compliance-institute.org i Download the HCCA Mobile app and find all you need on your mobile device. To find the app, search for “HCCA Mobile” in the App Store or Google Play. CONFERENCE GUIDE SPONSORED BY COMPLIANCE-INSTITUTE.ORG MARCH 26–29, 2017 NATIONAL HARBOR, MD GAYLORD NATIONAL 21 st Annual Compliance Institute Conference Guide
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compliance-institute.org i
Download the HCCA Mobile app and find all you need on your mobile device.
To find the app, search for “HCCA Mobile” in the App Store or Google Play.
CONFERENCE GUIDE SPONSORED BY
COMPLIANCE-INSTITUTE.ORG
MARCH 26–29, 2017NATIONAL HARBOR, MDGAYLORD NATIONAL
21 st AnnualComplianceInstitute
Conference Guide
compliance-institute.org 1
Welcome to HCCA’s 21st Annual
Compliance Institute
It is my pleasure to welcome everyone to the 21st Annual Compliance Institute (CI) in National Harbor, Maryland—just outside Washington, DC. If you are like me, you look forward to the CI every year for a chance to learn from a wide array of experts, catch up with old friends and colleagues, explore the latest products and services being offered, and take back to your organization practical solutions to some of the most complex challenges we face.
If this is your first opportunity to attend the CI, you are in for an exciting few days! You will find the program packed with exceptional, thought-provoking speakers; opportunities to network with others; receptions and other opportunities to build relationships; learn about new compliance tools that are available; get some mentoring or mentor others; volunteer in a community project; and so much more. The conference provides 10 different learning tracks to help you focus your learning experience on the topics that will benefit you most.
With more than 2,500 attendees, the CI is the largest annual gathering of healthcare compliance professionals. We hope you will walk away from the program energized, armed with knowledge and ideas that you can put into action as soon as you return, and with new contacts to help you on your journey.
It is almost impossible to imagine how much work goes in to a conference like this. Impossible to imagine because the HCCA staff always make it look so seamless. Please take a minute to thank the staff for all their hard work in coordinating this event. Please also thank the program chairs, speakers, and volunteers who dedicate so much of their time to providing a world-class educational experience. You will be learning from the best and brightest in the industry.
Hopefully you will find a few minutes to explore the Washington, DC area. This is a beautiful venue and you should have no trouble finding great things to do outside the conference.
Health care is a complex industry and this conference exists to provide you with the information, tools, contacts, and support you need to help you be successful in this ever-expanding field. I have every confidence that you will find this conference a valuable and memorable experience.
Thank you all for joining us. Have a great conference!
Margaret Hambleton HCCA Board Vice President
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Registration Desk hoursCONVENTION CENTER PRE-FUNCTION, BALLROOM LEVEL
Check in Saturday and automatically be entered to win a free conference registration for HCCA’s 2018 Compliance Institute in Las Vegas, NV.Saturday, March 25 .........................1:00 pm – 7:30 pmSunday, March 26 ........................... 7:30 am – 6:00 pmMonday, March 27 ........................ 7:00 am – 6:00 pmTuesday, March 28 ........................ 7:00 am – 4:00 pmWednesday, March 29 ................8:00 am – 12:00 pm
Registration Desk phoneCall 301-965-5090 to reach HCCA staff at the Registration Desk during registration hours, Saturday through Wednesday.
IT Help DeskCONVENTION CENTER PRE-FUNCTION, BALLROOM LEVEL
Have an HCCA Mobile App question or IT problem? Stop by HCCA’s IT Help Desk located at the HCCA registration desk. Get help with downloading the app, taking notes on the presentations within the app, general phone technology issues, and more. The IT Help Desk will be open during conference registration hours.
Exhibit Hall hoursPRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVELSunday, March 26 ................................ 4:30 – 6:00 pmMonday, March 27 ........................ 7:00 am – 7:00 pmTuesday, March 28 ......................... 7:00 am – 1:15 pm
Lost and FoundLost items, if turned in, may be found at the HCCA Registration Desk, Convention Center Pre-Function, Ballroom Level.
Want to earn Continuing Education Units (CEUs) for the 2017 Compliance Institute? Remember to complete the CEU application to receive credits for continuing education. Find CEU applications at literature stands throughout the conference and on compliance-institute.org. Questions? Stop by HCCA’s booth or the Registration Desk. Up-to-date credit approvals can be found on the compliance-institute.org website.
Download HCCA MobileSponsored by Broad and CasselHCCA Mobile has everything you need to know about the Compliance Institute on your mobile device: conference agenda, speaker bios, maps, session evaluations, exhibitors, and presentations. Search “HCCA Mobile” in the App Store or Google Play. If you’ve downloaded the app before, be sure to update it for the new content. If you don’t have an Apple or Android device, visit ATIV.me/CI17 for the web version.
Ten learning tracksTo help you navigate the 100+ conference sessions, HCCA has arranged sessions into ten learning tracks. Follow one track through the entire conference, or create an individualized program by attending sessions from various tracks. Choose from:
■ General Compliance/Hot Topics
■ Long-Term Care
■ Privacy & IT Compliance
■ Physician Compliance
■ Compliance Lawyer
■ Auditing & Monitoring
■ Internal Audit
■ How to Succeed as a Compliance Professional
■ Quality of Care
■ Advanced Discussion Groups
General information
compliance-institute.org 3
Networking ReceptionsPRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
Please join us Sunday, March 26, from 4:30–6:00 pm and Monday, March 27, from 5:30–7:00 pm for networking with exhibitors and colleagues. Beverages and appetizers will be served both evenings.
SpeedNetworkingPOTOMAC 1 BALLROOM, BALLROOM LEVEL
Start connecting before the conference even begins. If you signed up for SpeedNetworking, don’t forget to attend your session on Sunday morning from 7:30–8:30 am. You’ll be glad you set your alarm early because SpeedNetworking’s advanced matching technology ensures you meet the people you are interested in meeting.
If you haven’t signed up, but would like to participate, find the SpeedNetworking representative at the HCCA Registration Desk on Saturday.
SpeedMentoringPOTOMAC 1 BALLROOM, BALLROOM LEVEL
Here’s your chance to be a mentor or find one. Join us Sunday afternoon from 12:00–1:00 pm for SpeedMentoring. Please don’t miss your session, since your mentor/mentee will be expecting you.
If you haven’t signed up yet, see the SpeedMentoring representative at the HCCA Registration Desk on Saturday.
Tweeting @ the meetingUse #HCCAci in your tweets or Instagram posts at the conference to see them displayed on the Twitter Walls throughout the conference venue.
Blogging at the CISubmit a 200-word blog post to The Compliance & Ethics Blog at complianceandethics.org/guest-blog-submission and stop by HCCA’s social media lounge to claim a free World’s Best Blogger mug.
CaricaturesHCCA BOOTH #313, PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
Visit the HCCA booth to get a professional caricature done then post it on social media! BONUS, you’ll get a 4x6 keepsake of your very own.
BINGO at the CIPRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
Take advantage of having more than 125 solution providers all in one place, and participate in BINGO for a chance to win a free registration to the 2018 Compliance Institute.
Coloring StationPRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
Stop by HCCA’s coloring wall for a break. Spend a few minutes here and relax before going back to your sessions. Help us color our 2018 Compliance Institute picture.
Opportunities
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Get Published!Now that you’re a CI veteran, share your experiences with your peers. We’re looking for submissions for a special CI edition of our monthly magazine, Compliance Today. Please limit your articles to 400 words and focus on your experiences and reflections from this year’s Institute. Email your stories to Margaret Dragon at [email protected] by Thursday, April 6, 2017. For more information visit HCCA’s booth, or stop by HCCA’s Registration Desk.
Professional HeadshotsPRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
Get a professional headshot absolutely free! Stop by the photo studio during the designated times for your complimentary headshot and then be sure to update your HCCAnet® profile with your new photo.
HEADSHOT STATION HOURSSunday, March 26 ................................ 4:30 – 6:00 pmMonday, March 27 ........................ 7:00 am – 7:00 pmTuesday, March 28 ......................... 7:00 am – 1:00 pm
Book SigningOUTSIDE OF POTOMAC BALLROOM IN FOYER BY THE ONSITE BOOKSTORE
On Monday from 10:30–11:00 am, Kristy Grant-Hart, the author of the book How to be a Wildly Effective Compliance Officer, will be signing copies of her book following Monday’s General Session. Books may be purchased in advance at the on-site bookstore located on the Ballroom Level outside of the Potomac Ballroom.
Yoga & ZumbaEASTERN SHORE, LOWER ATRIUM LEVEL
Join us Monday for Yoga and/or Tuesday for Zumba from 6:30–7:30 am. Registration is 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 HCCA’s Registration Desk to see if there is space available. HCCA will provide the instructor and yoga mats.
