Program - Compliance Institute

Transcription

Health Care Compliance Association’s 18 th Annual
COMPLIANCE
INSTITUTE
®
March 30–April 2, 2014 | Manchester Grand Hyatt | San Diego, CA
Visit www.compliance-institute.org to learn more
Conference Guide
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Welcome to HCCA’s
18th Annual Compliance Institute
We’re so glad you’re here with us in San Diego
for what promises to be our best and most
memorable conference yet. We’ve packed
the conference with rousing speeches,
thought‑provoking panels, and the chance to
network with amazing people from all over the
country. Throughout the conference, you’ll have
the chance to meet new and old colleagues and
form lasting relationships.
I do hope that while you’re here you get
to enjoy beautiful San Diego. San Diego
is California’s second largest city and the
United States’ eighth largest. It has numerous
charming neighborhoods and communities,
including downtown’s historic Gaslamp Quarter,
Little Italy, Coronado, and La Jolla, just to name
a few. San Diego is also renowned for its great
climate and pristine beaches. For those of you
who’ve decided to extend your stay, San Diego
has many popular attractions, including the
San Diego Zoo, SeaWorld San Diego, and
LEGOLAND California. San Diego offers an
expansive variety of things to see and do,
appealing to guests of all ages.
As the SCCE/HCCA President, I know that the
success of this conference depends ultimately
on the many people who have worked hard
planning and organizing both the program and
supporting arrangements. In particular, I would
like to thank the Program Chairs for brilliant
session selections and the SCCE/HCCA staff who
have all worked extremely hard on the details of
important aspects of the conference programs
and activities.
Enjoy the conference!
Best Regards,
John Falcetano, CHC-F, CCEP-F,
CCEP-I, CHPC, CHRC, CIA, CICA
SCCE/HCCA President
1
www.compliance-institute.org
Schedule overview
Saturday, March 29
Tuesday, April 1
Volunteer Project............................................................... 7:30 am – 12:00 pm
Yoga (pre-registration req’d)........................................... 6:30 – 7:30 am
Conference Registration........................................... 11:00 am – 8:00 pm
Registration.................................................................................. 7:30 am – 4:00 pm
Sunday, March 30
Exhibit Viewing Hours........................................................... 7:00 – 11:15 am
Morning Sessions...............................................................9:00 am – 12:00 pm
SpeedNetworking......................................................................... 7:30 – 8:30 am
SpeedMentoring.......................................................................... 12:00 – 1:00 pm
Lunch on your own.................................................................. 12:00 – 1:30 pm
Afternoon Sessions.......................................................................1:30 – 4:30 pm
Networking Reception (Exhibit Hall).................... 4:30 – 6:00 pm
Compliance Today Authors’ Reception/
Academies Reunion.................................................................... 5:30 – 6:30 pm
TweetUp..................................................................................................... 6:00 – 7:00 pm
Continental Breakfast (Exhibit Hall).......................7:00 – 8:30 am
Opening Remarks..........................................................................8:30 – 8:40 am
General Session............................................................................... 8:40 – 9:40 am
General Session............................................................................ 9:40 – 10:25 am
Networking Break (Exhibit Hall)........................... 10:25 – 11:00 am
Breakout Sessions 500.............................................. 11:00 am – 12:00 pm
Networking Luncheon......................................................... 12:00 – 1:00 pm
Breakout Sessions 600............................................................. 1:00 – 2:00 pm
Break............................................................................................................... 2:00 – 2:30 pm
Monday, March 31
Yoga (pre-registration required)................................ 6:30 – 7:30 am
Exhibit Viewing Hours.................................................... 7:00 am – 7:00 pm
Continental Breakfast (Exhibit Hall).......................7:00 – 8:30 am
Opening Remarks..........................................................................8:30 – 8:45 am
General Session.................................................................................8:45 – 9:15 am
General Session.............................................................................. 9:15 – 10:15 am
Networking Break (Exhibit Hall)............................ 10:15 – 11:00 am
Breakout Sessions 100.............................................. 11:00 am – 12:00 pm
Luncheon.............................................................................................. 12:00 – 1:00 pm
Wednesday, April 2
Dessert & Networking Break
(Exhibit Hall)..........................................................................................1:00 – 1:30 pm
Registration............................................................................... 7:30 am – 12:00 pm
Breakout Sessions 200..............................................................1:30 – 2:30 pm
Networking Break (Exhibit Hall).................................. 2:30 – 3:00 pm
Networking Break (Exhibit Hall).................................. 4:00 – 4:30 pm
Networking Reception (Exhibit Hall).................... 5:30 – 7:00 pm
Post-Conference Sessions.................................................. 8:00 – 9:45 am
Break........................................................................................................... 9:45 – 10:00 am
Post-Conference Sessions.............................................10:00 – 11:45 am
CHC Exam.................................................................................................1:30 – 4:30 pm
(Check-in at 1:00 pm*)
CHPC Exam..............................................................................................1:30 – 4:30 pm
CHRC Exam.............................................................................................1:30 – 4:30 pm
2 www.compliance-institute.org
General information
Registration Desk hours
Nine learning tracks
Registration will be held in the Palm Foyer, second
floor of the Manchester Grand Hyatt.
To help you choose among the Compliance Institute’s
100+ conference sessions, HCCA has arranged sessions
into nine learning tracks. Follow one track through the
entire conference, or create an individualized program
by attending sessions from various tracks. Choose from:
Saturday, March 29........................................................... 11:00 am – 8:00 pm
Sunday, March 30.................................................................. 7:30 am – 6:00 pm
Monday, March 31................................................................ 7:00 am – 6:00 pm
Tuesday, April 1........................................................................ 7:30 am – 4:00 pm
Wednesday, April 2.......................................................... 7:30 am – 12:00 pm
Registration Desk phone
Call 619-358-6825 to reach HCCA staff at the
Registration Desk during registration hours,
Saturday through Wednesday.
Exhibit Hall hours Sunday, March 30........................................................................... 4:30 – 6:00 pm
Monday, March 31................................................................ 7:00 am – 7:00 pm
Tuesday, April 1....................................................................... 7:30 am – 11:15 am
Continuing Education Units
You will find a tear-out continuing education
application following the “CEU Application” tab in
this guide. If you have questions, please stop by
HCCA’s booth, the Registration Desk, or any of the
ASK ME desk locations. The form is also available
on www.compliance-institute.org, the Compliance
Institute website.
Download HCCA Mobile
HCCA Mobile takes everything you
need to know about the Compliance
Institute and puts it directly on your
mobile device. The app is available
for Apple and Android devices. Just
search HCCA Mobile in your app
store. If you don’t have an iPhone, iPad, or Android
device, you can still use the mobile website. For more
information, visit www.hcca-info.org/mobileapp or
scan the QR code. And don’t forget to visit HCCA’s
booth in the Exhibit Hall and show us the app
on your mobile device for a chance to win Bose®
noise‑canceling headphones.
Tweeting @ the meeting
Use #HCCAci at the conference to see your tweets
displayed on the Twitter Walls throughout the
conference area. Each tweet is one entry for a chance
to win an Apple iPad.
; GENERAL COMPLIANCE/
HOT TOPICS
; LONG-TERM CARE
; PRIVACY & SECURITY
; PHYSICIAN COMPLIANCE
; COMPLIANCE LAWYER
; AUDITING & MONITORING
; HOW TO SUCCEED AS A
COMPLIANCE PROFESSIONAL
; QUALITY OF CARE
; ADVANCED DISCUSSION GROUP
THINGS TO DO
Networking receptions
Be sure to join us on Sunday, March 30, from
4:30–6:00 pm and Monday, March 31, from 5:30–7:00 pm
in the Grand Hall (lobby level) for networking with
exhibitors and colleagues. Beverages and appetizers
will be served both evenings.
TweetUp and “Appy” Hour
Come to the #HCCAci TweetUp on
Sunday, March 30, at 6:00 pm in the
Harbor Ballroom Foyer on the second
floor of the Manchester Grand Hyatt.
You’ll have a chance to win Bose®
noise-canceling headphones and get
a free drink. Make sure you bring the raffle ticket you
received when you checked in at Registration.
SpeedNetworking
To help you make connections faster and better, HCCA
has partnered again this year with SpeedNetworking.
Their advanced matching technology will enhance your
networking experience and ensure that you meet the
people you are interested in meeting. To participate in
this opportunity, sign up near the HCCA Registration
Desk no later than 8:00 pm on Saturday. Pre-registration
is required to make the best matches for you.
The session will take place on Sunday, March 30, from
7:30–8:30 am in Mission Beach Ballroom/Foyer located
on the third floor of the Manchester Grand Hyatt. If you
have already signed up, be sure to arrive on time.
3
General information
SpeedMentoring
HCCA’s SpeedMentoring program is back this year by
popular demand. If you’re already signed up, please
come to the Mission Beach Ballroom/Foyer on Sunday,
March 30, at 12:00 pm. And if you haven’t signed up
yet, there may still be an opening: Inquire at the HCCA
Registration Desk no later than 8:00 pm on Saturday.
Authors’ Reception/Academies Reunion
Have you attended an HCCA Academy? Are you an
author for Compliance Today (or would like to be)?
Be sure to join us for an informal reception on Sunday,
March 30, from 5:30–6:30 pm, Marina Ballroom (located
outside of the Manchester Grand Hyatt across from
Sally’s, next to the coffee shop).
Professional headshots
Get a professional headshot of yourself absolutely
free. Come by the photo studio, located in the
Seaport Foyer. It’s open Sunday from 12:00–6:00 pm,
Monday from 7:00 AM–6:00 pm, and Tuesday from
7:00 am–4:00 pm.
Yoga
Join us Monday and Tuesday mornings from 6:30–
7:30 am for yoga. The classes are complimentary, but
space is limited and pre‑registration is required. If you
are not pre‑registered and would like to join a class,
please stop by the Registration Desk to see if there
are any spaces available. HCCA will be providing the
instructor and yoga mats. The yoga classes will take
place in the Marina Ballroom, located outside of the
Manchester Grand Hyatt across from Sally’s Restaurant,
next to the coffee shop.
Find Compliance Bob in CI Daily and enter
to win a free registration for 2015
Check out our conference newspaper, CI Daily. There
will be new editions on Sunday, Monday, and Tuesday
during the conference. We’ll keep you up-to-date on
the latest news, events, and contest winners. Plus,
find Compliance Bob in each issue of CI Daily, and you
could win a free registration for the 2015 Compliance
Institute in Florida. More details are available in CI Daily
and on the contest entry forms page that follows the
CEU Application in this guide. Pick up CI Daily at the
Registration Desk or at HCCA’s Exhibit Hall booth. It is
also available on the conference’s mobile app.
RESOURCES
Internet Cafés/Printing handouts on-site
For your convenience, there are two Internet Cafés
spread through the meeting space. You may use these
areas to print handouts for sessions you are attending.
They will be open during conference registration hours
on Sunday through Wednesday morning.
Complimentary Wi-Fi for HCCA
conference attendees in the
meeting space
Thank you to Broad and Cassel for sponsoring our
Wi-Fi. Enter the following information to access the
complimentary Wi-Fi:
Network Name: HCCA Attendee WiFi
Password (case sensitive): Compliance
Mobile App/IT Help Desk Support
New this year—a help desk for HCCA’s mobile app
at the Compliance Institute. Get help with questions
about downloading the app, taking notes on the
presentations, general phone technology issues, and
more. The Help Desk will be open during conference
registration hours, and will be located near the HCCA
Registration Desk.
Cell phone charging stations
available on-site
Thank you to Hall Render for providing three cell
phone charging stations. Charge your phone in
35–45 minutes in a secure, locked charger. A credit
card is required to open, unlock, and secure the lock
but NO credit card fees will apply. Works with nearly
all phones: Android, iPhone, Blackberry and more.
Find them in three convenient locations:
• D
irectly across from Redfield’s Restaurant
in the business center kiosk area
• P
alm Foyer near the Registration Desk
on the second floor
• C
oronado Foyer near the breakout sessions
on the fourth floor
General information
Looking for a new job?
Concierge service
Check out the Compliance Institute job board.
QR codes are listed by every job so you can save them
in your phone and take the information with you. The
job board is located in Seaport Foyer on the second
floor of the Manchester Grand Hyatt. And if you have
an opening to share, you can post your job listing on
the job board as well.
It’s never been easier to find a perfect restaurant for
dinner or get information on tours and things to do
around the San Diego area. Just stop by the Palm/
Seaport Foyer on the second floor of the Manchester
Grand Hyatt during the following hours:
Lead retrieval: Connect with exhibitors
We are pleased to provide a lead retrieval system in the
Exhibit Hall. Using it is easy. Simply scan your badge
at the readers provided at many exhibitor booths to
request information from that exhibitor. Your badge’s
barcode holds the demographic information
you provided on your registration form (name,
organization, address, city, state, zip code, phone,
and email). Please note that this exchange of contact
information with exhibitors is at your discretion.
Purchase session recordings
Audio recordings of most educational sessions will be
available for purchase. Find a list of session recordings
and the order form after the CEU application in this
guide or in your attendee tote bag. Or stop by the
HCCA Registration Desk or ASK ME locations.
On-site bookstore
Stop by the on-site bookstore and browse
through a wide selection of titles on compliance,
HIPAA, healthcare, ethics, and management. The
bookstore will be stocked with books authored
and recommended by your HCCA presenters. The
bookstore will be open Sunday through Tuesday and
is located in the Seaport Foyer, second floor of the
Manchester Grand Hyatt.
Speaker ready room
A speaker ready room will be available Sunday–Tuesday
from 7:00 am–3:00 pm, and Wednesday, 7:00–10:00 am,
in Old Town A on the second floor of the Manchester
Grand Hyatt.
Sunday, March 30............................. 7:30 am – 6:00 pm
Monday, March 31........................... 7:00 am – 6:00 pm
Tuesday, April 1................................... 7:00 am – 4:00 pm
NEED TO KNOW
Name badge
Please wear your name badge at all times during
conference events, receptions, and educational
sessions. Name badges are required to enter
conference functions and the Exhibit Hall. Please
stop by the registration desk if you need a
replacement badge.
Session seating
You are encouraged to arrive early at your preferred
sessions, as seating is available on a first-come,
first‑served basis (except for Advanced Discussion
Groups, for which pre‑registration is required).
Electronic devices
As a courtesy to meeting attendees, HCCA requests
that all electronic communication devices be turned
off during educational sessions. If you must use a
device, please step out of the meeting so you do not
disturb others.
Attire
Business-casual attire is appropriate for conference
functions. Room temperatures may vary, so you may
want to bring a sweater or a light jacket. Or use the
complimentary HCCA blanket that you’ll find in the bag
you received at the Registration Desk.
First aid
Dial 0 from any hotel phone or sleeping room for
emergencies.
No-smoking policy
HCCA maintains a no-smoking policy in all
Compliance Institute functions.
5
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5 minutes gets you a $10 iTunes card at Table 06
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At a glance
find your session times and locations
Saturday, March 29
ROOM LOCATION
7:30 am – 12:00 pm
11:00 am – 8:00 pm
Kettner Drive Entrance, Lobby Level
Palm Foyer, Second Floor
8th Annual Volunteer Project
Conference Registration
Sunday, March 30
ROOM LOCATION
7:30 am – 6:00 pm
SpeedNetworking
7:30 – 8:30 am
9:00 am – 12:00 pm P1 Large Hospital Systems
PRE-CONFERENCE: ; P2 Compliance Program Development: Where Do You Start?
BREAKOUT
; P3 Compliance in the Post‑Acute Environment
SESSIONS
; P4 HIPAA Privacy and Security 101
(includes 15-min. break)
; P5 Documentation Compliance for ICD-10 along with CPOE: Strategies
Mission Beach, Second Floor
Gaslamp, Second Floor
Seaport ABC, Second Floor
Harbor GHI, Second Floor
Seaport DE, Second Floor
Harbor ABC, Second Floor
12:00 – 1:00 pm
12:00 – 1:30 pm
1:30 – 4:30 pm
for Compliance Officers to Minimize PTS (Post Traumatic Stress
Syndrome) in Your Medical Staff
; P6 False Claims Act Developments
; P7 Data Mining on a Budget: Effective Use of Information Technology
Resources in Your Compliance Program
; P8 Compliance Sitting at the Strategy Table
; P9 Meaningful Use as It Relates to HIPAA Compliance
; P10 Discharge Planning in Today’s Regulatory Environment
P11 Regulatory Challenges in Implementing and Maintaining Laboratory
Compliance Programs
P12 Compliance, Internal Audit, and Risk Management: What Do
They Look Like at a Managed Care Health Plan? And Other Words
of Wisdom...
; P13 Media Panel: How the Media Covers Health Care Fraud and
Compliance Issues and Hot Topics for 2014
SpeedMentoring
Lunch (on your own)
Seaport FGH, Second Floor
Coronado AB, Fourth Floor
Harbor DEF, Second Floor
Coronado DE, Second Floor
Cortez Hill, Third Floor
Balboa, Second Floor
Coronado C, Fourth Floor
America’s Cup, Fourth Floor
Mission Beach, Third Floor
P14 Behavioral Health Systems
;
P15
Staying
Ahead
of
the
OIG:
Best
Practices
for
Compliance
in
the
New
PRE-CONFERENCE:
BREAKOUT
SESSIONS
(includes 15-min. break)
World of Enforcement
; P16 Pursuing, Defending, and Resolving False Claims Act Cases in
6:00 – 7:00 pm
TRACKS
4:30 – 6:00 pm
5:30 – 6:30 pm
Long-Term Care
; P17 Information Security: Fundamentals, Top Risks, and Strategies to
Counter Threats
; P18 Dr. Jekyll and Mr. Hyde, CHC: Physician Compliance Education,
Quality, and Risk Reduction Partners
; P19 Responding to a Government Investigation: Best Practices for
Achieving a Favorable Outcome
; P20 Third-Party IT Service Providers: How to Conduct Risk Assessments
and Design Appropriate Levels of Auditing and Monitoring of
Safeguards for Your Organization’s ePHI
; P21 Survivor 2014: How to Thrive Under a CIA with an IRO
; P22 Compliance Implications of Health Care Reform
; P23 Coordination of Quality of Care and Compliance across Institutions
such as a County Hospital System and Academic Medical Centers
P24 Survival of the Fittest! Navigating the DMEPOS Jungle!
P25 Navigating a Sea of Change: AMC Compliance during Health
Care Reform
P26 Research Hot Topics, Trends, and Tips for Compliance Professionals
Networking Reception in Exhibit Hall
Academies Reunion/Authors’ Reception
Coronado DE, Fourth Floor
Harbor ABC, Second Floor
Harbor DEF, Second Floor
Harbor GHI, Second Floor
Grand Hall, Lobby Level
Marina Ballroom (outside of the Manchester
Grand Hyatt across from Sally’s, next to the coffee shop)
; GENERAL COMPLIANCE/HOT TOPICS
; LONG-TERM CARE
; COMPLIANCE LAWYER
Harbor Ballroom Foyer, Second Floor
; HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
; QUALITY OF CARE
7
At a glance
Monday, March 31
ROOM LOCATION
7:00 am – 6:00 pm
7:00 – 8:30 am
8:30 – 8:45 am
8:45 – 9:15 am
9:15 – 10:15 am
Seaport Ballroom, Second Floor
Continental Breakfast in Exhibit Hall
Opening Remarks
GENERAL SESSION: OIG Update
GENERAL SESSION: Compliance Plus: Creating an Effective Compliance
Program Using an Ethics Framework
Networking Break in Exhibit Hall
10:15 – 11:00 am
11:00 am – 12:00 pm ; 101 Building a Healthy ACO Compliance Program
; 102 Regulation and Enforcement: What the Law Was, What the Law Is, Seaport FGH, Second Floor
BREAKOUT
SESSIONS
and What The “Law” Will Be Like Tomorrow
; 103 Season Your Compliance Program with PEPPER
; 104 OCR Reports on Enforcement of the HIPAA Rules
; 105 Educate the Medical School to Educate Their Physicians
; 106 DME Compliance and Regulatory Issues
; 107 Best Practices for Medicare and Medicaid EHR Incentive Programs
; 108 Care Management: Can We Do It Better?
; 109 Privacy and Security in a Rapidly Evolving Environment
; 110 The Top 10 Conflicts of Interest Developments Compliance
Professionals Need to Know About
Regatta, Fourth Floor
; 111 Opening a New Hospital/Medical Center: A Look at the Imperative Torrey Hills, Third Floor
12:00 – 1:00 pm
1:00 – 1:30 pm
1:30 – 2:30 pm
BREAKOUT
SESSIONS
Role of Compliance
; 112 Compliance Monitoring: Effective Communication and
Documentation Practices
; AD1 Handling Multiple External Audits and Compliance Reviews
; AD2 HIPAA Privacy Best Practice Discussion
Networking Luncheon
Dessert & Networking Break in Exhibit Hall
; 201 Risk Management: What the Heck Is ERM? Is There an “8th
Hillcrest AB, Third Floor
Hillcrest CD, Third Floor
Harbor Ballroom, Second Floor
; 202 Be Ready for ICD-10: Best Practices for Educating Coders
; 203 Inside Counsel, Outside Counsel, General Counsel: How Should a
; 204 Is Your Privacy Program Reactive or Proactive? Tips and Tricks to
Element” of a Good Compliance Program?
Compliance Officer Conduct an Investigation?
8 Build a Proactive Program
; 205 Who Is a Qualified Health Care Professional (QHP)? A Compliance
Update on Using Extenders from CRNAs to PAs
; 206 Voluntary Disclosure: When and Where
; 207 A Unique Approach to Auditing the Primary Care Exception
; 208 Ensuring Level of Care Orders in EHRs
; 209 Pearls of Wisdom: Recent Updates, Audit Results, and Better
Practice Ideas to Reduce Vulnerabilities Stemming from RAC, MAC, &
Medicaid Claims Audits
; 210 Stark, Anti-Kickback, and Information Technology: Considerations
for the Compliance Professional
; 211 Is Your Compliance Program Window Dressing or Effective?
; AD3 Pointers and Pitfalls in Managing Work-Life Balance, Stress, and
Burnout in the Compliance Profession
; AD4 Evolving Cyber Threats to PHI: How Can We Safeguard Data to
Lessen the Frequency and Severity of Data Breaches?
; AD5 Compliance Dashboards
TRACKS
2:30 – 3:00 pm
; LONG-TERM CARE
Golden Hill, Third Floor
; COMPLIANCE LAWYER
; QUALITY OF CARE
At a glance
Monday, March 31
3:00 – 4:00 pm
BREAKOUT
SESSIONS
4:00 – 4:30 pm
4:30 – 5:30 pm
BREAKOUT
SESSIONS
5:30 – 7:00 pm
ROOM LOCATION
; 301 Updates on the Latest Program Integrity Auditor Targets
and Activity
; 302 Learning From CIAs: What You Need To Know Even If You’re
Not Under One
; 303 Compliance Issues in Home Health and Hospice
; 304 LoProCo: Understanding and Applying the Four Factor Assessment
Model for Presumed Breaches
; 305 Tick-Tock....The Clock Is Ticking
; 306 ACO Formation, Operation and Compliance
; 307 Drug Billing Compliance in Provider Settings: Auditing Strategies
; 308 Not a Quality Expert? How to Integrate Quality into Your
Compliance Program
; 309 Assessing and Mitigating Risk Under the HIPAA Omnibus Rule
; 310 Social Media in the Health Care Setting: So Much Not to Like
; 311 Challenges and Helpful Hints for Turning Low Performers into
Compliant Performers: A Road Map for Success
; AD6 Reporting and Clinical Research
; AD7 Preventing Stark and Kickback Violations
; AD8 Risk Assessment Methodologies
; 401 Critical Change: Enterprise Risk Management Meets Healthcare
; 402 OIG Medicare Compliance Reviews
; 403 2014 Review of the OIG Work Plan for Post-Acute Providers
; 404 Top 10 Tips for Effectively Assessing Business Associates:
Determining the Adequacy of Your Business Associate’s Security,
Privacy, & Data Protection Compliance
; 405 Coaching Compliance: Connecting the Dots When Problems Arise
; 406 Medicaid Enforcement Update
; 407 Continuous Auditing Programs
; 408 The Quality Tsunami: PQRS, Practice Guidelines, Healthcare Fraud,
and Malpractice Fraud
; 409 What’s FMV Got To Do With It? The Role of Fair Market Value in
Physician Employment Arrangements
; 410 340B Drug Discount Program: A New World of Increased Scrutiny
and What This Means to Your Organization
; 411 Compliance...Who Says It Can’t Be Fun?
; AD9 Compliance Training
; AD10 The Ins and Outs of 340B Compliance
; AD1b/repeat Handling Multiple External Audits and
Compliance Reviews
ROOM LOCATION
7:00 am – 4:00 pm
7:00 – 8:30 am
8:30 – 8:40 am
8:40 – 9:40 am
9:40 – 10:25 am
10:25 – 11:00 am
TRACKS
Tuesday, April 1
Opening Remarks
GENERAL SESSION: Influencing Decision-Making
GENERAL SESSION: Corporate Governance & Liability: Panel Discussion
; LONG-TERM CARE
; COMPLIANCE LAWYER
; QUALITY OF CARE
9
At a glance
Tuesday, April 1
ROOM LOCATION
11:00 am – 12:00 pm ; 501 Lessons Learned: Implementing a System-Wide Access
12:00 – 1:00 pm
1:00 – 2:00 pm
BREAKOUT
SESSIONS
2:00 – 2:30 pm
Monitoring Program
; 502 Contract Compliance
; 503 Therapy Utilization in Long-Term Care: Is It Really
“Over‑Utilization”?
; 504 Privacy and Security Challenges in Integrated Care
; 505 Common Compliance Mistakes In Small Physician Practices
; 506 Advanced Stark and Fair Market Value: A Progressive Case Study
; 507 Auditing and Monitoring Provider Based Services: Is Your
Reimbursement at Risk?
; 508 What Are Your Patients Saying About Your Organization? Tuning
into Quality Through Your Patient Complaints
; 509 The Riddle of Data-Driven Compliance Program
; 510 Recent Trends in RAC and MAC Appeals
; 511 Effective Compliance Presentations: Use of Art, Literature, and the
Media to Make Your Presentations Relevant and Lively
; AD2b/repeat HIPAA Privacy Best Practice Discussion
; AD3b/repeat Pointers and Pitfalls in Managing Work-Life Balance,
Stress, and Burnout in the Compliance Profession
; AD4b/repeat Evolving Cyber Threats to PHI: How Can We Safeguard
Data to Lessen the Frequency and Severity of Data Breaches?
Networking Luncheon
Harbor Ballroom, Second Floor
; 601 OIG Investigations: The Audits Are Here!
; 602 How to Get Team Members Engaged in Compliance
; 603 Narrowing Networks, Preferred Provider Relationships: How Do We Balboa, Second Floor
Stay Compliant?
