25th Annual Compliance Institute

  1. W3E Effective Auditing of Your Clinical Practice with Less Resources

    25th Annual Compliance Institute  | Presenter(s): Jose Tabuena, Rosalyn Jahn, William Priest  | April 21, 2021 

    • Develop an effective compliance audit plan based on specific risk areas of your clinical practice

    • Execute your audit plan with less resources, by incorporating automation and artificial intelligence

    • Provide valuable feedback and education to your clinicians based on specific audit findings

  2. W1E SNF Compliance on a Quarter: Leveraging Your Resources to Implement an Effective Audit Plan

    25th Annual Compliance Institute  | Presenter(s): Bethanne VanderMolen, Yolunda Dockett  | April 21, 2021 

    • Identify the key risk areas within the skilled nursing environment

    • Be able to develop a SNF audit and monitoring work plan

    • Understand how to effectively implement an audit and monitoring work plan using available resources

  3. W3G GRC Triangle: Governance, Risk, and Compliance

    25th Annual Compliance Institute  | Presenter(s): Regina Gurvich  | April 21, 2021 

    • The hazards of not preparing for potential issues can have significant, long-term effects; neglecting to have a comprehensive risk management plan in place can compromise patient care, increase liability risks, and result in financial losses

    • Integrating core concepts across risk domains, compliance processes, and engaging RM into the audit/investigation workflow

    • Case study: Following through investigation of internal controls in evolving organization, review of potential mitigation steps, and associated outcomes

  4. W1F Impacts of COVID-19 Compliance Protocols to Post-Acute Care Facilities and Home Based Care

    25th Annual Compliance Institute  | Presenter(s): Jack Strother, Richard Cheng  | April 21, 2021 

    • Identify the COVID-19-related challenges for the post-acute care industry

    • Develop an understanding of legal obligations by post-acute care operators related to COVID-19

    • Discuss and identify pragmatic strategies and actions items to mitigate the compliance concerns

  5. W4D Compliance and Legal: From Opposition to Partnership

    25th Annual Compliance Institute  | Presenter(s): Tomi Hagan, Gary Jones  | April 21, 2021 

    • Understand the fundamental role differences between compliance and legal

    • Interactive evaluation of case studies to determine the impact of the relationship between compliance and legal on the management and outcome of the situation

    • Learn strategies to appropriately define the scope of the compliance and legal programs and facilitate strong working relationships between the two

  6. W1G Internal Audit's Role in Enhancing Your Risk Program

    25th Annual Compliance Institute  | Presenter(s): Lorrie Ghose  | April 21, 2021 

    • Conduct an internal audit and compliance enterprise-wide risk assessment; practical tools for conducting risk assessments

    • Develop an enterprise risk management program to identify top risks; includes assessment tools and board reports

    • Guide leadership to establish your organization's risk tolerance and principles

  7. W4E What is a Compliance Risk Assessment?

    25th Annual Compliance Institute  | Presenter(s): Susan Gillin, Jeffrey Driver, Elizabeth Wade  | April 21, 2021 

    • Understand risk assessment frameworks

    • Understand OIG’s expectations for risk assessment

    • Learn what providers can do to implement a risk assessment process

  8. W1H New Year, New Administration, New Priorities!

    25th Annual Compliance Institute  | Presenter(s): Kimberly Brandt  | April 21, 2021 

    • Overview of key health care priorities for the new Administration

    • Review of HHS/CMS 1135 waiver process and what waivers might become permanent (e.g., telehealth)

    • Overview of CMS’ COVID related Interim Final Rules with Comment and how those interact with the waivers

  9. W4G Compliance Alignment and Joint Ventures

    25th Annual Compliance Institute  | Presenter(s): Robert Breighner, Robert Michalski  | April 21, 2021 

    • Use compliance program alignment to protect joint venture (JV) arrangements in health systems. With JVs on the rise within health systems, compliance program alignment with JVs needs to be fostered to protect the brand and reputation of the participants

    • Identify the necessary functions for a strong JV compliance relationship, such as establishing communication channels, baseline compliance and privacy assessments, ongoing monitoring and education, routine reporting and consistent dialogue

    • Hear from compliance officers who have established this partnership as they share their personal highlights and best practices

  10. W1I Investigations: Living in the House that Jack Built

    25th Annual Compliance Institute  | Presenter(s): Cristine Miller  | April 21, 2021 

    • Investigations can begin with an analysis of the data of another investigation (DOJ, OIG, AG)

    • Investigations can also tend to take on a life of their own, if you let them. Stay focused

    • The investigation builds from the original point then expands with additional data to conclusion

  11. W2F Is Your Hotline "Hot?": Approaches to Improving and Promoting Your Compliance Hotline

    25th Annual Compliance Institute  | Presenter(s): Jiajia Veronica Xu  | April 21, 2021 

    • Understand the key elements of a disclosure program that determine the success thereof

    • Learn about techniques to develop, evaluate, and select an effective hotline system

    • Create and organize activities to promote the hotline and engage the workforce and the community

  12. W1J COVID-19 Pandemic Lessons Learned Case Studies: CMS Emergency Preparedness, Compliance, Vaccines, and Recovery

    25th Annual Compliance Institute  | Presenter(s): Nora O'Brien  | April 21, 2021 

    • Learn how case studies of healthcare providers have addressed the mitigation of the COVID-19 pandemic

    • Offer planning and CMS compliance strategies and tools for addressing the COVID-19 pandemic

    • Learn strategies of how healthcare agencies can manage the distribution of COVID-19 vaccines

  13. W2H Rethinking Compliance Program Effectiveness Reviews

    25th Annual Compliance Institute  | Presenter(s): Kimulet Winzer, James Rose  | April 21, 2021 