Silent AuctionPOTOMAC FOYER, BALLROOM LEVEL
HCCA will host our 3rd Annual Silent Auction to Benefit America’s Fund at the 2017 Compliance Institute. We’ve collected some great items from HCCA members and vendors, and we’re auctioning them off for charity. Every dollar raised for the silent auction will go directly to America’s Fund, a charity that provides resources and financial support to critically injured members of the U.S. Armed Forces and their families. HCCA will also be accepting donations directly to America’s Fund. Please stop by HCCA’s Registration Desk or Silent Auction for more information.
Opportunities
Come check out HCCA’s wide selection of reference and training materials, available for purchase at HCCA’s Exhibit Hall booth.
Get expert guidance in portable form. Visit HCCA’s booth in the Exhibit Hall to preview these products and more.
hcca-info.org/products
Toolsof your trade
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Complimentary WiFi in the Meeting Space for CI AttendeesAccess the complimentary Wi-Fi in the meeting space:
*Please note: This is a different network from your guestroom Internet at the Gaylord National Harbor. It will only work in the meeting space.
Speaker Ready RoomNATIONAL HARBOR 15
A speaker ready room will be available Sunday–Wednesday. The room will be open from 7:00 AM–4:30 pm Sunday–Tuesday and will close at noon on Wednesday.
Visit the on-site bookstore Sunday through Tuesday and browse through a wide selection of compliance titles, including those authored by and recommended by your HCCA presenters.
Job BoardThe CI Job Board has gone digital. See open compliance positions from the convenience of your smart phone in HCCA Mobile. Search “HCCA Mobile” in the App Store or Google Play. After the CI, visit hcca-info.org/jobs regularly for up-to-date postings.
Shipping NeedsThe hotel’s Business Center is located on Ballroom Level of the Gaylord National Harbor and can help with all your shipping needs. Charges will apply.
Internet Café/Printing HandoutsCONVENTION CENTER PRE-FUNCTION AND MARYLAND BALLROOM FOYER
You’ll find two on-site Internet Cafés on the Ballroom Level. You may use these computers to print session handouts. Internet Cafés are open during conference registration hours, Sunday through Wednesday morning. Want handouts on your computer? Go to compliance-institute.org/handouts or find them on HCCA Mobile.
Mobile Charging StationCONVENTION CENTER PRE-FUNCTION
Charge your phone for free in 15–20 minutes in a secure, locked charger. Simply create a 4-digit code and enter it, just like a hotel safe or gym locker. Compatible with virtually all mobile devices, including tablets.
Connect with ExhibitorsYour badge barcode holds the demographic information you provided on your registration form (name, organization, address, city, state, zip code, phone number, and email address). Please note that any exchange of your contact information with exhibitors is at your discretion.
Session RecordingsAudio recordings of most educational sessions will be available for purchase. Order forms are in your attendee bags, at the HCCA booth, and at the Registration Desk. Please note pricing increases after the conference, so place your orders on-site.
HCCA ProductsBooks and DVDs published by HCCA will be available at HCCA’s booth in the Exhibit Hall, Booth #313.
Resources
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AttireBusiness casual attire is appropriate for all conference functions.
First-AidDial 333 from any hotel phone or sleeping room for emergencies.
Audio & Video Recording PolicyNo unauthorized audio or video recording is permitted at HCCA’s Compliance Institute. This includes live-streaming (e.g. Facebook Live).
No-Smoking PolicyHCCA maintains a no-smoking policy in all Compliance Institute functions.
Electronic DevicesAs a courtesy to meeting attendees, HCCA requests that all electronic communication devices be silenced during educational sessions. If you must answer a voice call, please step out of the meeting.
Name BadgePlease wear your name badge at all times during conference events, receptions, and conference sessions. Name badges are required to enter conference functions and the Exhibit Hall. Please stop by HCCA’s Registration Desk if you need a replacement badge.
Session SeatingYou are encouraged to arrive early at your preferred sessions. Seating is available on a first-come, first-served basis (except for SpeedNetworking and SpeedMentoring sessions, for which pre-registration is required).
Advanced Discussion Groups will be filled on a first-come, first-served basis. Attendance is limited to the first 50 attendees and pre-registration was not available for these sessions.
Need to know
* Offer applies only to registered CI attendees who have never been HCCA members
Stop by the CI Registration Desk to join HCCA today
• Receive 12 issues of Compliance Today
• Enjoy discounts on HCCA events and products
• Become part of the largest network of healthcare compliance professionals
Save $245* when you join HCCA at the Compliance InstituteJoin
$50for
compliance-institute.org 9
HCCA THANKS OUR 2017 COMPLIANCE INSTITUTE
SPONSORS
GOLD
SILVER
MEDIA PARTNERS
PLATINUM
compliance. exclusion screening. streamlined.
®
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Program at a glanceSATURDAY, MARCH 251:00 – 7:30 pm Conference Registration CONVENTION CENTER
SUNDAY, MARCH 26 | PRE-CONFERENCE7:30 am – 6:00 pm Conference Registration CONVENTION CENTER
PRE-FUNCTION7:30 – 8:30 am SpeedNetworking POTOMAC 1
9:00 am – 12:00 pm PRE-CONFERENCE SESSIONS (INCLUDES 15-MIN. BREAK)
P1 Large Hospital Systems – Cheryl Wagonhurst, Owner, Law Office of Cheryl Wagonhurst; Suzie Draper, VP Business Ethics & Compliance, Intermountain Healthcare; John Steiner, Health Care Compliance Professional; Margaret J. Hambleton, VP Corporate Compliance, Dignity Health
CHESAPEAKE J
■ P2 Compliance Program Start Up: What Are the Basics Needed for Your Infrastructure? – Debbie Troklus, Managing Director, Aegis Compliance & Ethics Center LLP; Sheryl Vacca, Chief Risk Officer, Providence St Joseph Health
NATIONAL HARBOR 5
■ P3 Keep Them Talking to You: A Culture of Trust & Integrity Improves Quality, Safety, and Organizational Outcomes! – Karla Dreisbach, Vice President of Compliance, Friends Services for the Aging; Sarah Finnegan, Vice President of Compliance, Kindred Healthcare; Kelly Lipscomb, Attorney, Lane Powell; Jeramy D. Kuhn, Corporate Compliance Officer & Privacy Officer, Care Initiatives
MARYLAND C
■ P4 HIPAA Compliance That Addresses the Risks of Today and Will Grow with You in the Future – Kevin Dunnahoo, Senior Manager, Protiviti; Matt Jackson, Director, Protiviti; Benjamin Burton, Health Information Management Consultant, First Class Solutions, Inc
POTOMAC AB
■ P5 Navigating the Physician Acquisition Experience – Valerie T. Cloud, Assistant Regional Corporate Responsibility Officer, Catholic Health Initiatives; Marian E. Hughlett, Regional Privacy Officer, Catholic Health Initiatives
NATIONAL HARBOR 12
■ P6 False Claims Act Developments – John T. Boese, Counsel, Fried Frank Harris Shriver & Jacobson LLP; Michael D. Granston, Director, Commercial Litigation Branch, Fraud Section, Civil Division, US Department of Justice; Gary W. Eiland, Partner, King & Spalding LLP; Marc S. Raspanti, Esq., Pietragallo Gordon Alfano Bosick & Raspanti, LLP
MARYLAND B
■ P7 Immediately Address IT Access Compliance Challenges with These Techniques, Using Tools You Already Have – Alan Norquist, CEO & Founder, Veriphyr, Inc.; Majed Tomeh, Advisor, Veriphyr, Inc
CHESAPEAKE 6
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
compliance-institute.org 11
Program at a glanceSUNDAY, MARCH 26 | PRE-CONFERENCE9:00 am – 12:00 pm PRE-CONFERENCE SESSIONS CONTINUED (INCLUDES 15-MIN. BREAK)
■ P8 EMR, CTMS and Clinical Trial Billing Audits: How These Tools Can Help You As An Internal Auditor – Kelly M. Willenberg, Owner, Kelly Willenberg, LLC; Cynthie M. Lawson, Consultant, Self-Employed
CHESAPEAKE G
■ P9 Strategies to Build An Effective Compliance and Ethics Program – Deann M. Baker, Sutter Care at Home Compliance Officer, Sutter Health; Dwight Claustre, Director, Aegis Compliance & Ethics Center, LLP
MARYLAND D
■ P10 Drug Diversion Enforcement Trends, Investigation, and Prevention – Regina F. Gurvich, Director, Contract Administration & Integrity Monitoring Program, New York City Health & Hospitals Corporation; Gary Cantrell, Deputy Inspector General for Investigations, OIG HHS
NATIONAL HARBOR 10
■ P11 Minimizing Stark Law Execution Risks – Laura Martin, National Chair, Health Care Practice Group, Katten Muchin Rosenman LLP; Louis Glaser, Partner, Katten Muchin Rosenman LLP
CHESAPEAKE D
■ P12 A Case Study: How to Conduct an Effective and Compliant Internal Investigation – Jennifer A. Kildea Dewane, Deputy General Counsel, CareSource; Mark R. Chilson, EVP General Counsel, CareSource; Jeffrey E. McFadden, Partner, Stradley Ronon Stevens & Young, LLP
MARYLAND A
