Overview of Risk Assessments and Workplans
Andrea Merritt Partner Athena Compliance
Andrei Costantino Vice President of Integrity and Compliance Trinity Health
• Discuss the overall risk assessment process and how it can change based on the maturity of your compliance program
• Review how to be fluid in your risk assessment while integrating OIG and contractor audit activity
• Discuss how ongoing auditing and monitoring plays a role in your compliance program and its impact on the risk assessment
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Evaluation
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Cybersecurity
Melissa Crespo Of Counsel Morrison & Foerster LLP
Special Agent Federal Bureau of Investigation Cyber Task Force
• Cybersecurity from the FBI’s perspective
• Cyber threats targeting the healthcare sector
• Emerging cyber intrusion trends
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Evaluation
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Price Transparency: Making the Most of the 2021 CMS Requirements
Jackie Nussbaum Director BKD CPAs & Advisors
Jennifer Goins Managing Consultant BKD CPAs & Advisors
• Identify the specific data elements required to be included in the public charge files and review examples of how the required files could look to achieve compliance
• Develop workplan and timeline for the multitude of tasks that need to be completed before the deadline
• Discuss key considerations for developing a transparent pricing strategy
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Evaluation
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Opioid Crisis and Compliance
Julia Russell Associate Director Protiviti
• Compliance requirements and beyond: Evaluating the effectiveness of your compliance program and remedial efforts to implement or improve one in the face of the opioid epidemic
• Digging into the common findings of Opioid Compliance Review and Drug Diversion Reviews
• Using analytics to target key risks related to prescribing, drug diversion, and compliance with system and regulatory policies
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New Proposed Changes to Stark Law and Anti-Kickback Statute
Peter Domas Attorney Dickinson Wright PLLC
Rose Willis Member and Practice Group Chair Dickinson Wright PLLC
• Learn about recent proposed changes to the rules implementing the Stark Law and the AntiKickback Statute, including new safe harbors and impact on value based, coordinated care
• Understand how the proposed changes could affect compliance burdens under real world scenarios
• Discuss the next steps in the regulatory process and possible future regulatory initiatives after the coronavirus pandemic
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Avoiding Unnecessary Refunds
David Glaser Attorney Fredrikson & Byron, P.A.
• Understand when a refund is truly required and why many lawyers mistakenly recommend them and give inaccurate advice on how far back you must go
• Understand why you are not required to refund based on provisions in Manuals/Guidance
• Recognize you can appeal to recover money you refunded
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