Thursday, February 21
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Healthcare Compliance Track
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General Compliance Track
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Compliance Investigations
Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group
- Exploring Fundamentals of Conducting an Investigation
- Your Role as an Investigator
- Quality and Consistency in Investigations
Presentation
Evaluation
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Lessons (Not) Learned Programs
Mel Jessee, CCEP. Quality Programs Manager, Alyeska Pipeline Service Company
- The business case for Knowledge Management (KM)
- Understanding why most lessons learned programs fail
- A quality process approach to “Learning Lessons”
- Simplify for success by leveraging technology
Presentation
Evaluation
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Accurately Assess Your Risk Landscape: Learn How to Design a Risk Assessment Framework and Methodology
Marcie Swenson, VP & Senior Counsel, Skyda Consulting, Healthicity
- Learn how to develop a risk assessment framework with an accurate scope that represents a complete view of your organization’s risk environment.
- Understand how to organize your risk assessment and ensure your complete risk profile is incorporated into a dynamic, functional, multi-tiered framework.
- Discover risk assessment methodologies and approaches that elicit accurate and comprehensive information, gather critical data, and facilitate successful risk prioritization and mitigation.
Presentation
Evaluation
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Incident Response: How You React Matters
Kevin Feldis, Partner, Perkins Coie LLP
Data breaches, ransomware attacks and business email compromises
- Employee misconduct
- Environmental disasters
- Government subpoenas
- Dawn raids by federal agents
No presentation available
Evaluation
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Ethics is the Cornerstone and Foundation
Dwight Claustre, CHC-F, CHPC, CHRC, Managing Director, Ankura Consulting
- What has happened with Ethics in business today?
- Where does ethics fit in an organization?
- What are the benefits of an ethical culture?
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The Art and Science of Enterprise Risk Management (ERM)
Jeffrey Driver, Faculty Associate, Arizona State University
- Compare traditional risk management with enterprise risk management.
- Identify hard and soft tactics to elevate ERM effectiveness.
- Explore next generation ERM potential.
Presentation
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Incident To, Shared Visits and Other Encounters with Non-physician Practitioners
David Glaser, Shareholder, Fredrikson & Byron PA
- Understand why the belief “you can’t bill for a new problem ‘incident to’” is wrong.
- Learn what we know (and don’t) about direct supervision, including the definition of “office suite.”
- Receive practical advice about how the regulations and Manual instructions differ.
Presentation
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Incentives and Creative Education
Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group
- Common misconceptions and objections to incentives.
- Where do incentives and education intersect?
- Creative ideas that make education fun.
Presentation
Evaluation
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The Alaska Healthcare Fraud Task Force
Chris Gonzales, Special Agent , Federal Bureau of Investigation
John C. Cagle, Assistant Attorney General, Director – Alaska Medicaid Fraud Control Unit
Douglas W. Jones, Manager, Medicaid Program Integrity, Department of Health & Social Services
Kyle T. Mitchum, Assistant Special Agent in Charge, HHS, OIG
- Health care fraud trends – Nationwide and in Alaska
- Health care fraud – Damage, cost and penalty
- Health care fraud reporting
No presentation available
Evaluation
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Leading Compliance: How to Gain Buy-in and Commitment
Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, President, CCB, Board Member, SCCE/HCCA
- Discuss the Compliance Officer’s role in obtaining commitment for the Compliance Program
- Discuss ways the Compliance Officer can employ to solicit buy-in from the Board and Senior Management.
- Discuss why commitment to the Compliance Program is critical to its effectiveness.
Presentation
Evaluation
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Understanding the Board’s Role in Compliance Oversight
Steve Ortquist, CCEP, CHC-F, CHRC, Senior Managing Director, Ankura Consulting Group
- Foundations: The board’s legal obligations and how they apply
- Recent developments in compliance guidance and enforcement
- Strategies to help your board meet its oversight obligations.
Presentation Handout 1 Handout 2 Evaluation
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Using Data Analytics to Mitigate Compliance Risk
Gerry Zack, CEO, HCCA & SCCE
- How analytics can be used to monitor compliance
- Analytics for assessing allegations and performing investigations
- Design of an analytics program using simple tools anyone can master
Presentation
Evaluation
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Friday, February 22
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Healthcare Compliance Track
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General Compliance Track
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Preparing for Alaska’s Medicaid Coverage and Payment Provider Reviews
Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group
Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, Sr. President, CCB, Board Member, SCCE/HCCA
- Discuss Alaska’s new regulation regarding Medicaid coverage and payment, audits and reviews.
- Discuss how to plan for these provider audits.
- Discuss how to prepare your providers for these audits.
Presentation
Evaluation
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Mobile Technology in the Workplace
Mark Boutwell, Intelligence Analysis Technical Director, Department of Defense
- Personal devices within the workplace introduce dynamic opportunities for technical and human threats.
- Technical and non-technical controls and other considerations regarding personal devices in the workplace.
- The human factor; employee intent to comply or not comply with organization policy and guidance.
Presentation
Handout (.docx)
Evaluation
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Provider Fraud from the Prosecution Perspective
John C. Cagle, Assistant Attorney General, Director - Alaska Medicaid Fraud Control Unit
Katherine Matos, Senior Counsel, Office of Inspector General-U.S. Department of Health and Human Services
- Overview of Alaska’s state Medicaid provider criminal liability provisions.
- Alaska Medical Assistance False Claim and Reporting Act (Civil False Claims Act)
- What to do when OIG/MFCU Investigators make investigatory requests.
Presentation
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Beyond The Investigation…What is the Root Cause
Dwight Claustre, CHC-F, CHPC, CHRC, Managing Director, Ankura Consulting
- Why it is important to look at the root cause.
- Provide guidance on developing a root cause process.
- Practical application of a root cause analysis.
Presentation
Handout
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Building a Culture and Network of Compliance
David S. Lane, CHC, Chief Compliance Officer, Providence St. Joseph Health
Stephanie Tasker, Regional Compliance Director, Alaska Region, Providence St. Joseph Health
- Learn the importance of adjusting your compliance program to your mission and values.
- Discuss the importance of being proactive rather than reactive.
- Recognize the culture of “know” is better than the culture of “no”
- How to align with key partners and expand your network.
Presentation
Evaluation
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What Problem Are You Solving? A Tactical Approach to Training
Ricardo P. Pellafone, Founder, Broadcat
- Focusing on function, not format, to take a problem-centered approach
- How to know when training is appropriate— and when you should do something else
- Practical questions you need to answer before you start making or buying training
Presentation
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Information Technology and Data Challenges in Healthcare
Mark Boutwell, Intelligence Analysis Technical Director, Department of Defense
- Resiliency is key to maintain real-time services and data access.
- Healthcare has greatly benefited from advances in information technology, revealing challenges that must be addressed while sustaining essential services.
- Mobile and remote access technologies pose unique challenges to the healthcare industry.
Presentation
Handout (.docx)
Evaluation
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Compliance Officer’s Round Table
Debbie Troklus, CCEP-F, CCEP-I, CHC-F, CHPC, CHRC, President, CCB, Board Member, SCCE/HCCA
Steve Ortquist, CCEP, CHC-F, CHRC, Senior Managing Director, Ankura Consulting Group
Lea Fourkiller, CHC, Managing Director, Ankura Consulting Group
Dwight Claustre, CHC-F, CHPC, CHRC, Managing Director, Ankura Consulting
- An interactive workshop discussing the value of an effective compliance program.
- Explore with the audience on how to get buy in from compliance from leadership.
- Audience will participate in a question and answer session with a compliance expert panel regarding compliance-related topics.
No presentation available
Evaluation
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