; 604 Ensuring Mobile App Compliance with HIPAA
; 605 Beyond Benchmarking: Integrating Analytics into Daily
Compliance Operations
; 606 Medicare Enrollment Application, Revocation and Appeals
; 607 Evaluating Audit Error Rates and Deciding What to Do Next
; 608 CMS Quality Based Payment Reform Initiatives
; 609 The National Practitioner Data Bank: What Compliance Officers
Need to Know
; 610 Compliance & the C-Suite
; 611 Strategies for Successfully Transitioning into a New
Compliance Position
; AD5b/repeat Compliance Dashboards
; AD6b/repeat Reporting and Clinical Research
; AD7b/repeat Preventing Stark and Kickback Violations
Networking Break
TRACKS
BREAKOUT
SESSIONS
10 find your session times and locations
; LONG-TERM CARE
Seaport Foyer, Second Floor
; COMPLIANCE LAWYER
; QUALITY OF CARE
At a glance
Tuesday, April 1
2:30 – 3:30 pm
BREAKOUT
SESSIONS
ROOM LOCATION
; 701 HIPAA Business Associate Satisfactory Assurances: What Do
We Ask For?
; 702 Turning Coal into Gold: Assessing and Tracking Risk Mitigation to
Improve Operations
; 703 Legal, Compliance, and Nursing—Friends or Foes? How this
Critical, Triangular Relationship CAN and Should Work in Your
Organization
; 704 Walking the Straight and Narrow between Requirements of IRB
Protocols and Compliance with HIPAA
; 705 Managing Effective Compliance Program on a Limited Budget:
Doing More with Less
; 706 Hospice Enforcement and Compliance
; 707 Anatomy of an OCR Breach Investigation
; 708 Clinical Documentation and ICD-10
; 709 It’s Not Child’s Play: Children’s Hospitals Compliance Issues
; 710 The Next Generation of the HIPAA/HITECH Audits
; 711 The Dance of Compliance Program Oversight: Building a Successful
Board & Compliance Officer Partnership
; AD8b/repeat Risk Assessment Methodologies
; AD9b/repeat Compliance Training
; AD10b/repeat The Ins and Outs of 340B Compliance
Wednesday, April 2
ROOM LOCATION
7:30 am – 12:00 pm
8:00 – 9:45 am
; W1 Hot Topics in Home Health
POST-CONFERENCE: ; W2 Building a Compliance Dashboard: Tips for Creating High-Level
Reports for Tracking Progress, Improvement, and Risks for Your
BREAKOUT
Compliance Program
SESSIONS
; W3 Taking Compliance to the Next Level: Enterprise Risk Management
; W4 Why Preparing for an OCR Audit Is Neither Boilerplate,
9:45 – 10:00 am
10:00 –11:45 am
Straightforward, Nor Predictable, and What to Do When Everything
You Thought You Knew Changes throughout the Process
; W5 Mitigating Coding Risks In the EHR
; W6 Liability for Lack of Medical Necessity
; W7 Integrated Risk Assessment: Compliance-Risk-Quality
; W8 Applying Lean Six Sigma to Your Compliance Program
; W9 Secure Your Mask Before Assisting Others
Networking Break
; W10 Clinical Documentation Improvement Mini-Medical Institute for
Torrey Hills, Third Floor
Seaport Foyer, Second Floor
Compliance Officers: Being Sure that Your Leadership (Including Board
POST-CONFERENCE:
of Directors, C-Suite, and Physicians) Are Ready for ICD-10
BREAKOUT
; W11 ACOs, CCOs: Challenges & Opportunities
SESSIONS
; W12 Research Compliance Program Oversight: Moving from Reactive Coronado C, Fourth Floor
TRACKS
1:30 – 4:30 pm
to Proactive
; W13 Privacy Officer Roundtable: The Omnibus Rule—Six Months in
and Now What?
; W14 Physician Appeals 101
; W15 Pharmacy Compliance
; W16 Integrating Monitoring into Operations
; W17 Where to Go from Here: A Wrap-Up and Next Steps
; W18 12-Step Program to Better Compliance: A Practical Approach
CHC, CHPC, and CHRC Certification Exams (check-in at 1:00 pm)*
; LONG-TERM CARE
; COMPLIANCE LAWYER
Torrey Hills, Third Floor
; QUALITY OF CARE
11
HCCA is in the process of applying
for additional credits. If you do not
see information on your specific
accreditation and would like to
make a request, please contact us at
[email protected] or call
952-988-0141 or toll-free 888-580-8373.
Visit HCCA’s 18th Annual Compliance Institute
website at www.compliance-institute.org
for up‑to‑date information on continuing
education units and other event details.
AAPC: This program has the prior approval
of the American Academy of Professional
Coders (AAPC) for 19.0 continuing education
hours. Granting of prior approval in no way
constitutes endorsement by AAPC of the
program content or the program sponsor.
ACHE: The Health Care Compliance
Association is authorized to award 19 hours
of pre-approved ACHE Qualified Education
credit (non-ACHE) for this program toward
advancement, or recertification in the
American College of Healthcare Executives.
Participants in this program wishing to have
the continuing education hours applied
toward ACHCE Qualified Education credit
should indicate their attendance when
submitting an application to the American
College of Healthcare Executives for
advancement or recertification.
AHDI: The Association for Healthcare
Documentation Integrity (AHDI) has
preapproved sessions, as noted in the HCCA
conference program guide, for continuing
education credit for those who hold a
certified medical transcriptionist (CMT) or a
certified healthcare documentation specialist
(CHDS) credential. Those seeking credits for
AHDI certifications may attend any session to
earn and receive continuing education credit.
All credits awarded based on individual
attendance records.
AHIMA: This program has been approved
for 19.0 continuing education units (CEUs)
for use in fulfilling the continuing education
requirements of the American Health
Information Management Association
(AHIMA). The following ICD-10 focused
sessions are NOT approved for AHIMA credit
at this time: P5 & P18; 202, 205, 305, 708; W10.
Granting prior approval from AHIMA does
not constitute endorsement of the program
content or its program sponsor.
Compliance Certification Board
(CCB): Certified in Healthcare Compliance
(CHC)®, Certified in Healthcare Compliance–
Fellow (CHC‑F), Certified in Healthcare Privacy
Compliance (CHPC)®, Certified in Healthcare
Research Compliance (CHRC)®, Certified
Compliance & Ethics Professional (CCEP)®,
Certified Compliance & Ethics Professional–
Fellow (CCEP-F), Certified Compliance &
Ethics Professional–International (CCEP-I):
CCB has awarded a maximum of 24.6 CEUs for
these accreditations. Note: CEUs are subject
to change. See below for credit breakdowns
based on attendance.
Sunday Pre-Conference: 6.6 CCB
Monday: 6.6 CCB
Tuesday: 5.7 CCB
Wednesday: 4.2 CCB
Total possible CCB award
for standard attendance in
non‑“Speed” sessions: 23.1
Possible additional CCB credits
from SpeedNetworking or
SpeedMentoring sessions:
1.5 total maximum
Additional CCB credits only may
be earned for participation in
the SpeedNetworking and/or
SpeedMentoring sessions during the
Sunday pre-conference. A limit of 1.5
CCB credits per year may be earned by
participating in SpeedNetworking or
SpeedMentoring sessions.
CCB maximum total: 24.6
CLE: The Health Care Compliance
Association and The Society of Corporate
Compliance and Ethics are State Bar of
California Approved MCLE providers,
Pennsylvania Accredited Providers, and
Texas Accredited Sponsors. An approximate
maximum of 19.25 clock hours of CLE
credit will be available to attendees of this
conference. All CLE credits will be awarded
based on individual attendance.
NASBA/CPE: The Health Care
Compliance Association is registered with
the National Association of State Boards
of Accountancy (NASBA) as a sponsor of
continuing professional education on the
National Registry of CPE sponsors, Sponsor
Identification No: 105638. State boards of
accountancy have final authority on the
acceptance of individual courses for CPE
credit and may not accept one‑half credits.
Complaints regarding registered sponsors
may be addressed to the National Registry
of CPE Sponsors through its website:
www.learningmarket.org. A recommended
maximum of 23.0 credits based on a
50-minute hour will be granted for the entire
learning activity. This program addresses
topics that are of a current concern in the
compliance environment. This is an update,
group-live activity. Advanced Preparation:
None. For more information regarding
administrative policies such as complaints or
refunds, call HCCA at 888-580-8373.
Nursing Credit: The Health Care
Compliance Association is preapproved by
the California Board of Registered Nursing,
Provider Number CEP 12990, for a maximum
of 23.1 contact hour(s). The following states
will not accept CA Board of Nursing contact
hours: Delaware, Florida, New Jersey and
Utah. Massachusetts and Mississippi nurses
may submit CA Board of Nursing contact
hours to their state board, but approval
will depend on review by the board. Please
contact the Accreditation Department at
[email protected] with any
questions you may have. Oncology Nurses
who are certified by ONCC may request
CA Nursing Credit (check box or indicate
“Nursing” on the CEU form).
PRIM&R: Some portions of this program
may meet the requirements for CPIA
continuing education. The CPIA Council
accepts documentation of continuing
education hours when the topics fall within
the CPIA Body of Knowledge. If you are unsure
about whether a specific session meets
these requirements you should consult with
PRIM&R. Some portions of this program may
meet the requirements for CIP continuing
education. CCIP accepts documentation of
continuing education hours when the topics
fall within the CIP Body of Knowledge and the
education is intended to be beyond initial,
basic or fundamental level education. If you
are unsure about whether a specific session
meets these requirements you should consult
with PRIM&R.
CEU APPLICATION
Continuing education units
CEU APPLICATION
Planning to take a certification exam?
Compliance Institute sessions listed below may be helpful.
P2 Compliance Program Development:
Where Do You Start? CHC
AD1 Handling Multiple External Audits
and Compliance Reviews CHC
P4 HIPAA Privacy and
Security 101 CHC CHPC
AD2 HIPAA Privacy Best
Practice Discussion CHPC
P6 False Claims Act
Developments CHRC
201 Risk Management: What the Heck
Is ERM? Is There an “8th Element” of
a Good Compliance Program? CHC
501 Lessons Learned: Implementing
a System-Wide Access
Monitoring Program CHC
203 Inside Counsel, Outside
Counsel, General Counsel:
How Should a Compliance Officer
Conduct an Investigation? CHC
502 Contract Compliance CHC
204 Is Your Privacy Program Reactive
or Proactive? Tips and Tricks to
Build a Proactive Program CHC
506 Advanced Stark and Fair Market
Value: A Progressive Case Study CHC
P9 Meaningful Use as It Relates
to HIPAA Compliance CHPC
P15 Staying Ahead of the OIG:
Best Practices for Compliance in the
New World of Enforcement CHRC
P17 Information Security:
Fundamentals, Top Risks, and
Strategies to Counter Threats CHPC
P19 Responding to a Government
Investigation: Best Practices for
Achieving a Favorable Outcome CHC
P20 Third-Party IT Service Providers:
How to Conduct Risk Assessments and
Design Appropriate Levels of Auditing
and Monitoring of Safeguards for
Your Organization’s ePHI CHPC
206 Voluntary Disclosure: When
and Where CHC CHRC
210 Stark, Anti-Kickback, and
Information Technology:
Considerations for the Compliance
Professional CHC CHRC
409 What’s FMV Got To Do With It? The
Role of Fair Market Value in Physician
Employment Arrangements CHC
AD9 Compliance Training CHC
504 Privacy and Security Challenges
in Integrated Care CHPC
507 Auditing and Monitoring
Provider Based Services:
Is Your Reimbursement at Risk? CHC
601 OIG Investigations:
The Audits Are Here! CHC
610 Compliance & the C-Suite CHC
211 Is Your Compliance Program
Window Dressing or Effective? CHC
701 HIPAA Business Associate
Satisfactory Assurances: What
Do We Ask For? CHPC
P26 Research Hot Topics,
Trends, and Tips for Compliance
Professionals CHRC
302 Learning From CIAs: What You
Need To Know Even If You’re
Not Under One CHRC
702 Turning Coal into Gold:
Assessing and Tracking Risk Mitigation
to Improve Operations CHC
102 Regulation and Enforcement:
What the Law Was, What the
Law Is, and What The “Law”
Will Be Like Tomorrow CHC
307 Drug Billing Compliance
in Provider Settings: Auditing
Strategies CHRC
704 Walking the Straight and
Narrow between Requirements
of IRB Protocols and Compliance
with HIPAA CHRC
104 OCR Reports on Enforcement
of the HIPAA Rules CHPC
109 Privacy and Security in a Rapidly
Evolving Environment CHPC
110 The Top 10 Conflicts
of Interest Developments
Compliance Professionals
Need to Know About CHC
112 Compliance Monitoring:
Effective Communication and
Documentation Practices CHC
309 Assessing and Mitigating Risk
Under the HIPAA Omnibus Rule CHPC
AD6 Reporting and Clincal
Research CHRC
AD7 Preventing Stark and
Kickback Violations CHC
404 Top 10 Tips for Effectively
Assessing Business Associates:
Determining the Adequacy of Your
Business Associate’s Security, Privacy,
& Data Protection Compliance CHPC
407 Continuous Auditing
Programs CHC
707 Anatomy of an OCR Breach
Investigation CHPC
711 The Dance of Compliance Program
Oversight: Building a Successful Board
& Compliance Officer Partnership CHC
W12 Research Compliance
Program Oversight: Moving from
Reactive to Proactive CHRC
These sessions are also indicated in
the agenda with CHC, CHPC , or CHRC
BECOME CERTIFIED
at HCCA’s Compliance Institute
®
Certified in Health Care
Compliance (CHC)®
Privacy Compliance (CHPC)®
Research Compliance (CHRC)®
COST: $250 HCCA members / $350 non-members
QUALIFICATIONS: To be eligible to sit for an exam,
candidates must acquire 20 CCB credits. One clock
hour of session time at the Compliance Institute
counts for 1.2 credits. CCB credits are calculated on a
50-minute hour.
If you wish to receive credits for your attendance at
this conference, you must complete and submit a
Continuing Education Application (found inside your
Program at a Glance, or ask HCCA staff).
Look in the brochure for sessions marked with
CHC, CHPC, or CHRC if you are interested in taking
a certification exam and would like to attend
potentially helpful sessions.
All exams will be held
Wednesday, April 2,
from 1:30 – 4:30 pm*
REPORT TO CHECK-IN
AT 1:00 PM
CHC exam:
LOCATED IN HARBOR A – F
CHPC exam:
LOCATED IN HARBOR GHI
CHRC exam:
LOCATED IN HARBOR GHI
LIMITED SPACE AVAILABLE
FOR ON-SITE REGISTRATIONS
Stop by HCCA’s booth for
an exam application
*Actual exam duration is 120 minutes
per the Candidate Handbooks
APPLICATION FOR CONTINUING EDUCATION UNITS
This form must be completed in order to receive continuing education units.
HCCA’s 18th Annual Compliance Institute
March 30–April 2, 2014 | San Diego, CA
Check the box corresponding to the credit type(s) you wish to receive and indicate attendance on the
following pages. Submit ALL pages regardless of attendance.
Please leave this application with staff at the Registration Desk or
Return to the CCB office upon completion of the conference:
[email protected] [email protected]
Fax Line: 952-988-0146.
Your certificate will be emailed in approximately 6 weeks.
CCB (50 min hr) CHC, CCEP,
CHRC, CHPC, CHC-F and CCEP-F
AAPC (60 min hr)
ACHE (60 min hr)
AHDI (60 min hr)
AHIMA (60 min hr)
ASHRM (60 min hr)
*CLE/MCLE (50 or 60 min hr)
Other:
**NASBA/CPAs (50 min hr)
**NAB (60 min hr)
NAAC (credits calculated per session)
NAMSS (60 min hr)
RACC (60 min hr)
RN (CA Board of Nursing, 50 min hr)
SoCRA (60 min hr)
Other:
* Attorneys should submit application as soon as possible following completion of the conference.
**Those requesting CPE (NASBA) or NAB credits must also sign attendance sheets at each session.
By signing below, I certify that I have attended the sessions indicated on the following
pages.
Name (print legibly______________________________________________________________
Signature______________________________________________________________________
Nurses/Attorneys: License State(s) __________ License/Bar Number(s)____________________
Company______________________________________________________________________
Address ______________________________________________________________________
City/State/Zip__________________________________________________________________
Email_________________________________________________________________________
Phone Number____________________ HCCA Member# (optional)_______________________
CONTINUED ON NEXT PAGE à
1
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Sunday, March 30, 2014 – Pre-Conference
7:30 –  8:30 AM (1.0 Clock Hours or 60 minutes, CCB Credit ONLY)
____ SpeedNetworking (maximum of 1.5 CCB credits for networking awarded per year)
Pre-Conference Morning Breakouts 9:00 AM – 12:00 PM (2.75 Clock Hours or 165 minutes with breaks)
____ P1 Large Hospital Systems
____ P2 Compliance Program Development: Where Do You Start?
____ P3 Compliance in the Post-Acute Environment
____ P4 HIPAA Privacy and Security 101
____ P5 Documentation Compliance for ICD-10. . . PTS (Post Traumatic Stress Syndrome) in Your Medical Staff
____ P6 False Claims Act Developments
____ P7 Data Mining on a Budget: Effective Use of Information Technology Resources in Your . . . Program
____ P8 Compliance Sitting at the Strategy Table
____ P9 Meaningful Use as It Relates to HIPAA Compliance
____ P10 Discharge Planning in Today’s Regulatory Environment
____ P11 Regulatory Challenges in Implementing and Maintaining Laboratory Compliance Programs
____ P12 Compliance, Internal Audit, and Risk Management: What Do They Look Like . . . Wisdom
____ P13 Media Panel: How the Media Covers Health Care Fraud and Compliance Issues and Hot Topics for 2014
12:00 – 1:00 PM (1.0 Clock Hours or 60 minutes, CCB Credit ONLY)
____ SpeedMentoring (maximum of 1.5 CCB credits for networking awarded per year)
Pre-Conference Afternoon Breakouts 1:30 – 4:30 PM (2.75 Clock Hours or 165 minutes with breaks)
____ P14 Behavioral Health Systems
____ P15 Staying Ahead of the OIG: Best Practices for Compliance in the New World of Enforcement
____ P16 Pursuing, Defending, and Resolving False Claims Act Cases in Long-Term Care
____ P17 Information Security: Fundamentals, Top Risks, and Strategies to Counter Threats
____ P18 Dr. Jekyll and Mr. Hyde, CHC: Physician Compliance Education, Quality, and Risk Reduction Partners
____ P19 Responding to a Government Investigation: Best Practices for Achieving a Favorable Outcome
____ P20 Third-Party IT Service Providers: How to Conduct Risk Assessments and Design Appropriate . . . ePHI
____ P21 Survivor 2014: How to Thrive Under a CIA with an IRO
____ P22 Compliance Implications of Health Care Reform
____ P23 Coordination of Quality of Care and Compliance across Institutions such as a County . . . Centers
____ P24 Survival of the Fittest! Navigating the DMEPOS Jungle!
____ P25 Navigating a Sea of Change: AMC Compliance during Health Care Reform
____ P26 Research Hot Topics, Trends, and Tips for Compliance Professionals
YOUR FULL NAME:
2
Monday, March 31, 2014
General Sessions: 8:45 – 10:15 AM (1.5 Clock Hours or 90 minutes)
____ 8:45 – 9:15 am GENERAL SESSION: OIG Update
____ 9:15 – 10:15 am GENERAL SESSION: Compliance Plus: Creating an Effective Compliance . . . Framework
Monday Breakout Sessions 11:00 AM – 12:00 PM (1.0 Clock Hour or 60 minutes)
____ 101 Building a Healthy ACO Compliance Program
____ 102 Regulation and Enforcement: What the Law Was, What the Law Is, and What The “Law” . . . Tomorrow
____ 103 Season Your Compliance Program with PEPPER
____ 104 OCR Reports on Enforcement of the HIPAA Rules
____ 105 Educate the Medical School to Educate Their Physicians
____ 106 DME Compliance and Regulatory Issues
____ 107 Best Practices for Medicare and Medicaid EHR Incentive Programs
____ 108 Care Management: Can We Do It Better?
____ 109 Privacy and Security in a Rapidly Evolving Environment
____ 110 The Top 10 Conflicts of Interest Developments Compliance Professionals Need to Know About
____ 111 Opening a New Hospital/Medical Center: A Look at the Imperative Role of Compliance
____ 112 Compliance Monitoring: Effective Communication and Documentation Practices
____ AD1 Handling Multiple External Audits and Compliance Reviews
____ AD2 HIPAA Privacy Best Practice Discussion
Monday Breakout Sessions 1:30 – 2:30 PM (1.0 Clock Hour or 60 minutes)
____ 201 Risk Management: What the Heck Is ERM? Is There an “8th Element” of a Good Compliance Program?
____ 202 Be Ready for ICD-10: Best Practices for Educating Coders
____ 203 Inside Counsel, Outside Counsel, General Counsel: How Should a Compliance Officer . . . Investigation?
____ 204 Is Your Privacy Program Reactive or Proactive? Tips and Tricks to Build a Proactive Program
____ 205 Who Is a Qualified Health Care Professional (QHP)? A Compliance Update on Using Extenders . . . PAs
____ 206 Voluntary Disclosure: When and Where
____ 207 A Unique Approach to Auditing the Primary Care Exception
____208 Ensuring Level of Care Orders in EHRs
____ 209 Pearls of Wisdom: Recent Updates, Audit Results, and Better Practice Ideas to Reduce . . . Audits
____ 210 Stark, Anti-Kickback, and Information Technology: Considerations for the Compliance Professional
____ 211 Is Your Compliance Program Window Dressing or Effective?
____ AD3 Pointers and Pitfalls in Managing Work-Life Balance, Stress, and Burnout in the Compliance Profession
____ AD4 Evolving Cyber Threats to PHI: How Can We Safeguard Data to Lessen . . . of Data Breaches?
____ AD5 Compliance Dashboards
YOUR FULL NAME:
3
Monday, March 31, 2014 (continued)
____ 301 Updates on the Latest Program Integrity Auditor Targets and Activity
____ 302 Learning From CIAs: What You Need To Know Even If You’re Not Under One
____ 303 Compliance Issues in Home Health and Hospice
____ 304 LoProCo: Understanding and Applying the Four Factor Assessment Model for Presumed Breaches
____ 305 Tick-Tock...The Clock Is Ticking
____ 306 ACO Formation, Operation and Compliance
____ 307 Drug Billing Compliance in Provider Settings: Auditing Strategies
____ 308 Not a Quality Expert? How to Integrate Quality into Your Compliance Program
____ 309 Assessing and Mitigating Risk Under the HIPAA Omnibus Rule
____ 310 Social Media in the Health Care Setting: So Much Not to Like
____ 311 Challenges and Helpful Hints for Turning Low Performers into Compliant . . . Success
____ AD6 Reporting and Clinical Research
____ AD7 Preventing Stark and Kickback Violations
____ AD8 Risk Assessment Methodologies
____ 401 Critical Change: Enterprise Risk Management Meets Healthcare
____ 402 OIG Medicare Compliance Reviews
____ 403 2014 Review of the OIG Work Plan for Post-Acute Providers
____ 404 Top 10 Tips for Effectively Assessing Business Associates: Determining the Adequacy . . . Compliance
____ 405 Coaching Compliance: Connecting the Dots When Problems Arise
____ 406 Medicaid Enforcement Update
____ 407 Continuous Auditing Programs
____ 408 The Quality Tsunami: PQRS, Practice Guidelines, Healthcare Fraud, and Malpractice Fraud
____ 409 What’s FMV Got To Do With It? The Role of Fair Market Value in Physician Employment Arrangements
____ 410 340B Drug Discount Program: A New World of Increased Scrutiny and What This . . . Organization
____ 411 Compliance...Who Says It Can’t Be Fun?
____ AD9 Compliance Training
____ AD10 The Ins and Outs of 340B Compliance
____ AD1b/repeat Handling Multiple External Audits and Compliance Reviews
YOUR FULL NAME:
4
Tuesday, April 1, 2014
General Sessions: 8:40 – 10:25 AM (1.75 Clock Hours or 105 minutes)
____ 8:40 – 9:40 am GENERAL SESSION: Influencing Decision-Making
____ 9:40 – 10:25 am GENERAL SESSION: Corporate Governance & Liability: Panel Discussion
Tuesday Breakout Sessions 11:00 AM – 12:00 PM (1.0 Clock Hour or 60 minutes)
____ 501 Lessons Learned: Implementing a System-Wide Access Monitoring Program
____ 502 Contract Compliance
____ 503 Therapy Utilization in Long-Term Care: Is It Really “Over-Utilization”?
____ 504 Privacy and Security Challenges in Integrated Care
____ 505 Common Compliance Mistakes In Small Physician Practices
____ 506 Advanced Stark and Fair Market Value: A Progressive Case Study
____ 507 Auditing and Monitoring Provider Based Services: Is Your Reimbursement at Risk?
____ 508 What Are Your Patients Saying About Your Organization? Tuning into Quality Through . . .Complaints
____ 509 The Riddle of Data-Driven Compliance Program
____ 510 Recent Trends in RAC and MAC Appeals
____ 511 Effective Compliance Presentations: Use of Art, Literature, and the Media to Make Your . . . and Lively
____ AD2b/repeat HIPAA Privacy Best Practice Discussion
____ AD3b/repeat Pointers and Pitfalls in Managing Work-Life Balance, Stress, and Burnout in the Profession
____ AD4b/repeat Evolving Cyber Threats to PHI: How Can We Safeguard Data to Lessen the . . . Data Breaches?
Tuesday Breakout Sessions 1:00 – 2:00 PM (1.0 Clock Hour or 60 minutes)
____ 601 OIG Investigations: The Audits Are Here!
____ 602 How to Get Team Members Engaged in Compliance
____ 603 Narrowing Networks, Preferred Provider Relationships: How Do We Stay Compliant?
____ 604 Ensuring Mobile App Compliance with HIPAA
____ 605 Beyond Benchmarking: Integrating Analytics into Daily Compliance Operations
____ 606 Medicare Enrollment Application, Revocation and Appeals
____ 607 Evaluating Audit Error Rates and Deciding What to Do Next
____ 608 CMS Quality Based Payment Reform Initiatives
____ 609 The National Practitioner Data Bank: What Compliance Officers Need to Know
____ 610 Compliance & the C-Suite
____ 611 Strategies for Successfully Transitioning into a New Compliance Position
____ AD5b/repeat Compliance Dashboards
____ AD6b/repeat Reporting and Clinical Research
____ AD7b/repeat Preventing Start and Kickback
YOUR FULL NAME:
5
Tuesday, April 1, 2014 (continued)
Tuesday Breakout Sessions 2:30 – 3:30 PM (1.0 Clock Hour or 60 minutes)
____ 701 HIPAA Business Associate Satisfactory Assurances: What Do We Ask For?
____ 702 Turning Coal into Gold: Assessing and Tracking Risk Mitigation to Improve Operations
____ 703 Legal, Compliance, and Nursing—Friends or Foes? How this Critical, Triangular . . . Organization
____ 704 Walking the Straight and Narrow between Requirements of IRB Protocols and Compliance with HIPAA
____ 705 Managing Effective Compliance Program on a Limited Budget: Doing More with Less
____ 706 Hospice Enforcement and Compliance
____ 707 Anatomy of an OCR Breach Investigation
____ 708 Clinical Documentation and ICD-10
____ 709 It’s Not Child’s Play: Children’s Hospitals Compliance Issues
____ 710 The Next Generation of the HIPAA/HITECH Audits
____ 711 The Dance of Compliance Program Oversight: Building a Successful Board . . .Partnership
____ AD8b/repeat Risk Assessment Methodologies
____ AD9b/repeat Compliance Training
____ AD10b/repeat The Ins and Outs of 340B Compliance
Wednesday, April 2, 2014 – Post-Conference
Post-Conference Breakouts 8:00 – 9:45 AM (1.75 Clock Hours or 105 minutes)
____ W1 Hot Topics in Home Health
____ W2 Building a Compliance Dashboard: Tips for Creating High-Level Reports for Tracking . . . Program
____ W3 Taking Compliance to the Next Level: Enterprise Risk Management
____ W4 Why Preparing for an OCR Audit Is Neither Boilerplate, Straightforward, Nor Predictable . . . Process
____ W5 Mitigating Coding Risks In the EHR
____ W6 Liability for Lack of Medical Necessity
____ W7 Integrated Risk Assessment: Compliance-Risk-Quality
____ W8 Applying Lean Six Sigma to Your Compliance Program
____ W9 Secure Your Mask Before Assisting Others
Post-Conference Breakouts 10:00 – 11:45 AM (1.75 Clock Hours or 105 minutes)
____ W10 Clinical Documentation Improvement Mini-Medical Institute for Compliance Officers: . . . ICD-10
____ W11 ACOs, CCOs: Challenges & Opportunities
____ W12 Research Compliance Program Oversight: Moving from Reactive to Proactive
____ W13 Privacy Officer Roundtable: The Omnibus Rule—Six Months in and Now What?
____ W14 Physician Appeals 101
____ W15 Pharmacy Compliance
____ W16 Integrating Monitoring into Operations
____ W17 Where to Go from Here: A Wrap-Up and Next Steps
____ W18 12-Step Program to Better Compliance: A Practical Approach
YOUR FULL NAME:
6
Find Compliance Bob for a chance to win
Compliance Bob is back this year to offer you another chance to win.
