consider roll-out strategies that include selling the concept of a 1-page code of conduct to the Board and leadership, increased use of the code of conduct, and increased ownership and reliance on the code of conduct to drive decision-making
- Advanced Session- developed for the compliance professional with 10+ years of experience
Room 2#301301 - Breaking Down the Walls: 3 Proven Ways to Decrease Compliance Risk in the Revenue Cycle Emilie Sturm, Sr. Revenue Management Consultant, Trinity Health Dawn Crump, Sr. Director Revenue Cycle, MRO Corp- Identify the top three compliance risks in the revenue cycle: how to manage disclosure of PHI within revenue cycle departments, how to evaluate levels of direct payer access to EHR systems, and how to effectively unite revenue cycle departments
- Assess new ways for compliance officers to work collaboratively with revenue cycle leaders to reduce risk, bridge communication gaps, and promote teamwork while also supporting billing integrity, revenue recovery for the organization
- Offer real-world guidance to improve compliance in centralized revenue cycle environment with focus on shoring up specific business office processes that may lead to inadvertent PHI disclosures during payer conversations, audits, and disputes
Room 3#401401 - What Compliance Officers Need to Know about Board Responsibilities Laura Ellis, Senior Counsel, HHS OIG Margaret Hambleton, President, Hambleton Compliance, LLC Daniel Roach, Chief Compliance Officer, Optum 360- Provide practical understanding of Board responsibilities
- Strategic approaches to Board oversight
- Partnering with legal, audit, and others to provide sufficient information to the Board
Room 4 -
11:15 AM - 11:30 AMBreak 15 Minute Break
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11:30 AM - 12:30 PMBreakout Sessions#102102 - The Relationship between In-House Counsel and the Compliance Officer Michelle O'Neill, Vice President, Corporate Compliance & Privacy, Summit Medical Group, PA Gabriel Imperato, Managing Partner, Nelson Mullins Riley & Scarborough Isai Senthil, VP Associate General Counsel, Summit Medical Group
- Discuss the roles and responsibilities of inhouse counsel and the compliance officer
- Review how each role has expanded and evolved over the recent years, in response to regulatory challenges
- Learn how to create an ideal partnership that fosters respect, trust, teamwork, and an effective compliance program
Room 1#202202 - Metrics that Matter: Demonstrating Your Program Effectiveness Ruth Krueger, Principal, Compliance Coach Co LLC- Review newest DOJ guidance for evaluating compliance programs
- Discuss elements that demonstrate program effectiveness
- Provide tools to highlight the metrics that support DOJ recommendations
Room 2#302302 - Part 2 Compliance: Where Nobody Knows Your Name Mary Legerski, Director Corporate Compliance, Cleveland Clinic Vicki Bokar, Senior Director, Corporate Compliance, Cleveland Clinic- Learn how to operationalize key provisions of 42 CFR part 2 Confidentiality of Substance Use Disorder Patient Records including the following: Obtaining patient consent, sharing information for health information exchanges, etc.
- Identify substance abuse records that may be accessible in your electronic health record system that you haven’t even thought about
- Learn how to engage information technology staff and business associates to assist the compliance team in implementing necessary controls and processes for Part 2 compliance which may differ from the controls and processes already in place for HIPAA
Room 3#402402 - Compliance Policies and Procedures 101: How to Develop and Manage Your Compliance Policies Glena Jarboe Litany Webster, Regulatory Compliance and Government Relations Manager, The Kroger Co.- Policy management: Administration of your organizations policies
- Policy development: What compliance policies should you have and how to develop them
- Policy implementation: Communication, accountability, and ongoing assessment/review
Room 4 -
12:30 PM - 01:00 PMBreak 30 Minute Break
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01:00 PM - 02:00 PMBreakout Sessions#103103 - The Patient Record Scorecard: Get Into Compliance with the HIPAA Individual Right of Access before OCR Comes Knocking Deven McGraw, Chief Regulatory Officer, Ciitizen
- An August 2019 published survey and scorecard of more than 3,400 hospitals show that 60 percent are out of compliance with the HIPAA Right of Individual Access
- Federal regulators are increasingly focusing on the right of patients to access their data, and complaints about access are now the top category of HIPAA complaints filed with OCR, which recently announced its intent to more robustly enforce access rules
- Learn the common ways many hospitals fail to comply with the HIPAA Right of Access and how to get your Right of Access processes into compliance before a potential OCR investigation
Room 1#203203 - EHR/Documentation Risks and Impacts on Care/Quality and Payments: 2021 Changes Colleen Dennis, Compliance Analyst, Children's Hospital - Colorado Springs Kenneth Jenkins, Adult Enterprise Compliance Officer, Vanderbilt University Medical Center- Risks associated with Templates/Copy/ Paste, etc.
- 2021 A Brave New World
- Impacts to compliance and audit function
Room 2#303303 - A Changing Landscape: Kickback and Self-Referral Developments Tony Maida, Partner, McDermott Will & Emery Katherine Bowles, Attorney , Registered Nurse, Nelson Hardiman- Learn about the changes CMS and OIG proposed to the Physician Self-Referral Law and Anti-Kickback Statute and insights on what the final rule will say
- Understand the newest kickback law- Eliminating Kickbacks in the Recovery Act of 2018 (EKRA)-and how it impacts your organization
- Review the latest government enforcement efforts for lessons to apply in your compliance program
Room 3#403403 - A New Trend: OIG Mandated Six-Year Lookback Audits and Voluntary Refunds Denise Leard, Attorney, Brown & Fortunato, P.C. Wayne van Halem, President, The van Halem Group- While not a new requirement, this presentation will discuss the new trend of OIG mandating providers perform a six-year lookback audit once they have completed and published an audit of their own
- We will discuss the requirements of providers who find themselves in this situation and what actions they should take in order to reduce risk and mitigate the impact of such a review
- Lastly, it will discuss the legal implications for providers who may be found to be noncompliant with the six-year lookback rule
Room 4 -