group discounts health care compliance ssociation … · 2014-09-04 · final program group...

Final Program

Group Discounts AvAilAble

(see page 43)

HealtH Care ComplianCe assoCiation’s14th annual ComPlianCe institute april 18–21, 2010 ✪ Hyatt regency ✪ Dallas, tX

register now at www.ComPlianCe-institute.org

2 www.compliance-institute.org

HCCA would like to thank our

ConferenCe sponsors

Benefit: Holding your meeting in Dallas will enable your members/staff to network at the largest conference for health care compliance professionals.

DisCounts: All members from your orga-nization will receive the HCCA member rate to the 2010 Compliance Institute.

Book your Meeting: HCCA will hold the 2010 Compliance Institute at the Hyatt Dallas at Reunion. Approved applica-tions receive complimentary meeting room space at the conference site and your choice of complimentary continen-tal breakfast or am or pm break. Please arrange additional food and beverage directly with the hotel. Affinity group meetings may be held:

•Saturday, April 17 •Wednesday, April 21 •Thursday, April 22

Contact Jennifer power at 952-405-7916 or [email protected] to learn more

Affinity group Meetings in 2010 Hold your organization’s meeting in conjunction with HCCA’s Compliance institute!

Media SponSorS

ConFerenCe SUpporTerS

plaTinUM SponSorS

Gold SponSorS

VolUnTeer projeCT SponSor

SilVer SponSorS

www.compliance-institute.org 3

learning objectives •To describe the various components

of compliance, ethics, and corporate responsibility plans and programs within the health care arena, and to know the compliance procedures and issues related to the various health care laws and regulations

•To describe auditing and monitoring processes in order to evaluate your own audits, and to identify departmental compliance concerns (another key component of the Compliance Institute)

•To have a working knowledge of the legal issues compliance professionals face, and to equip attendees with the necessary legal knowledge needed to deal with inquiries from the enforcement authorities

•To describe compliance issues faced in a specific segment of the health care industry

•To describe key tactics and compliance actions to implement and the processes to do so

•To have an understanding of recent laws, regulations, and enforcement actions as they pertain to a compliance program

•To describe the compliance issues faced and the key processes to use to address them as they relate to a specific segment of the health care arena

•To establish a working network of compliance professionals within the compliance professional’s specific segment of health care

who should attend•Health care compliance professionals

•Risk managers

•Health care senior executives and leaders, including CEOs and CFOs in hospitals, medical groups and IPAs, ancillary providers, long-term care organizations and health plans

•Members of the board of trustees of health care enterprises

•Institutional chief information officers

•Coding and billing specialists

•Physicians and other health professionals

•Health care consultants and attorneys

•Health care regulators and other government personnel

•Health care journalists, researchers and policy makers

•Privacy officers and other professionals handling health care privacy issues

•Health information management specialists

•Nurse managers and executives

•Staff educators and trainers

about the instituteJoin your Colleagues in Dallas for the single most comprehensive compliance conference designed specifically to meet the needs of today’s healthcare compliance professionals and their staff.


Continuing Education Credits

AAPC: This program has the prior approval of the American Academy of Professional Coders (AAPC) for 19 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

ACHE: This program has prior approval from the American College of Healthcare Executives (ACHE) for approximately 20 category II Continuing Education Credits.

AHDI: This program has been approved for 178 Continuing Education Credits for use in fulfilling the Certified Medical Transcriptionist (CMT) Continuing Education requirements of the Association for Healthcare Documentation Integrity (AHDI). Credit awards will be assessed based solely on attendees’ specific session attendance.