Simply read the CI Daily newspaper, find Compliance Bob, and fill out
the form beneath for the corresponding day. Return the form to the
Registration Desk or HCCA’s booth by 4:00 pm that day, and you could
win a free registration for the 2015 Compliance Institute in Florida.
TUESDAY’S CI Daily
On what page did you find Compliance Bob?
1 2 3 4
What exam(s) are being offered at the Compliance Institute? Check all that apply:
CHC CHRC CHPC
Is there anything you would like to see included in CI Daily in the future?
Name
Phone
Company
Email
MONDAY’S CI Daily
1 2 3 4
What organization did this year’s volunteer project help?
Name
Phone
Company
Email
SUNDAY’S CI Daily
1 2 3 4
Who wrote today’s front-page story, “Welcome to the 18th Annual Compliance Institute”?
Name
Phone
Company
Email
Catch up
on what
you missed
Wish you
could have
attended mor
e
sessions at th
e
Compliance
Institute®?
2014 Compliance Institute
Session Recordings
HCCA is recording more
than 100 sessions, complete
with speaker handouts,
at this year’s Compliance
Institute. Here’s your
opportunity to catch up
on all the sessions you
wish you could have
attended, and take your
time absorbing the valuable
knowledge presented.
Purchase your conference experience today.
Just fill out and return the included form, or visit
www.compliance-institute.org and download the PDF.
Session audio recordings order form
HCCA’s Compliance Institute® | March 30–April 2, 2014 | Manchester Grand Hyatt | San Diego, CA
1 Please type or print your contact information
Mr Mrs Ms 2 Choose your session recordings (see session listing on following pages)
Registered Conference Attendee
Dr
on/before
4/2/14
after
4/2/14
Online learning: all recorded sessions......................$299......................................$399
DVDs: all recorded sessions....................................................$399......................................$499
Member ID
First name
MI
Last name
Individual sessions: online MP3s............................... $10 each..........................$20 each
on the following pages, please check the box for each session you wish to purchase
Individual sessions: audio CDs.....................................$20 each..........................$30 each
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IF YOU ARE ORDERING INDIVIDUAL SESSIONS, PLEASE CHECK THE BOX BY EACH SESSION YOU WISH TO PURCHASE.
GENERAL SESSSIONS
General Session: OIG Update
General Session: Compliance Plus: Creating
an Effective Compliance Program Using an
Ethics Framework
General Session: Influencing Decision-Making
General Session: Corporate Governance &
Liability: Panel Discussion
PRE-CONFERENCE
P1 L arge Hospital Systems
P2 Compliance Program Development: Where
Do You Start?
P3 Compliance in the Post‑Acute Environment
P4 HIPAA Privacy and Security 101
P5 Documentation Compliance for ICD-10 along
with CPOE: Strategies for Compliance Officers to
Minimize PTS (Post Traumatic Stress Syndrome) in
Your Medical Staff
P6 False Claims Act Developments
P7 Data Mining on a Budget: Effective Use of
Information Technology Resources in Your
Compliance Program
P8 Compliance Sitting at the Strategy Table
P9 Meaningful Use as It Relates to
HIPAA Compliance
P11 Regulatory Challenges in Implementing and
Maintaining Laboratory Compliance Programs
P12 Compliance, Internal Audit, and Risk
Management: What Do They Look Like at
a Managed Care Health Plan? And Other
Words of Wisdom…
P13 Media Panel: How the Media Covers Health
Care Fraud and Compliance Issues and Hot
Topics for 2014
P15 Staying Ahead of the OIG: Best Practices for
Compliance in the New World of Enforcement
P16 Pursuing, Defending, and Resolving False
Claims Act Cases in Long-Term Care
P17 Information Security: Fundamentals, Top
Risks, and Strategies to Counter Threats
P18 Dr. Jekyll and Mr. Hyde: Physician Compliance
Education, Quality, and Risk Reduction Partners
P19 Responding to a Government Investigation:
Best Practices for Achieving a Favorable Outcome
P20 Third-Party IT Service Providers: How to
Conduct Risk Assessments and Design Appropriate
Levels of Auditing and Monitoring of Safeguards
for Your Organizations ePHI
P21 Survivor 2014: How to Thrive Under a
302 Learning From CIAs: What You Need To Know
P22 Compliance Implications of
303 Compliance Issues in Home
P24 Survival of the Fittest! Navigating the
304 LoProCo: Understanding and Applying
CIA with an IRO
Health Care Reform
DMEPOS Jungle!
P25 Navigating a Sea of Change: AMC Compliance
during Health Care Reform
P26 Research Hot Topics, Trends, and Tips for
Compliance Professionals
Even If You’re Not Under One
Health and Hospice
the Four Factor Assessment Model for
Presumed Breaches
305 Tick-Tock....The Clock Is Ticking
306 ACO Formation, Operation and Compliance
307 Drug Billing Compliance in Provider Settings:
Auditing Strategies
CONFERENCE
101 Building a Healthy ACO Compliance Program
102 Regulation and Enforcement: What the Law
Was, What the Law Is, and What The “Law” Will Be
Like Tomorrow
103 Season Your Compliance
Program with PEPPER
105 Educate the Medical School to Educate
Their Physicians
106 DME Compliance and Regulatory Issues
107 Best Practices for Medicare and Medicaid EHR
Incentive Programs
108 Care Management: Can We Do It Better?
Evolving Environment
110 The Top 10 Conflicts of Interest Developments
Compliance Professionals Need to Know About
111 Opening a New Hospital/Medical Center:
A Look at the Imperative Role of Compliance
112 Compliance Monitoring: Effective
Communication and Documentation Practices
202 Be Ready for ICD-10: Best Practices for
Educating Coders
203 Inside Counsel, Outside Counsel, General
Counsel: How Should a Compliance Officer
Conduct an Investigation?
204 Is Your Privacy Program Reactive or Proactive?
Tips and Tricks to Build a Proactive Program
206 Voluntary Disclosure: When and Where
208 Ensuring Level of Care Orders in EHRs
209 Pearls of Wisdom: Recent Updates, Audit
Results and Better Practice Ideas to Reduce
Vulnerabilities Stemming from RAC, MAC, &
Medicaid Claims Audits
308 Not a Quality Expert? How to Integrate Quality
into your Compliance Program
309 Assessing and Mitigating Risk Under the
HIPAA Omnibus Rule
310 Social Media in the Health Care Setting: So
Much Not to Like
311 Challenges and Helpful Hints for Turning Low
Performers into Compliant Performers: A Road
Map for Success
401 Critical Change: Enterprise Risk Management
Meets Healthcare
403 2014 Review of the OIG Work Plan for PostAcute Providers
404 Top 10 Tips for Effectively Assessing Business
Associates: Determining the Adequacy of Your
Business Associate’s Security, Privacy, & Data
Protection Compliance
405 Coaching Compliance: Connecting the Dots
When Problems Arise
406 Medicaid Enforcement Update
407 Continuous Auditing Programs
408 The Quality Tsunami: PQRS, Practice
Guidelines, Healthcare Fraud, and
Malpractice Fraud
409 What’s FMV Got To Do With It? The Role
of Fair Market Value in Physician Employment
Arrangements
410 340B Drug Discount Program: A New World of
Increased Scrutiny and What This Means to Your
Organization
411 Compliance...Who Says It Can’t Be Fun?
continues on next page
210 Stark, Anti-Kickback and Information
Technology: Considerations for the Compliance
Professional
Most sessions are being recorded, but a few are
not. If a session does not appear on this form, a
recording of it may not be available. Please call
888-580-8373 with any questions.
YOUR FULL NAME
(please type or print)
IF YOU ARE ORDERING INDIVIDUAL SESSIONS, PLEASE CHECK THE BOX BY EACH SESSION YOU WISH TO PURCHASE.
CONFERENCE (continued)
606 Medicare Enrollment Application,
Revocation and Appeals
501 Lessons Learned: Implementating a System-
607 Evaluating Audit Error Rates and Deciding
502 Contract Compliance
608 CMS Quality Based Payment Reform Initiatives
503 Therapy Utilization in Long-Term Care: Is It
609 The National Practitioner Data Bank: What
504 Privacy and Security Challenges in
610 Compliance & the C-Suite
Wide Access Monitoring Program
Really “Over-Utilization”?
Integrated Care
505 Common Compliance Mistakes In Small
What to Do Next
Compliance Officers Need to Know
611 Strategies for Successfully Transitioning into a
New Compliance Position
A Progressive Case Study
507 Auditing and Monitoring Provider Based
Services: Is Your Reimbursement at Risk?
508 What Are Your Patients Saying About Your
Organization? Tuning into Quality Through Your
Patient Complaints
509 The Riddle of Data-Driven
Compliance Program
510 Recent Trends in RAC and MAC Appeals
511 Effective Compliance Presentations: Use
of Art, Literature and the Media to Make Your
Presentations Relevant and Lively
W1 Hot Topics in Home Health
W2 Building a Compliance Dashboard: Tips
for Creating High-Level Reports for Tracking
Progress, Improvement and Risks for Your
Compliance Program
W3 Taking Compliance to the Next Level:
Enterprise Risk Management
W5 Mitigating Coding Risks In the EHR
W6 Liability for Lack of Medical Necessity
Physician Practices
506 Advanced Stark and Fair Market Value:
POST-CONFERENCE
701 HIPAA Business Associate Satisfactory
W7 Integrated Risk Assessment:
702 Turning Coal into Gold: Assessing and Tracking
W8 Applying Lean Six Sigma to Your
703 Legal, Compliance, and Nursing—Friends or
W9 Secure Your Mask Before Assisting Others
Assurances: What Do We Ask For?
Risk Mitigation to Improve Operations
Foes? How this Critical, Triangular Relationship
CAN and Should Work in Your Organization
704 Walking the Straight and Narrow
between Requirements of IRB Protocols and
Compliance with HIPAA
705 Managing Effective Compliance Program on a
Limited Budget: Doing More with Less
706 Hospice Enforcement and Compliance
Compliance-Risk-Quality
Compliance Program
W10 Clinical Documentation Improvement
Mini-Medical Institute for Compliance Officers:
Being Sure that Your Leadership (Including
Board of Directors, C-Suite, and Physicians) Are
Ready for ICD-10
W11 ACOs, CCOs: Challenges & Opportunities
W13 Privacy Officer Roundtable: The Omnibus
Rule—Six Months in and Now What?
707 Anatomy of an OCR Breach Investigation
W14 Physician Appeals 101
601 OIG Investigations: The Audits Are Here!
708 Clinical Documentation and ICD-10
W16 Monitoring Integrated within Operations
602 How to Get Team Members Engaged
710 The Next Generation of the HIPAA/
W17 Where to Go from Here: A Wrap-Up
711 The Dance of Compliance Program Oversight:
W18 12-Step Program to Better Compliance:
in Compliance
603 Narrowing Networks, Preferred Provider
Relationships: How Do We Stay Compliant?
604 Ensuring Mobile App Compliance with HIPAA
HITECH Audits
Building a Successful Board & Compliance
Officer Partnership
and Next Steps
A Practical Approach
605 Beyond Benchmarking: Integrating Analytics
into Daily Compliance Operations
Most sessions are being recorded, but a few are
not. If a session does not appear on this form, a
recording of it may not be available. Please call
888-580-8373 with any questions.
join us for the
Sunday, March 30, 6:00 pm
Manchester Grand Hyatt
You’ll have a
chance to win
Bose® noise-canceling
headphones and
get a free drink.
Bring the raffle
ticket you received
at Registration!
SUNDAY
#HCCAci TweetUp
and “Appy” Hour
Earn Your HEALTH CARE
SUNDAY
COMPLIANCE CERTIFICATE
ONLINE
Award-winning program
Taught by world-class faculty
Now powered in a flexible online format
Competitive tuition
Start in May and complete your certificate
in just one year
Designed for working professionals and students
Offered by Hamline University School of Law
For more information:
law.hamline.edu/ohcc
@HealthLaw_HUSL
Visit us in
BOOTH 116
for the chance
to win a
Nook HD+!
Sunday, March 30
Saturday, March 29
7:30 am – 12:00 pm
8th Annual Volunteer Project
KETTNER DRIVE ENTRANCE, LOBBY LEVEL
11:00 am – 8:00 pm
PALM FOYER, SECOND FLOOR
Sunday, March 30
7:30 am – 6:00 pm
7:30 – 8:30 am
SpeedNetworking
MISSION BEACH, THIRD FLOOR
9:00 am – 12:00 pm
PRE-CONFERENCE: BREAKOUT SESSIONS
; LONG-TERM CARE
P3 Compliance in the Post‑Acute Environment
SUNDAY, 9:00 am – 12:00 pm
HARBOR GHI, SECOND FLOOR
Robin Dale, Attorney, Lane Powell PC
Janine Valdez, Senior Director of Compliance, Genesis Healthcare
Susan Coppola, Chief Compliance Officer, Emeritus Senior Living
Paula Sanders, Healthcare Chair, Post & Schell, P.C.
••Mandatory compliance programs and the
latest CMS/OIG developments
••Developing compliance metrics, auditing, and
monitoring for post-acute facilities
••Practical ways legal counsel can support the
compliance officer and compliance committee
P4 HIPAA Privacy and Security 101 CHC CHPC
SUNDAY, 9:00 am – 12:00 pm
SEAPORT DE, SECOND FLOOR
Erika Bol, Privacy Officer, CO Dept of Health Care Policy/Financing
••An Overview of the HIPAA Privacy and Enforcement Rules
••Breach Notification Requirements
••An Overview of the Security Rule
(includes 15-minute break)
; PHYSICAN COMPLIANCE
INDUSTRY IMMERSION
P5 Documentation Compliance for ICD-10
along with CPOE: Strategies for Compliance
Officers to Minimize PTS (Post-Traumatic
Stress Syndrome) in Your Medical Staff
P1 Large Hospital Systems
SUNDAY, 9:00 am – 12:00 pm
GASLAMP, SECOND FLOOR
Suzie Draper, Vice President Business Ethics &
Compliance, Intermountain Healthcare
John Steiner, Chief Compliance Officer, Cancer Treatment Centers of America
Cheryl Wagonhurst, Owner, Law Office of Cheryl Wagonhurst
Paul R. Belton, Vice President of Corporate Compliance, Sharp HealthCare
••Learn how to benchmark your program against other large
hospitals and health systems through use of polling software
••Understand challenges relevant to large
hospitals and large health systems
••Engage in dialogue with your colleagues regarding operational
solutions and best practices for large hospitals and health systems
P2 Compliance Program Development:
Where Do You Start? CHC
SUNDAY, 9:00 am – 12:00 pm
HARBOR ABC, SECOND FLOOR
Betty Bibbins, President & Chief Medical Officer, DocuComp LLC
Nicole Harper, Dir. Training & Dev/Process ImprovementRevenue Cycle Operations, St. Vincent Health
••Discuss strategies to engage physicians in effectively
utilizing the Electronic Medical Record and ICD-10 specificity
of clinical documentation with minimal chaos
••Learn how to develop educational processes to
maximize physician efficient, effective, and appropriate
use of the Electronic Medical Record
••Communicate effective methods for educating physicians in
clinical documentation of severity-of-illness and medical necessity
(for ICD-9 & ICD-10) within the Electronic Medical Record
SUNDAY, 9:00 am – 12:00 pm
SEAPORT ABC, SECOND FLOOR
Sheryl Vacca, Senior Vice President/Chief Compliance
& Audit Officer, University of California
Debbie Troklus, Managing Director, Aegis Compliance & Ethics Center
••3 current models of compliance programs
••Necessary elements of a compliance program
••Measures for success for the new compliance program
13
Sunday, March 30
; COMPLIANCE LAWYER
P6 False Claims Act Developments CHRC
P9 Meaningful Use as It Relates to
HIPAA Compliance CHPC
SUNDAY, 9:00 am – 12:00 pm
SEAPORT FGH, SECOND FLOOR
John Boese, Of Counsel, Fried Frank Harris Shriver & Jacobson LLP
Michael D. Granston, Director, Commercial Litigation Branch,
Fraud Section, Civil Division, US Department of Justice
Michael Morse, Partner, Pietragallo Gordon Alfano Bosick & Raspanti, LLP
Gary W. Eiland, Partner, King & Spalding LLP
••Fundamentals of the False Claims Act’s liability and whistleblower
provisions from the viewpoint of the compliance official
••Discussion of whistleblower, government and defense perspectives
on the filing, investigation, litigation and settlement of qui tam cases
••Review of recent important court decisions arising from and
interpreting 2009 and 2010 amendments to the FCA
P7 Data Mining on a Budget: Effective Use
of Information Technology Resources
in Your Compliance Program
SUNDAY, 9:00 am – 12:00 pm
CORONADO AB, FOURTH FLOOR
Lisa Giglia, Compliance Analyst, Catholic Health Services of Long Island
Laura Massa, Compliance Data Specialist,
Catholic Health Services of Long Island
••Utilize data mining to streamline auditing and monitoring efforts
••Explore techniques to utilize your organization’s claim and charge
data to identify pitfalls and develop corrective measures
••Takeaway tools and examples
; H OW TO SUCEED AS A COMPLIANCE PROFESSIONAL
P8 Compliance Sitting at the Strategy Table
SUNDAY, 9:00 am – 12:00 pm
HARBOR DEF, SECOND FLOOR
Deann Baker, Sutter Care at Home Compliance Officer, Sutter Health
Dwight Claustre, Director, Aegis Compliance & Ethics Center, LLP
Deborah Smith, COO/Administrator, Zwiebel Center
for Plastic Surgery & Skin Care
••You can’t expect what you don’t inspect; what gets measured
gets done: The importance of establishing compliance metrics
in alignment with corporate strategy and dashboards
••Weaving compliance into the fabric of the
organization: creating sustainable and lasting results
to impact the organizations “Just Culture”
••Keys to be effective partners in the healthcare regulatory
and business arena: the importance in developing
essential relationships and methods to do that
SUNDAY, 9:00 am – 12:00 pm
CORONADO DE, FOURTH FLOOR
Sue Ulrey, Partner, CliftonLarsonAllen LLP
••Understand the statutory and regulatory
background and purpose of HIPAA
••Understand how meaningful use affects HIPAA
••Gain an understanding of the key provisions and learn how
to complete a risk analysis for meaningful use and HIPAA
; QUALITY OF CARE
P10 Discharge Planning in Today’s
Regulatory Environment
SUNDAY, 9:00 am – 12:00 pm
CORTEZ HILL, THIRD FLOOR
Moderator: David Hoffman, Esq., President, David Hoffman & Associates
Margaret Hambleton, Vice President, Chief
Compliance Officer, Dignity Health
Karen Fernandes, President, AYR Consulting
••Review of the new discharge Condition of Participation Guidance
••Implementation and compliance challenges
••Monitoring/auditing for CoP compliance and case studies
INDUSTRY IMMERSION
P11 Regulatory Challenges in Implementing and
Maintaining Laboratory Compliance Programs
SUNDAY, 9:00 am – 12:00 pm
BALBOA, SECOND FLOOR
Christopher Young, President, Laboratory Management Support Services
Tim Murray, Director, Laboratory Compliance, Catholic Health Initiatives
Robert Mazer, Principal, Ober|Kaler
••Learn the latest compliance and billing issues focused on
clinical laboratories and what you can do about them
••Analyze legal developments including federal and
district courts, DAB and ALJ appeals cases for their
impact on clinical laboratory compliance
••Obtain lessons learned from implementing a laboratory compliance
program in a diverse system of labs in a multi-state health system
Sunday, March 30
INDUSTRY IMMERSION
P12 Compliance, Internal Audit, and
Risk Management: What Do They Look
Like at a Managed Care Health Plan?
And, Other Words of Wisdom...
SUNDAY, 9:00 am – 12:00 pm
CORONADO C, FOURTH FLOOR
Caron Cullen, Vice President, Compliance &
Regulatory Affairs, Affinity Health Plan
David Crawford, Corporate Compliance Director, Affinity Health Plan
Lori Oleson, Director of Compliance and Quality, Government
Programs, Blue Cross Blue Shield of Minnesota
••Discuss how Compliance, Internal Audit, and Risk
Management are integrated OR not within several plans
••Identify the similarities and differences among areas—what effect
does it have on the business—both positive and negative?
••Share best practices for maximum effectiveness—including
collaboration, coordination, and communication
P13 Media Panel: How the Media Covers
Health Care Fraud and Compliance
Issues and Hot Topics for 2014
SUNDAY, 9:00 am – 12:00 pm
AMERICA’S CUP, FOURTH FLOOR
Lisa Rockelli, Managing Editor, Bloomberg BNA
James Swann, Reporter, Bloomberg BNA
Eric Topor, Legal Editor, Bloomberg BNA
••Learn how Bloomberg BNA and media cover
healthcare fraud and compliance issues
••Hear about the hot compliance issues in 2014 and
what the OIG and CMS are most interested in
••False Claims Act whistleblower cases—lessons to
learn from interesting settlements and cases
12:00 – 1:00 pm
SpeedMentoring
MISSION BEACH, THIRD FLOOR
12:00 – 1:30 pm
Lunch (on your own)
1:30 – 4:30 pm
PRE-CONFERENCE: BREAKOUT SESSIONS
(includes 15-minute break)
INDUSTRY IMMERSION
SUNDAY, 1:30 – 4:30 pm
Kristine Koontz, PhD, Quality Management Dir, Keystone Human Services Inc
Amy Diane Short, Senior Research Associate and Project Director, The
Ohio Valley Sickle Cell Network, University of Cincinnati Medical Center
Ginger Bandeen, Quality Improvement Manager,
Columbia Community Mental Health
••Application of proven QM methods to systematically identify,
measure, and monitor key performance metrics and generate
targeted, informed responses when deviations occur
••Data collection and analysis strategies for behavioral health
organizations participating in accountable/coordinated
care organizations—outcomes, quality measures, and
financial survival as the “little fish in a big pond”
••Strategies for effective and sustainable quality
improvement—project selection, team engagement,
and building a culture of continuous improvement
P15 Staying Ahead of the OIG:
Best Practices for Compliance in the
New World of Enforcement CHRC
SUNDAY, 1:30 – 4:30 pm
Michael Rosen, President, ProviderTrust, Inc
Alice Martin, Deputy Attorney General, State of Alabama
••Review of latest OIG enforcement cases and penalties: A
perspective from a former federal prosecutor and trial judge
••Dissecting a Corporate Integrity Agreement to learn how
to bolster your compliance plan and avoid OIG scrutiny
••New OIG protocols for self disclosure, exclusions, and related issues
; LONG-TERM CARE
P16 Pursuing, Defending, and Resolving
False Claims Act Cases in Long-Term Care
SUNDAY, 1:30 – 4:30 pm
Kathleen McDermott, Partner, Morgan Lewis & Bockius LLP
Susan Lynch, Senior Trial Counsel, United States Department
of Justice, Commercial Litigation Branch, Fraud Section
••Recent settlements and judicial decisions under the False Claims Act
related to long term care enforcement issues, including quality of care
••Government enforcement and defense perspectives
••Compliance strategies to mitigate whistleblower and other risks
15
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Sunday, March 30
P17 Information Security: Fundamentals, Top
Risks, and Strategies to Counter Threats CHPC
P20 Third-Party IT Service Providers: How
to Conduct Risk Assessments and Design
Appropriate Levels of Auditing and Monitoring of
Safeguards for Your Organization’s ePHI CHPC
SUNDAY, 1:30 – 4:30 pm
HARBOR ABC, SECOND FLOOR
Jim A. Donaldson, Director of Corporate Compliance/
Privacy & Security Officer, Baptist Health Care Corporation
Fred Touchette, Senior Security Analyst, AppRiver
••Compliance professionals must weigh their organization’s
seemingly contradictory demand for both information
availability and data security. Attendees will learn in simple,
non-technical terms, how to help manage these needs
••We will teach you Information Security Fundamentals
in plain English. You do not need a degree in Computer
Science or a background in an information technology
related field to understand the topics being presented
••Review the current cyber threats to healthcare enterprises
SUNDAY, 1:30 – 4:30 pm
HARBOR GHI, SECOND FLOOR
Glen Mueller, Vice President-Chief Audit, Compliance,
Information Security, and ERM Executive, Scripps Health
••Understanding Cloud Computing Services:
The different types of third‑party relationships and
their key business drivers and associated risks
••Evaluating Risks: Identify, inventory, and risk rank
third‑party relationships where confidential data
is sent and received by your organization
••Implementing Effective Oversight: Third parties are best
monitored through coordinated efforts of key stakeholders
including management, compliance, and internal audit
P18 Dr. Jekyll and Mr. Hyde, CHC:
Physician Compliance Education, Quality,
and Risk Reduction Partners
SUNDAY, 1:30 – 4:30 pm
HARBOR DEF, SECOND FLOOR
SUNDAY, 1:30 – 4:30 pm
D. Scott Jones, Senior Vice President, Claims,
Risk Management & Corporate Compliance, HPIX
Richard E. Moses, Physician/Attorney
••EHR, friend or foe: Physician H&P of EHR
risks, benefits, and complications
••When quality fails: Avoiding career ending compliance
and professional medical liability problems
••Critical physician education in 2014: PPACA, patient utilization,
ICD-10, social media, patient portals, and bad compliance
; COMPLIANCE LAWYER
P19 Responding to a Government
Investigation: Best Practices for Achieving
a Favorable Outcome CHC
SUNDAY, 1:30 – 4:30 pm
Meredith Auten, Partner, Morgan Lewis
Brian Bewley, Shareholder, Polsinelli
Benton Curtis, Assistant Chief, Criminal Fraud
Section, U.S. Department of Justice
Vicki Dwyer, Compliance Officer, Vail Valley Medical Center
Geoffrey Hymans, Senior Counsel, Office of the Inspector
General, US Department of Health and Human Services
P21 Survivor 2014: How to Thrive
Under a CIA with an IRO
William Priest, Chief Compliance Officer, SouthernCare Inc
Karen Bommelje, Senior Manager, Compliance,
Simione Healthcare Consultants, LLC
Rebekah Plowman, Partner, Jones Day
••Lessons from the trenches: How to use your Corporate
Integrity Agreement (CIA) to help establish and maintain
a pervasive and enduring culture of compliance—
both inside and outside the organization
••How an Independent Review Organization (IRO) review can
be a positive experience—stories from the frontline
••Who do you want in your foxhole? How your outside
counsel and your IRO can supply additional credibility to
assist you in getting your compliance message across
P22 Compliance Implications of Health Care Reform
SUNDAY, 1:30 – 4:30 pm
Shawn DeGroot, Associate Director, Navigant
Frank Sheeder, Partner, DLA Piper
••What compliance officers need to be doing now
••Recent regulations that merit attention
••Points to address with senior leaders
••The government’s treatment of an entity—civil,
criminal, or administrative—depends on many
factors: Learn how to influence the outcome
••Walk through the actual experience of a government investigation
from first “notice” of an investigation to final resolution
••Identify the critical roles Compliance, HIM, and Coding play during an
investigation and what you can do now to ensure a positive outcome
17
Sunday, March 30
; QUALITY OF CARE
INDUSTRY IMMERSION
P23 Coordination of Quality of Care and Compliance
across Institutions such as a County Hospital
System and Academic Medical Centers
P26 Research Hot Topics, Trends, and Tips
for Compliance Professionals CHRC
SUNDAY, 1:30 – 4:30 pm
Kevin Andrews, Vice President, Quality and
Patient Safety, Jackson Health System
Jennifer McCafferty-Cepero, Chief Medical
Compliance Officer, University of Miami
Diana Salinas, Senior Vice President and Chief
Compliance Officer, Rideout Health
••Public versus private partnership
••Transcending department and institution silos to
exchange quality-of-care information & analytics
••Organizational data to drive improvement and compliance
INDUSTRY IMMERSION
P24 Survival of the Fittest! Navigating
the DMEPOS Jungle!
