#101

101 - HIPAA Update & Enforcement Timothy Noonan, Deputy Director, Health Information Privacy Division, U.S. Department of Health and Human Services Office for Civil Rights View Description

• 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

#201

201 - Rethinking the Code of Conduct: Building Effectiveness through Simplification Darrell Contreras, Chief Compliance Officer, Millennium Health View Description

• 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

#301

301 - 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 View Description

• 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

#401

401 - 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 View Description

• 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

#102

102 - 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 Broad and Cassel Isai Senthil, VP Associate General Counsel, Summit Medical Group View Description

• 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

#202

202 - Metrics that Matter: Demonstrating Your Program Effectiveness Ruth Krueger, Principal, Compliance Coach Co LLC View Description

• 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

#302

302 - Part 2 Compliance: Where Nobody Knows Your Name Mary Legerski, Director Corporate Compliance, Cleveland Clinic Vicki Bokar, Senior Director, Corporate Compliance, Cleveland Clinic View Description

• 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

#402

402 - Compliance Policies and Procedures 101: How to Develop and Manage Your Compliance Policies Glena Jarboe, Director, Ankura Litany Webster, Regulatory Compliance and Government Relations Manager, The Kroger Co. View Description

• 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

#103

103 - The Patient Record Scorecard: Get Into Compliance with the HIPAA Individual Right of Access before OCR Comes Knocking Deven McGraw, Chief Regulatory Officer, Ciitizen View Description

• 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

#203

203 - 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 View Description

• Risks associated with Templates/Copy/ Paste, etc.
• 2021 A Brave New World
• Impacts to compliance and audit function

Room 2

#303

303 - A Changing Landscape: Kickback and Self-Referral Developments Tony Maida, Partner, McDermott Will & Emery Katherine Bowles, Attorney , Registered Nurse, Nelson Hardiman View Description

• 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

#403

403 - 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 View Description

• 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

#104

104 - You Have the Right to Remain Compliant: Considerations for Handling Requests for Information from Law Enforcement Catie Heindel, Managing Senior Consultant, Strategic Management Ashley Huntington, Privacy Officer, Cook County Health View Description

• Provide an overview of the HIPAA requirements and unique state law considerations for sharing patient information with law enforcement
• Explore and examine emerging issues and trends with release of information and the authority of law enforcement oversight agencies
• Identify the roles and responsibilities of compliance, legal, health information management, and clinic staff in working with law enforcement while protecting patient privacy and provide tips for communication and collaboration

Room 1

#204

204 - Building a Physician Practice Audit Program (That Your Physicians Will Appreciate!) Mary Curry, Healthcare Compliance Officer, SIU School of Medicine Sarah Couture, Managing Director, Ankura Consulting Group View Description

• Risk assessment: The foundation of your audit plan
• Structuring a best practice physician practice audit plan
• Engaging physicians and reporting audit results

Room 2

#304

304 - Practical Guidance and Strategies for Skilled Nursing Facility Compliance & Ethics Programs Jacqueline Anderson, Partner, Rolf Goffman Martin Lang LLP View Description

• Identify and evaluate key compliance risk areas for nursing facilities, including billing compliance, HIPAA, contracting, and quality of care
• Identify strategies for preventative compliance and avoidance relating to significant risk areas and evaluate opportunities to decrease costs associated with compliance risks
• Understand the government investigation process and learn practical strategies to prepare your organization in advance for response

Room 3

#404

404 - How to Prepare and Respond under the New DOJ Corporate Compliance Programs Criteria Using Real Case Examples Shawn DeGroot, Managing Director, SunHawk Consulting Brian Flood, Partner - Attorney, Husch Blackwell LLP View Description

• Review the new 2019 DOJ Corporate Compliance Programs guidance
• Discuss and compare the new criteria or emphasis in the new 2019 DOJ guidance with prior and related guidance from DOJ and HHS
• Discuss methods to prepare your organization, leadership and compliance program to pass a review under the new guidance using real case examples

• Advanced Session- developed for the compliance professional with 10+ years of experience

Room 4

#105

105 - OIG Developments Gregory Demske, Chief Counsel to the Inspector General, HHS-OIG View Description

Room 1

#205

205 - Telehealth Views from the Friendly Physician, the Friendly Coder, and (Believe It or Not) the Friendly Attorney Christopher Morrison, Mgroup Healthcare Strategies Michael Igel, Esquire, Johnson Pope Bokor Ruppel & Burns LLP Maggie Mac, President, Maggie Mac-MPC Inc. View Description

• Analysis of CMS regulations surrounding Telehealth including remote patient evaluations, inter-professional consultations and the expansion of telehealth within Medicare Advantage plans
• Discuss clinical services and their respective codes that are currently included in the expansion of Medicare Telehealth Services and private payor relationships. Understand the current E/M components when providing telehealth patient care
• Structuring a telehealth business: Discuss important considerations for the organization and operation of a national, telemedicine based services organization

Room 2

#305

305 - The HHS Health Industry Cybersecurity Practices: Managing Threats and Protecting Patients Ty Greenhalgh, Managing Member, Cyber Tygr Julie Chua, Director, Governance, Risk and Complaince, United States Department of Health and Human Services View Description

• Join this session and learn CMS’s "Top 5 Threats" and "10 Best Practices" targeted to mitigate specific cybersecurity threats in easy to understand terms providing templates and toolkits: PnPs, SelfAssessment, Roadmaps, and Best Practices
• The Lower Health Care Cost Act recommends basing section 502 "Recognition of Security Practices" on this HHS publication which under HITECH can reduce fines, decrease the length of audits, and limit remedies within agreements like Corrective Action Plans
• The Congressionally mandated 405(d) Task Group, supported by HHS/OCR, comprised of 150 cybersecurity experts has determined the 10 Best Mitigation Practices for small, medium, and large organizations. 2019 FedHealthIT Award Winner!

Room 3

#405

405 - Create the Village: The Compliance/Revenue Cycle/Quality Partnership Barbara Piascik, VP/Chief Compliance Officer, New Bridge Medical Center Kerri McCutchin, Compliance Manager, Cooper University Healthcare View Description

• Demonstrate how successful engagement of revenue cycle and quality in the compliance journey can maximize the effectiveness of all three areas
• Identify real-world examples of risk based data analytics impacting all three areas
• Improve understanding of regulatory and data requirements for each area

Room 4