Coordinated Care Organization (CCO 2.0)
Dave Inbody CCO Operations Manager Oregon Health Authority
• How metrics affect compliance
• How compliance can help affect metrics
Presentation Evaluation
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ACP – Attorney-Client Privilege
Ellen Hampton Director, Corporate Integrity, Safety & Risk Management, Salem Health
John Bauer Attorney Parks Bauer Sime Winkler & Fernety LLP
• What is Attorney/Client privilege: how it should be used, by whom, and the consequences when it is not used
• How Compliance and Legal can work together
• Separation of Legal and Compliance
Presentation Evaluation
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Medicaid Fraud Unit Updates
Jodie Bureta Sr. Assistant Attorney General/Medicaid Fraud Unit, Oregon Department of Justice
• Overview of the Oregon Medicaid Fraud Control Unit, including authority, jurisdiction and organization
• Highlights of recently prosecuted cases around the State of Oregon demonstrating the types of fact patterns and trends we are seeing and some investigative strategies
• What to expect if Oregon MFU gets involved investigating one of your clients/providers, including what the agencies obligations might be
No Presentation Available Evaluation
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Record Retention Best Practices
Moderator:
Aurae Beidler Compliance/Privacy Officer Linn County Health Services
Panel:
Lynne Shoemaker Sr. Compliance Consultant Legacy Health
Glenn Odell President SIS NW Inc.
• How to deal with conflicting state rules (OARs)
• Where does the 10 year rule come from?
• How to approach retention/destruction when your EHR system does not/will not “destroy” records (we are years from this but it’s still a question)
• Scanning, archiving best practices
Presentation Evaluation
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Resolving Conflicts of Interest: Finding and Evaluating Financial Relationships
David Glaser Fredrikson & Byron, P.A.
• Recognize which financial relationships are allowed, which are clearly illegal, and which are grey
• Tips for finding and avoiding problematic payments
• Practical strategies for educating medical professionals about conflicts, including why the phrase “conflicts of interest” can confuse people
Presentation Evaluation
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HIPAA Privacy, Breach and Audit Updates
Eric Press Equal Opportunity Specialist Office for Civil Rights
• Policy
• Breach Notification
• Enforcement
• Audit
Presentation Evaluation
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