SUNDAY, 1:30 – 4:30 pm
Barb Stockert, Government and Payer Relations,
Sanford Health HealthCare Accessories
Thomas Beimers, Partner, Faegre Baker Daniels
Jeanne Folmer, Lead Auditor-Corporate Compliance, Sanford Health Bismarck
Ruth Krueger, Regional Director of Corporate Compliance, Sanford Health
••Identify risk areas, record keeping, and audit priorities
••Review OIG information request, subsequent
investigations/enforcement actions
••Provide tool kit of resources and discuss risky scenarios
INDUSTRY IMMERSION
P25 Navigating a Sea of Change: AMC
Compliance during Health Care Reform
SUNDAY, 1:30 – 4:30 pm
Moderator: Lynda Hilliard, Hilliard Compliance Consulting
Christine Bachrach, Vice President & Chief Compliance
Officer, University of Maryland Medical System
Eileen Kahaner, Director, Clinical Enterprise Compliance
Program, University of California-San Francisco
Gail Madison-Brown, Chief Compliance Officer, Regulatory Affairs &
Compliance, The University of Texas Health Science Center at San Antonio
••Key compliance risks experienced by AMC leaders
from various parts of the country
••Provide operational recommendations for assuring
compliance with applicable regulatory requirements
SUNDAY, 1:30 – 4:30 pm
Kimberly Brandt, Chief Healthcare Investigative Counsel
for Senate, US Senate Finance Commission, Min Staff
Lisa Murtha, Partner, DENTONS US LLP
Ryan Meade, Director of Regulatory Compliance
Studies, Loyola University Chicago School of Law
••Overview of the OIG Workplan initiatives related to research, recent
ANPR related to changes in NIH, or FDA research regulations, and
any updates to research laws and regulations over 2013 and 2014
••Summary of OHRP investigations and findings, FDA
investigations and findings and recent cases of research
misconduct, any recent matters related to research finance
(e.g. effort reporting, cost transfers, cost sharing, etc.)
••Recent settlements and trends from a law enforcement perspective
including matters related to off-label uses, anti-kickback
issues and related matters as they touch clinical research
4:30 – 6:00 pm
GRAND HALL, LOBBY LEVEL
5:30 – 6:30 pm
Academies Reunion/Authors’ Reception
MARINA BALLROOM (outside of the Manchester Grand
Hyatt across from Sally’s, next to the coffee shop)
6:00 – 7:00 pm
HARBOR BALLROOM FOYER, SECOND FLOOR
Altegra Health / Solutions
Reimbursement & Advisory Services
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MONDAY
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Office: 310.776.4500
Email: [email protected]
Learn More
Visit:
MONDAY
Monday, March 31
7:00 am – 6:00 pm
7:00 – 8:30 am
8:30 – 8:45 am
Opening Remarks
SEAPORT BALLROOM, SECOND FLOOR
8:45 – 9:15 am
General Session: OIG Update
Daniel Levinson, Inspector General, Office of Inspector
General, U.S. Department of Health and Human Services
9:15 – 10:15 am
General Session: Compliance Plus: Creating an
Effective Compliance Program Using an
Ethics Framework
Michael Josephson, President and Founder, Josephson Institute
10:15 – 11:00 am
102 Regulation and Enforcement: What the Law
Was, What the Law Is, and What The
“Law” Will Be Like Tomorrow CHC
MONDAY, 11:00 am – 12:00 pm
Brian Flood, Partner, Husch Blackwell LLP
••How industry and providers can take concrete steps to manage
the regulatory requirements over the next three years
••A brief overview of the law, of sea changes in the law, and a brief
overview of the Affordable Care Act and its future requirements
••A projection of what will and will likely not
change in the next three years
; LONG-TERM CARE
103 Season Your Compliance Program with PEPPER
MONDAY, 11:00 am – 12:00 pm
Kimberly Hrehor, Project Director, TMF Health Quality Institute
Cheryl Field, Vice President for HealthCare and Privacy Officer, PointRight, Inc.
••PEPPER is a free data report for areas at risk
for improper Medicare payments
••Learn how the data are compiled and what they mean to you
••Consider suggestions to integrate PEPPER
into your compliance program
104 OCR Reports on Enforcement
of the HIPAA Rules CHPC
11:00 am – 12:00 pm
MONDAY, 11:00 am – 12:00 pm
BREAKOUT SESSIONS
Linda Sanches, Sr. Advisor, Health Info Privacy, US-HHS
Yun-kyung (Peggy) Lee, Senior Equal Opportunity
Specialist, Office for Civil Rights, US-HHS
101 Building a Healthy ACO Compliance Program
••Learn how OCR works with the healthcare industry to
comply with the HIPAA Privacy and Security Rules
MONDAY, 11:00 am – 12:00 pm
••Obtain practical guidance concerning the types of
issues which are most often investigated and why
Mary Malone, Attorney, Shareholder, Hancock, Daniel, Johnson & Nagle PC
••Attendees will learn: The key elements and legal
requirements of an ACO compliance program
••Strategies to leverage existing resources to establish
a healthy and effective compliance program
••Challenges in structuring and implementing an ACO compliance
program as well as key risk areas for ACO compliance programs
••Participate in an “Ask the Regulator” session
concerning what OCR looks for in a successful health
information privacy compliance program
105 Educate the Medical School to
Educate Their Physicians
MONDAY, 11:00 am – 12:00 pm
James Dunnick
••Why should physicians be taught the work of coding specialists?
••You are being graded. You should know the questions
••How to be aware of the false security of electronic record coding
19
Monday, March 31
; COMPLIANCE LAWYER
106 DME Compliance and Regulatory Issues
110 The Top 10 Conflicts of Interest Developments
Compliance Professionals Need to Know About CHC
MONDAY, 11:00 am – 12:00 pm
Denise Fletcher-Leard, Attorney, Brown & Fortunato, PC
Nathaniel Lacktman, Senior Counsel, Foley & Lardner LLP
••Describe and respond to regulatory changes and
initiatives specific to the DME industry
••Discuss new coverage criteria and documentation requirements
MONDAY, 11:00 am – 12:00 pm
Greg Radinsky, Vice President, Chief Corporate
Compliance Officer, North Shore-LIJ Health System
••Summary of new laws and industry guidance
on conflicts of interest and gifts
••Legal considerations when working with referral
sources including how to structure loan closets,
subcontract agreements, and other transactions
••Practical Tips to avoid Stark and Anti-kickback issues
107 Best Practices for Medicare and
Medicaid EHR Incentive Programs
111 Opening a New Hospital/Medical Center: A
Look at the Imperative Role of Compliance
MONDAY, 11:00 am – 12:00 pm
REGATTA, FOURTH FLOOR
MONDAY, 11:00 am – 12:00 pm
TORREY HILLS, THIRD FLOOR
Regina Gurvich, Chief Compliance Officer, AdvantageCare Physicians, PC
••Monitoring compliance with meaningful use requirements
••Audit-ready—documentation retention to support
meaningful use and Clinical Quality Measure attestations
••Guidance on auditing and monitoring your
conflicts of interest and gifts policy
Jane Van Ness, Hospital Compliance Officer, Kaiser Sunnyside
Medical and Westside Medical Center
Monica Freedle, Hospital Compliance, Program Manager,
Kaiser Sunnyside Medical and Westside Medical Center
••Avoiding False Claims Act liability by avoiding
pitfalls in electronic medical records
••What legal, regulatory, licensing, and accreditation
requirements are impacted?
; QUALITY OF CARE
••Discussion of how Compliance worked with other key departments
in successfully opening a new hospital/medical center in Oregon
108 Care Management: Can We Do It Better?
MONDAY, 11:00 am – 12:00 pm
Wilma Acosta, Associate Director, Risk & Compliance, Protiviti Inc.
Alex Robison, Managing Director, Protiviti Inc.
••Using case studies, we will discus some of the
challenges systems face with operations/staffing and
competencies of care management and UR team
••The type of audit/review for process improvement
that led to identifying the need for change
••Department workflow changes/improvements that
can lead to decrease in denials for observation and
one‑day stays, improve obtaining proper orders for
admission and contribute to billing compliance
Evolving Environment CHPC
MONDAY, 11:00 am – 12:00 pm
Laura Rosas, Program Officer, Office of the Chief Privacy Officer, Office of
the National Coordinator for Health Information Technology (ONC), HHS
••Brief overview of privacy and security issues, including
recent breaches and OCR enforcements
••Demonstration of “Cybersecure Your Medical Practice” video
game series and contingency planning and security risk analysis
••Overview of the Mobile Device Resource Center
••How to prepare for state, CMS, and Joint Commission visits/surveys?
112 Compliance Monitoring: Effective
Communication and Documentation Practices CHC
MONDAY, 11:00 am – 12:00 pm
Kelsey Brodsho, Legal Counsel, Hennepin County
Medical Center/Hennepin Health System
Rebecca Fuller, Corporate Compliance Officer, PrimeWest Health
••Learn practical tips for engaging operational managers
in compliance monitoring, which increases monitoring
effectiveness and builds business relationships
••Learn how to communicate with operational units
to improve prevention and detection efforts, while
fostering operational accountability for compliance
••Learn how to effectively document routine
monitoring plans and results by building good
documentation practices into your daily tasks
Monday, March 31
1:30 – 2:30 pm
AD1 Handling Multiple External Audits
and Compliance Reviews CHC
BREAKOUT SESSIONS
MONDAY, 11:00 am – 12:00 pm
HILLCREST AB, THIRD FLOOR
SESSION IS FULL. Repeats Monday at 4:30 pm. Pre‑registration is required for
Advanced Discussion Groups (see Step 3 on registration form). Attendance limited
to 50 participants.
Catherine Gray, Director, Corporate Compliance, Vidant Health
••Prioritizing multiple requests of equal importance
••How involved should general counsel be in
external audits and compliance reviews
••Gaining management’s assistance when
conducting compliance reviews
AD2 HIPAA Privacy Best Practice Discussion CHPC
MONDAY, 11:00 am – 12:00 pm
HILLCREST CD, THIRD FLOOR
SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups (see
Step 3 on registration form). Attendance limited to 50 participants.
Joan Podleski, Director of Institutional Ethics & Compliance, Duke University
Share and discuss strategies on
••Revising your program post HITECH implementation
201 Risk Management: What the Heck
Is ERM? Is There an “8th Element” of a
Good Compliance Program? CHC
MONDAY, 1:30 – 2:30 pm
Kimberly Otte, Chief Compliance Officer, Mayo Clinic Health System
Christopher Davies, Regional Compliance Officer, Mayo Clinic Health System
Brenda Mickow, Revenue Compliance Officer, Mayo Clinic Health System
••Enterprise Risk Management (ERM) is a corporate capability and
discipline relatively new to the healthcare industry. It identifies
and prioritizes the highest corporate risks and is intended to
frame discussions and decision making at a strategic level
••Risk assessment is often referenced as the “8th element”
of a good compliance program. What is the genesis of this
element? What are the benefits for a compliance program?
••See an example of an organizational compliance risk assessment
and a revenue cycle risk assessment. See tools, templates, and
dashboards used to identify, prioritize, and report on these risks
••Dealing with a breach
202 Be Ready for ICD-10: Best Practices
for Educating Coders
12:00 – 1:00 pm
MONDAY, 1:30 – 2:30 pm
••Business Associates and subcontractors
Networking Luncheon
HARBOR BALLROOM, SECOND FLOOR
1:00 – 1:30 pm
Dessert & Networking Break in Exhibit Hall
Michelle Leavitt, Director of Learning Solutions, HealthcareSource
Mary Pat Jackey, Clinical Educator, Commonwealth Health Corporation
••Learn best practices for assessing coders
••Deliver targeted, tailored ICD-10 education
••Hear specific case examples of success stories
from one client co-presenter
; LONG-TERM CARE
203 Inside Counsel, Outside Counsel,
General Counsel: How Should a Compliance
Officer Conduct an Investigation? CHC
MONDAY, 1:30 – 2:30 pm
Barbara Duffy, Shareholder, Lane Powell
Donna Thiel, Senior Director & Deputy Compliance
Officer, Extendicare Health Services Inc
••Framing the investigation for efficiency yet conducting a
thorough review: What sort of work product do you want?
••Identifying the right investigator(s): Outside counsel? In-house?
••Guidelines for conducting your investigation interviews
and how to conclude the investigation
21
Monday, March 31
204 Is Your Privacy Program Reactive or Proactive?
Tips and Tricks to Build a Proactive Program CHC
207 A Unique Approach to Auditing
the Primary Care Exception
MONDAY, 1:30 – 2:30 pm
MONDAY, 1:30 – 2:30 pm
Jacki Monson, Chief Privacy Officer, Sutter Health
Jutta Williams, Director, Corporate Compliance
Privacy Office, Intermountain Healthcare
••Identify the challenges and pitfalls of having
a purely reactive privacy program
••Compliance theory and your proactive approach
to privacy; choosing a model that can anticipate
and gracefully adapts to regulatory change
••First steps and practical experiences for building
a proactive privacy program including quick wins
will help leadership recognize your program
205 Who Is a Qualified Health Care
Professional (QHP)? A Compliance Update
on Using Extenders from CRNAs to PAs
MONDAY, 1:30 – 2:30 pm
Joette Derricks, Vice President of Regulatory Affairs
& Research, Anesthesia Business Consultants
Neda Ryan, Associate Attorney, Clark Hill PLC
••Discuss AMA-CPT position on “other qualified
healthcare professionals” vs. “clinical staff” in
providing and billing for medical services
••Review CMS and major payers’ policies for
different types of extenders including “incident to”
documentation, coding, and billing rules
••Examine case law regarding proper use or non-use of extenders
; COMPLIANCE LAWYER
206 Voluntary Disclosure:
When and Where CHC CHRC
MONDAY, 1:30 – 2:30 pm
Tony Maida, Deputy Chief, Administrative & Civil Remedies Branch, Office
of Inspector General, US Department of Health and Human Services
John Joseph, Principal, Post & Schell, PC
Dwight Claustre, Director, Aegis Compliance & Ethics Center, LLP
••Under the OIG’s newly issued voluntary disclosure protocol, what are
the potential benefits and risks of making a voluntary disclosure?
••Discuss the factors to be considered for determining
the need to disclose, to whom to disclose and what to
disclose; is disclosure even voluntary anymore?
••Discuss methods for investigating and identifying
those issues that fall through the cracks
Michael McKeever, Director of Compliance, Special
Projects and Audits, Rutgers University
Christine Anusbigian, Specialist Leader, Deloitte & Touche LLP
Bret S. Bissey, Senior Vice President, Compliance Services, MediTract, Inc.
••Learn how a Health Sciences University, while operating
under a CIA, addressed an issue related to the use of
the Primary Care Exception to the Physician at Teaching
Hospital rules through the use of data analysis
••Rather than perform the traditional statistically valid random
sample, review the documentation and, if necessary, perform
an extrapolation to determine the extent of the overpayment,
the problem was quantified through data analysis
••Hear from the provider and the consultant about the steps
taken to perform this audit as well as validate the outcome,
and how substantial savings were recognized by the
provider due to the streamlined audit methodology
; QUALITY OF CARE
208 Ensuring Level of Care Orders in EHRs
MONDAY, 1:30 – 2:30 pm
Harriet Kinney, Organizational Integrity Manager, CHE Trinity Health
Mary Beth Pace, System Director, CHE Trinity Health
••The challenge of ensure Level of Care (aka admission)
orders in an electronic health record system
••Risks and compliance concerns with missing orders
••Process improvement activities to ensure compliance
with new IPPS regulations and quality of care
209 Pearls of Wisdom: Recent Updates,
Audit Results, and Better Practice Ideas
to Reduce Vulnerabilities Stemming from
RAC, MAC, & Medicaid Claims Audits
MONDAY, 1:30 – 2:30 pm
Day Egusquiza, President, AR Systems, Inc
••RAC Updates—Latest Trends including prepayment reviews,
prior authorizations, new reimbursement caps, and more
••MAC Prepayment Audits—States Impacted, Specific DRGs
being scrutinized, and specific questions to ask your MAC
••Examples of better practice ideas to reduce
vulnerabilities will be shared
Monday, March 31
210 Stark, Anti-Kickback, and Information
Technology: Considerations for the
Compliance Professional CHC CHRC
AD4 Evolving Cyber Threats to PHI: How
Can We Safeguard Data to Lessen the
Frequency and Severity of Data Breaches?
MONDAY, 1:30 – 2:30 pm
MONDAY, 1:30 – 2:30 pm
Jim Donaldson, Director of Corporate Compliance/Privacy
& Security Officer, Baptist Health Care Corporation
••Explore how Stark and the Anti-Kickback Statutes relate to the use
and deployment of healthcare related information technology
••Understanding the growing list of technology related issues that
may pose compliance risks for healthcare organizations of all sizes
••Hardwiring a continual process to identify and
manage the risks of technology-related issues and
maximize on existing guidance and safe harbors
211 Is Your Compliance Program Window
Dressing or Effective? CHC
MONDAY, 1:30 – 2:30 pm
Sean McKenna, Partner, Haynes and Boone, LLP
Kenneth Zeko, Director, Navigant
••Leading practices to avoid/mitigate enforcement action
••Competing perspectives of compliance vs. leadership regarding risk
••Practical reality of enforcement actions—could you testify
under oath regarding your efforts and program?
AD3 Pointers and Pitfalls in Managing
Work-Life Balance, Stress, and Burnout
in the Compliance Profession
MONDAY, 1:30 – 2:30 pm
Pre‑registration is required for Advanced Discussion Groups (see Step 3 on
registration form). Attendance limited to 50 participants.
Robert Ossoff, Special Assistant to the Vice-Chancellor
for Health Affairs, Maness Professor of Laryngology and
Voice, Vanderbilt University Medical Center
••Burnout occurs when work-life balance is in a state of disequilibrium
••Compliance professionals are at a significant
risk of developing burnout
••Strategies for avoiding, early detection, and
treatment of burnout will be emphasized
Rick Kam, President & Co-Founder, ID Experts
••Discuss current and evolving cyber threats to healthcare
enterprises and electronic care delivery systems
••Share best practices in mitigating cyber threats in a way
that reduces risk and meets regulatory obligations
••Brainstorm how organizations can implement information
security programs that stay flexible and adaptable to
the rapidly changing cyber threat environment
AD5 Compliance Dashboards
MONDAY, 1:30 – 2:30 pm
GOLDEN HILL, THIRD FLOOR
SESSION IS FULL. Repeats Tuesday at 1:00 pm. Pre‑registration is required for
to 50 participants.
••Quality vs. quantity with data
••Format attributes and impediments
••Effective content that tells a story
2:30 – 3:00 pm
3:00 – 4:00 pm
BREAKOUT SESSIONS
301 Updates on the Latest Program
Integrity Auditor Targets and Activity
MONDAY, 3:00 – 4:00 pm
Ralph Wuebker, Chief Medical Officer, Executive Health Resources
Steven Greenspan, Vice President, Regulatory
Affairs, Executive Health Resources
••Overview of the latest program integrity audit activities,
including pre-payment review, OIG audits, DOJ
investigations, and the Recovery Audit program
••Practical advice for a best practice response
strategy after receiving an audit notification
••Tips for creation of a list of key internal and external
(counsel, consultants, etc.) constituents who should
be actively engaged in all auditing matters
23
Monday, March 31
302 Learning From CIAs: What You Need To
Know Even If You’re Not Under One CHRC
305 Tick-Tock....The Clock Is Ticking
MONDAY, 3:00 – 4:00 pm
Patrick Braley, Partner, Bennett Thrasher LLP
Tim Renjilian, Senior Managing Director, FTI Consulting
Michael Paulhus, Partner, King & Spalding LLP
Blair Todt, Chief Strategy and Development Officer, WellCare Health Plans, Inc.
••Review the latest trends, developments, and challenges
presented in Corporate Integrity Agreements
••Understand how CIA trends and requirements should
inform the structure of your compliance program
••Practical tips for implementing CIA concepts
into your compliance program
; LONG-TERM CARE
303 Compliance Issues in Home Health and Hospice
MONDAY, 3:00 – 4:00 pm
William Dombi, Vice President for Law, National Association for Homecare
••Recognize the compliance enforcement target
areas in home health and hospice
••Identify new regulatory compliance measures
in Medicare and Medicaid
••Gain an understanding of the national antifraud efforts in home health and hospice
MONDAY, 3:00 – 4:00 pm
Maggie Mac
Elin Baklid-Kunz, Director Physician Services, Halifax Health
••How to code and document physician services that
are based on time—is the clock ticking? Survive the
toughest audit with proper documentation and use
••Review of all codes that are time based (E/M and procedural)
to determine whether medical necessity is met and
understand the documentation requirements
••Presentation of compliant documentation examples based
on time for E/M, critical care, psychotherapy, infusions, device
checks, smoking cessation, physical therapy, and more
; COMPLIANCE LAWYER
306 ACO Formation, Operation and Compliance
MONDAY, 3:00 – 4:00 pm
Sarah Swank, Principal, Ober|Kaler
Christine Worthen, Of Counsel, Broad and Cassel
•• Explore Medicare ACO program basic requirements
(MSSP and Pioneer), including contract obligations
•• Discuss lessons learned including the role of compliance,
governance, HIPAA, FISMA, data sharing and leadership positions
•• Identify transferable skills of ACOs to the commercial and
Medicaid markets and experiences regarding same
304 LoProCo: Understanding and Applying the Four
Factor Assessment Model for Presumed Breaches
307 Drug Billing Compliance in Provider
Settings: Auditing Strategies CHRC
MONDAY, 3:00 – 4:00 pm
MONDAY, 3:00 – 4:00 pm
Frank Ruelas, Privacy, Security, and Compliance Officer, Gila River Health Care
••Explain the Low Probability of Compromise (LoProCo)
assessment method applied to presumed breaches
••Apply the LoProCo method to real incidents to
evaluate the LoProCo method in actual practice
••Understanding how the LoProCo assessment results
contribute to the overall breach notification process
Corey Perman, Senior Compliance Officer &
Legal Counsel, Advocate Health Care
••Learn the benefits, opportunities, and challenges
to conducting a drug billing risk assessment
••Understand accepted approaches for reviewing complex
unknown risk in an active government audit environment
••Evaluate the distinct stages of assessment and review
which are unique to drug billing compliance
Monday, March 31
; QUALITY OF CARE
308 Not a Quality Expert? How to Integrate
Quality into Your Compliance Program
311 Challenges and Helpful Hints for
Turning Low Performers into Compliant
Performers: A Road Map for Success
MONDAY, 3:00 – 4:00 pm
Donna Abbondandolo, AVP of Compliance,
Catholic Health Services of Long Island
Patricia Ariel, Senior Vice President, Internal Audit &
Compliance, Westchester County Health Care Corporation
••Get on board with the Quality Team
••Analyze and Integrate the data into your compliance metrics
••Communicating the data to senior leadership and the Board
309 Assessing and Mitigating Risk Under
the HIPAA Omnibus Rule CHPC
MONDAY, 3:00 – 4:00 pm
Darrell W. Contreras, Chief Legal and Compliance
Officer, PlusDelta Technologies, LLC
••Conducting effective root cause analysis for compliance problems
••Who is on first? Roles in the corrective action process
••Tracking and reporting: keys to success
310 Social Media in the Health Care
Setting: So Much Not to Like
MONDAY, 3:00 – 4:00 pm
Chris Bennington, Principal and Senior Consultant, INCompliance Consulting
Elizabeth Stock, Partner, Bricker & Eckler LLP
Susan Childs, Dir Risk Mgr & CO, Dayton Children’s Hospital
••Identify high risk compliance areas involving the
use of social media in the hospital setting
MONDAY, 3:00 – 4:00 pm
Lori Strauss, Chief Corporate Compliance & Privacy
Officer, University of Virginia Health System
••Learn how to break down silo’s through appropriate initial education
••Learn how to implement a monitoring program
that encourages compliance
••Appreciate how changing the image of the Compliance
Office may help to change organizational culture
AD6 Reporting and Clinical Research CHRC
MONDAY, 3:00 – 4:00 pm
Kelly Willenberg, Owner, Kelly Willenberg, LLC
••GCP and GBP
••Billing and reimbursement
••FDA and other federal agencies
AD7 Preventing Stark and Kickback Violations CHC
MONDAY, 3:00 – 4:00 pm
to 50 participants.
Brian Annulis, Partner, Meade Roach & Annulis, LLP
••Understand the employment and privacy laws applicable
to high risk social media-related compliance areas
••Lessons learned from recent voluntary self-disclosures
••Learn practical strategies to address high‑risk social mediarelated compliance areas within participants organizations
••Common issues and concerns
••Managing physician arrangements to avoid technical deficiencies
AD8 Risk Assessment Methodologies
MONDAY, 3:00 – 4:00 pm
John Falcetano, Chief Audit & Compliance Officer, Vidant Health
••How to plan a risk assessment; who should be
involved in the risk assessment process
••How to identify, measure, assess, and analyze risk
••Determining risk priorities and developing mitigation plans
25
Corporate
Compliance &
Ethics Week
Celebrate May 4–10
at your organization
Join businesses
nationwide in
spotlighting
workplace
compliance
and ethics
Companies across the nation will recognize
the importance of compliance and ethics
in their workplaces during Corporate
Compliance & Ethics Week, May 4–10.
You can, too.
Celebrating the week within your
organization will help promote
ethical and compliant behavior and
showcase the importance of an
internal ethical culture.
