HCCA 27th Annual Compliance Institute

26. No More Surprises: How to Comply with the No Surprises Act - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Understand the requirements of the No Surprises Act

    • Appreciate the importance of involving multiple stakeholders in NSA compliance

    • Gain tips on how to maintain and monitor NSA compliance

27. Update on HIPAA Compliance and Enforcement - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • 2023 OCR Priorities for HIPAA Privacy, Security, and Breach Notification

    • Status Update on Pending Regulations and Future Guidance

    • Current HIPAA Privacy, Security, and Breach Notification Issues and Enforcement Trends

28. False Claims Act: Compliance, Enforcement and Legal Standpoint - CI0423

    HCCA 27th Annual Compliance Institute  | May 15, 2023 

    • Enhance knowledge of impacts of the False Claims Act on practices

    • Discover current trends in healthcare fraud enforcements

    • Identify suspected overpayments and how best to handle

29. Developing an Audit Engagement Scope and Approach While Leveraging External Resources - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • How to assess the risk of non-compliance

    • Designing the audit approach: Controls testing vs substantive testing

    • Reporting your audit opinion: Adequacy of process design and effectiveness of process implementation

30. Health Care Compliance Investigations Involving Senior Leaders or Board Members - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Learn how to navigate an investigation that leads to those at the top of the organization

    • Walk through real-life case studies of investigations involving senior leaders/board members

    • Understand the importance of securing protection of your position as Compliance Officer

31. How to Successfully Launch Compliance in a Small Organization - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Learn where you can start with an example of a year one compliance plan

    • Understand how culture and leadership can motivate employees to want to be a part of compliance

    • Obtain low cost and free tools and resources used to promote compliance

32. Physician Compensation: Managing and Monitoring Compliance Risks - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Address key risks and mitigating factors associated with physician compensation arrangements

    • Review physician compensation models, including employed and contracted

    • Discuss various monitoring techniques to control risk and ensure compliance

33. Patient Safety: Where Are My Gaps? - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Identify key gaps in patient safety that occur in healthcare organizations

    • List strategies to effectively close patient safety gaps

    • Apply patient safety assessment and improvement processes

34. The Pandemic Is Ending: What Providers Can Expect Next - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • CMS flexibilities (1135 and regulatory flexibilities) overview

    • Current status of waivers, regulatory flexibilities and supplemental funding

    • What can providers expect next in terms of permanent flexibilities, audits and enforcement activity?

35. Avoiding Death by PowerPoint as a Compliance Professional - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • A recent UCLA study found that for the most effective communication, 36% of the message comes from your voice, 57% of the message comes from your nonverbal communication, and only the remaining 7% comes from your content: This should direct your focus

    • Watching paint dry is more interesting than enduring a flat, lifeless presentation from a speaker who subjected you to the dreaded Death by PowerPoint syndrome: Find out how to break this mold and avoid doing the same thing to your audience

    • Discover the principles that could revolutionize your speaking style: See the three personalities you want to shy away from as you adopt the four Essential E's of dynamic speaking, thereby overcoming four unknown enemies and avoiding Death by PowerPoint

36. Reducing Risk in a Risk Adjustment Model - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Review operational considerations and impact of risk adjustment coding

    • Examine most recent settlements

    • Discuss auditing and monitoring recommendations

37. Enforcement and Liability Update - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Learn from former enforcement attorneys about liability

    • Obtain insight to investigations and responses

    • Hear tips regarding compliance mitigation strategies

38. Safeguarding a Proactive Culture of Compliance with the Contract Therapy Provider in Skilled Nursing Facilities - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Develop key quality and performance indicators to assess the compliance partnership effectiveness

    • Differentiate between proactive and reactive cultures of compliance and the risks associated

    • Define steps for establishing, monitoring, and implementing a partnership of compliance integrity

39. EMTALA: To Self-Report Violations (or Not) and What To Do Next - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Review federal and state requirements to report possible violations of EMTALA

    • Identify benefits of self-reporting while juggling the organization's business decision

    • Address the noncompliance and develop a plan of correction

40. Where Ethics Meets Operations - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Differentiate between the importance of the four core ethical values

    • Understand the importance of having a code of conduct

    • Establishing an environment of awareness

41. Current OIG Concerns, Revisions to the CIA, and What Can Be Learned from Them - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Current concerns OIG is seeing in their monitoring of CIAs and how OIG is addressing them in the newest CIAs Compliance officer responsibility creep

    • Compliance officer responsibility creep

    • Claims and arrangements reviews

42. HIPAA's Oft-Neglected Covered Entity: Group Health Plan Compliance - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Identify when the group health plan can disclose protected health information to the plan sponsor

    • Differentiate between compliance obligations that fall on the insurance issuer, TPA, and employer

    • Analyze strategies for combining group health plan and health care provider data

43. Trending Fraud and Abuse Developments and How to Address Them - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Review key enforcement actions and guidance on Anti-Kickback Statute, Stark, EKRA, and CMPs

    • Explore how organizations are using the value-based safe harbors and exceptions

    • Identify compliance program and risk management best practices

44. Successful Risk-Based Audit Plan: Aligning Data-Mining Methodologies and Communication - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Engaging clinicians and administrative matrix in discussion of vulnerabilities and risk appetite

    • Standardizing audit approach with data-mining, trending, andbuilding educational channels, report card

    • Setting the tone of accountability by engaging all levels post-audit debrief: Alignment with QIP and MIP

45. Incorporating Telehealth into Your Compliance Workplan - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Review current telehealth regulations and their impact on service delivery

    • Identify risks associated with the delivery of telehealth services

    • Establish an effective telehealth auditing and monitoring workplan

46. High Risk Compliance: How to Protect Your Organization and Yourself - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Assess the heightened risk to compliance officers under newly proposed DOJ certification requirement

    • Recognize high-risk corporate actors and environments, and learn how to effectively manage high-risk conduct in a start-up, CIA or M & A environment

    • Be well prepared for the possibility of getting drawn into legal action as a compliance officer, and identify key steps to protect yourself in the event of subpoena or deposition

47. Peer Review: Strong Partnerships Can Protect Everyone - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Learn the basics of peer review processes and protections

    • Examine real life cases of peer review gone wrong

    • Learn how to partner with stakeholders for risk mitigation

48. How to Develop an Effective Risk Management Program - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • How can you identify your organization's risk areas, using multiple resources

    • Once identified, how can you safeguard those risks

    • Finally, how to continuously monitor and re-assess your risks

49. ESG and DEI: How to Position for Stakeholder Success - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • Understand the concepts and alignment of ESG and DEI

    • Identify the key benefits of an aligned ESG and DEI strategy and how to facilitate engagement across respective groups

    • Examine issues and solutions for ESG reporting of DEI

50. Changing Expectations of Compliance Officers: Are You Ready? - CI0423

    HCCA 27th Annual Compliance Institute  | April 24, 2023 

    • The changing role of the CCO:Are you ready to sign a certification of compliance with the DOJ?

    • Review of recent CIAs and requirements: What should you implement in your compliance program?

    • Stressed yet? The race to stay ahead of requirements and how to use information for your program