P13 Laboratory Compliance: Maintaining Compliance in an Uncertain and Changing Environment – Robert E. Mazer, Principal, Baker Ober Health Law Group; Tim Murray, National Director Laboratory Compliance, Corporate Responsibility, Catholic Health Initiatives; Barbara Senters, Chief Compliance & Ethics Officer, Ameritox
CHESAPEAKE A
P14 Discover How Managed Care Plans are Responding to Their Obligation in Detecting, Investigating, and Preventing Fraud and Abuse in the Health Care System – Caron R. Cullen, President, Positive Compliance Outcomes, Inc.; Katherine M. Leff, Director, Special Investigations, CareSource; Mary Beach, Operations Director, Trusted Third Party for HFPP, HMS; Bernadette Underwood, Senior Clinical Investigator/Recovery Manager, Affinity Health Plan
NATIONAL HARBOR 3
12:00 – 1:00 pm SpeedMentoring POTOMAC 112:00 – 1:30 pm Lunch (on your own)
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Program at a glanceSUNDAY, MARCH 26 | PRE-CONFERENCE1:30 – 4:30 pm PRE-CONFERENCE SESSIONS (INCLUDES 15-MIN. BREAK)
P15 Leveraging DMAIC and Active Management for Sustainable Quality Improvements – Kristine Koontz, Vice President of Quality and Corporate Integrity, Keystone Human Services Inc; Amy Short, Administrative Director, Center for Improvement Science
CHESAPEAKE G
■ P16 Compliance Investigations 101: CO Toolbox Essentials – Walter E. Johnson, Director of Compliance & Ethics, Kforce Government Solutions; Dawn E. Lambert, Chief Privacy Officer, IASIS Healthcare; Cindy W. Hart, CPA, CHC, CPC, Compliance Professional; Adam K. Weinstein, Vice President for Regulatory Affairs, New York-Presbyterian/Queens
POTOMAC AB
■ P17 CMS Final Rule: Reform of Requirements for Long Term Care Facilities – Barbara Duffy, Shareholder, Lane Powell; Paula Sanders, Principal and Healthcare Chair, Post & Schell, P.C.; Nan Impink, Executive Vice President, Compliance and Regulatory Affairs, SavaSeniorCare Administrative Services, LLC
NATIONAL HARBOR 3
■ P18 Is Your Security Incident a Data Breach? Uncle Sam Wants to Know – Mahmood Sher-Jan, CEO, RADAR, Inc; Asra Ali, Compliance and Risk Manager, HealthScape Advisors; Laura Merten, Chief Privacy Officer, Advocate Health Care; Patricia Shea, Partner, K&L Gates LLP
MARYLAND B
■ P19 Compliant Physician Documentation and Coding in an Electronic Medical Record – Kimberly G. Huey, President, KGG Coding & Reimbursement Consulting; Sandra K. Giangreco, Coding Compliance Audit Senior Manager, CHAN Healthcare
MARYLAND D
■ P20 Anatomy of a False Claims Act Case: Investigation, Litigation, Negotiation, Resolution – Craig Holden, Chairman & COO, Baker Ober Health Law Group; Laura Laemmle-Weidenfeld, Partner, Jones Day; Amy Easton, Of Counsel, Phillips and Cohen LLP; Lisa Re, Assistant Inspector General for Legal Affairs, Office of Inspector General, Department of Health & Human Services; Laurie A. Oberembt, Senior Trial Counsel, U.S. Department of Justice
NATIONAL HARBOR 10
■ P21 Achieving 340B Program Integrity – Chris Wasik, Consulting Manager, CHAN Healthcare; Jerry E. Lear, Senior Vice President, CHAN Healthcare
NATIONAL HARBOR 5
■ P22 Auditing Emerging Compliance Risk Areas – Debi Weatherford, Executive Director Internal Audit, Piedmont Healthcare; Tony Lesser, Advisory Senior Manager, Deloitte & Touche LLP-
MARYLAND A
■ P23 Enabling Compliance Across the Organization: Toolkits for Operational Compliance – Anne S. Daly, Corporate Compliance Officer, Ann & Robert H. Lurie Children’s Hospital of Chicago; Barbara Martinson, Compliance Program Director, Banner Health
MARYLAND C
■ P24 Swords into Plowshares: Leveraging Clinical Data Quality Excellence and Data Mining Tools for Promoting Quality of Care – Aloha McBride, Principal, Ernst & Young; Marc Schulman, Executive Director, Ernst & Young; David N. Hoffman, Chief Compliance Officer, Physician Affiliate Group of New York, P.C.; Lisa Ishii, Associate Professor of Otolaryngology, John Hopkins Hospital
CHESAPEAKE J
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
compliance-institute.org 13
Program at a glanceSUNDAY, MARCH 26 | PRE-CONFERENCE1:30 – 4:30 pm PRE-CONFERENCE SESSIONS CONTINUED (INCLUDES 15-MINUTE BREAK)
■ P25 Whistle While You Work: How to Prevent Activity Leading to Whistleblower Actions and Protect Health Organizations and Medical Practices from Whistleblower Threats – Jacqueline N. Bloink, Professor, Saddleback College; Jeffer Mangels Butler & Mitchell LLP; Christine Zack, Senior VP, Chief Risk Officer, Fundamental Administrative Services LLC; Linda W. Taetz, Senior Vice President & Compliance Officer, Mariner Health Care; Linda Woolf, Managing Partner, Goodell, DeVries, Leech & Dann
NATIONAL HARBOR 12
P26 Fighting for Survival: DMEPOS – Ruth Krueger, Enterprise Compliance Program Manager, Sanford Health; Wayne H. van Halem, President, The van Halem Group-A Division of VGM Group, Inc; Paula Koenig, Corporate Compliance Officer, Numotion
CHESAPEAKE A
P27 Academic Medical Center Compliance: Tips, Traps, and Emerging Best Practices – David Lane, Deputy Compliance Officer, University of California; Dan J. Weissburg, Chief Compliance & Privacy Officer, University of California San Diego Health; Ajay Vyas, Deputy Director of Healthcare Compliance, University of Southern California
CHESAPEAKE D
P28 Research Law and Compliance: 2016-2017 Year In Review – F. Lisa Murtha, Senior Managing Director, FTI Consulting
CHESAPEAKE 6
4:30 – 6:00 pm Networking Reception in Exhibit Hall PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
MONDAY, MARCH 27 | CONFERENCE6:30 – 7:30 am Yoga (pre-registration is required—space is limited) EASTERN SHORE, LOWER
ATRIUM LEVEL
7:00 am – 6:00 pm Conference Registration CONVENTION CENTER PRE-FUNCTION
7:00 – 8:30 am Continental Breakfast in Exhibit Hall PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
8:30 – 8:45 am Opening Remarks POTOMAC
8:45 – 9:15 amGENERAL SESSION: OIG Update – Daniel R. Levinson, Inspector General, Department of Health & Human Services
POTOMAC
9:15 – 10:15 am
GENERAL SESSION: How to Be a Wildly Effective Compliance Officer – Kristy Grant-Hart, Owner, Spark Compliance Consulting
POTOMAC
10:15 – 11:00 am Networking Break in Exhibit Hall PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
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Program at a glanceMONDAY, MARCH 27 | CONFERENCE11:00 am –12:00 pm BREAKOUT SESSIONS■ 101 340B Compliance: Life after a HRSA Audit and Implementing
a Corrective Action Plan – Sarah E. Bowman, Consulting Manager, PYA; Melissa C. Prince, Director, Compliance & Privacy, Piedmont Athens Regional
CHESAPEAKE D
■ 102 Latest Policy & Regulatory Changes to the Medicare Appeals Process – Andrew Wachler, Managing Partner, Wachler & Associates, P.C.; Nancy Griswold, Chief Administrative Law Judge, Department of Health and Human Services, Office of Medicare Hearings and Appeals
NATIONAL HARBOR 3
■ 103 Highlights of the CMS Final Rule: Reform of Requirements for Long Term Care Facilities—The Impact on Compliance – Kris D’Ann Maples, Counsel/Compliance Director, Hillcrest Health Services; Lyn Bentley, Vice President, Quality & Regulatory Affairs, AHCA
NATIONAL HARBOR 10
■ 104 OCR Enforcement Update – Iliana Peters, Senior Advisor for HIPAA Compliance and Enforcement, HHS Office for Civil Rights
POTOMAC
■ 105 The Best Approach to Design Effective Corrective Action Plans (CAP) – Deann M. Baker, Sutter Care at Home Compliance Officer, Sutter Health; Christos G. Arvanitis, Compliance Officer, Sutter Health
MARYLAND D
■ 106 Telehealth: Legal and Compliance Issues – Nathaniel Lacktman, Partner, Foley & Lardner LLP; Anna Whites, Attorney, Anna Whites Law Office
MARYLAND B
■ 107 Elements of a Successful Corporate Integrity Agreement – Peter Dressel, Senior Managing Director, FTI Consulting; JoAnne Little, Chief Compliance Officer, LHC Group; Susan Gillin, Deputy Branch Chief, Administrative and Civil Remedies Branch, Office of Counsel to the Inspector General
CHESAPEAKE 6
■ 108 Leveraging Internal Audit to Improve Quality of Care Metrics – Shawn A. Stevison, Manager, Healthcare Consulting, Dean Dorton
NATIONAL HARBOR 12
■ 109 Top 10 Things a Compliance Professional Needs to Know About Coding – Melissa J. McCarthy, AVP, Deputy Chief Corporate Compliance Officer, Northwell Health
MARYLAND A
■ 110 Behavioral Health Compliance: It Doesn’t Need to be a Mystery – Michelle Calloway, Attorney, McGuireWoods; Rebekah Stewart, Chief Ethics and Compliance Officer, Diamond Healthcare
MARYLAND C
■ 111 The Former Ameritox Whistleblower and the Ameritox Compliance Officer, Together – Barb Senters, Chief Compliance & Ethics Officer, Ameritox; Debra Maul, Former Whistleblower, Ameritox
NATIONAL HARBOR 5
■ AD1 Social Media Risks – Lynda Hilliard, Healthcare Compliance Professional, Hilliard Compliance Consulting
CHESAPEAKE 3
■ AD2 Dealing with Privacy Breaches – Darrell Contreras, Chief Compliance Officer, Millennium Health
CHESAPEAKE A
12:00 – 1:00 pm Networking Luncheon PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
1:00 – 1:30 pmDessert & Networking Break in Exhibit Hall
PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
Do you have 5 or more years of experience in the healthcare compliance fi eld?