Build on the awareness and
training you regularly have
scheduled. You can use the tools
HCCA has compiled to help in
developing your own celebrations.
Download our “train-the-trainer”
kit, listen to a free webcast,
sample information pieces
and posters—and then join
the parade of organizations
that celebrate Corporate
Compliance & Ethics Week!
www.hcca-info.org/CandEWeek
Monday, March 31
4:00 – 4:30 pm
SECOND GRAND HALL, LOBBY LEVEL
4:30 – 5:30 pm
401 Critical Change: Enterprise Risk
Management Meets Healthcare
MONDAY, 4:30 – 5:30 pm
Marie Moseley, Director, Regulatory Affairs, Vidant Health
••Enterprise Risk Management (ERM): What is it, and
what does it have to do with healthcare?
404 Top 10 Tips for Effectively Assessing Business
Associates: Determining the Adequacy of
Your Business Associate’s Security, Privacy,
& Data Protection Compliance CHPC
MONDAY, 4:30 – 5:30 pm
Web Hull, Senior Privacy & Compliance Specialist, Iron Mountain
••A practical and implementable road map for a comprehensive
Business Associate compliance assessment program
••Techniques for cutting through the complexities
of Business Associate assessments
••Examples of tools and documents that are
useful in assessing Business Associates
••The three key components of an effective ERM program in healthcare
405 Coaching Compliance: Connecting
the Dots When Problems Arise
••Lessons from the trenches
402 OIG Medicare Compliance Reviews
MONDAY, 4:30 – 5:30 pm
Gloria L. Jarmon, Deputy Inspector General, Office of Audit Services, Office
of Inspector General, U.S. Department of Health and Human Services
Stephen Gillis, Director, Compliance Coding
Billing & Audit, Partners HealthCare
••Views from compliance officers who have gone
through OIG Hospital Compliance Reviews
••Short stays, payments greater than charges, high severity DRGs, outlier
payments, observation services, drug unit billing, modifiers 59/25
••How to prepare/what you should be doing now to prepare
(data mining, education, process redesign, etc.)
; LONG-TERM CARE
403 2014 Review of the OIG Work
Plan for Post-Acute Providers
MONDAY, 4:30 – 5:30 pm
Gavin Gadberry, Shareholder, The Underwood Law Firm, P.C.
Paula Sanders, Healthcare Chair, Post & Schell, P.C.
••Examine OIG-identified high risk areas for post‑acute providers
••Evaluate ways to use the OIG Work Plan as a
road map for internal risk assessments
••Discuss lessons learned from earlier OIG Work Plans
MONDAY, 4:30 – 5:30 pm
Jacqueline Bloink, Director of Compliance, Arizona Community Physicians
••What are the differences between compliance
consulting and compliance coaching?
••How does your organization deal with compliance
issues when errors or risks have been identified?
••How can compliance coaching positively affect
adverse compliance behavior or patterns when dealing
with providers, staff, and administration?
; COMPLIANCE LAWYER
406 Medicaid Enforcement Update
MONDAY, 4:30 – 5:30 pm
Judith Fox, Vice President, Strategic Management
Jack Wenik, Partner, Sills Cummis & Gross, PC
••Overview of Medicaid enforcement initiatives
••Most recent developments in Medicaid enforcement
for home healthcare, adult day care, and other services;
sanctions screening and program exclusion
••Examine government audits and data mining; compliance tips to
prepare for enforcement activities and mitigate enterprise risks
Monday, March 31
407 Continuous Auditing Programs CHC
410 340B Drug Discount Program: A New
World of Increased Scrutiny and What
This Means to Your Organization
MONDAY, 4:30 – 5:30 pm
Allen Still, CliftonLarsonAllen LLP
Ryan Merryman, Senior Manager, Forensic and
Valuation Services, CliftonLarsonAllen LLP
••Understand the core components and
benefits of continuous auditing
••Understand how you can start, or enhance, your own
continuous auditing and anti‑fraud program
MONDAY, 4:30 – 5:30 pm
Karolyn Woo-Miles, Senior Manager, Deloitte & Touche LLP
Debra Muscio, SVP, Chief Audit, Ethics & Compliance
Officer, Community Medical Centers
••Demonstrate techniques internal audit may use in its continuous
auditing program to increase its value proposition to the organization
••Understanding the complex requirements of the 340B program
and applying those to the drug purchasing, dispensing, billing, and
inventory management systems within your facility. How to create
mechanisms and safeguards to comply with 340B requirements
; QUALITY OF CARE
••How to anticipate and prepare for the HRSA
and drug manufacturer audits
408 The Quality Tsunami: PQRS, Practice Guidelines,
Healthcare Fraud, and Malpractice Fraud
MONDAY, 4:30 – 5:30 pm
D. Scott Jones, Senior Vice President, Claims,
Risk Management & Corporate Compliance, HPIX
Richard Moses, Physician/Attorney
••Examine the quality reporting mandates, timelines,
and reimbursement penalties of PPACA
••Discuss establishing compliance systems that
meet and monitor these standards
••Review the risk to compliance programs, including
healthcare fraud and medical malpractice/fraud
409 What’s FMV Got To Do With It? The
Role of Fair Market Value in Physician
Employment Arrangements CHC
MONDAY, 4:30 – 5:30 pm
Audrey Pike, Vice President/Chief Compliance Officer,
Privacy Officer, Phoebe Putney Health System, Inc.
Gadi Weinreich, Partner, Dentons LLP
••The importance and role of independent
valuations in establishing fair market value
••The role of fair market value in prosecuting and
defending False Claims Act (“FCA”) actions predicated
on alleged violations of the Stark Law
••The role of fair market value in prosecuting and defending
FCA actions predicated on alleged violations of the federal
healthcare program anti-kickback statute, 42 U.S.C. 1320a-7b(b)
••How to create compliant contract pharmacy
arrangements, focusing on the do’s and don’ts
411 Compliance...Who Says It Can’t Be Fun?
MONDAY, 4:30 – 5:30 pm
Richella Abell-Hawes, APD Compliance & Quality, Herkimer ARC
Lorene Bass (Hartmann), Vice President
Compliance & Quality, Herkimer ARC
••Easy and innovative ways to deliver the compliance
message through the use of games, technology, and
current happenings with little to no expense
••Participants will participate in interactive discussions
through the use of real life case studies
••Learn how to utilize humor and stories to get the
message across while keeping it professional
AD9 Compliance Training CHC
MONDAY, 4:30 – 5:30 pm
to 50 participants.
Al Josephs, Senior Director, Compliance Operations,
Tenet Healthcare Corporation
Ryan Whitehall, Manager Ethics & Compliance
Training, Tenet Healthcare Corporation
••How effective is compliance training?
••Are employees actively engaged?
••What is going well and what needs repair? Tools for
measuring effectiveness and tracking training
29
Monday, March 31
AD10 The Ins and Outs of 340B Compliance
AD1b/repeat Handling Multiple External
Audits and Compliance Reviews CHC
MONDAY, 4:30 – 5:30 pm
Jeffery Wiggins, Vice President Audit & Compliance, Vidant Health
••Discuss HRSA’s recent 340B Program guidance
regarding the GPO prohibition
••Increase understanding of HRSA and drug manufacturer
340B compliance audits planned for 2013
••Share ideas on 340B Program policies/procedures and audit programs
MONDAY, 4:30 – 5:30 pm
Catherine Gray, Director, Corporate Compliance, Vidant Health
••Prioritizing multiple requests of equal importance
••How involved should general counsel be in
external audits and compliance reviews
••Gaining management’s assistance when
conducting compliance reviews
5:30 – 7:00 pm
The clarity
you requested
is here.
Helena Johnson, Director
What are the core issues? What’s the best opportunity? Where do we go from here?
At PwC, we provide the insight, perspective and solutions you need to make the path
forward very clear. Through our global network of ﬁrms, with more than 184,000
people in 157 countries, we provide quality assurance, tax and advisory services to many
of the world’s most successful companies. For more information, contact Terry Puchley,
[email protected]
© 2014 PwC. All rights reserved. PwC refers to the PwC network and/or one or more of its member firms, each of which is a separate legal entity.
Please see www.pwc.com/structure for further details. This content is for general information purposes only, and should not be used as a substitute
for consultation with professional advisors.
TUESDAY
TUESDAY
Tuesday, April 1
7:00 am – 4:00 pm
7:00 – 8:30 am
8:30 – 8:40 am
Opening Remarks
8:40 – 9:40 am
General Session: Influencing Decision-Making
Jenny O’Brien, Chief Compliance Officer, UnitedHealthcare
Kimberly Otte, Chief Compliance Officer, Mayo Clinic
9:40 – 10:25 am
General Session: Corporate Governance & Liability:
Panel Discussion
MODERATOR
Gabriel Imperato, Managing Partner, Broad and Cassel
PANEL
Daniel Roach, General Counsel, Optum360
Dr. David Herman, CEO, Vidant Health
Gregory Demske, Chief Counsel to the Inspector General, HHS-OIG
502 Contract Compliance CHC
TUESDAY, 11:00 am – 12:00 pm
Sue Ulrey, Partner, CliftonLarsonAllen LLP
••Why contract compliance is important
••Types and techniques of contract compliance reviews and monitoring
••The benefits of establishing a healthcare
contract compliance program
; LONG-TERM CARE
503 Therapy Utilization in Long‑Term
Care: Is It Really “Over-Utilization”?
TUESDAY, 11:00 am – 12:00 pm
Shawn Halcsik, Vice President of Compliance, Evergreen Rehabilitation
Judith Bartlett, Program Analyst, Office of Inspector of General, Office of
Evaluation and Inspections, U.S. Department of Health and Human Services
••Brief overview of OIG Reports alleging therapy “overuse”
from the perspective of both the OIG and the Provider
••Learn how to use these reports combined with your PEPPER
report and other data sources to identify areas of “overuse”
••Learn how to implement proactive continuous
audit prep strategies to minimize risk
504 Privacy and Security Challenges
in Integrated Care CHPC
TUESDAY, 11:00 am – 12:00 pm
Tim Timmons, Corporate Integrity Officer, Greater Oregon Behavioral Health
10:25 – 11:00 am
11:00 am – 12:00 pm
BREAKOUT SESSIONS
••What are the barriers to effective collaboration and
integration of care created by federal statutes that
assume the existence of healthcare silos
••What are some special problems related to the use and disclosure
of personal health information belonging to individuals receiving
care from mental health and drug and alcohol treatment providers
••What special challenges do rural health providers
face in implementing health information
exchange in an integrated health system
501 Lessons Learned: Implementing a SystemWide Access Monitoring Program CHC
TUESDAY, 11:00 am – 12:00 pm
Please check the HCCA Mobile app for updated speaker information
••Discussion of the scope and goals of the Trinity Health
system-wide system access monitoring program
••10 Do’s: Recommendations that will help make
your monitoring effective and efficient
••10 Don’ts: Suggestions to help avoid pitfalls during
implementation and on-going operations
31
Tuesday, April 1
; QUALITY OF CARE
505 Common Compliance Mistakes
In Small Physician Practices
508 What Are Your Patients Saying About
Your Organization? Tuning into Quality
Through Your Patient Complaints
TUESDAY, 11:00 am – 12:00 pm
Kimberly Huey, President, KGG Coding & Reimbursement Consulting
Sandra Giangreco, Senior Consultant, Haugen Consulting Group
••Small physician practices often do not have the resources
of their larger counterparts—this session identifies the
most common issues in physician office compliance and
offers guidance and solutions to improve compliance
••Tips for convincing small physician practices of the need for
compliance efforts, compliance audits—including audit parameters
and the protection offered by attorney-client privilege
••Sharing resources for small physician practices that may
not be able to employ a full-time compliance officer
; COMPLIANCE LAWYER
506 Advanced Stark and Fair Market
Value: A Progressive Case Study CHC
TUESDAY, 11:00 am – 12:00 pm
Robert Wade, Health Care Practice Chair, Partner, Krieg DeVault LLP
Nicole S. Huff, Chief Compliance & Privacy Officer,
St. Luke’s University Health Network
Kevin McAnaney, Attorney, Law Office of Kevin G. McAnaney
••The case study will explore fair market value, commercial
reasonableness, and other Stark Law issues
••Employment and medical director compensation, time-share leasing,
and non-monetary compensation and medical staff benefits
••Handouts will include tools that attendees can use
to document compliance and manage risk
507 Auditing and Monitoring Provider Based
Services: Is Your Reimbursement at Risk? CHC
TUESDAY, 11:00 am – 12:00 pm
Debi Weatherford, Executive Director, Internal Audit, Piedmont Healthcare
••Overview of provider-based services considerations
••Monitoring techniques to protect provider-based status
••Auditing for compliance with regulatory requirements
TUESDAY, 11:00 am – 12:00 pm
Michele Tomlinson, Director of Corporate Compliance, St Mary’s Healthcare
••Â§482.13(a)(2) CMS CoP: Developing a policy that complies & ensuring
compliance is part of the Patient Grievance/Complaint process
••Now that you know—what do you do? Identifying
quality components that impact compliance—Medical
Necessity, Never Events, HIPAA, EMTALA
••Resolution may pose a compliance risk with MMSEA Sec 111: What
to consider in regard to waivers, reimbursements, or gifts?
509 The Riddle of Data-Driven
Compliance Programs
TUESDAY, 11:00 am – 12:00 pm
Regina Gurvich, Chief Compliance Officer, AdvantageCare Physicians, PC
••Establishing internal data-mining program by connecting the dots
of data, revenue cycle indicators, and FWA-prevention program
••Discussion of methods and tools working with large amounts of data
••Aberrant utilization—a case study in
understanding the data and implications
510 Recent Trends in RAC and MAC Appeals
TUESDAY, 11:00 am – 12:00 pm
Tracy Field, Attorney, Womble Carlyle Sandridge & Rice LLP
Deonys de Cardenas, Attorney, Womble Carlyle Sandridge & Rice LLP
••Legal Update and Overview of Medical Necessity
Issues and Operational Impact
••Hearings Before Administrative Law Judges: Practical Considerations
••Compliance and Appeals
Tuesday, April 1
511 Effective Compliance Presentations: Use
of Art, Literature, and the Media to Make
Your Presentations Relevant and Lively
AD4b/repeat Evolving Cyber Threats to PHI:
How Can We Safeguard Data to Lessen the
Frequency and Severity of Data Breaches?
TUESDAY, 11:00 am – 12:00 pm
TUESDAY, 11:00 am – 12:00 pm
Juliann Tenney, Inst Research & Compliance Officer, UNC Chapel Hill
••Developing engaging compliance presentations can
be challenging for many reasons: Regulation-focused
material can be dry, an audience may believe that
compliance concepts are not relevant to them, etc.
••How to use the media, film, and literature to enliven compliance
presentations and workshops, inciting the audience to
contribute examples from their own experiences
••Suggestions will include a menu of materials from films
AD2b/repeat HIPAA Privacy Best Practice
Discussion CHPC
TUESDAY, 11:00 am – 12:00 pm
Joan Podleski, Director of Institutional Ethics & Compliance, Duke University
••Revising your program post HITECH implementation
••Dealing with a breach
••Business Associates and subcontractors
AD3b/repeat Pointers and Pitfalls in Managing
Work-Life Balance, Stress, and Burnout
in the Compliance Profession
Rick Kam, President & Co-Founder, ID Experts
••Discuss current and evolving cyber threats to healthcare
enterprises and electronic care delivery systems
••Share best practices in mitigating cyber threats in a way
that reduces risk and meets regulatory obligations
••Brainstorm how organizations can implement information
security programs that stay flexible and adaptable to
the rapidly changing cyber threat environment
12:00 – 1:00 pm
Networking Luncheon
HARBOR BALLROOM, SECOND FLOOR
1:00 – 2:00 pm
BREAKOUT SESSIONS
601 OIG Investigations: The Audits Are Here! CHC
TUESDAY, 1:00 – 2:00 pm
Kris Mastrangelo, President & CEO, Harmony Healthcare International
••Be able to summarize the goal of a Medical Review
••Be able to describe clinical and technical requirements
for Medicare coverage in the Skilled Nursing Facility
TUESDAY, 11:00 am – 12:00 pm
••Be able to identify and articulate examples of
documentation to support skilled nursing and
rehabilitative care in the skilled nursing facility
••Burnout occurs when work-life balance is in a state of disequilibrium
••Compliance professionals are at a significant
risk of developing burnout
••Strategies for avoiding, early detection, and
treatment of burnout will be emphasized
602 How to Get Team Members
Engaged in Compliance
TUESDAY, 1:00 – 2:00 pm
Ami E. McCrory, former Compliance Specialist,
Methodist Le Bonheur Healthcare
••Marketing your product
••Communicating with the masses
••Tools of the trade
33
Tuesday, April 1
; LONG-TERM CARE
; COMPLIANCE LAWYER
603 Narrowing Networks, Preferred Provider
Relationships: How Do We Stay Compliant?
606 Medicare Enrollment Application,
Revocation and Appeals
TUESDAY, 1:00 – 2:00 pm
TUESDAY, 1:00 – 2:00 pm
Alan Schabes, Partner, Benesch, Friedlander, Coplan & Aronoff LLP
Marsha Lambert, Chief Compliance Officer/
Senior Vice President, AccentCare Inc.
Anne Branan, Attorney, Broad and Cassel
William Cuppett, Managing Member, The Health Group LLC
••Fraud and abuse concerns for post-acute care preferred
provider and exclusive provider arrangements
••Discuss how proposed regulations expanding
Medicare’s authority to deny enrollment and revoke
Medicare participation will affect your company
••Review of acceptable contractual alternatives for
network and preferred provider arrangements
••Learn tips to ensure enrollment success and avoid enrollment
deficiencies that can result in denial or revocation of billing privileges
••Compliance necessities for post-acute care preferred
provider and exclusive provider arrangements
••Understand appeal rights for enrollment denials
and revocations of Medicare privileges
604 Ensuring Mobile App Compliance with HIPAA
607 Evaluating Audit Error Rates and
Deciding What to Do Next
TUESDAY, 1:00 – 2:00 pm
Adam Greene, Partner, Davis Wright Tremaine, LLP
••Design a mobile app strategy that improves clinical care and patient
engagement while complying with privacy and security requirements
••Integrate mobile apps into information security
risk analysis to comply with the Security
••Understand the relation of the Privacy Rule
605 Beyond Benchmarking: Integrating
Analytics into Daily Compliance Operations
TUESDAY, 1:00 – 2:00 pm
Jared Krawczyk, Chief Product Architect, Fi-Med Management, Inc.
••Explore benchmarking techniques to profile all your physicians
and understand where your greatest risk exposure lies
••Learn how to prioritize/plan the physician review process to
target high risk areas and maximize available resources
••Learn how to utilize benchmarking following the
documentation review and education process to ensure
that physician coding patterns have changed
TUESDAY, 1:00 – 2:00 pm
Sara Kay Wheeler, Partner, King & Spalding
Tim Renjilian, Senior Managing Director, FTI Consulting
Tizgel High, Assistant General Counsel, LifePoint Hospitals
••Review and assess recent error rates that have been identified in (i)
audits and reviews performed by the government and/or program
contractor, as well as (ii) error rates found in internal proactive audits
••Outline and explain the key considerations in evaluating
audit error rates, consequences and potential next steps
••Present practical, real-world case studies
illustrating how to apply key concepts
; QUALITY OF CARE
608 CMS Quality Based Payment Reform Initiatives
TUESDAY, 1:00 – 2:00 pm
Peter Ricoy, Attorney, Schwabe, Williamson & Wyatt
••Identify the key elements of the CMS payment
reform initiatives through 2017
••Identify key elements of value‑based purchasing,
inpatient reporting requirements, readmissions,
and the recovery audit contractor program
••Practical considerations: How and when to engage
your medical staff, compliance and legal counsel
Tuesday, April 1
609 The National Practitioner Data Bank:
What Compliance Officers Need to Know
AD5b/repeat Compliance Dashboards
TUESDAY, 1:00 – 2:00 pm
David Loewenstein, Compliance Branch Chief, Health Resources and
Services Administration, U.S. Department of Health and Human Services
••The NPDB: the Federal statutes that govern it and
the obligation of hospitals to use the NPDB
••Discuss the intersecting roles of compliance officers,
medical staff service professionals, and HR professionals
in meeting NPDB querying and reporting obligations
••Learn about the emerging Data Bank hospital compliance program
610 Compliance & the C-Suite CHC
TUESDAY, 1:00 – 2:00 pm
Frank Corvino, President & CEO Greenwich Hospital;
Executive Vice President Yale-New Haven Health System
Fahad Ahmed, Compliance & Privacy Officer, Bridgeport & Greenwich
Hospital; Director Compliance & Privacy Yale-New Haven Health System
TUESDAY, 1:00 – 2:00 pm
••Quality vs. quantity with data
••Format attributes and impediments
••Effective content that tells a story
AD6b/repeat Reporting and Clinical Research CHRC
TUESDAY, 1:00 – 2:00 pm
••GCP and GBP
••Billing and reimbursement
••FDA and other federal agencies
••Understanding a CEO’s expectation of compliance
in a highly regulated environment
••Communicating compliance issues to the Executive Branch
AD7b/repeat Preventing Stark and
Kickback Violations CHC
TUESDAY, 1:00 – 2:00 pm
••Implementing compliance to a hospital’s mission, vision, and values
611 Strategies for Successfully Transitioning
into a New Compliance Position
TUESDAY, 1:00 – 2:00 pm
Vicki Dwyer, Compliance Officer, Vail Valley Medical Center
Nancy Kennedy, Chief Compliance Officer &
Privacy Officer, Galichia Medical Group
••Understand the significant challenges and stress associated
with moving into a new compliance position
••Learn to develop and define your uniqueness to the role of
Compliance Officer to expel the “Ghosts of Compliance Officers Past”
Brian Annulis, Partner, Meade Roach & Annulis, LLP
••Lessons learned from recent voluntary self-disclosures
••Managing physician arrangements to avoid technical deficiencies
••Common issues and concerns
2:00 – 2:30 pm
Networking Break
SEAPORT FOYER, SECOND FLOOR
••Identify simple marketing techniques to build or bolster your
perceived credibility, reliability, and expertise with the board
of directors, executive team, medical staff, and employees
35
Tuesday, April 1
2:30 – 3:30 pm
BREAKOUT SESSIONS
704 Walking the Straight and Narrow
between Requirements of IRB Protocols
and Compliance with HIPAA CHRC
701 HIPAA Business Associate Satisfactory
Assurances: What Do We Ask For? CHPC
TUESDAY, 2:30 – 3:30 pm
Christine Duprey, Owner, Caris Consulting, LLC
Daniel Steiner, Experienced Consulting Manager,
Baker Tilly Virchow Krause, LLP
••Understanding the compliance requirements for addressing
Satisfactory Assurances with Business Associates
••Identifying the Satisfactory Assurances beyond the Business
Associate Agreement that are appropriate to ask for
••Detecting a material breach or violation of the Business
Associate Agreement and what to do about it
702 Turning Coal into Gold: Assessing and Tracking
Risk Mitigation to Improve Operations CHC
TUESDAY, 2:30 – 3:30 pm
Lynda Hilliard, Hilliard Compliance Consulting
Sheryl Vacca, Senior Vice President/Chief Compliance
& Audit Officer, University of California
••List methodologies to effectively identify compliance risks
••Outline strategies to aggregate risks into a dynamic risk profile
••List key “markers” for tracking the progress of identified
risk mitigation to value-add process improvement
; LONG-TERM CARE
TUESDAY, 2:30 – 3:30 pm
GASLAMP, THIRD FLOOR
Donna Hoagland, Director, Institutional Review
Board, Rutgers Biomedical Health Sciences
Julie Kligerman, Associate Counsel for Health Services, Rowan University
••Overlap between requirements of IRB protocols
and compliance with HIPAA
••Coordination of activities of an institutions Human Subjects
Protection Program, Institutional Review Board, Compliance
Department, and Office of Legal Management
••Identification of special oversight issues when students
conduct research with human subjects
705 Managing Effective Compliance Program
on a Limited Budget: Doing More with Less
TUESDAY, 2:30 – 3:30 pm
Teri Morris, Director of Quality/Compliance, Cherokee Indian Hospital
Lea Fourkiller, Chief Compliance Officer, Conifer Health Solutions
••Consider your business/practice today and tomorrow
when setting goals and implementing a compliance
program: What’s your vision and mission
••Embedding the seven elements of an effective
compliance program into the foundation of your
practice and employee culture impacts budgets
••Consider people, process and technology resources
as a means to safeguard your business/practice
and elevate your compliance program
703 Legal, Compliance, and Nursing—Friends or
Foes? How this Critical, Triangular Relationship
CAN and Should Work in Your Organization
; COMPLIANCE LAWYER
TUESDAY, 2:30 – 3:30 pm
TUESDAY, 2:30 – 3:30 pm
John R. Hamilton III, Chief Compliance Officer, Gentiva Health Services, Inc.
Kathy Owens, SVP, Clinical & Resident Services, Kindred Healthcare
Paul Killeen, SVP Litigation, Golden Living
Jason E. Bring, Attorney, Arnall Golden Gregory LLP
••Why this triangular relationship of competing disciplines
in your company is critical in today’s increasing
regulatory and government environment
••How to achieve that collaboration and what to do when the
three different powers’ lenses are not together on one focus
••Examine a real life case study on a “bet the company”
high‑risk issue and how it was handled
706 Hospice Enforcement and Compliance
Bill Musick, Senior Associate and Projects Manager, The Corridor Group
Latour Lafferty, Holland and Knight LLP
Cathleen Armato, Associate, The Corridor Group
••Current DOJ & OIG enforcement efforts
under the False Claims Act (FCA)
••Current and future hospice compliance hot buttons
••How to handle a DOJ and OIG investigation and audit
Tuesday, April 1
707 Anatomy of an OCR Breach Investigation CHPC
710 The Next Generation of the
HIPAA/HITECH Audits
TUESDAY, 2:30 – 3:30 pm
Karen Eastmond, Chief Compliance Officer, CenterLight Health System
Cliff Baker, Managing Partner, Meditology Services
Candice Weatherly, Compliance and Privacy
Manager, CenterLight Health System
••Learn key steps involved in responding to an incident, documentation
required for each step, and important insights and considerations
••Learn what to expect when an investigation is launched including
timeframes, documentation requests, and recommended responses
••Understand essential documentation requirements
which will help to simplify the investigation process.
Learn best practices to enhance oversight
; QUALITY OF CARE
708 Clinical Documentation and ICD-10
TUESDAY, 2:30 – 3:30 pm
Harvey Bair, VP of Quality and Analytics, The CODESMART Group
••Clinical Documentation program overview
••Severity of illness and risk adjustment
••ICD-10 impact
709 It’s Not Child’s Play: Children’s
Hospitals’ Compliance Issues
TUESDAY, 2:30 – 3:30 pm
Karen Nelson, Of Counsel, DLA Piper LLP
April Andrews-Singh, General Counsel, Senior Vice President
for Legal and Public Affairs, Miami Children’s Health System
Rory Brecker, Associate, DLA Piper LLP
••Discuss recent Medicaid reform and enforcement trends
affecting pediatric hospitals, including disclosures, observation
stays, preventable conditions, and DSH calculations
••Discuss consent/authorization concerns for minors and Patient
Portal EMR challenges, with respect to HIPAA requirements
••Discuss Stark, and due to typically small Medicare
patient population, is there a risk?