    • Understand how strategy and enterprise risk management impact CPE

    • Learn how to leverage the Three Lines of Defense model to bolster compliance with less effort

    • Move beyond a Seven Elements Review to broaden organizational design thinking

  14. WB2 Two-Headed Beast: Compliance and Research Billing

    25th Annual Compliance Institute  | Presenter(s): Kelly Willenberg, Ryan Meade  | April 21, 2021 

    • Describe the correlation between compliance and research billing

    • Diagram the compliance issues around research billing

    • Estimate and mitigate research billing risks

  15. W2A Cybersecurity & Incident Response: The Nuts & Bolts of Detecting, Avoiding, and or Responding to a Security Incident

    25th Annual Compliance Institute  | Presenter(s): Scott Wrobel, Debra Geroux  | April 21, 2021 

    • Cyber risk in healthcare: Update on what is trending in cyberattacks and risk areas

    • Incident response: Real-world examples of how to handle incident response, including notifications

    • Lessons learned from recent breach response and best practices

  16. W2J Sampling and Extrapolations: How to Address Problematic Populations

    25th Annual Compliance Institute  | Presenter(s): Frank Castronova, Andrea Merritt  | April 21, 2021 

    • Discuss overall statistical methods in sampling and extrapolations, including various approaches

    • Present examples where populations are atypical; address how to sample and extrapolate

    • Review updated regulatory guidance and best practices related to statistical sampling

  17. W2B The Physicians in My Practice Want to Get Involved in Clinical Research: What Do I Need to Know and Do?

    25th Annual Compliance Institute  | Presenter(s): Jennifer Sartor, Sarah Couture  | April 21, 2021 

    • Research compliance basics for physician practice compliance officers

    • How to develop a simple research compliance plan

    • Best practices for engaging physicians and practice administration in research compliance

  18. W4A Reconciling Part 2 and HIPAA: How To Protect Your SUD Patients' Records

    25th Annual Compliance Institute  | Presenter(s): Natalie Ramello, Abby Jackson  | April 21, 2021 

    • Differentiate between HIPAA regulations and Part 2 privacy regulations

    • Apply strategies to ensure your organization is compliant with Part 2 and HIPAA regulations

    • Adapt to upcoming Part 2 regulation changes that will impact your privacy program

  19. W2D How to Revitalize the Culture of Compliance with Innovative Education

    25th Annual Compliance Institute  | Presenter(s): LaQuenta Clarke  | April 21, 2021 

    • Establish a methodology for developing individualized branding for the compliance department

    • Provide a process for devising risk-based education that encourages willful learning

    • Discuss ways that education programs can improve communication channels and foster ethical culture

  20. W2I Proven Techniques to Increase the Value of Internal Audit and Compliance, through the use of Analytics, Automation, and Visualization Solutions

    25th Annual Compliance Institute  | Presenter(s): John Lynn, Anthony Burman, Mark Meyers  | April 21, 2021 

    • Learn how data analytics, automation, and visualization are evolving the role of Internal Audit and Compliance - PwC Health Industries FY20 IA Benchmark Survey

    • Discuss keys to successful adoption, including starting with a digitally aligned mindset

    • Case Study: Sepsis Mortality analytics and visualizations in action

  21. W3A From Silos to Synergy: Collaborating Across Departments to Provide Enterprise-Wide System Protections and Ensure Patient Privacy and Security

    25th Annual Compliance Institute  | Presenter(s): Adam Droz, Britani Pinckard  | April 21, 2021 

    • Share ways to build relationships across privacy, HR, legal, security, compliance, and medical staff

    • Discover how to break down departmental silos to improve patient privacy and security

    • Learn how to apply a shared approach between compliance and security to build a culture of trust

  22. W3C Whistleblowers: Who Are They and Why Do They Become Whistleblowers and How Do You Evaluate a Whistleblower Case?

    25th Annual Compliance Institute  | Presenter(s): Jeb White, Jordan Thomas, William Simmer  | April 21, 2021 

    • Understand why employees become whistleblowers

    • Advocate compliance culture that encourages internal reporting

    • Recognize concerns that devolve into whistleblower cases

    • List key factors of actionable whistleblower cases

  23. W4C Emerging Trends in Physician Employment or Independent Contractor Contracting and Compensation Arrangements with Hospitals

    25th Annual Compliance Institute  | Presenter(s): Robert Wade  | April 21, 2021 

    • Analysis regarding several emerging arrangements including quality, patient access, and bundled payments

    • How are emerging contracting compensation arrangements complying with legal/regulatory requirements?

    • How do emerging contracting/compensation arrangements further integration for hospitals/physicians?

  24. W4F Simple Solutions for Optimizing SNF Therapy and Nursing Revenue Cycle Compliance

    25th Annual Compliance Institute  | Presenter(s): Sonu Kumar  | April 21, 2021 

    • Identify solutions and best practices to enhance integrity of claims

    • Utilize ADR and denial analytics to identify gaps and opportunities in revenue compliance

    • Incorporate components of revenue cycle into the compliance work plan

  25. W4H Medical Marijuana: Practical Considerations for Health Care Providers

    25th Annual Compliance Institute  | Presenter(s): Ashlee Gray, Aleah Schutze  | April 21, 2021 

    • An in-depth discussion of state and federal marijuana laws with a particular focus on the conflict between those laws and how that impacts healthcare providers

    • Identification of legal risks and compliance issues for providers that permit the use of medical marijuana in their facilities

    • Discussion of best practices for healthcare providers on topics such as the storage and administration of medical marijuana, patient safety, and employment issues