Have you held the CHC, CHPC, or CHRC certifi cation for at least 3 years?
You could qualify for the Certifi ed in Healthcare Compliance Fellow (CHC-F)®. Showcase your compliance expertise and commitment to the profession by building on your CHC, CHPC, or CHRC certifi cation. Set the bar higher and demonstrate you have what it takes to become a leader in this important and ever-changing fi eld.
To learn more, stop by HCCA’s booth and speak with a CCB representative, or visit us online at compliancecertifi cation.org.
Become a CHC-Fellow.
Set a higher bar for yourself.
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Protecting your people, your reputation and your bottom line.
The Faces of Compliance.Visit booth #401 to learn how NAVEX Global can help you find the inspiration, justification and direction you need to effectively manage your organization’s approach to policy and procedures.
Download a free copy of our Definitive Guide to Policy Management: www.navexglobal.com/
policyguide
Mention this ad at Booth #517 and HCCS will donate $5 to the National Breast Cancer Foundation.
Proper tools and training are essential for ensuring compliance. We help healthcare organizations use data to understand their compliance progress, identify outstanding challenges, and determine how best to move forward.
compliance-institute.org 17
Program at a glanceMONDAY, MARCH 27 | CONFERENCE1:30 –2:30 pm BREAKOUT SESSIONS■ 201 Compliance Today, Effectiveness Tomorrow: The Necessary
Steps to Success – Bret S. Bissey, Senior VP Compliance Services, MediTract, Inc.; Kenneth Zeko, Senior Vice President, CHAN Healthcare; Sean R. McKenna, Shareholder, Greenberg Traurig, LLP
POTOMAC
■ 202 The OIG’s New CIA Form: How Your Compliance Program Can Benefit – Steven W. Ortquist, Managing Director, Aegis Compliance & Ethics Center LLP; Nicole Caucci, Senior Counsel, OIG HHS
MARYLAND C
■ 203 Dealing with a Worthless Services Allegation – Michael D. Smith, Chief Compliance Officer, Foundation Health Services, Inc.; Julie B. Mitchell, Attorney, Mitchell Day Law Firm, PLLC
CHESAPEAKE 6
■ 204 Successfully Resolving a Multi-Year OCR Investigation – Cliff Baker, Managing Partner, Meditology Services; Adam Greene, Partner, Davis Wright Tremaine, LLP; Karen M. Eastmond, Chief Compliance Officer, CenterLight Health System
NATIONAL HARBOR 3
■ 205 Cleaning Up the Low Hanging Fruit to Protect Your Physician Practices – Vicki L. Dwyer, Chief Compliance Officer, Valley View Hospital; Nancy C. Kennedy, Chief Compliance & Privacy Officer; Chief Operations Officer, Galichia Medical Group
MARYLAND A
■ 206 “Random” is Not Necessarily “Valid”: Managing and Defending Against Statistics in Audits and FCA Claims – Tracy M. Field, Partner, Parker Hudson Rainer & Dobbs; Sandra Miller, Attorney, Womble Carlyle Sandridge & Rice LLP
NATIONAL HARBOR 5
■ 207 Implementing Drug Diversion Risk Rounds – Tracy E. Tracy, Senior Director Integrity and Compliance, HealthPartners; Sara Schroeckenthaler, Program Manager, HealthPartners
NATIONAL HARBOR 12
■ 208 Sampling 101: A Primer for Conducting Self Disclosure and Internal Audits – Frank D. Cohen, Director of Analytics, Doctors Management LLC
MARYLAND D
■ 209 Yeah, But What’s In It for Me? Making Training and Communications Impactful, Relevant, and Fun! – Kristy Grant-Hart, Owner, Spark Compliance Consulting; Calin M. Elardi, Compliance Project Manager, Sound Physicians
MARYLAND B
■ 210 Conflicts of Interest and Big Data: What Can We Learn from Large Databases of Provider Disclosures? – William Sacks, VP Product Management, HCCS - A HealthStream Company; Alan Beer, Senior System Engineer, Carolinas HealthCare System
NATIONAL HARBOR 10
■ 211 Audit Log Demands During Litigation: Response Conundrums from a Compliance Perspective – Carey Cothran, Executive Director, Corporate Compliance and Audit, WellStar Health Systems; Emily Reilly, Compliance Administrator, WellStar Health System, Inc
CHESAPEAKE D
■ AD3 The Partnership of Risk and Compliance – Sheryl Vacca, Chief Risk Officer, Providence St Joseph Health
CHESAPEAKE 3
■ AD4 Program Operational Components: Monitoring and Safeguards – Jawanna King, Regional Compliance Director, Tenet Healthcare Corporation; Jeff Paul, Regional Compliance Director, Tenet Healthcare
CHESAPEAKE A
■ AD5 Pointers and Pitfalls in Managing Work-Life Balance, Stress, and Burnout in the Compliance Profession – Shawn DeGroot, Global Business Process Management Compliance Officer, Navigant Cymetrix
CHESAPEAKE G
18 compliance-institute.org
Program at a glanceMONDAY, MARCH 27 | CONFERENCE2:30 – 3:00 pm Networking Break in Exhibit Hall PRINCE GEORGE EXHIBIT
HALL, LOWER ATRIUM LEVEL
3:00 –4:00 pm BREAKOUT SESSIONS■ 301 Compliance Challenges in the Yates Memo Era – Gina Simms,
Principal, Baker Ober Health Law Group; George Breen, Shareholder, Epstein Becker & Green PC; Tarra R. DeShields, Assistant US Attorney, US Attorney’s Office for the District of Maryland
MARYLAND B
■ 302 The Blame Game: Accountability in Healthcare Compliance – Rick Kam, President & Co-Founder, ID Experts
NATIONAL HARBOR 3
■ 303 Making the Most of a CIA – Donna J. Thiel, Director, ProviderTrust; Laura Ellis, Senior Counsel, OIG HHS
NATIONAL HARBOR 12
■ 304 Managing the Business Associate Relationship: From Onboarding to Breaches – William J. Roberts, Associate, Shipman & Goodwin, LLP; Jay Hodes, President, Colington Consulting
POTOMAC
■ 305 Split Shared/Consulting Services…to Split Share or Consult Is the Question – Nicole S. Huff, Chief Compliance & Privacy Officer, St. Luke’s University Health Network; Andrea J. Riccelli, Supervisor, Provider Services Compliance, St. Luke’s University Hospital
CHESAPEAKE D
■ 306 Advice of Counsel and Good Faith Reliance: Best Practices in a Risky Environment – Kevin G. McAnaney, Attorney, Law Office of Kevin G McAnaney; James Sheehan, Chief, Charities Bureau, NY Attorney General
NATIONAL HARBOR 5
■ 307 Physician Arrangements: Conducting the Audit & Ensuring a Resolution – Juliette Stancil, Regional Compliance Officer, Presence Health; Anne E. Brummell, Regional Compliance Officer, Presence Health
NATIONAL HARBOR 10
■ 308 Auditing Compliance for Clinical Documentation and Coding: Collaboration Is Key! – Debbie G. Morgan, Compliance Officer, Clinica Family Health; Justin Wheeler, VP of Clinical Services, Clinica Family Health
MARYLAND A
■ 309 Risk: A Fundamental 4-Letter Word for Compliance Professionals – Frank Ruelas, Facility Compliance Professional, St. Joseph’s Hospital and Medical Center/Dignity Health
MARYLAND D
■ 310 You Don’t Need to Be a Wizard to Solve Today’s Compliance Challenges: Seven Steps to Ensure Your Compliance Program Follows the Yellow Brick Road – Karen Bommelje, Senior Manager, Compliance, Simione Healthcare Consultants, LLC; John R. Hamilton, Vice President of Compliance, Kindred Healthcare
MARYLAND C
■ 311 Overlapping Surgery Developments – Sara Kay Wheeler, Partner, King & Spalding; Alana Sullivan, Chief Compliance Officer, Erlanger Health System
CHESAPEAKE 6
■ AD6 Operational Components of a Compliance Program – Al Josephs, Senior Director, Risk Assessment and Culture, Tenet Healthcare Corporation; Ryan Whitehill, Manager Ethics & Compliance Training, Tenet Healthcare Corporation