TUESDAY, 2:30 – 3:30 pm
Linda Sanches, Sr. Advisor, Health Info Privacy, US-HHS
••Learn about the findings of the independent
evaluation of the HIPAA/HITECH Audit Program
••Review the changes to the audit protocols
used to evaluate covered entities
••Discuss the next generation of OCR’s audit program
711 The Dance of Compliance Program
Oversight: Building a Successful Board &
Compliance Officer Partnership CHC
TUESDAY, 2:30 – 3:30 pm
Michael Roosevelt, Chair-Audit & Compliance
Committee and Board Member, Sutter Health
Steven Ortquist, Partner, Meade Roach & Annulis LLP
••Discussion about the respective roles of the
compliance officer and of board members
••What does a board member want and need to be
effective compliance program oversight?
••Tools and best practices to facilitate successful
board/compliance officer interactions
AD8b/repeat Risk Assessment Methodologies
TUESDAY, 2:30 – 3:30 pm
John Falcetano, Chief Audit & Compliance Officer, Vidant Health
••How to plan a risk assessment; who should be
involved in the risk assessment process
••How to identify, measure, assess, and analyze risk
••Determining risk priorities and developing mitigation plans
37
Tuesday, April 1
AD9b/repeat Compliance Training CHC
AD10b/repeat The Ins and Outs of 340B Compliance
TUESDAY, 2:30 – 3:30 pm
TUESDAY, 2:30 – 3:30 pm
Al Josephs, Senior Director, Compliance Operations,
Tenet Healthcare Corporation
Ryan Whitehall, Manager Ethics & Compliance
Training, Tenet Healthcare Corporation
••How effective is compliance training?
••Are employees actively engaged?
••What is going well and what needs repair? Tools for
measuring effectiveness and tracking training
Jeffery Wiggins, Vice President Audit & Compliance, Vidant Health
••Discuss HRSA’s recent 340B Program guidance
regarding the GPO prohibition
••Increase understanding of HRSA and drug manufacturer
340B compliance audits planned for 2013
••Share ideas on 340B Program policies/procedures and audit programs
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Wednesday, April 2
7:30 am – 12:00 pm
8:00 – 9:45 am
POST-CONFERENCE: BREAKOUT SESSIONS
W1 Hot Topics in Home Health
WEDNESDAY, 8:00 – 9:45 am
Anne Branan, Attorney, Broad and Cassel
Glenda Burke, Owner, CEO, Alternatives, a Consulting and Education Service
••Understand the audit/monitoring process for home health. What
should audit reveal and what to do with the audit results?
••Discuss importance of federal fraud and abuse laws regulating
marketing activities and relationships with referral sources
••Developing effective compliance and clinical policies. Identifying
home care risk areas and methods to decrease risks
W4 Why Preparing for an OCR Audit Is Neither
Boilerplate, Straightforward, Nor Predictable,
and What to Do When Everything You Thought
You Knew Changes throughout the Process
Laurie Smaldon, CHC, CHPC, Director, PricewaterhouseCoopers
Andi Bosshart, Senior VP, Corporate Compliance and
Privacy Officer, Community Health Systems
Donna Hinton, Corporate Compliance Director, Community Health Systems
Dion P. Sheidy, Partner, PricewaterhouseCoopers
••How to effectively manage and respond to an OCR
request for audit—the recent experience of a large
integrated national health care organization
••How to prepare for the on-site audit, including document
request submission and pre-audit activities—a discussion
of challenges facing multi‑facility organizations
••How to effectively integrate post audit experience, response,
and lessons learned to the remainder of your health system
W2 Building a Compliance Dashboard:
Tips for Creating High-Level Reports for
Tracking Progress, Improvement, and
Risks for Your Compliance Program
W5 Mitigating Coding Risks In the EHR
Jordan Muhlestein, Regional Compliance
Manager, Intermountain Healthcare
Ryan Williamson, Senior Compliance Consultant, Intermountain Healthcare
••Lessons learned from creating an in-depth compliance
program dashboard, which integrates each of the areas
required in an effective compliance program
••Tips and suggestions for taking various measures and
explaining them in a way that is simple and relevant, particularly
to management, executives, and board members
••Advice on technical aspects of creating a robust
dashboard which is as automated as possible
W3 Taking Compliance to the Next Level:
Enterprise Risk Management
Donnetta Horseman, Vice President, Corporate
Responsibility, Caromont Health
••What is ERM and how does compliance fit in?
••How to begin the transition from a traditional risk
management program to an ERM approach
Kimberly Huey, President, KGG Coding & Reimbursement
Sandra Giangreco, Senior Consultant, Haugen Consulting Group
••Physician practices often become so involved with
the implementation of Electronic Health Records and
ensuring compliance with meaningful use that they
overlook the coding and documentation aspects
••Discuss the coding and documentation hazards inherent in Electronic
Health Records—including cloning, excessive documentation
that is not medically necessary, inappropriate diagnosis codes
••Review the findings of the Office of Inspector General
audit of Electronic Health Records and coding
; COMPLIANCE LAWYER
W6 Liability for Lack of Medical Necessity
Kirk Ogrosky, Partner, Arnold & Porter LLP
John Steiner, Chief Compliance Officer, Cancer Treatment Centers of America
Jefferey Dickstein, Assistant US Attorney, United States Attorneys’ Office
••Understand recent case theories used by the government
in cases involving medical necessity claims
••Learn how the intersection between medical practice
and management creates issues and defenses
••Review recent enforcement activity involving elective
procedures, treatment, and billing practices
••Develop a program to provide for more responsible
corporate governance, greater internal controls, and risk
oversight by centralizing all risk management activities
39
Wednesday, April 2
10:00 –11:45 am
W7 Integrated Risk Assessment:
Compliance-Risk-Quality
POST-CONFERENCE: BREAKOUT SESSIONS
Elizabeth Johnson, Vice President and Chief Compliance
Officer, The Christ Hospital Health System
••Facilitate value and efficiency through integrated
risk assessment; teaches practical method to ID
compliance risk, with formula application
••Identify critical processes in domains that cause loss with sample
Excel tool to quantify risk vs. response; identify performance gaps
••Learn formula to classify compliance risk; see a sample dashboard
for executive-board reporting of risk and mitigation
W8 Applying Lean Six Sigma to
Your Compliance Program
John Kalb, Operational Excellence Executive/
Compliance Officer, Kootenai Health
••Lean Six Sigma’s goals of reducing waste and variation
can help improve organizational compliance
••An overview of application of the methodology to
understand how it supports a culture of compliance
••Learn specific tools that can be applied throughout your
organization to increase standardization and compliance
W9 Secure Your Mask Before Assisting Others
••Success as a compliance professional has its moments—
what are the memorable ones for you?
••Most compliance professionals find it difficult to take
“care” of themselves. How can you do that while
maintaining the amount of work going on?
W10 Clinical Documentation Improvement
Mini-Medical Institute for Compliance
Officers: Being Sure that Your Leadership
(Including Board of Directors, C-Suite,
and Physicians) Are Ready for ICD-10
WEDNESDAY, 10:00 –11:45 am
Betty Bibbins, President & Chief Medical Officer, DocuComp LLC
Jessica Whitley, Medical Director, Ohio KePRO
••Understand the areas of ICD-10 that can impact all
components of a facility, including non-coding areas
••Provide tips/insight on how to communicate the important
implications to your facility leadership, including how ICD-10
non-compliance not only impacts the quality & financial well
being of the facility, but how it can directly impact them
••Discuss how ICD-10 compliance is not just a clinical area of concern
W11 ACOs, CCOs: Challenges & Opportunities
Chris Apgar, CEO and President, Apgar and Associates, LLC
Dick Sabath, Compliance Officer, Trillium Community Health Plan
Dawn Bonder, President and CEO, Health Republic Insurance Company
••Case study of Oregon
••Discussion of the challenges facing ACOs and the opportunities
related to a significant change in the delivery of healthcare
••Communicate practical tools to assist in
successful ACO launch and operation
W12 Research Compliance Program Oversight:
Moving from Reactive to Proactive CHRC
••Securing your mask will provide you the ability to
laugh at your mistakes (laughing gas included)
9:45 – 10:00 am
Networking Break
••Learn how one large academic medical center set up
its research compliance program and how its staff
serve a critical role within the research shield
Karen Hartman, Research Compliance Officer, Mayo Clinic
SEAPORT FOYER, SECOND FLOOR
••See tools, templates, and resources that were created
to help provide regulatory infrastructure support
for researchers and their study teams
••Discuss how to use and track findings from monitoring and
auditing activities to improve overall research compliance
How can being
right today, put you
at risk tomorrow?
Know what’s right, right now with
ComplyTrack
Proactively assess, communicate, and — most importantly — mitigate risk across your entire enterprise in
the face of constant regulatory change with ComplyTrack. This powerful solution gives you the visibility,
controls, and workflow tools you need to manage your GRC program from the top-down and the bottomup. Our up-to-date regulatory content and unparalleled expertise are woven into the question sets and
controls for complete decision support. Confidently manage risk and drive compliance with our customized,
scalable SaaS solutions created and supported by experts in healthcare risk, audit, and compliance.
complytrack.com
Wednesday, April 2
W13 Privacy Officer Roundtable: The Omnibus
Rule—Six Months in and Now What?
W16 Integrating Monitoring into Operations
Marti Arvin, Chief Compliance Officer, UCLA Health System
••How to handle Business Associates under the new rule
••What does the new rule mean for breach notification
••Practical tools for assessing compliance
Kelly Nueske, Independent Contractor
••Understand how to identify existing monitoring
activities performed by operations managers
••Discuss how to determine which activities should
be monitored and when to stop monitoring
••How to formulate a monitoring dashboard to
senior management and audit committees
W14 Physician Appeals 101
W17 Where to Go from Here:
A Wrap-Up and Next Steps
Emilie Rayman, Vice President Legal and Compliance, CMHS
Thomas Jeffry, Attorney, Arent Fox LLP
••What is your actual reimbursement?
••What does this letter mean?
••Physicians Tool Kit
; COMPLIANCE LAWYER
Frank Sheeder, Partner, DLA Piper
••The most pressing compliance issues in the coming year
••Prioritizing and planning
••Conveying the message and cultivating champions
W15 Pharmacy Compliance
W18 12-Step Program to Better
Compliance: A Practical Approach
Daniel Fitzgerald, Senior Attorney, Pharmacy
Law Department, Walgreen Co.
Selina Coleman, Senior Associate, Norton Rose Fulbright
Don Bell, Senior Vice President & General Counsel,
National Association of Chain Drug Stores
••Heightened government scrutiny, including
Medicare and Medicaid audit initiatives
••DEA enforcement activity, including a review of
compliance case studies, and new compliance strategies
for entities facing potential DEA enforcement
••Compliance “hot topics” (e.g., patient inducement,
usual and customary pricing, credit balances, NPI usage,
return of overpayments, and prescriber eligibility)
Anna Grizzle, Partner, Bass, Berry & Sims PLC
Kim Harvey Looney, Partner, Waller Lansden Dortch & Davis LLP
••Understanding of why effective compliance programs are
essential through a review of recent enforcement actions
••Discussion of laws and regulations that establish compliance
standards and liability for healthcare providers
••Review of 12 practical steps to ensure that the compliance program
is effective, including tips for improving current operations
1:00 pm
Exam Check-in
1:30 – 4:30 pm
CHC, CHPC, and CHRC Certification Exams
(check-in at 1:00 pm)
Actual exam duration is 120 minutes per the Candidate Handbooks
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Exhibit Hall hours
The Exhibit Hall is located in the Grand Hall on the
lobby level of the Manchester Grand Hyatt
Sunday, March 30
4:30 – 6:00 pm............................................... Networking Reception
(appetizers and cocktails will be served)
Monday, March 31
7:00 am – 7:00 pm...................................... Hall Open
7:00 – 8:30 am.............................................. Continental Breakfast
10:15 – 11:00 am......................................... Refreshment Break
1:00 – 1:30 pm............................................... Desserts in Exhibit Hall
2:30 – 3:00 pm............................................... Networking Break
4:00 – 4:30 pm............................................... Networking Break
5:30 – 7:00 pm............................................... Networking Reception
(appetizers and cocktails will be served)
HCCA thanks our
EXHIBITORS
& SPONSORS
for participating
in the 2014
Compliance
Institute
Tuesday, April 1
7:00 – 11:15 am............................................. Hall Open
7:00 – 8:30 am.............................................. Continental Breakfast
10:25 – 11:00 am........................................ Networking Break in the Exhibit Hall
The Exhibit Hall closes at 11:15 am.
43
Exhibitors
7ATLIS by AAPC
T06
306
PLATINUM SPONSOR
7Atlis is a no-nonsense compliance solution for small to medium
physician practices. Both professionals and those new to compliance
can confidently establish and manage all seven components outlined
by CMS in official program guidance. 7Atlis provides users with total
security and the flexibility to create, modify and search all policies
and other official documents, yet requires no installed software. Tier
pricing and content options accommodate the needs of all practice
types. Rich graphics and helpful videos enable users to quickly learn
and utilize all functions required for their roles. www.aapc.com/
Sinaiko Healthcare Consulting, founded in 1990, has now officially
changed its name to the Reimbursement & Advisory Services Division
of Altegra Health. The firm is among the sector’s most experienced
healthcare consulting firms, encompassing a range of service areas
ranging from revenue cycle consulting and litigation support to
coding and compliance, valuation and transactions, reimbursement
audit and quality analytics. These historical areas of focus are now
integrated with perhaps the deepest resources in Medicare/Caid
risk adjustment and risk adjustment technology in the industry.
www.altegrahealth.com/ras
Accreditation Commission for Health Care
416
Accreditation Commission for Health Care is a nationally-recognized
accreditation organization synonymous with providing the very best
customer service, integrity, and value. ACHC offers a collaborative
approach to accreditation with service-specific standards that align
with national regulations and industry best practices. ACHC Surveyors
and Accreditation Advisors are friendly and helpful, ensuring you
obtain the highest quality accreditation that helps you improve your
business and provide excellent patient care. Call 919-785-1214 or visit
www.achc.org to learn more.
Achieve Health
T01
Achieve Health is bringing better, and more affordable healthcare
to everyone by leveraging cutting edge, flexible patient-centered
technology. Achieve Health is backed by a responsive and dedicated
professional services firm that has been delivering engaging and
effective content management solutions for enterprise clients in
highly regulated industries such as healthcare, insurance, and finance
for over 10 years. Our Healthcare solution architects are forward thinking and will help you future proof your technology footprint to cover
you today, tomorrow and far into the future. www.achieveinternet.com
AHA Solutions Inc
418
CONFERENCE SUPPORTER
As an American Hospital Association (AHA) member service, AHA
Solutions collaborates with hospital leaders to identify key challenges
the field faces. We then work with market consultants to conduct the
proprietary AHA Signature Due Diligence Process™ and identify solutions. AHA Solutions provides access to content experts and education
to support product decision making. As a subsidiary of the AHA, the
organization convenes people with like interests for knowledge sharing that is centered on timely information and research. AHA Solutions
is your Partner to transform healthcare. www.aha-solutions.org
AHIA
44 Altegra Health
PLATINUM SPONSOR
503
Atlantic Information Services
305
MEDIA PARTNER
Having timely, practical information is the best way to identify and
reduce your Medicare, Medicaid, HIPAA and Research compliance
risks while minimizing time, expense and disruption to your organization. AISHealth.com offers easy-to-implement guidance and
expert insight into tough compliance challenges with: Report on
Medicare Compliance, Report on Patient Privacy, Report on Research
Compliance and the FREE Government News of the Week e-newsletter. To learn more and read free samples, visit www.AISHealth.com or
call 800-521-4323.
Atlas Systems Inc
502
Comply-Health is an innovative compliance management solution
that enables an effective compliance and risk management program.
The strong suite of offering includes independent yet integrated
modules for managing policies and procedures, audit, risk, enterprise tasks, incidents and surveys. In addition, Comply-Health offers
a strong analytics engine for managing revenues and a contract
management solution that enables implementation of best practices
for Stark compliance. Our innovative approach ensures regulatory
compliance while fostering enterprise wide adoption and reduced
administrative burden. www.comply-health.com
Besler Consulting
613
BESLER Consulting offers an automated sanction screening and
licensure validation solution which provides your organization with
the capability to meet the accelerated regulatory requirements for
screening of your employees, caregivers, contractors and vendors
against federal and state databases. In addition, our team of clinical
and certified compliance and clinical experts can assist your organization in bridging the gap between the clinical and financial aspects
of your entire revenue integrity model. www.besler.com
CONFERENCE SUPPORTER
Bloomberg BNA Inc
The Association of Healthcare Internal Auditors (AHIA) is an international membership association dedicated to the advancement of the
healthcare internal auditing profession, which includes auditing disciplines such as operational, compliance, clinical/medical, financial
and information technology. AHIA provides members with specialized
education, resources and networking opportunities designed to help
its members navigate the complex and dynamic healthcare environment. If you have a stake in healthcare governance, risk management
and internal controls, we encourage you to visit www.ahia.org for
more information.
Bloomberg BNA, a wholly owned subsidiary of Bloomberg, is a leading
source of legal, regulatory, and business information. Its network of
more than 2,500 reporters, correspondents, and leading practitioners
delivers expert analysis, news, practice tools, and guidance—the
information that matters most to professionals. Bloomberg BNA’s
authoritative Health Law Resource Center™ spans the full range of
areas with coverage including ACA Implementation; Fraud, Abuse
& Compliance; Hospital & Provider Regulation; and Medicare &
Medicaid. www.bna.com
408
Exhibitors
The Bonadio Group
814
MEDIA PARTNER
CBIZ KA Consulting Services, LLC
606
When regulatory compliance requests from federal, state, and local
funding sources seem overwhelming, organizations turn to The
Bonadio Group for assistance. Our team of registered nurses, compliance professionals, rate and reimbursement specialists, consultants,
and trainers assist you in making your compliance efforts comprehensive, yet affordable. We can assist with a broad spectrum of regulations
and programs, including HIPAA, Medicare, Medicaid, DOH, DHHS, and
other guidelines, as well as developing, implementing, and monitoring corporate compliance programs www.bonadio.com/
CBIZ KA Consulting Services, LLC (CBIZ) has been assisting hospitals and healthcare systems with the intricacies of reimbursement
since 1978. Throughout our history, we have focused on helping our
clients navigate the complexity of both governmental and commercial-payment models with the dual goals of optimizing revenue and
achieving compliance. Our extensive knowledge base and years of
industry experience provide a blueprint for clinical decision making,
data analysis and documentation. We specialize in RAC services,
medical necessity compliance and health information management.
www.cbiz.com/kaconsults/
BridgeFront
Certiphi Screening Inc
417
Effective, customizable and budget-friendly; BridgeFront helps healthcare provide the highest quality of staff education. All 100% online,
you have the flexibility to take the courses as-is or modify them, and
even build your own courses. For over ten years, BridgeFront has provided engaging online education on HIPAA, corporate compliance,
revenue cycle, communications, clinical, leadership and now ICD-10.
www.bridgefront.com
Broad & Cassel
no booth
PLATINUM SPONSOR
Broad and Cassel offers full-service legal representation for individuals, public entities and private enterprises. Founded in 1946, the firm
has nine locations throughout Florida. Broad and Cassel attorneys
know Florida’s economy and its business and political leaders. The
Firm’s attorneys specializing in white collar criminal and civil fraud
defense, securities, corporate law and corporate investigations are
known nationwide and work closely with colleagues in more than
two dozen different practice areas. For more information, visit
www.broadandcassel.com.
CHAN HEALTHCARE
Captain Integrity
Clearwater Compliance LLC
409
Captain Integrity is a fun and easy-to-read educational resource
used to brand a health care organization’s compliance program.
With Captain Integrity, your physicians and employees will receive
necessary compliance education by using a lighthearted approach.
www.captainintegrity.com
CaseWare IDEA
104
MEDIA PARTNER
CaseWare is an industry leader in providing technology solutions for
audit professionals, with over 400,000 users worldwide. CaseWare
IDEA® is a user-friendly tool designed to extend auditing capabilities, detect fraud and meet documentation standards. Monitor™ is a
risk and controls monitoring solution that allows business users and
auditors to monitor any automated system. SmartExporter simplifies
extraction of SAP® data for review and analysis. Audimation Services
is the U.S. distributor of CaseWare IDEA®, Monitor™ and SmartExporter.
www.audimation.com
512
Certiphi Screening provides applicant screening services exclusively
to the healthcare community. Our services include state-of-the-art
OIG/EPLS and healthcare sanctions screening via our SanctionsBase.
com Web tool; employee and applicant background checks; full-service fingerprinting; integrated electronic I-9 and E-Verify services;
occupational health screening and Department of Transportation
(DOT) compliance services. Certiphi Screening is the only company
whose applicant screening services have been endorsed by the
American Hospital Association. www.certiphi.com
717
CHAN HEALTHCARE is the U.S. market leader in providing Internal
Audit, Consulting Services and Software Solutions to the healthcare
industry. Leveraging our knowledge and expertise, we partner with
our clients to identify opportunities which mitigate risk in an ever
changing environment. We deliver innovative solutions to today’s
complex healthcare issues. Say hello to CHAN HEALTHCARE at
Booth 717, visit our website at www.chanllc.com or call our office at
314-802-2800.
800
PLATINUM SPONSOR & MEDIA PARTNER
Clearwater Compliance, LLC, is all about and only about helping
healthcare organizations and their service providers become and
remain HIPAA-HITECH Compliant. Owned and operated by veteran,
C-suite health care executives, Clearwater Compliance provides comprehensive, by-the-regs web-based compliance software and tools,
risk management solutions, training, and professional services for
small medical practices and healthcare startups to major healthcare
systems, health plans and Fortune 100 companies. Since 2010, the
company has served more than 300 organizations (including over 100
hospitals). Find out more at http://clearwatercompliance.com.
CliftonLarsonAllen LLP
215
CliftonLarsonAllen (CLA) LLP is an industry specialized professional
service firm focused on helping healthcare organizations improve
profitability, reduce risk, build business value, support regulatory
compliance efforts and plan for succession. From offices coast to
coast, our professionals deliver audit, tax, consulting, and outsourcing capabilities best aligned with our clients’ needs: risk assessments,
network penetration testing, outsourced/co-sourced internal audits,
enterprise risk management, regulatory compliance evaluations,
information technology audits, security awareness training, security
incident (breach) handling, fraud, and forensics. www.CLAconnect.com
45
Exhibitors
CloudConnect Health IT
402
CloudConnect Health IT specializes in delivering cloud-based information technology services to healthcare providers and payors.
CloudIdentity, our cloud-based identity management solution, is
based on Oracle’s Identity Management product suite and is customized by incorporating our 10 years of experience with developing
healthcare specific workflows at UPMC. CloudConnect Health IT is
the first vendor to achieve certification in the FairWarning® Ready for
Identity Management program. CloudIdentity supports regulatory
compliance, maximizes operational efficiency and improves overall
security. www.cloudconnecthealthit.com/
The Coding Network LLC
608
The Coding Network provides four primary products: remote coding
services (ongoing or temporary), coding compliance reviews, coding
helpline services and physician documentation training. Our 330
U.S. based certified coder/auditors provide services in 55 medical
specialties in 50 states, 75 academic institutions, 206 billing companies and numerous community-based practices and facilities.
www.codingnetwork.com
Compliance 360, an SAI Global Company
401
The Compliance 360 is an industry leading software enabling a comprehensive approach to regulatory compliance and risk management
through a single enterprise-wide platform. The Compliance 360
solution for healthcare includes policy management, centralized
regulation repository, incident management, reporting, contract
management, surveys, remediation projects, audit management, self
assessment, and enterprise risk management. This online solution for
healthcare reduces the overhead and risks of regulatory compliance
initiatives, enabling increased focus on the core business of providing
quality health care. With over 250,000 active users, Compliance 360 is
the most widely used compliance, risk and governance solution in the
healthcare industry today. Contact us for a customized demo today,
www.compliance360.com
ComplianceLine
518
For the past 15+ years, ComplianceLine (24-hour compliance and
ethics reporting service) and SanctionCheck (sanction screening
services) have operated as divisions of Compliance Concepts, Inc.
As of September 1, 2013, ComplianceLine and SanctionCheck began
operating as separate service lines within a new organization entitled “ComplianceLine, Inc.” Our mission is to assist organizations in
developing and implementing effective compliance programs, and,
create a controlled environment that reinforces the commitment of
the organization to compliance. www.complianceline.com
CompliancePro Solutions
114
CompliancePro Solutions™ provides web-based software and services
to assist healthcare organizations in managing their operational compliance with HIPAA privacy and security regulations. Our solutions
include wrongful disclosure tracking with breach determination assistance, management of HIPAA requests for amendments, restrictions,
and AOD, privacy and security risk analysis tools, business associate
tracking, a library of policy templates and HIPAA education materials.
Visit us at www.ComplianceProSolutions.com
Compliatric
T09
Compliatric gives you easy, centralized control over the complex
compliance management efforts. You can easily identify, track and
address risk. We provide a comprehensive, affordable, integrated
online platform for addressing your risks associated with regulatory
compliance initiative. Our web-based application is intuitive, user
friendly and all-encompassing. Compliatric—Compliance Made
Simple. www.compliatric.com
Comply Assistant
707
ComplyAssistant offers a powerful combination of software and services and continues to grow its list of clients and business partners.
Sample offerings include assistance with HIPAA-HITECH, Meaningful
Use, Accreditation, and more. www.complyassistant.com/
Contract Guardian by Rippe & Kingston Systems Inc
317
Contract Guardian, from Rippe & Kingston is a leading Contract
Management System. Contract Guardian features an Intuitive User
Interface that delivers a solution that is Easy to Use, Fast, Flexible and
Affordable. Contract Guardian can optionally be deployed on your
organization’s infrastructure. It scales from organizations with only
a few users and hundreds of agreements to one that has thousands
of users and unlimited agreements. Highlights include: Automatic
Alerts, Full Text Search, Powerful Reporting, Easy Customization, Task
Assignments (workflow) and User Defined Fields & Contract Types.
www.ContractGuardian.com
Copyright Clearance Center
809
Copyright Clearance Center (CCC), the rights licensing expert, is a
global rights broker for the world’s most sought-after books, journals, blogs, movies and more. Founded in 1978 as a not-for-profit
organization, CCC provides smart solutions that simplify the access
and licensing of content. These solutions let businesses and academic
institutions quickly get permission to share copyright-protected
materials, while compensating publishers and creators for the use
of their works. We make copyright work. For more information, visit
www.copyright.com.
Craneware
213
Craneware (AIM: CRW.L) is the leader in automated revenue integrity
solutions that improve financial performance for healthcare organizations. Craneware’s market-driven, SaaS solutions help hospitals and
other healthcare providers more effectively price, charge, code and
retain earned revenue for patient care services and supplies. This optimizes reimbursement, increases operational efficiency and minimizes
compliance risk. By partnering with Craneware, clients achieve the
visibility required to identify, address and prevent revenue leakage. To
learn more, visit www.craneware.com and www.stoptheleakage.com.
