Surviving a CIA Glen Moyers Partner KPMG LLP
Felicia Heimer Senior Counsel, OIG
Diana Salinas Director of Compliance & Privacy Officer Leon Medical Centers
• Overview of the goals, objectives and specific elements of a CIA
• Tips on implementing and maintaining compliance, and establishing a good working relationship with OIG
• Case studies of “problematic” CIAs
• How strategies to survive under a CIA may be leveraged by all providers
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Evaluation
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Fraud, Compliance and Telehealth
Thomas (T.J.) Ferrante Attorney Foley & Lardner Su Kim Operations Officer, OIG
Brian Martens Assistant Special Agent in Charge, OIG
• Recent enforcement trends as they relate to telemedicine
• Important fraud & abuse considerations for telehealth
• Strategies and emerging trends for compliant telehealth arrangements
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Evaluation
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Compliance Scenarios and Resolutions
Gabe Imperato Managing Partner Nelson Mullins Broad and Cassel
Judy Ringholz VP & Chief Compliance Officer Jackson Health System
• Discussion of Hypothetical Compliance Matter; Report, Response and Resolution
• Internal Investigation of Reports of NonCompliant Activity
• Self Disclosure and Other Options for Resolution
Presentation
Evaluation
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Privacy and Security Risk Assessment Best Practices
Connie Barrera Chief Information Security Officer, Information Technology Jackson Health System
Blaine Kerr Chief Privacy Officer Jackson Health System
• Understanding the cross-section between security and privacy to include deconstructing a robust security/privacy risk assessment program
• Analyzing the anatomy of a breach
• Operationalizing an enhanced systemwide security and privacy program and defining key measures of success
Presentation
Evaluation
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Recent Developments and Physician Compensation Arrangements
Gabe Imperato Managing Partner Nelson Mullins Broad and Cassel
• Compliance Risk and Physician Compensation Arrangements: U.S. ex rel. Baklid-Kunz v. Halifax Medical Center; U.S. ex rel. Shackleford v. Tuomey Hospital; U.S. ex rel. Bookwalter v. University of Pittsburgh Medical Center.
• Application of Stark Law and Anti-Kickback Statute and Physician Compensation Arrangements; Fair Market Value and Prohibition on Payment Based on the Volume or Value of Referrals.
• Physician Compensation and Value Based Arrangements: Proposed Rules and Future Regulatory Modifications.
• Managing Risk and Physician Compensation Arrangements: Identification, Review and Advice.
Presentation
Evaluation
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Developing an Ethical Culture
Judy Ringholz VP & Chief Compliance Officer Jackson Health System
Don Steigman Executive Vice President & Chief Operating Officer Jackson Health System
• Organizational Ethics: The Foundation for a Culture of Compliance
• Establishing an Ethical Foundation: The Role of Senior Leaders
• Top 5 Considerations for Laying the Foundation for Organizational Ethics
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Evaluation
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