CHESAPEAKE 3
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
compliance-institute.org 19
Program at a glanceMONDAY, MARCH 27 | CONFERENCE3:00 –4:00 pm BREAKOUT SESSIONS (CONTINUED)■ AD7 Compliance Programs for Provider-owned Health Plans and
Alternative Payment Programs – Jenny M. O’Brien, Chief Compliance Officer, UnitedHealthcare; Michael Holper, SVP Integrity & Audit Services, Trinity Health
CHESAPEAKE A
■ AD8 Beyond the Law: Business Ethics & the Compliance Officer – Ryan Meade, Director Regulatory Compliance Studies, Loyola University Chicago School of Law
4:30 –5:30 pm BREAKOUT SESSIONS■ 401 Down the Rabbit Hole: Compliance Investigations, Corrective
Action Planning, and Self-Disclosure – Tony Maida, Partner, McDermott Will & Emery; Anne S. Daly, Corporate Compliance Officer, Ann & Robert H. Lurie Children’s Hospital of Chicago
POTOMAC
■ 402 Congratulations on that New Hospital/Provider Practice Acquisition! Compliance Lessons Learned the Hard Way – Donald A. Sinko, Chief Integrity Officer, Cleveland Clinic; Vicki R. Bokar, Senior Director Corporate Compliance, Cleveland Clinic
NATIONAL HARBOR 10
■ 403 Mitigating Hot Button Risk Areas in Home Health & Hospice – Kathryn A. Krenz, Clinical Analyst, Brookdale Senior Living; Kimberly M. Hrehor, Director, TMF Health Quality Institute
NATIONAL HARBOR 3
■ 404 Mobile Health (mHealth) Applications in a Healthcare Environment – Brandon Goulter, Facility Compliance Professional, Dignity Health; Steven R. Baruch, Service Area Compliance Director, Dignity Health
MARYLAND A
■ 405 Making Compliance Work in Physician Practices – Betty Baber-Kinsey, Phys. Practices Compliance Officer, Tenet Healthcare
MARYLAND D
■ 406 Federal Administrative Sanctions: Exclusion and Civil Money Penalties – Julie Kass, Lawyer, Baker Ober Health Law Group; Lauren Marziani, Senior Counsel, OIG HHS
NATIONAL HARBOR 5
■ 407 Research Risks Assessments: What Must be Considered and Why – Sarah Fowler-Dixon, Education Specialist, Human Research Protection Office, Washington University School of Medicine
NATIONAL HARBOR 12
■ 408 Dynamic Board Reports: What Do They Really Want to Know? – Ruth Krueger, Enterprise Compliance Program Manager, Sanford Health; Cindy J. Matson, VP Health Services Compliance, Sanford Health
MARYLAND B
■ 409 How to Get More LinkedIn Views than Roy: Practical Tips for Improving Your LinkedIn Profile & Getting Employers to Seek You Out – Brenda K. Manning, JD, CHC, CHPC, Privacy & Regulatory Affairs Director University of Minnesota Physicians
CHESAPEAKE D
■ 410 Medicare FDRs and Compliance Programs: What the Feds Expect and Tips for Ensuring Your Organization Satisfies the Requirements – Heather L. Fields, Shareholder, Chair - Hospital/Health Systems Practice, Reinhart Boerner Van Deuren s.c.; Catherine M. Boerner, President, Boerner Consulting LLC; Jenny M. O’Brien, Chief Compliance Officer, UnitedHealthcare
MARYLAND C
20 compliance-institute.org
Program at a glanceMONDAY, MARCH 27 | CONFERENCE4:30 –5:30 pm BREAKOUT SESSIONS■ 411 The Business of Health Care Fraud Enforcement: A Pragmatic
Discussion and Assessment – Brian Bewley, Shareholder, Polsinelli PC; Jeffrey Fitzgerald, Shareholder, Polsinelli PC
CHESAPEAKE 6
■ AD9 Strategies for Managing Potential Overpayments and Compliance with the 60-Day Rule – Sara Kay Wheeler, Partner, King & Spalding
CHESAPEAKE G
■ AD10 Privacy and Research – Joan Podleski, Chief Privacy Officer, Children’s Health; Brian Annulis, Partner, Meade Roach & Annulis, LLP
CHESAPEAKE 3
■ AD1B Social Media Risks – Lynda Hilliard, Healthcare Compliance Professional, Hilliard Compliance Consulting
CHESAPEAKE A
5:30 – 7:00 pm Networking Reception in Exhibit Hall PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
TUESDAY, MARCH 28 | CONFERENCE6:30 – 7:30 am
Zumba (pre-registration is required— space is limited)
EASTERN SHORE, LOWER ATRIUM LEVEL
7:00 am – 4:00 pm Conference Registration CONVENTION CENTER PRE-FUNCTION
7:00 – 8:30 am Continental Breakfast in Exhibit Hall PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
8:30 – 8:45 am Opening Remarks POTOMAC
8:45 – 9:30 am
GENERAL SESSION: Human Trafficking and Modern Slavery: The Next Compliance Challenge – Moderator: Adam Turteltaub, CHC, CCEP, Vice President of Membership Development, Society of Corporate Compliance and Ethics ; Margaret J. Hambleton, VP Corporate Compliance, Dignity Health; William Shepherd, Partner, Holland & Knight
POTOMAC
9:30 – 10:30 am
GENERAL SESSION: Wonders of Spaceflight and Its Risks: Lessons from the Space Shuttle Program – Dr. Garrett Reisman, Director of Space Operations, SpaceX
POTOMAC
10:30 – 11:00 am Networking Break in Exhibit Hall PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
Blog to Win!Do you want a “World’s Best Blogger” mug?
Blog to win! Submit a post and stop by HCCA’s Exhibit Hall booth for your prize.
complianceandethics.org/ guest-blog-submission
22 compliance-institute.org
Tweetingat the CI?
#HCCAciDon’t forget to use
in your tweets andInstagram posts!
compliance-institute.org 23
Program at a glanceTUESDAY, MARCH 28 | CONFERENCE11:00 am – 12:00 pm BREAKOUT SESSIONS■ 501 Data Dashboards: What Should You be Tracking –
Michael Rosen, Co-Founder, ProviderTrust Inc; Donna J. Thiel, Director, ProviderTrust; Susan Coppola, Sr. VP, Resident Care, Sunrise Senior Living
POTOMAC
■ 502 Navigating Medical Necessity Denials Management for All Payers – Marc Tucker, Vice President, Compliance and Physician Education, Optum Executive Health Resources
MARYLAND C
■ 503 Bundled Payments and Other Risk Arrangements for Post-Acute Care Providers – Alan Schabes, Partner, Benesch, Friedlander, Coplan & Aronoff LLP; Beth Rosenbaum, Sr. VP Chief Counsel, Kindred Healthcare
NATIONAL HARBOR 10
■ 504 Medical Device Security: The Transition from Patient Privacy to Patient Safety – Scott Erven, Managing Director, Health Industries Advisory Cyber Security & Privacy, PwC
MARYLAND A
■ 505 Physician Engagement in the Compliance Process – R. Brett Short, Chief Compliance Officer, UK HealthCare/University of KY; Sarah M. Couture, Associate, Aegis Compliance & Ethics Center LLP
NATIONAL HARBOR 3
■ 506 Managed Care Fraud: Enforcement and Compliance – Pamela Brecht, Attorney/Partner, Pietragallo Gordon Alfano Bosick & Raspanti, LLP; Sarah Kessler, Associate Counsel, OIG HHS; Ed Crooke, Senior Counsel for Healthcare Fraud, U.S. Department of Justice, Civil Division
NATIONAL HARBOR 5
■ 507 Sampling and Statistical Methods for Compliance Professionals – Andrea C. Merritt, Partner, Athena Compliance Partners; Frank C. Castronova, Health Care Management Biostatistician, BCBS of Michigan
MARYLAND D
■ 508 The How and When of Leveraging Internal Audit – Keith Graff, Director, PricewaterhouseCoopers; Alice Louie, Manager, PricewaterhouseCoopers
CHESAPEAKE 6
■ 509 How to Keep Your Head Above Water in a Sea of Change – Rick Irby, Senior Director, U.S. Ethics and Compliance Health and Wellness Practice Compliance, Walmart Stores, Inc.; JoAnn M. Stevens, Senior Director, U.S. Ethics and Compliance, Health and Wellness Operations Compliance, Walmart Stores, Inc.