Cynergistek Inc
609
HIPAA Enforcement has finally come. While many firms like ours are
speculating about the audit process, we have had the benefit of
preparing for and experiencing it with a client, one of the “First 20”
audit selectees. How would you score your organization’s readiness
for an OCR audit? How does your organization prepare for this audit
experience? CynergisTek is a leading provider of privacy and security
regulatory compliance and IT audit solutions for the healthcare industry, including an entire portfolio dedicated to OCR Audit Readiness
and Business Associate Risk Management—two of the most urgent
HIPAA/HITECH concerns that we are hearing from the healthcare compliance community. Visit us at www.cynergistek.com to learn more
about our compliance monitoring and management programs.
HCCA would like to thank AHA Solutions and its Partners
whose solutions have earned the exclusive AHA Endorsement.
Visit www.aha-solutions.org for more information.
Applicant Screening
& Drug Testing
Clinical Denials Management
& Medical Necessity
Compliance Solutions
Behavioral
Assessments
Data Breach Preparedness
& Response
Policy & Procedure
Management Software
& Services
Credentials Verification
Solutions
Exhibitors
Deloitte 501
PLATINUM SPONSOR
The mission of Deloitte’s Health Sciences practice is to work with our
clients—health plans, health care providers, and life sciences companies—to help shape the new health economy and the roles they play
within it. Working together, we can help our clients in their efforts to
bring discoveries to life and improve the quality of care while achieving their business goals and objectives. Drawing on more than 70
years of Health Sciences experience, with the innovation, knowledge,
and commitment of more than 3,300 professionals focused on the
industry, we have access to a full range of audit, tax, consulting, and
financial advisory services across all sectors of the industry. We offer
wide-ranging, customized services and solutions designed to help our
clients in their efforts to capitalize on opportunities and tackle their
most pressing and complex challenges. www.deloitte.com
Dentons
PLATINUM SPONSOR
Epstein Becker & Green PC
Doctors Management LLC
EY
Executive Health Resources (EHR)
507
Executive Health Resources, Inc. (EHR), The Physician Advisor
Company™, is the leading provider of medical necessity compliance
solutions to more than 2,000 hospitals and health systems across the
country. Endorsed by the American Hospital Association and Peer
Reviewed by the Healthcare Financial Management Association, EHR’s
comprehensive solutions are delivered through expert Physician
Advisors who are specially-trained in Medicare/Medicaid rules and
regulations relating to medical necessity and have real-time access
to EHR’s database of more than 4 million validated medical necessity
reviews. The unmatched intelligence generated from this database of
medical necessity reviews and EHR’s extensive library of clinical and
regulatory evidence-based research is delivered directly to each EHR
Physician Advisor through a unique and scalable workflow technology
platform known as EHRic (EHR Information Center). The platform helps
to ensure accurate, timely and defensible medical necessity recommendations in a rapid turn-around setting and drives EHR’s leading
quality assurance, analytics, and customized reporting offerings.
www.ehrdocs.com
500
EpsteinBeckerGreen has been at the forefront of health care law
for nearly 40 years, taking the lead in understanding, interpreting
and shaping laws and regulations that affect the health care and life
sciences industry. EpsteinBeckerGreen attorneys have experience
providing complete corporate compliance program legal services
that are tailored to the size of the organization and the nature of the
business. For more information on the firm’s practice and experiences
assisting client’s with their corporate compliance programs, please
visit www.ebglaw.com.
Experian Data Breach Resolution
119
113
eProtex helps healthcare providers keep medical devices safe for
patients and their ePHI, and compliant with HIPAA, Meaningful Use
and FDA mandates. Serving 100+ healthcare facilities, eProtex is
the nation’s first data security company specialized in reversing the
hidden risks of connected medical devices. www.eProtex.com
Dentons is a global law firm that was created through the combination of the international firm Salans LLP, Canadian law firm Fraser
Milner Casgrain LLP (FMC) and international law firm SNR Denton. Our
multi-disciplinary team includes more than 30 full-time health care
attorneys, health policy specialists, research and revenue cycle consultants, certified health care compliance experts, and nurse, coding,
billing and documentation professionals. Together, we represent
small and large health systems, children’s hospitals, biotechnology
firms, pharmaceutical companies, universities, research institutes, and
community-based, and nonprofit hospitals. www.dentons.com
DoctorsManagement is a full-service medical practice consulting firm
comprised of dedicated experts to support your practice goals. We
help large and small healthcare organizations reduce compliance risks,
increase practice profits, improve patient satisfaction and employee
morale as well as reduce stress for physicians and staff. The firm has
more than 50 years of proven success and employs nationally recognized industry experts in every area of medical practice management,
including compliance, coding, auditing, financial services, patient
retention, human resources and more. www.doctors-management.com
48 eProtex
712
Experian® is a leader in data breach resolution and one of the
first companies to develop solutions to address this critical issue.
Experian’s breach response team is always ready to act with proven
solutions, implemented to address HIPAA-HITECH standards. We have
a long-standing history of helping our clients mitigate losses while
bolstering customer loyalty and protecting brand equity. Your stakeholders and customers alike will appreciate the strength of a global
credit bureau and the power of our breach resolution experience. Visit
www.Experian.com/DataBreach
714
Dealing with fraud, compliance and business dispute issues takes time
from other efforts. Better management of fraud risk and compliance is
a critical business priority—no matter what your industry. With more
than 2,000 EY fraud investigation and dispute professionals around
the world, we can assemble the right multidisciplinary teams for
you. We give you the benefit of our broad experience, deep subject
matter knowledge and the latest insights from our work worldwide.
www.ey.com
FairWarning
513
FairWarning®’s mission is to lead industry expansion of trust in EHRs
empowering care providers to grow their reputation for protecting
confidentiality, scale their digital health initiatives and comply with
complex Federal and state privacy laws such as HIPAA. FairWarning®
was awarded #1 in industry by KLAS Research’s January 2014 report
on patient privacy monitoring. By partnering with FairWarning®, care
providers can direct their focus on delivering the best patient outcomes possible while receiving expert, sustainable and affordable
privacy and compliance solutions. www.FairWarning.com
FTI Consulting, Inc. T17
FTI Consulting, Inc. is a global business advisory firm dedicated to
helping organizations protect and enhance enterprise value in an
increasingly complex legal, regulatory and economic environment.
Our professionals are located in all major business centers throughout
the world, work closely with clients every day to anticipate, illuminate, and overcome complex business challenges in areas such as
investigations, litigation, mergers and acquisitions, regulatory issues,
reputation management and restructuring. More information can be
found at www.fticonsulting.com/hc
Exhibitors
The George Washington University
303
GOLD SPONSOR
HCCS Health Care Compliance Strategies
307
The George Washington University’s Healthcare Corporate
Compliance Graduate Certificate Program: This CCB-accredited program provides a comprehensive corporate compliance education
for current or aspiring corporate compliance officers. The 12 credit
program can be completed in seven months with two short in-class
residencies in Alexandria, VA and an interactive distance learning
segment in-between. Students have unparalleled access to experts
in the field, including former regulators and policymakers, as well as
legislators, patient advocates and other compliance professionals.
http://cps.gwu.edu/hcc
HCCS provides effective compliance training and tracking solutions
which enhance job performance, improve patient outcomes, and promote compliance with ethical, legal, and accreditation guidelines.
HCCS has delivered over 7 million hours of expert online training
content in the areas of Medicare, Medicaid, HIPAA, research, and
quality compliance. SimPL is an easy to use Learning Management
System that has a short implementation timeline and is cost effective.
COI-SMART is an online system for easy, smart and effective tracking
and management of conflict of interest disclosures. For more information, please email [email protected] or visit us at www.hccs.com or
www.coismart.com.
Greater New York Hospital Association
Health Endeavors
505
GNYHA Ventures, Inc. and technical partner Bluemark, are pleased
to announce the release of TRACKer™ PRO, the next generation of
TRACKer™. While TRACKer™ remains the premier solution available
today to manage all Medicare fee for service audits including the RAC
program, TRACKer™ PRO is a comprehensive audit and compliance
toolset designed to assist providers in managing the entire spectrum
of audits including Medicare, Medicaid as well as commercial payers.
www.gnyhaventures.com
Hall Render
no booth
709
Health Endeavors provides 24/7 web-based software solutions for
hospitals and physicians. We offer integrated solutions for conflict
of interest management, physician non-monetary comp tracking,
contract & entity information management, medical director hours/
time studies tracking, training center for staff, physicians and board
members, submission of online questions and note audits to certified coders for analysis, credentialing document management, ACO
resources and physician alignment solutions. We are uniquely different as we provide a one-stop 24/7 solution. www.healthendeavors.com
SILVER SPONSOR
Healthcare Appraisers, Inc
Hall Render provides organizations in the highly regulated health care
industry with full service legal representation. From the time William
S. Hall founded the firm in 1967, Hall Render has focused its practice
in health law and is now recognized as one of the nation’s preeminent health law firms. With more than 160 attorneys, Hall Render
represents over 500 organizations, including hospitals and health
systems, physician practices, life science firms and nonprofit organizations. www.hallrender.com
HealthCare Appraisers, a nationally recognized valuation and consulting firm, provides services exclusively to the healthcare industry,
including: Fair Market Value opinions for compensation and service
arrangements (e.g., employment, ED call coverage, medical directorships, collection guarantees, equipment lease/use arrangements,
and service/co-management arrangements); Business Valuation (e.g.,
ASCs, hospitals, dialysis centers, home health, diagnostic/ treatment
facilities, physician practices, and intangible assets); Consulting and
Advisory Services; and Litigation Support. Delray Beach | Denver |
Dallas | Chicago | Tel: 561-330-3488 | www.HealthCareAppraisers.com
Hamline University Health Law Institute
116
Hamline Law’s nationally ranked Health Law Institute has expanded
its award-winning, CCB accredited Health Care Compliance Certificate
program. Taught by world-class faculty and renowned industry leaders, the program is now offered in an online format. Designed for
working professionals, the program can be completed in just one
year, which includes a brief in-class residency in Saint Paul, Minn.
With the curriculum available 24 hours a day, students can create a
flexible schedule around their personal and professional obligations.
http://law.hamline.edu/healthlaw
Harmony Healthcare International
T05
Harmony Healthcare International (HHI) is a premier long-term care
consulting firm specializing in Medicare/Medicaid Reimbursement,
Compliance, PPS, MDS 3.0 and RUG- IV, along with operational
and clinical systemization in the post-acute setting. HHI provides
continuing education and training and is one of the most recognized and trusted consulting companies in the healthcare industry.
www.harmony-healthcare.com/
Hayes Mgmt Consulting/ MDAudit
217
MDaudit™ automates the administrative duties of compliance auditing using strategic, risk-based audit methodology. It is in use at more
than half of the top fifteen healthcare organizations in the country, as
identified by US News & World Report. MDaudit doubles audit productivity, maximizes revenue and helps streamline compliance auditing
processes. www.hayesmanagement.com
209
Healthcare Compliance Technologies, Inc.
110
Healthcare Compliance Technologies, Inc. headquartered in
Alexandria, Virginia, provides a suite of HIPAA compliant products and
services to assist healthcare compliance professionals to affordably
and easily manage their compliance programs. We offer solutions for
compliance case management, contract management, compliance
program assessment and compliance training. Together with our business partner, Compliance Resource Group, Inc. we have over 30 years
of compliance experience working with and supporting healthcare
providers and insurers. www.complycenter.com
Healthcare Cost Solutions
415
Healthcare Cost Solutions (HCS) is an HIM consulting firm providing Auditing, Coding and HIM Services to US hospitals since 1994.
Specialties include: MS-DRG/APR-DRG/APC/HCC Audits, RAC Reviews/
Appeals, PACT Validation, LTAC, Pro Fee, CVIR/IR Audits, Charge Detail
Audits, On-site/Remote Coding, Interim Management/Outsourcing,
Online Query Forms and online ICD-10 Tutorials. Featuring HART©:
Healthcare Audit Resource Technology, proprietary database solutions for the ever-changing environment of the external audit and
increased governmental scrutiny. www.hcsstat.com
49
Exhibitors
HealthcareSource
T14
HealthcareSource is the only vendor that delivers complete talent
management software, services, and content exclusively for healthcare. Our solutions help you transform employee performance and
learning to align your staff with core challenges like ensuring compliance with the latest regulations and education mandates. For more
information, visit Table #14 or www.healthcaresource.com.
HEALTHDox
808
Founded in 1999 in Tempe, Arizona, HealthDox has been serving Healthcare organizations with reliable Compliance solutions.
HealthDox Compliance solutions are driven by Standards and
Regulations with enhanced reporting capabilities. Simplify
your accreditation with powerful features in Policy & Procedure
Management, Contract Management, and Risk Management.
www.healthdox.com
HealthPort
405
HealthPort ensures the compliant exchange of protected health information through comprehensive audit management technology with
integrated release of information services. This crucial combination
helps healthcare facilities prevent data breaches, meet the meaningful use three-day turnaround time for medical record requests, and
manage, track and report on all audits. www.healthport.com
HIPAA Solutions LLC
706
HIPAA Solutions, LC provides nationally recognized compliance
resources for HIPAA and HITECH regulations that are designed to meet
the requirements of healthcare providers, health plans, business associates, Health Information Exchanges, EHR vendors, and government
entities. Resources include the HIPAA ComplyPAK™, a web-based suite
of software tools that automates legal and technical compliance with
Privacy and Security rules of HIPAA and HITECH, as well as high quality
legal and technical consulting, auditing, and training resources to
ensure enterprise-wide compliance of both business processes and
IT environments. www.hipaasolutions.org
HireRight
218
HireRight is a leading provider of on-demand healthcare employment
background screening, drug and health screening, and employment
eligibility solutions that help employers automate, manage and
control screening and related programs. More than one-third of the
Fortune 500 trust HireRight because the company delivers customer-focused solutions that provide greater efficiency and faster results.
HireRight also provides pre-integrated employment screening services through e-recruiting solutions from top providers such as Oracle,
Taleo, Kenexa, HealthcareSource, and SilkRoad. www.HireRight.com
Exhibitors
Holliday & Associates/ChargeAssist
112
ChargeAssist® is a single charge management solution for both
small and large enterprise organizations. CDM Auditor™ reinvents
the audit process for annual and ongoing CDM maintenance. Price
Analyzer™ supports unlimited price modeling for hospital and physician charges, comparing marketing data, cost, fee schedules, and
utilization to ensure transparent pricing. Change Monitor™ resolves
CDM management’s biggest challenge—automating collaboration
and documentation of charge changes. Ultimate Research Center™
is a single-source coding and regulatory resource, saving costs and
ensuring smarter staff. http://ChargeAssist.com
Huron Consulting Group
400
Huron Healthcare’s Compliance and Investigations team provides
healthcare organizations and their legal counsel with the broadest,
most comprehensive, and highest quality regulatory compliance and
investigations solutions in the industry. Our Healthcare Compliance &
Investigations team delivers focused solutions for the most complex
matters of compliance, governance, risk management, investigations, and litigation. Working collaboratively, we help clients identify,
design, and implement effective and sustainable compliance programs to mitigate risk and meet evolving regulatory challenges and
requirements, now and into the future. When investigations or litigation occur, we develop expert response and defense strategies
along with highly focused data collection and analytics as part of our
comprehensive investigation and litigation assistance. Our understanding of the regulatory landscape and our extensive experience
in healthcare allow us to design and implement proven solutions,
enabling our clients to effect change, implement best practices, and
achieve excellence. www.huronconsultinggroup.com
Iatric Systems, Inc.
708
Iatric Systems helps healthcare providers achieve success by delivering the most comprehensive healthcare IT integration. Since 1990,
more than 1000 hospitals worldwide have implemented Iatric Systems
solutions including Security Audit Manager™, an advanced application that automatically monitors patient access audit logs across your
entire enterprise, sees every access, and identifies potential HIPAA
privacy breaches. www.security.iatric.com
IContracts
108
iContracts Universal Contract Manager (UCM) is the perfect cloud
based solution for managing contracts and compliance issues across
your organization. UCM’s powerful repository, ease-of-use, and flexibility gives your team immediate visibility into Stark compliance,
Physicians’ agreements, materials contracts, pricing, and more.
www.icontracts.com/
ID Experts
615
ID Experts creates software and delivers services that address the organizational risks associated with regulated personal data. The RADAR™
data incident management software platform and professional
privacy/security and data breach response services, provide organizations with complete data breach care. Newly announced MIDAS™
(Medical Identity Alert System) addresses the growing national issue
of healthcare fraud. ID Experts serves leading healthcare providers,
insurance organizations, universities, and government agencies and is
exclusively endorsed by the American Hospital Association. Founded
in 2003, ID Experts is an advocate for privacy; an active contributor to
legislation; a member of IAPP, HIMSS, and HCCA. For more information
on ID Experts, visit http://www2.idexpertscorp.com/.
IMA Consulting
715
IMA Consulting provides financial and regulatory compliance, revenue cycle, interim management, operations improvement and
revenue enhancement and recovery services exclusively to the
healthcare industry. Our business model is very different than the
highly leveraged models typically utilized by larger firms in that
we staff our engagements with highly experienced consultants.
www.ima-consulting.com
INCompliance Consulting
404
INCompliance offers compliance consulting services for non-profit
and for-profit organizations, healthcare organizations and insurance companies. Our consultants are attorneys with in-depth
knowledge and practical experience in your industry. We take the
time to work with you to develop tailored programs to meet your
specific needs and offer practical solutions to your organization’s
challenges. This enables you to satisfy your compliance requirements, meet your business goals and respond effectively to change.
INCompliance’s consulting and training services include: Governance;
HIPAA Compliance; Corporate Integrity Agreements; General
Compliance; Employee Benefits; Employment and Human Resources.
www.incomplianceconsulting.com
Inovaare Corporation
406
Inovaare is a leading solution provider to automate compliance, quality, and operational processes using a cloud based software platform.
The business solution allows payor, provider, and other healthcare
entities to track, monitor, report, and assess compliance risk for
many operational areas. Several leading healthcare organizations
are using Inovaare’s platform to manage their member issues, compliance activities, tracking of incidents, data reporting to regulatory
agencies, delegated vendors and automating the quality initiatives.
The unique approach of platform enables organizations to configure
and customize their existing applications or build new applications
specific to their needs. www.inovaare.com
International Association of Privacy Professionals
102
The IAPP is the largest and most comprehensive global information
privacy community and resource, helping practitioners develop and
advance their careers and organizations manage and protect their
data. Founded in 2000, the IAPP is a not-for-profit association that
helps define, support and improve the privacy profession globally.
The IAPP is responsible for developing and launching the only globally
recognized privacy certification programs, the Certified Information
Privacy Professional (CIPP) and the Certified Information Privacy
Manager (CIPM). www.privacyassociation.org
Intersect Healthcare
601
Intersect Healthcare, Inc. (IHI) is one of the nation’s leading providers
of Payor Compliance, Audit, Data Mining and Denial Management
software for healthcare providers. IHI has developed the most
comprehensive solution for managing regulatory audits, revenue
integrity, denials and appeals. Currently over 300 hospitals nationwide have licensed VERACITY™ software as an easy-to use, effective
and affordable solution that integrates both paper-based and electronic record systems. Intersect Healthcare leverages Software as a
Service (SaaS) technology to enable organizations to streamline audit
processes, reduce costs and eliminate the IT department as a bottleneck. To learn more about Intersect Healthcare and VERACITY™
www.intersecthealthcare.com
51
Exhibitors
iTacit Healthcare USA, Inc
T02
iTacit builds cost-effective products to connect and engage your
team, making your organization smarter. Our comprehensive multilingual workforce optimization cloud platform includes Recruitment &
Onboarding, Training & Education, Policy & Compliance, Collaboration
& Communication, Performance Management and Surveys. iTacit
develops Big Data technology that delivers unprecedented visibility
into an organization. Over 75,000 employees use Itacit every day to
learn, train, communicate, recruit, and manage compliance which
leads to the reduction of staff management costs. Itacit creates better
resident care through better staff care. http://itacit.com/
Kforce Healthcare Inc.
701
Kforce Healthcare Inc. specializes in HIM services including all aspects
of the coding department, revenue cycle and more. We work with
over 350 healthcare providers, including 75 percent of the nation’s
top Honor Roll Hospitals. We can support you during audit events,
coding backlogs or other business challenges. Our expertise includes
22 National Compliance Managers on staff, a compliance plan supporting accuracy standards of 95% for coding, and a consultant
population with an average of over 10 years of HIM experience.
www.kforce.com/Healthcare.aspx
King & Spalding
no booth
GOLD SPONSOR
King & Spalding has one of the broadest and deepest benches of lawyers, scientists and consultants specializing in the representation of
pharmaceutical, biotechnology and medical technology companies.
We help our clients alleviate risk, accomplish their strategic goals and
succeed in litigation. As one of the largest healthcare practices in the
country, we have received national acclaim for excellence in transactional, litigation and regulatory representation of clients across the
spectrum of healthcare. www.kslaw.com/
Kinney Management Services LLC
315
Kinney Services Inc., a nationally recognized leader, with their online
software solution Kchecks™, assists healthcare industry personnel search a comprehensive database containing information on
healthcare individuals and entities that have been excluded from
federal and state healthcare programs. Kchecks™ was designed to aid
Compliance Officers, Risk Managers, Human Resources and Medical
Staffing Services Personnel in precluding employment of an excluded
individual or entity where reimbursement is sought from any federal
healthcare program such as Medicare, Medicaid, and State Children’s
Health Insurance Programs. www.kchecks.com
Liles Parker
117
Liles Parker PLLC is a health law firm with extensive experience representing health care providers across the country. Areas of focus
include coding, billing and compliance related matters, Medicare,
Medicaid and private payer audits, administrative appeals, complex corporate transactions, Stark, Anti-Kickback and False Claims
Act reviews. Our clients include individual and group practitioners,
home health agencies, nursing homes, skilled nursing facilities, hospitals and other providers. Call Liles Parker for a free consultation:
1-800-475-1906. www.lilesparker.com/
LockPath
100
LockPath provides technology for managing organizational risk and
information security to prove compliance. Its Keylight platform provides keen insight by correlating security information from multiple
data sources with current regulations and policies to gauge risk.
LockPath was founded by information security and governance, risk
management and compliance industry veterans. www.lockpath.com
Loyola University Chicago
600
Loyola University Chicago School of Law offers two online degrees in
health law: A Master of Jurisprudence (MJ) for healthcare professionals
who work in compliance and need to know more about the laws, regulations and policies governing healthcare, and a Master of Laws (LLM)
for attorneys who want to expand their practice to service healthcare
clients. Learn more about Loyola’s Beazley Institute for Health Law and
Policy at www.LUC.edu/healthlaw or 1-800-424-3986.
LTC Integrity
T18
LTC Integrity is the creator of ARC 3.0, a unique web-based software
program that comprehensively creates and manages all of a SNF’s corporate compliance and QAPI programs as mandated under the ACA.
The program includes user-friendly audit functions and corrective
action functions that pinpoint specific risk areas and track the facility’s
efforts to improve compliance and quality. ARC has been approved by
HUD as fulfilling the electronic risk management requirement under
the HUD-insured mortgage program. https://www.ltcintegrity.com/
McAfee
118
McAfee, a wholly owned subsidiary of Intel Corporation
(NASDAQ:INTC), is the world’s largest dedicated security technology
company. McAfee provides system, network, and mobile security
solutions that allow users to safely connect to the Internet, browse,
and shop online. Backed by global threat intelligence, our innovative products empower home users and organizations by enabling
them to prove compliance, protect data, prevent disruptions, identify vulnerabilities, and monitor and improve their security. McAfee
is relentlessly focused on constantly finding new ways to keep our
customers safe. www.mcafee.com/us/
McBee Associates Inc
103
As one of the nation’s largest independent health care consulting
practices, McBee Associates, Inc. knows that compliance is essential
to good business. McBee Associates develops lasting solutions that
ensure financial and operational success with an unparalleled commitment to compliance. The firm offers medical necessity audits, billing
compliance reviews, internal control reviews, coding audits, and clinical documentation reviews, as well as a full suite of revenue integrity
services. Visit us at www.McBeeAssociates.com or call 1-800-767-6203.
MCN Healthcare
212
MCN Healthcare provides the healthcare industry’s broadest and
best-supported suite of policy management solutions. More than
25,000 healthcare organizations worldwide rely on MCN’s webbased automated policy workflow software and library of 18,000
regulatory and departmental policy and procedure documents to
confidently maintain accreditation compliance. As a clinician-founded
and clinician-led organization with 26 years of regulatory compliance
experience, MCN empowers hospitals, LTC, ambulatory, and physician
practices to reduce risk, streamline their policy workflow and create a
safer care environment. www.mcnhealthcare.com
Tools
of the trade
Come check out HCCA’s wide selection of reference
and training materials—all available for preview and
purchase at HCCA’s Exhibit Hall Booth.
Don’t miss our newest products
See us at booth #811
Exhibitors
MD Ranger Inc
803
MD Ranger is a leading provider of data-driven physician contract
and compensation solutions that help hospitals and health systems
determine compensation, negotiate competitive contracts, and
comply with federal regulations. The company’s proprietary database
reduces the complexity and costs of establishing fair market value for
on-call arrangements, medical directorships, administrative services,
diagnostic testing services, and hospital-based medical groups. The
company’s annual benchmark reports and analysis are designed to
meet the business planning and compliance needs of busy healthcare
executives, and ensure that financial arrangements are competitive
and consistent. www.mdranger.com
Meade, Roach & Annulis, LLP
316
PLATINUM SPONSOR
Meade, Roach & Annulis, LLP distinguishes itself as a law firm focused
on delivering practical solutions for healthcare regulatory compliance needs. Each of our partners have more than a decade of focused,
industry-leading experience in this area. The results we have achieved
for clients speak for themselves. We not only understand the law, we
understand our clients—who range from the nation’s largest academic medical centers and hospital systems to stand-alone specialty
facilities and physician practice groups. www.meaderoach.com
MedeAnalytics
618
MedeAnalytics delivers performance management solutions across
the healthcare system—including hospitals, physician practices and
payers—to ensure accountability and improve financial, operational
and clinical outcomes. www.MedeAnalytics.com
Medelearn
101
Medelearn is the industry-leading compliance training system
developed specifically for healthcare organizations. It is easy to use,
effective for all types of training needs and affordable for any size
organization. Choose from our full HIPAA, JCAHO, OSHA courses or
author your own curriculum with our easy-to-use course-building
interface. Manage all your classroom and web-based training with
our student management center. Improve your training effectiveness
while saving 80% in training costs. www.medelearn.org
MediTract
816
PLATINUM SPONSOR
MediTract provides to the healthcare community knowledge, service and technology to assist in the management of contracts and
other critical business documents in support of their compliance programs. MediTract services and products are utilized in nearly 1,600
hospitals across the U.S. in settings ranging from Critical Access to
Enterprise Healthcare Systems. While regulatory compliance is the
underlying motivation for adoption, the successful implementation
and support of our clients’ initiatives is what sustains our business.
www.meditract.com
WE DELIVER COMPLIANCE EXPERTISE IN
Assessments
Auditing
Corporate Integrity Agreements
HIPAA
IRO Engagements
Monitoring
Training
CONNECT
W
I
T
H
US
Come see us at
Booth 814
Enter for a chance to win an
iPad Mini
June Crawford, RN, BSOM, CHC, Principal
[email protected]
Paul Mayer, MBA, MPA, CHC, Principal
877.917.3077 | bonadio.com |
[email protected]
Exhibitors
Medworxx
T08
Medworxx delivers health information technology solutions to over
350 hospitals internationally; including Canada, United States and
United Kingdom. Medworxx helps hospitals meet patient flow challenges, and requirements in compliance and education. Founded in
2004, Medworxx Inc. is based in Toronto, ON, and publicly traded on
the TSX Venture Exchange: MWX. www.medworxx.com
MetricStream
705
MetricStream is the market leader in integrated Governance, Risk,
Compliance (GRC) and Internal Audit Solutions for Healthcare providers and payers. MetricStream GRC solutions are used by leading Health
Insurance companies, Healthcare service providers, Pharmaceutical,
Medical devices & Healthcare product companies for automating and
streamlining risk, compliance, policy and audit programs across the
enterprise. Independent analysts recognize MetricStream as a leader
in GRC Platforms. www.metricstream.com
Modern Compliance Solutions, Inc.
