Compliance Concerns Related to the Opioid Epidemic
Jeff Fitzgerald Shareholder Polsinelli PC
• Overview of regulation of controlled substances
• Recent developments in opioid prescribing and dispensing
• Practical tips for compliance reviews and risk mitigation
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Research Compliance
Alison Lakin RN, LLB, LLM, PhD Associate Vice Chancellor for Regulatory Compliance Research Integrity Officer University of Colorado Denver
• Identifying risk issues
• Documentation and privacy issues
• Practical tips for organizations who are new to research
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DOJ Enforcement Initiatives
Lila M. Bateman Assistant U.S. Attorney, Civil Healthcare Fraud Coordinator United States Attorney’s Office District of Colorado
Anna Edgar Assistant United States Attorney United States Attorney’s Office District of Colorado
• Discussion of health care enforcement activities
• How DOJ assesses whistleblower allegations
• Lessons from prior DOJ reviews of provider compliance programs
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Telehealth Compliance: What should I know to be proactive?
Lori Laubach, CHC Partner Moss Adams LLP
• Current state and government trends with Telehealth
• What are the risks
• Ideas on how to audit or monitor
• Proactive compliance
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The Art of Benchmarking for Risk: How to Target Your Outliers Without Needs a Math Degree
Jared Krawczyk Mathematician Nektar Analytics
• Explore benchmarking techniques needed to assess the risk of a physician’s coding patterns (E/Ms, Modifiers, Productivity, Procedural Billing)
• Demonstrate how to organize the analysis results into one comprehensive physician compliance scorecard
• Discuss how to apply the benchmarking results for the entire medical group into a singular prioritized audit plan. (Providing actual example audit plans)
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Legislative Update: Health Care Legislation of 2019
Katherine Blair Mulready, JD MPS Senior Vice President & Chief Strategy Officer, Colorado Hospital Association
• Review of multiple health care laws
• Implications for compliance
• What to expect next
No Presentation Available
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