NATIONAL HARBOR 12
■ 510 Join the JV (Joint Venture) Team! Best Practices for Providers, Payers and Vendors to Align Business Development, Legal Affairs and Corporate Compliance and Control Compliance Risk Before and After a Joint Venture Go-Live – J. Eric Sandhusen, Compliance Director & Privacy Officer, Northwell Health
CHESAPEAKE D
■ 511 Investigative Interviewing: What Researchers Have Found Works and Doesn’t Work – Michael Johnson, CEO, Clear Law Institute
MARYLAND B
■ AD2B Dealing with Privacy Breaches – Darrell Contreras, Chief Compliance Officer, Millennium Health
CHESAPEAKE A
■ AD3B The Partnership of Risk and Compliance – Sheryl Vacca, Chief Risk Officer, Providence St Joseph Health
CHESAPEAKE 3
■ AD4B Program Operational Components: Monitoring and Safeguards – Jawanna King, Regional Compliance Director, Tenet Healthcare Corporation; Jeff Paul, Regional Compliance Director, Tenet Healthcare
CHESAPEAKE G
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
24 compliance-institute.org
Program at a glanceTUESDAY, MARCH 28 | CONFERENCE12:00 – 1:00 pm Networking Luncheon PRINCE GEORGE EXHIBIT
HALL, LOWER ATRIUM LEVEL
12:30 – 1:00 pmDessert & Networking Break in Exhibit Hall
PRINCE GEORGE EXHIBIT HALL, LOWER ATRIUM LEVEL
1:00 – 2:00 pm BREAKOUT SESSIONS■ 601 Compliance, The C-Suite, and The Board Of Directors: What
To Report And How? – George Breen, Shareholder, Epstein Becker & Green PC; Lisa Melamed, Vice President of Corporate Compliance and Corporate Compliance Officer, Laser Spine Institute; Karen Glassman, Senior Counsel, Office of Counsel to the IG, DHHS
MARYLAND B
■ 602 How to Use and Not Abuse MGMA and Other Survey Data in FMV Compliance Programs: Why Flawed Data Usage Leads to Increased Compliance Risk – Timothy Smith, Senior Managing Director, Ankura Consulting Group; Meghan Wong, Assistant Director, Data Solutions, MGMA
CHESAPEAKE 6
■ 603 Are You Billing the New PT and OT Evaluation Codes Properly? – Shawn M. Halcsik, Corporate Compliance Officer, Encore Rehabilitation; Nancy J. Beckley, President, Nancy Beckley & Associates LLC
NATIONAL HARBOR 10
■ 604 Study of 1000 Vendor Security Practices – Peter Merrill, Director Information Systems, Dartmouth Hitchcock; Danny Mimnaugh, Client Engagement Associate, CORL Technologies
MARYLAND D
■ 605 How to Develop Benchmarking Scorecards to Transition to Risk-Based Physician Auditing/Monitoring – Jared Krawczyk, Mathematician, Nektar Analytics; Andrei M. Costantino, VP of Integrity & Compliance, Trinity Health
MARYLAND C
■ 606 Self-Disclosure: Obligations, Options, Outcomes – Frank Sheeder, Partner, Alston & Bird; Tony Maida, Partner, McDermott Will & Emery; David Fuchs, Associate Counsel, Office of Counsel to the IG, U.S. Department of Health and Human Services
NATIONAL HARBOR 3
■ 607 CMS Provider Network Accuracy: Risk Assessment and Monitoring Strategies for Medicare Advantage Plans – Philip J. Masser, Medicare Compliance Officer, Geisinger Health Plan
NATIONAL HARBOR 5
■ 608 How to Get Audit-Ready in 7 Steps – Kimberly B. Holmes, Senior Vice President & Counsel, Cyber Insurance, Liability & Emerging Risks, ID Experts
MARYLAND A
■ 609 Building Your Healthcare Compliance Resume – Cristine M. Miller, Partner, Mountjoy Chilton Medley LLP
NATIONAL HARBOR 12
■ 610 What’s Next in Washington? – Kimberly Brandt, Chief Oversight Counsel, US Senate Finance Committee, Majority Staff
POTOMAC
■ 611 Compliance Is Ruff: A Dog’s Approach – Kimberly A. Lansford, Chief Compliance Officer, Penn State Health; Carol Lansford, Service Dog Trainer; Gabe II, Service Dog, Warrior Canine Connection
CHESAPEAKE D
■ AD5B Pointers and Pitfalls in Managing Work-Life Balance, Stress, and Burnout in the Compliance Profession – Shawn DeGroot, Global Business Process Management Compliance Officer, Navigant Cymetrix
CHESAPEAKE G
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
compliance-institute.org 25
Program at a glanceTUESDAY, MARCH 28 | CONFERENCE1:00 – 2:00 pm BREAKOUT SESSIONS (CONTINUED)■ AD6B Operational Components of a Compliance Program –
Al Josephs, Senior Director, Risk Assessment and Culture, Tenet Healthcare Corporation; Ryan Whitehill, Manager Ethics & Compliance Training, Tenet Healthcare Corporation
CHESAPEAKE 3
■ AD7B Compliance Programs for Provider-owned Health Plans and Alternative Payment Programs – Jenny M. O’Brien, Chief Compliance Officer, UnitedHealthcare; Michael Holper, SVP Integrity & Audit Services, Trinity Health
2:30– 3:30 pm BREAKOUT SESSIONS■ 701 Helpful Tips for Value Based Payment (VBP) Compliance
Programs – Aaron J. Lund, Director of Compliance & Privacy Officer, Northwell Health; Greg Radinsky, VP, Chief Corporate Compliance Officer, Northwell Health
MARYLAND A
■ 702 Strategic Considerations in Resolving Voluntary Disclosures to CMS, OIG, and DOJ – Patrick Garcia, Associate Counsel, Hall, Render, Killian, Heath & Lyman, P.C.; Kenneth Kraft, Senior Counsel, OIG HHS
MARYLAND D
■ 703 Cybersecurity in the Post-Acute Arena – Amy Brantley, EVP, Chief Compliance Officer, Golden Living; Lisa Spears, Privacy and Information Security Officer, Reliant Post Acute Care
NATIONAL HARBOR 3
■ 704 Bored with Your Board’s Lack of Interest? – Joseph Dickinson, Counsel, Tucker Ellis; Marti Arvin, Vice President of Audit Strategy, CynergisTek
CHESAPEAKE D
■ 705 Physician Training on Medical Necessity: What Is Important for Clinical Trials and How Does It Impact Revenue Integrity? – Kelly M. Willenberg, Owner, Kelly Willenberg, LLC
CHESAPEAKE 6
■ 706 Kickback and Stark Law Developments – Katherine Lauer, Partner, Latham & Watkins, LLP; Charles B. Oppenheim, Partner, Hooper Lundy Bookman, PC; Heather Westphal, OIG HHS
POTOMAC
■ 707 Risk Assessments and Work Plans: Key Spokes in the Circle of Compliance – Al Josephs, Senior Director, Risk Assessment and Culture, Tenet Healthcare Corporation; Laura Range, Vice President, Deputy Chief Compliance Officer, Tenet Healthcare Corporation; Kate Dunn, Compliance Officer, Tenet Healthcare Corporation
MARYLAND B
■ 708 Conducting an Internal Compliance Investigation When the Government Claims You Have False Claims – Joan W. Feldman, Partner, Shipman & Goodwin, LLP
NATIONAL HARBOR 5
■ 709 Strategies for Professionalism When Tantrums Aren’t an Option – Jay P. Anstine, President, Bluebird Healthlaw Partners, LLC
NATIONAL HARBOR 10