T11
Modern Compliance Solutions (MCS) is an engagement-based consulting, strategy, security, and risk management firm which provides
the least-complex, best-in-class tools and resources in the medical
community. Covered Entities, Payors and Compliance Stakeholders
get the maximum result with the least amount of effort. Like a
“Turbo Tax” solution, our HIPAA One® web-based solution takes the
complexity and mundane out of HIPAA Security through simplicity,
automation and affordability. www.moderncompliancesolutions.com/
MRO
703
MEDIA PARTNER
MRO, a leader in disclosure management and health information
exchange (HIE), offers healthcare providers an enterprise-wide solution for the secure and compliant exchange of Protected Health
Information (PHI). Through a proprietary disclosure management
platform, MRO offers a combination of market expertise and technology-driven services to enable facilities to achieve a higher level
of compliance oversight, mitigate risk and attest to meaningful use.
The company’s range of solutions spans release-of-information (ROI),
payer audit compliance and tracking, accounting of disclosures and
document management. Additionally, MRO’s patient portals, Direct
Secure Messaging services and government interfaces (CMS, SSA/
DDS) enable electronic HIE. www.mrocorp.com
National Association of Corporate Directors
T15
The National Association of Corporate Directors (NACD) is the preeminent authority on board leadership with over 35 years conducting
governance research; developing leading practices; working with regulators and legislators; and equipping our 14,000+ members with the
tools, resources, education, credentials, and network to serve their
boards with the highest standard of excellence. Seventy-five percent
of Fortune 500 organizations have directors enrolled in NACD membership. If you serve on a public, private or nonprofit board, join us
today. www.NACDonline.org
Navex Global
200
PLATINUM SPONSOR
NAVEX Global helps protect your people, reputation and bottom line
through a comprehensive suite of ethics and compliance software,
content and services. The trusted global expert for more than 8,000
clients—nearly 2,000 in healthcare—in 200+ countries, our solutions
are informed by the largest ethics and compliance community in the
world. Our AHA-endorsed policy & procedure management solution
serves nearly 20 percent of the nation’s hospitals, helping organizations to streamline the policy management lifecycle and reduce risk.
For more information on how, please visit www.navexglobal.com.
NetDimensions Healthcare -Formerly EHealthcare IT
413
NetDimensions Healthcare offers the eHealthcareIT compliance
program: a new generation of customizable, engaging and comprehensive Corporate Compliance and HIPAA Compliance online
learning events that encompass over 80 courses covering hundreds
of department specific, mission critical topics. The content is written,
monitored, and updated by industry leading subject matter experts
with operational expertise. Functional training coupled with healthcares only “Bulletproof” rated, iPad enabled, compliance learning
system offers NetDimensions Healthcare’s clients rock solid training
solutions. Additional offerings include a Compliance assessment tool
and custom content development. www.netdimensions.com
Nova Compliance Group
602
Nova Compliance Group, a Hall Render Company, offers compliance
consulting and coding services. The experienced compliance consultants provide support in development and maintenance of compliance
programs, interim and ongoing Compliance Officer services, compliance program assessments, education and training, and compliance
auditing. Nova also offers evaluation and management coding audit
services and physician evaluation and management education by our
highly trained staff. 248-457-7858 | www.novacompliance.com
Ntracts 716
Ntracts LLC, a Hall Render Company, offers contract management
software and services that help healthcare organizations reduce
legal and regulatory risks. The Ntracts software-as-a-service (SaaS)
application establishes a single contract repository that actively
notifies parties of approaching milestones, automates workflow and
speeds contract origination. Ntracts also offers clients a complete
portfolio of consulting services that boost efficiency and save clients
money. For more information, or to request a demonstration, visit
www.ntracts.com. Follow us on twitter @ntracts.
Pacific University
804
Pacific University offers a Graduate Certificate in Healthcare
Compliance, an 18-credit, 12 month cohort program designed for
the working adult, consisting of online courses and two weekends
onsite in Hillsboro, Oregon. The Graduate Certificate Program in
Healthcare Compliance is accredited by the Compliance Certification
Board (CCB). Pacific University is a private undergraduate liberal arts
institution with graduate and professional programs in education,
optometry and the health professions. For more information, visit:
www.pacificu.edu/healthcarecompliance.
55
Exhibitors
Panacea Healthcare Solutions
312
Panacea Healthcare Solutions, Inc. provides coding, compliance,
reimbursement and revenue solutions infused with intelligence
and delivered through our consulting, software, publications and
webcasts to more than 4,000 U.S. providers. Each one is rooted in
Panacea’s extensive frontline experience in healthcare finance, coding
and compliance. www.panaceahealthsolutions.com
Pinnacle Healthcare Consulting
812
Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services for hospitals, health systems, physician
groups and other healthcare organizations to improve clinical and
business performance. Pinnacle Healthcare Consulting is a nationally
recognized leader in business valuation, physician compensation, performance improvement, compliance support, coding and auditing as
well as strategic and operational consulting. By building relationships
and championing innovation, Pinnacle has created dynamic services,
packed by a powerful team to solve the most complex challenges.
Please visit us at www.pinnaclegrouphc.com or call 303-801-0123 for
more information.
PointRight Inc.
T12
PointRight is the industry leader in providing data-driven analytics and
web-based tools that measure risk, rehospitalization rates, staffing,
quality of care, compliance and reimbursement accuracy in healthcare
and insurance. Using some of the largest and best databases in the
industry, our nationally recognized clinical staff, researchers and technologists expertly translate disparate data into usable information
and insight. We work with MDS, survey, financial, staffing, loss and
claims and public and proprietary data to ensure excellence in processes and outcomes. For more information, visit www.pointright.com.
PolicyMedical
713
PolicyMedical is a global leader in policy management solutions for
healthcare facilities. Utilizing advanced document-management
solutions, PolicyMedical enables its clients to automate and manage
their policies and procedures, increase patient safety, improve governance, risk and compliance, and reach their accreditation goals.
Currently, over 1500 healthcare facilities are using PolicyMedical’s
web-based innovative software solution to manage their policies.
www.policymedical.com
Post Acute Advisors
T03
Post Acute Advisors is a specialty consulting firm, with extensive
expertise in the post acute levels of care (rehabilitation, therapy, skilled
nursing, home health). Our unique mix of clinical and management
background helps us to not only identify existing or potential compliance risk, but the ability to calculate risk and develop/implement
solid solutions for resolution that have been proven to be successful
with clinical and medical staff. www.postacuteadvisors.com
PowerDMS By Innovative Data Solutions
514
PowerDMSTM Suite is an industry leading total software solution to
compliance management. With its seamless approach to document
lifecycle and e-signature management, complete certification tracking
with rich course development tools and general employee management modules, compliance can be realized. www.PowerDMS.com
Precheck Inc
412
PreCheck provides healthcare organizations with the information
they need to preserve the integrity of their people and programs. In
addition to background verification and credentialing, our suite of
cost-effective risk management solutions for healthcare organizations includes outsourcing solutions for employee sanction screening,
professional license management, employment verification, I-9 management, and drug screening. Call 800-999-9861 or visit the web site
at www.PreCheck.com for more information.
Prospective Payment Specialists
801
PPS has assisted over 2,700 hospitals over 21 years achieve goals in
compliance and the revenue cycle. Our specialties are: Chargemaster
Services, Coding, Validation, RAC Support. Each service is staffed with
experienced, credentialed professionals focused exclusively in their
specialty. We are a Preferred Vendor for 4 of the largest hospital systems in the Country, teaching facilities, Critical Access hospitals and
leading law firms. Our clients say what differentiates us is excellent
customer service and quality. www.ppscompliance.com
Protiviti Inc
319
Protiviti (www.protiviti.com) is a global consulting firm that helps
companies solve problems in finance, technology, operations, governance, risk and internal audit. Through our network of more than 70
offices in over 20 countries, we have served more than 35 percent of
FORTUNE® 1000 and Global 500 companies. We also work with smaller,
growing companies, including those looking to go public, as well as
with government agencies. Protiviti is a wholly owned subsidiary of
Robert Half International Inc. (NYSE: RHI). Founded in 1948, Robert
Half International is a member of the S&P 500 index.
PwC
301
GOLD SPONSOR
PricewaterhouseCoopers Health Industries serves as catalyst for
change and the leading advisor to organizations across the health
continuum. PwC draws from its broad perspective and capabilities
across and beyond the health industries to help solve the array of
emerging complex problems health organizations face, lead cultural
and clinical transformation, and create a new, sustainable model for
care delivery that is quality driven, patient centered and technology
enabled. www.pwc.com/healthcare
QHR- Quorum Health Resources
504
Quorum Health Resources (QHR) is one of the largest healthcare
consulting firms in the nation. Our proven solutions and support
enables hospitals and systems in urban and rural markets to overcome their toughest challenges and realize major goals quicker.
QHR also manages not-for-profit hospitals in 38 states. A leader in
continuing education, the QHR Learning Institute reaches more than
10,000 healthcare professionals each year. Learn more about QHR at
www.qhr.com or call 866-371-4669 (toll free).
Exhibitors
RegScan
115
RegScan for Health Care is an online subscription-based regulatory monitoring service that has the expert alert tools to keep you
Informed. Our proven technology has made us a trusted resource in
the environmental market, so we’re expanding into the healthcare
market—just in time for the Affordable Care Act. Single-user state
suites are available for all 50 states and Washington, DC. Founded in
1987, RegScan has attained prominence as the innovative leader of
electronic regulatory publishing. Health care suites include exclusive
alert services that track both final and proposed regulations, and the
fully searchable databases are updated daily. http://health.regscan.com
Reimbursement Management Consultants, Inc.
519
Reimbursement Management Consultants (RMC), specializes in
compliance services for healthcare entities nationwide. At RMC, we
assist Compliance Professionals to ensure they are in compliance with
coding, billing and documentation guidelines. Additionally, RMC can
assist in program development, auditing, investigations, and total outsourcing of compliance functions. Our staff are highly qualified and
credentialed individuals with myriad experience conducting services
for healthcare institutions, governmental agencies and attorneys. Our
success is directly attributed to quality people doing quality work.
Working with Compliance Professionals, RMC will help to ensure
compliance with coding, billing and documentation guidelines. RMC
staff are highly qualified with varied experience conducting reviews
for healthcare institutions, governmental agencies and law firms. In
addition to coding & compliance reviews, RMC offers full compliance
program development and management. Let us know how we can
help you! www.rmcinc.org
REVEAL/md
T10
REVEAL/md is the first BIsolution that is designed specifically for compliance departments to proactively identify risk. Every year payers
audit and recoup millions of dollars from hospitals and medical groups
across the country. These auditors utilize specific methods to quickly
pin-point what physicians they should focus their review, these same
techniques are included in our solution. REVEAL/md helps you look
at your physicians like an auditor so you can keep every dollar that is
yours. www.fimed.com/
Rsam
T07
Rsam provides the most intuitive and flexible solutions to help
organizations successfully manage unique risk, compliance, audit
and security needs, quickly. Businesses use the intuitive interface of
the Rsam Platform to automate challenging processes without the
need for additional coding or extensive professional services. Rsam’s
unique and proven approach has earned the confidence of customers in healthcare and other highly-regulated industries and gained
repeated recognition as an industry leader by independent analyst
and industry press. www.rsam.com/
HCCA
811
The Health Care Compliance Association (HCCA)® serves compliance
professionals throughout the healthcare field. Our members include
compliance officers and staff from a wide range of organizations,
including hospitals, research facilities, clinics and technology service providers. HCCA is a member-based, non-profit organization.
www.hcca-info.org
Siemens Healthcare
802
Siemens Healthcare is one of the world’s largest suppliers to the
healthcare industry and the first full-service diagnostics company.
The company is known for bringing together innovative medical technologies, healthcare information systems, management consulting,
and support services, to help customers achieve tangible, sustainable,
clinical, and financial outcomes. www.usa.siemens.com/healthcare
T16
Smarsh
Smarsh delivers cloud-based solutions for archiving an expanding list
of today’s digital communication mediums—including email, instant
messaging, public and enterprise social media, mobile messaging,
and the Web. Founded in 2001, Smarsh is the trusted archiving and
compliance provider for a growing base of over 20,000 companies
who rely on it to help meet regulatory compliance, e-discovery and
record retention requirements. www.smarsh.com/
Strategic Management Services
313
Strategic Management is a nationally recognized consulting firm
focused on delivering high-quality, innovative and timely compliance and regulatory services to clients in the health care industry. For
over twenty years, Strategic Management has been on the forefront
of regulatory and enforcement initiatives related to the health care
industry, its operations and business practices. Strategic Management
specializes in health care compliance management and consulting
services with a specific focus on compliance program evaluations,
risk assessments, HIPAA compliance, claims data analysis, litigation
support, physician arrangements reviews, responding to government
auditors and regulatory analysis. For more information, please visit
our website at www.compliance.com or contact Camella Boateng at
703-683-9600 or [email protected].
Streamline Verify
106
Streamline Verify is the effective and affordable OIG exclusion screening tool. Our system checks the federal OIG, EPLS, FL AHCA, as well
as each & every state’s individual exclusion list every month. It sends
automated monthly emails with the results of the automated monthly
check. For only $495.00 annually you will receive unlimited shared
users, unlimited searches, unlimited access and the peace of mind
knowing you are OIG compliant. Please check out our website @
www.streamlineverify.com, watch a demo, register for a webinar or
just reach out to us for more info.
T13
SunStone Consulting
We help the business of caring support the mission of caring. For
decades, healthcare providers have made exciting advances in the
science of caring. So it helps to have the support of seasoned professionals who can help receive the reimbursement you are entitled
to. And strengthen compliance with the constantly-changing regulations. At SunStone Consulting, our reimbursement and regulatory
professionals have helped our clients enjoy those benefits for more
than two decades. To know more, visit www.sunstoneconsulting.com
TeachPrivacy, LLC
216
Founded by the leading privacy law expert Professor Daniel Solove,
TeachPrivacy provides customized computer-based training specializing in HIPAA and HITECH. Our training incorporates videos,
quizzes and interactive elements which makes it highly engaging.
Our philosophy is training that makes you think and makes you care.
www.teachprivacy.com
57
HCCA would like to thank our
CONFERENCE SPONSORS
PLATINUM SPONSORS
GOLD SPONSORS
SILVER SPONSOR
CONFERENCE SUPPORTERS
MEDIA PARTNERS
Atlantic Information Services
Comply Assistant
REVEAL/md
CaseWare IDEA
MRO
The Bonadio Group
Clearwater Compliance
Quorum Health Resources
Verisys Corporation
Exhibitors
UHC—Faculty Practice Solutions Center
604
The UHC-AAMC Faculty Practice Solutions Center® provides a Webbased suite of robust benchmark data, practical analyses and decision
support tools to inform clinical, operational and revenue cycle
improvement initiatives for faculty physician practices. These data
can be used to support your organization’s local coding and compliance efforts and help inform participation in quality reporting.
www.facultypractice.org/
VCS Database
805
WeComply Inc
718
WeComply, a Thomson Reuters business, is a leading provider of ethics
and compliance training for employees in all industries and offers
more than 100 courses that are easily customized and available in multiple languages both online and offline. Companies can host courses
in their own Learning Management System (LMS) or use WeComply’s
patented system, which provides centralized administration, custom
reporting and other advanced features. Exclusive compliance training
partner of ACC Alliance and Proskauer. www.wecomply.com
VCS has set the industry standard for credentialing by providing
full-service solutions that mitigate risk and drive compliance for
healthcare facilities and their suppliers. VCS is a leading third party,
web-based, vendor credentialing, vendor compliance and vendor
access program available to healthcare facilities nationwide. Our services give healthcare personnel the ability to actively monitor on-site
access in order to provide the facility’s staff, patients and visitors with
the safety and security they require. VCS also provides staff exclusion
screening and a new contractor management program. To learn more
about our industry leading software, visit VCSdatabase.con or call us
at 281-863-9500 option 5. www.VCSDatabase.com
Widener University School of Law
Vendormate, Inc
PLATINUM SPONSOR
508
Vendormate enables healthcare providers to achieve the highest
level of compliance in regulatory and internal controls across vendor
relationships and Procurement Cycle Management. Our proprietary
process enables providers to meet regulatory requirements including
those related to Business Associates. Our innovative SaaS solutions
improve data integrity and solve challenges of sourcing, contracting,
on-boarding and vendor performance management. Vendormate’s
relationship with 1,900+ healthcare facilities and 63,000+ vendors creates a vast vendor information network integrated with Vendormate
solutions including Credential Manager for regulatory compliance and
access, Medzo for finding the best products for improved outcomes
and Contract Manager for managing contracts and agreements.
www.vendormate.com/
Verisys Corporation
107
PLATINUM SPONSOR & MEDIA PARTNER
Verisys offers its flagship product, FACIS, Fraud and Abuse Control
Information System, to the health care industry. FACIS reports current
and historical sanctions and disciplinary information on employees,
providers, and entities. Verisys is a “primary source” provider centralizing content from thousands of federal and state sources. Verisys
is a CVO and is NCQA Certified and URAC accredited. Some of our
services include monthly monitoring, licensing, NPI, SSN-DMF, DEA
and OFAC-SDN. For more information call: 888-837-4797 or visit,
www.verisys.com.
T04
Widener University School of Law offers an award-winning online
Masters of Jurisprudence program with specializations in either
health law or corporate law. Widener Law’s CCB-accredited programs offer concentrations in Health Care Regulatory Compliance,
Legal Nurse Consulting & Hospital Regulatory Compliance, Global
Compliance, and Corporate Regulatory Compliance. Widener Law also
offers an online LL.M. specializing in corporate law. For more information visit our website at http://law.widener.edu/mjdegrees, email
[email protected], or call 302-477-2704.
Wolters Kluwer Law & Business
201
Wolters Kluwer Law & Business, with its CCH, MediRegs and Aspen
Publishers product lines, provides industry leading solutions for
enterprise Governance, Risk management and Compliance (eGRC),
compliance and reimbursement regulatory information and coding.
Used daily in thousands of hospitals throughout the United States,
ComplyTrack and the MediRegs research platforms make up the most
comprehensive, cost-effective and practical set of compliance management and enterprise risk management solutions for today’s health
care industry. 800-808-6800 • www.MediRegs.com
YEI Healthcare
806
Prevent unexpected recoupments and refunds with EPStaffCheck by
YEI Healthcare and efficiently and cost-effectively perform regular
checks of all employees, contractors, vendors, and physicians. Just
upload your staff and vendor rosters for immediate verification and
set up time-saving updates. Annual subscription includes free web
training and toll-free support. Find out more at www.epstaffcheck.com.
59
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n
o
li
il
b
3
$
rd
o
c
re
rs
e
v
o
c
re
US
in healthcare fraud cases.
Fifty-five hospitals to pay US more
than $34 million to resolve false claims.
DAmAgeS in whiStle-bloweR
meDiCARe fRAUD CASe.
Hospital to pay $907k in
health claims settlement.
RACs reclaim $1.37 billion in
overpayments as criticism mounts.
Another day at the office
The healthcare regulatory environment has changed. Fines and penalties generated by governmental audits
have reached an all-time high and the future does not look any brighter. A recent US Department of Justice
report states that $3.8 Billion was recovered from False Claims Act cases in fiscal year 2013.
Beazley’s underwriters focus on writing a range of specialist insurance products for the healthcare industry.
Our focus and understanding of the healthcare industry allows for us to craft products to meet the ever
changing risks that you face in your day-to-day environments. To learn more, contact your insurance broker
to hear about what Beazley can do for you.
The descriptions contained in this communication are for preliminary informational purposes only. The product is available on an admitted basis in some but not all US jurisdictions
through Beazley Insurance Company, Inc., and is available on a surplus lines basis through licensed surplus lines brokers underwritten by Beazley syndicates at Lloyd’s.
The exact coverage afforded by the product described herein is subject to and governed by the terms and conditions of each policy issued. The publication and delivery
of the information contained herein is not intended as a solicitation for the purchase of insurance on any US risk. Beazley USA Services, Inc. is licensed and regulated
by insurance regulatory authorities in the respective states of the US and transacts business in the State of California as Beazley Insurance Services (License#: 0G55497).
MAPS
beazley.com/healthcareregulatory
DON’T GO
HALFWAY.
GO 360.
MANAGE YOUR COMPLIANCE PROGRAM WITH COMPLIANCE 360
MAPS
Claims audits and denials, policies and procedures to comply with new laws and regulations, scrutiny of physician
relationships, CMS audits, and managing HIPAA privacy rules are just a few of the issues creating compliance and
financial risks for healthcare organizations.
With so much complexity – and so much at stake – you need a comprehensive solution that helps you identify and fix the
gaps…before something falls through them.
To learn how the Compliance 360 software suite can help you address your healthcare compliance challenges,
please visit us at BOOTH 401.
www.compliance360.com
Manchester Grand Hyatt Exhibit Hall
T17
T16
T15
Exhibit Hall
T18
T14
T13
T12
T11
T010
T09
T08
T07
T06
T05
T04
T03
T02
T01
61
Manchester Grand Hyatt Ground floor
EXHIBIT HALL
HOTEL CHECK-IN
ACADEMIES
REUNION AND
AUTHORS’
RECEPTION
YOGA
CLASSES
OVERFLOW HOTEL TRANSPORTATION
PICK-UP/DROP-OFF TO
WESTIN GASLAMP HOTEL
Manchester Grand Hyatt Second floor
BREAKOUTS:
SUNDAY
LUNCHES: MONDAY
AND TUESDAY
EXAMS
(CHC, CHPC, CHRC):
WEDNESDAY
BOOKSTORE
HEADSHOTS
GENERAL SESSIONS
AND BREAKOUTS
CONFERENCE
REGISTRATION
SPEAKER READY
ROOM
PRESS ROOM
BREAKOUTS
BREAKOUTS
INTERNET
CAFÉ #1
63
Manchester Grand Hyatt Third floor
SPEEDNETWORKING
SPEEDMENTORING
BREAKOUTS
ADVANCED
DISCUSSION
GROPUPS
BREAKOUTS
ADVANCED
DISCUSSION
GROPUPS
Manchester Grand Hyatt Fourth floor
BREAKOUTS
INTERNET
CAFÉ #2
BREAKOUTS
BREAKOUTS
65
Manchester Grand Hyatt Overview
Manchester Grand Hyatt
AMERICA’S CUP
WHIRL POOL
REGATTA
FOURTH LEVEL
A
REGATTA
FOYER
CORONADO TERRACE
SHOW
OFFICE 9
STAYFIT GYM
B
B
C
D
C
ALAN RANDLE
CORONADO
BALLROOM
E
ROOF-TOP
SPORT COURTS
SPA POOL
THIRD LEVEL
ELEVATORS
KIN SPA
SHOW
OFFICE 6
A
C
D
GRAND HALL
SHOW OFFICE 1
A
GRAND HALL FOYER
B
C
HARBOR LOADING DOCK
CONCIERGE
DESK
GRAND
LOBBY BAR
CAR RENTAL
DESK
DOWNTOWN AND
GASLAMP DISTRICT
ENCORE OFFICE
SEAPORT
TOWER
BALBOA
ELEVATORS
B
C
LA JOLLA
OLD TOWN
FREIGHT
ELEVATORS
GASLAMP
A
A
B
B
C
A
B
D
RESTROOMS
ESCALATORS
D
ELEVATORS
ENTRANCE
FRONT DESK
BELL
DESK
MAIN ENTRANCE
PARKING
D
A
LOADING
DOCK
RESTROOMS
C
B
S
RESTROOMS
TOP OF THE HYATT
(ELEVATOR TO THE 40TH FLOOR)
B
A
C
B
HILLCREST
A
B
RESTROOMS
FREIGHT
ELEVATORS
A
C
A
B
H
RETAIL
PROMENADE
FEDEX
BANKERS HILL
CORTEZ HILL
SEAPORT BALLROOM
SHOW
OFFICE 4
ANN-MARIES COFFEE HOUSE
66 S
M
G
ESCALATORS
MARINA COURTYARD
CONVENTION
CENTER
M
O
D
E
SEAPORT VILLAGE
MARINA ROOM
O
GOLDEN
HILL
PAVILION LOAD-IN
LAEL’S RESTAURANT
RO
TORREY
HILLS
A
F
GROUND LEVEL
SALLY’S SEAFOOD ON THE WATER
D
E
H
B
SEAPORT TERRACE
SEAPORT FOYER
G
C
F
I
ST
RO
E
RE
B
SHOW
OFFICE 7
F1
PALM
FOYER F2
A
HARBOR
BALLROOM
SHOW
OFFICE 8
ESCALATORS
ST
H
A
A
ELEVATORS
RESTROOMS
RESTROOMS
D
G
SHOW
OFFICE 3
A
HARBOR
FOYER
B
OCEAN BEACH
FOYER
RE
HARBOR
TOWER
G
D
A
A
COVE
SHOW
OFFICE 5
HARBOR
TERRACE
SHOW
OFFICE 2
B
B
ELEVATORS
RESTROOMS
SECOND LEVEL
A
MISSION SOLANA OCEAN
BEACH BEACH BEACH
PROMENADE A
PIER PROMENADE B
FREIGHT
WHIRL POOL
ESCALATORS
B
C
PROMENADE
FOYER
ELEVATORS
SEASONAL
POOL BAR & GRILLE
MISSION BEACH SOLANA BEACH
FOYER
FOYER
C
KIN SPA POOL DECK
STAGE
AMERICA’S
AMERICA’S CUP TERRACE
CUP FOYER
RESTROOMS
B
RESTROOMS
RESTROOMS
NAUTICAL
A
CABANAS
D
A
C
D
POOL
C
C
D
CORONADO FOYER
WHIRL POOL
A
A
B
ESCALATORS ELEVATORS
FIRE PITS
REDFIELD’S DELI
REDFIELD’S
SPORT’S BAR
Tweet at the
Compliance Institute®
You could win
an Apple iPad
Use #HCCAci at
the conference to
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Notes
Notes
69
Notes
Building Partnerships
In today’s business world, clients need more
than top-notch legal advice. They need a
partner – a firm that understands their
business objectives and the pressures they face.
In 2013, Law360 named King & Spalding a
Practice Group of the Year for healthcare
law. We achieved this by delivering value and
security to our clients every day.
For additional
information, contact:
Dennis Barry
[email protected]
Jim Boswell
[email protected]
Gary Eiland
[email protected]
Glen Reed
[email protected]
Rick Shackelford
[email protected]
Sara Kay Wheeler
[email protected]
www.kslaw.com/health
Join us
again
in 2015
COMPLIANCE
INSTITUTE
®
Lake Buena Vista, FL | April 19–22, 2015

Program - Compliance Institute

Transcription

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