A USAO Perspective: The Compliance and Legal Climate for Healthcare in 2019
Robert Cessar, Esq. Assistant US Attorney US Attorney’s Office
• Trends and patterns in Healthcare
• Highlights from Current Year
• Advice: What to Monitor, When to Call
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20 Years as a Compliance Professional: Hard Lessons Learned & Ideas for Improvement
Kenneth Zeko, JD SVP, Compliance and Risk Services Crowe Healthcare Risk Consulting, LLC
• Sharing lessons from 60+ Compliance Program Assessments
• The importance of the Three Lines of Defense and Compliance Programs
• Thriving vs. Surviving as a Compliance Officer/ Department
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Practical Design Approaches and Elements for Compliant Compensation Arrangements
Randy A. Biernat, CPA/ABV Partner BKD
• Explore threshold data and internal control needs for effective plan design
• Hear strategies for aligning work effort with compensation terms
• Learn gap analysis techniques between “cost” and “value” in payments to physicians • Discover effective uses for compensation limiters
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Pay For Performance – Compliance Pitfalls and Opportunities
Barbara Vimont, JD, RHIA, MPH, CHC Director, Compliance and Privacy Akron Children’s Hospital
Tina Batra Hershey, JD, MPH Assistant Professor, Health Policy & Management, Assistant Director of Law and Policy Center for Public Health Practice
Mark Faccenda, Esq. Partner Norton Rose Fulbright US LLP
• What is Pay for Performance now and how has it changed
• What are the critical areas compliance professionals should know and monitor
• How can compliance professionals assist providers in complying
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Conflicts of Interest: Best Practices for Disclosure, Validation, and Development of Mitigation Plans
Lisa Murtha, JD, CHC, CHRC Senior Managing Director Ankura
• Learn best COI practices for small and large organizations
• Explore methods to validate the accuracy of disclosures
• Understand potential impacts to the provision of care and how to develop effective mitigation plan
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Compliance in the Post-Acute World
Marisol Valentin Compliance, Integrity and Risk Officer Pittsburgh Mercy Health Systems
Janet Feldkamp, RN, JD Partner Benesch
• Overview of Regulatory Changes for Post-Acute Healthcare Services – skilled nursing facilities, home health companies, hospice agencies and behavioral health • High Risk Areas for internal and external auditing and monitoring plans
• Tips and Lessons Learned from the field
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Legislative Update
Tracy Lawless Government Affairs Advisor K&L Gates LLP
Karishma Shah Page Partner K&L Gates LLP
• Hear an update on current federal legislative and regulatory activity
• Learn the latest on the impact on Compliance of the SUPPORT for Patients and Communities Act
• Learn the impact of current and potential legislation and regulatory activity on Compliance
• Stay up to date on advocacy initiatives related to Compliance
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