■ 710 Challenges for Academic Medical Centers – Lisa A. Taylor, Director and Chief Compliance Officer, UC Health; R. Brett Short, Chief Compliance Officer, UK HealthCare/University of KY
NATIONAL HARBOR 12
26 compliance-institute.org
Program at a glanceTUESDAY, MARCH 28 | CONFERENCE2:30– 3:30 pm BREAKOUT SESSIONS (CONTINUED)
■ 711 OIG Panel – Robert Owens, Deputy Inspector General for Management and Policy, OIG HHS; Christi Grimm, Chief of Staff, OIG, Department of Health & Human Services; Gary Cantrell, Deputy Inspector General for Investigations, OIG HHS; Gregory Demske, Chief Counsel to the Inspector General, HHS OIG; Gloria Jarmon, Deputy Inspector General for Audit Services, OIG HHS; Sue Murrin, Deputy Inspector General for Evaluation and Inspections, Office of Evaluation and Inspections, OIG
MARYLAND C
■ AD8B Beyond the Law: Business Ethics & the Compliance Officer – Ryan Meade, Director Regulatory Compliance Studies, Loyola University Chicago School of Law
CHESAPEAKE G
■ AD9B Strategies for Managing Potential Overpayments and Compliance with the 60-Day Rule – Sara Kay Wheeler, Partner, King & Spalding
CHESAPEAKE A
■ AD10B Privacy and Research – Joan Podleski, Chief Privacy Officer, Children’s Health; Brian Annulis, Partner, Meade Roach & Annulis, LLP
CHESAPEAKE 3
WEDNESDAY, MARCH 29 | POST-CONFERENCE7:30 am – 12:00 pm Conference Registration CONVENTION CENTER
PRE-FUNCTION
8:00 – 9:45 am POST-CONFERENCE SESSIONS■ W1 Decrypting a Ransomware Strategy – Rebecca Warren,
■ W2 How the “Three Amigos” of a Compliance Program—Compliance Officer, Legal, and Human Resources—Can Work Together to Support and Advance an Effective Compliance Program – William K. Wong, Sr. Coding & Compliance Educator/Auditor, Providence Health & Services; Walter E. Johnson, Director of Compliance & Ethics, Kforce Government Solutions; Frank Ruelas, Facility Compliance Professional, St. Joseph’s Hospital and Medical Center/Dignity Health
POTOMAC A
■ W3 340B Drug Pricing Self-Disclosures and Repayments: Success Stories and Lessons Learned – Karolyn Woo-Miles, Principal, Deloitte & Touche LLP; Emily Cook, Partner, McDermott Will & Emery; Anne S. Daly, Corporate Compliance Officer, Ann & Robert H. Lurie Children’s Hospital of Chicago
CHESAPEAKE J
■ W4 How to Navigate and Survive a Mega Breach – Nadia Fahim-Koster, Director, IT Risk Management, Meditology Services; Erin Fleming Dunlap, Shareholder, Polsinelli PC; Abby Bonjean, Abby Bonjean, Associate, Polsinelli PC; Regina Verde, Compliance and Privacy Officer, University of Virginia Health System
CHESAPEAKE D
■ W5 Lessons Learned: How Recent Enforcement Cases Provide Insight into Effective Compliance Programs for FMV and Commercial Reasonableness – Timothy Smith, Senior Managing Director, Ankura Consulting Group; Gregory Anderson, Partner, Horne LLP
CHESAPEAKE G
■ GENERAL COMPLIANCE/HOT TOPICS
■ LONG-TERM CARE
■ PRIVACY & SECURITY
■ PHYSICIAN COMPLIANCE
■ COMPLIANCE LAWYER
■ AUDITING & MONITORING
■ INTERNAL AUDIT
■ HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL
■ QUALITY OF CARE
■ ADVANCED DISCUSSION GROUPS
compliance-institute.org 27
Program at a glanceWEDNESDAY, MARCH 29 | POST-CONFERENCE8:00 – 9:45 am POST-CONFERENCE SESSIONS (CONTINUED)■ W6 Government Investigations and Compliance Matters:
Roadmap for In-House Counsel and Compliance Professionals – Anna Grizzle, Partner, Bass, Berry & Sims PLC; Ryan Stumphauzer, Partner, O’Quinn Stumphauzer & Sloman; Mahnu Daver, Partner, Arnold & Porter Kaye Scholer LLP
NATIONAL HARBOR 3
■ W7 Designing a Successful Analytics-Based Hospital Compliance Program and Securing Cross-Department Endorsement – Kate Conklin, Compliance Officer, UT Southwestern Medical Center; Trissi Gray, Assistant Director for Health System Affairs, UT Southwestern Medical Center
CHESAPEAKE 6
■ W8 Monitoring and Auditing HIPAA Compliance – Donald A. Sinko, Chief Integrity Officer, Cleveland Clinic; Vicki R. Bokar, Senior Director Corporate Compliance, Cleveland Clinic
POTOMAC B
■ W9 STRESS Makes You Distracted, Distraught, Dumb & Dead! – Debi I. Hinson, Chief Research and Associate Compliance Officer, Columbus Regional Health; Albert Eaton, Director of Behavioral Science, Family Medicine Residency, Midtown Medical Center
NATIONAL HARBOR 10
■ W10 Driving Quality of Care Through Culture Change Strategies: Identifying Culture Challenges, Collecting Data to Show Value for Change, and Creating Culture Change by Demonstrating What’s in It for Me? – Jalal Clemens, Compliance Program Manager, Stanford University
NATIONAL HARBOR 5
■ W11 Building Your Toolbox to Manage Conflict of Interest: Sunshine, Open Payments, and Investigations – Rebecca M. Scott, Clinical Research Comp Manager and COI Manager, UK HealthCare; Andrew H. Hill, Clinical Research Charge Auditor, UK HealthCare Office of Corporate Compliance; CJ Wolf, Senior Compliance Executive, Healthicity
10:00 – 11:45 am POST-CONFERENCE SESSIONS■ W12 Criminal and Civil Enforcement Trends: Focus on Federal
Enforcement of Fraud and Abuse Involving Hospice Programs and Opioid Abuse – Sean Bosack, Attorney, Godfrey & Kahn, S.C.; Michelle Frazier, SVP Chief Compliance Officer, Aurora Health Care; Stacy Gerber Ward, Partner, von Briesen and Roper; Christine Anusbigian, Specialist Leader, Deloitte & Touche LLP
CHESAPEAKE D
■ W13 Medicare Overpayment 60-Day Rule: What Your Compliance and Auditing Departments Need to Know – Tracey M. Nixon, Principal, ROC Healthcare Advisors; Christina A. Hughes, Counsel, Powers Pyles Sutter & Verville, PC; Peter W. Thomas, Principal, Powers Pyles Sutter & Verville
POTOMAC A
■ W14 How to Overcome Growing Pains by Maturing your Compliance Program from the Wonder Years to the Golden Years: Physician-Hospital Arrangements – Tynan Olechny, Consulting Principal, PYA; Ross Burris, Shareholder, Polsinelli PC; Valerie G. Rock, Consulting Manager, PYA
CHESAPEAKE G
28 compliance-institute.org
Program at a glanceWEDNESDAY, MARCH 29 | POST-CONFERENCE10:00 – 11:45 am POST-CONFERENCE SESSIONS (CONTINUED)■ W15 Privacy Officer Roundtable – Adam Greene, Partner, Davis
Wright Tremaine, LLP; Marti Arvin, Vice President of Audit Strategy, CynergisTek
POTOMAC B
■ W16 Pay for Performance 2017: Meeting New Physician Quality Reporting and Payment Requirements – Catherine Gorman-Klug, Director of Quality, Nuance Communications, Inc.; Anthony Oliva, Chief Medical Officer, Nuance Communications, Inc.
NATIONAL HARBOR 10
■ W17 Compound Pharmacy Prosecutions: Past Lessons and Future Trends – Ryan Stumphauzer, Partner, O’Quinn Stumphauzer & Sloman; Elizabeth D. Shaw, Partner, RezLegal, LLC; Jason Mehta, Assistant United States Attorney, U.S. Attorney’s Office for the Middle District of Florida
CHESAPEAKE J
■ W18 Effective Auditing Program for Managed Care Plans – Nicole S. Huff, Chief Compliance & Privacy Officer, St. Luke’s University Health Network; Deborah M. Johnson, Senior Director Compliance and Internal Audit, Peach State Health Plan
NATIONAL HARBOR 5
■ W19 MIPS, APMS, QRUR, and CMS Data: How Do Your Physicians Compare? – D. Scott Jones, VP, Healthcare Compliance and Risk, HPIX Medical Mutual Insurance Company; Michelle Moses, Associate, Marshall, Dennehey, Warner, Coleman & Goggin
CHESAPEAKE A
■ W20 Mergers and Acquisitions for Compliance Professionals – Sharon Blackwood, Chief Compliance Officer, Palmetto Health Tuomey; Jose A. Tabuena, Compliance and Privacy, PrincipledEdge; Donnessa Vessakosol, Manager, Strategic Value Group, LLC
NATIONAL HARBOR 12
■ W21 Don’t Let Your Quality Program Face the Risk Apocalypse: Practical Approaches to Implementing and Integrating ERM and Compliance with Quality – Ron Skillens, SVP, ERM & Chief Compliance Officer, JPS Health Network; Frank Rosinia, Chief Quality Officer, JPS Health Network
CHESAPEAKE 6
■ W22 Do You Know What Your Business Associates’ Subcontractors & Vendors are Doing with Your PHI & ePHI? – Web Hull, Privacy, Data Protection, & Compliance Advisor, Global Privacy & Compliance Group
NATIONAL HARBOR 3
1:00 pm Check-in for CHC Certification Exam POTOMAC C FOYER
1:00 pmCheck-in for CHPC and CHRC Certification Exams POTOMAC D FOYER
1:30 – 4:30 pm CHC Certification Exam* POTOMAC C1:30 – 4:30 pm CHPC and CHRC Certification Exams* POTOMAC D
* Actual exam duration is 120 minutes per the candidate handbooks
compliance-institute.org 29
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Moving healthcare in the right direction.The healthcare industry is undergoing significant structural change. Organizations are
today’s marketplace, healthcare executives must find ways to provide quality care and contain costs while facing unprecedented compliance risks and governmental scrutiny.
FTI Consulting can help you optimize performance in the short term and prepare for
the inevitable strategic, operational, compliance and financial challenges of the future.
For more information, please visit www.fticonsulting.com/hc
You know you need to be proactive to produce positive outcomes. With ComplyTrack, you can track any compliance issue, conduct investigations and audits, and allow every employee to instantly report issues across the enterprise. Advanced reporting produces the actionable insights you need to manage risk, control costs, and stay focused on your bottom line.
See us at HCCA CI 2017, Booth #501complytrack.com
The completely reimagined ComplyTrack™— built for healthcare to protect tomorrow through effective compliance today.
Confidential and Proprietary - the informationcontained herein is the proprietary information ofFreeman and by accessing the information, therecipient agrees to keep the informationconfidential and not disclose it to any third partywithout the prior consent of Freeman. Recipientalso agrees to only use the information for itsinternal evaluation purposes and for no otherpurpose, without the prior consent of Freeman.
500
609
611
615HCCA
Loading Docks
FREIGHTELV
ELV Lower Atrium
Prince George’s Exhibition Hall
A B C D E
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Foyer Lobby Level
Orchard Terrace
Registration Desks
Coat Check
Service Areas Stairs
Escalator
Restrooms
Elevator?ELV
KEY
Prince George’sExhibition Hall
EXHIBIT HALL & LUNCHES
compliance-institute.org 35
ACFE ..................................................................................................................................................................................801 ACL Services Ltd ................................................................................................................................................. 429Aegis Compliance & Ethics Center LLP ....................................................................................307AHIA.................................................................................................................................................................................. 302AHIMA .............................................................................................................................................................................225Altegra Health ......................................................................................................................................................500American Health Lawyers Association ....................................................................................806Arizona State University College of Nursing & Health Innovation .........427Aruvio, Inc. .................................................................................................................................................................522Aviacode .......................................................................................................................................................................222Barnes & Thornburg..........................................................................................................................................114Beacon Healthcare Systems ................................................................................................................ 829Berkely Reasearch Group .........................................................................................................................329Bloomberg Law ...................................................................................................................................................508The Bonadio Group ..........................................................................................................................................817Bottomline Technologies......................................................................................................................... 822Captain Integrity ...................................................................................................................................................116CARF International ...........................................................................................................................................327CBIZ KA Consulting Services............................................................................................................... 708Certiphi Screening, Inc...............................................................................................................................223Champion Healthcare Technologies ..........................................................................................810Clifton Larson Allen ........................................................................................................................................ 424The Coding Network LLC ...........................................................................................................................212Cognetyx Inc ...........................................................................................................................................................723Coker Group .............................................................................................................................................................812Compliance Wave LLC ................................................................................................................................... 717ComplianceLine, Inc. ......................................................................................................................................316Compliatric ................................................................................................................................................................625Comply Assistant...................................................................................................................................................111Comply Guys ...........................................................................................................................................................627Contract Guardian/Rippe & Kingston .......................................................................................324CORL Technologies ........................................................................................................................................ 426Crowe Horwath .....................................................................................................................................................714CynergisTek ...............................................................................................................................................................100DataFile Technologies ................................................................................................................................. 203
Exhibitors
36 compliance-institute.org
ONLINE LEGAL STUDIES PROGRAMS FOR PROFESSIONALS IN THE HEALTH CARE INDUSTRYFROM THE DREXEL UNIVERSITY THOMAS R. KLINE SCHOOL OF LAW
FEATURED ONLINE PROGRAMS• Master of Legal Studies – Health Care
Compliance Specialization
• Certificate in Health Care Compliance
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LEARN MORE
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Lacey Selman
Online Master of Legal Studies
Join the AHA Health Forum Book Club! Start by picking up your card at HCCA Compliance Institute registration. Then, stop by the three exhibit booths listed below to get your card stamped and learn about why these organizations’ solutions have earned the American Hospital Association Endorsement for compliance challenges.
When your card has all three stamps, you can visit Health Forum’s Booth #322 to select a book from a collection of recent bestsellers on leadership and innovation*, receive a free book bag and be entered in a drawing to win one of four $100 American Express gift cards.
NO PURCHASE NECESSARY TO ENTER OR WIN. A PURCHASE WILL NOT INCREASE YOUR ODDS OF WINNING. ODDS OF WINNING WILL DEPEND ON THE TOTAL NUMBER OF ENTRIES RECEIVED. VOID WHERE PROHIBITED BY LAW. Sweepstakes only open to employees of U.S. hospitals who are residents of the 50 U.S. or D.C., 21 years and older. Sweepstakes begins on or about 3/26/17 at 4:30 p.m. Eastern and ends at 1:15 p.m. Eastern on 3/28/17. ARV of all prizes: $400.00. Subject to full Official Rules: http://j.tinyurl.com/aha-hcca-sweepstakesrules-2017. American Express is not affiliated with, does not sponsor and has not endorsed the sweepstakes.
BookClub
Booth #223 Booth #301Booth #401
*Books available to the first 75 participants.
compliance-institute.org 37
Deloitte .........................................................................................................................................................................300Doctors Management LLC ..................................................................................................................... 220Drexel University Online ...........................................................................................................................726ECRI Institute .........................................................................................................................................................808EverCheck ................................................................................................................................................................... 109FairWarning Inc .....................................................................................................................................................701Focal Point Data Risk...................................................................................................................................... 813FTI Consulting .......................................................................................................................................................409GeBBS Healthcare Solutions ................................................................................................................713The George Washington University .............................................................................................507Global Healthcare Exchange (GHX)..........................................................................................606GNYHA Ventures Inc ......................................................................................................................................213Hayes Mgmt Consulting/MD Audit ............................................................................................ 605HCCA .................................................................................................................................................................................313HCCS – A HealthStream Company ................................................................................................. 517Health Endeavors ...............................................................................................................................................123Health Forum ..........................................................................................................................................................322Health Information Associates ...........................................................................................................710HealthCare Appraisers ..................................................................................................................................811Healthcare Compliance Recruiting ..............................................................................................326Healthcare Cost Solutions .......................................................................................................................613Healthcare Resource Group .................................................................................................................702HealthDOX ................................................................................................................................................................722Healthicity ................................................................................................................................................................... 101HIPAA Solutions ..................................................................................................................................................724HospitalPortal.net .............................................................................................................................................827Huron Consulting Group .........................................................................................................................504Iatric Systems Inc ................................................................................................................................................107iContracts ....................................................................................................................................................................227IMA Consulting .................................................................................................................................................... 623INCompliance .......................................................................................................................................................208Integrity Management Services, Inc. ........................................................................................... 117Intersect Healthcare ....................................................................................................................................... 727Iron Mountain ....................................................................................................................................................... 428 Kinney Management Services ...........................................................................................................323
A national leader in Ethics & Compliance training and support.Aegis consultants have a passion for compliance and ethics, and together we develop innovative strategies that work.
Knowledge, Experience & Guidance.Meade, Roach & Annulis, LLP is a leading health law and compliance firm dedicated to building, implementing, and enhancing world-class compliance programs.
• Investigations • Regulatory Counsel• Compliance Expert and IRO services