AHIMA: This program has been approved for 19 continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

ASHRM: This conference has been approved for the following Continuing Education Credit toward fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and toward CPHRM renewal: Pre-conference Morning = 2.75 contact hours

Pre-conference Afternoon = 2.75 contact hours

Conference Monday & Tuesday = 9.25 contact hours

Industry Immersions Monday = 3.5 contact hours

Industry Immersions Tuesday = 4.5 contact hours

Post-conference = 3.75 contact hours

CA NURSING CE: The Health Care Compliance Association is pre-approved by the California Board of Registered Nursing (Provider Number CEP 12990), for a maximum of approximately 24 fifty-minute contact hour(s). The following states will accept CA Board of Nursing Contact Hours: Alabama, Alaska, Arkansas, Iowa, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oregon, Texas, West Virginia, Wyoming. The following states do not have continuing education requirements: Arizona, Colorado, Connecticut, Georgia, Hawaii, Indiana, Maine, Missouri, Montana, New York, Oklahoma, Pennsylvania, South Dakota, Tennessee, Vermont, Virginia, Washington, Wisconsin. The following states will NO T accept CA Board of Nursing contact hours: Delaware, Florida, New Jersey, and Utah. Massachusetts and Mississippi nurses may submit CA Board of Nursing contact hours to their state board, but approval will depend on review by the board. Please contact [email protected] with questions.

CLE: The Health Care Compliance Association is a State Bar of California approved Mandatory Continuing Legal Education (MCLE) provider, Rhode Island MCLE Accredited Provider, and Texas MCLE Accredited Provider. The full course including pre-conference and Industry Immersions is approved for a maximum of approximately 24 MCLE clock hours. Approval will be sought for all other states with Mandatory Continuing Legal Education requirements.

NAMSS: This program has been approved by the National Association Medical Staff Services for up to 24.5 continuing education credit(s).

NAB/NCERS: This educational offering has been reviewed by the National Continuing Education Review Service (NCERS) of the National Association of Long Term Care Administrator Boards (NAB) and approved for 27.50 clock hours and 19.25 participant hours. Sessions approved for credit include the following: P3, P4, P9, P13, P18, Monday and Tuesday General Sessions, the Long Term Care Track sessions 103, 203, 303, 403, 503, 603, 703, and W3.

NASBA/CPE: The Health Care Compliance Association is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE sponsors, Sponsor Identification No: 105638. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit and may not accept one-half credits. To verify if your state board of accountancy has adopted one-half credits, please visit our website at www.hcca-info.org/accountancycredits. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. Website: www.nasba.org. A recommended maximum of 24 credits based on a 50-minute hour will be granted for the entire learning activity including Industry Immersions. This program addresses topics that are of a current concern in the compliance environment. This is an update, group-live activity. For more information regarding administrative policies such as complaints or refunds, call the HCCA at 888-580-8373 or 952-988-0141.

The Health Care Compliance Association is in the process of applying for external continuing education credits. If you do not see your specific accreditation listed, please call us at 952-988-0141 or 888-850-8373 or email [email protected], as we would like the opportunity to offer it. Please continue to check our website, www.compliance-institute.org, for updates on approval totals for the 2010 Compliance Institute.


CoMPLIANCE CERTIfICATIoN BoARD (CCB): Compliance Certification Board (CCB): Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), Certified in Healthcare Research Compliance (CHRC): CCB has awarded a maximum of

Entire activity (with pre- and post-conference sessions) with industry immersions included: 24

Entire activity (with pre- and post-conference sessions) without industry immersions: 24

for these accreditations in the following subject areas: Application of Management Practices for the Compliance Professional; Application of Personal and Business Ethics in Compliance; Written Compliance Policies and Procedures; Designation of Compliance Officers and Committees; Compliance Training and Education; Communication and Reporting Mechanisms in Compliance; Enforcement of Compliance Standards and Discipline; Auditing and Monitoring for Compliance; Response to Compliance Violations and Corrective Actions; HIPAA Privacy Implementation and/or Complying with Government Regulations.

with industry immersions without industry immersions

Sunday maximum: 6.6 Sunday maximum: 6.6Monday maximum: 7.5 Monday maximum: 7.5Tuesday maximum: 5.4 Tuesday maximum: 5.4Wednesday maximum: 4.5 Wednesday maximum: 4.5

Continuing education Credits

TAkE A CERTIfICATIoN ExAM AT THE CoMPLIANCE INSTITUTE

Certified in Health Care Compliance (CHC)

Certified in Health Care Research Compliance (CHRC)

BoTH ExAMS: WEDNESDAy, APRIL 21, 2010 2:00 – 4:00 PM

DeADline For receipt oF ApplicAtions is

MArch 24, 2010. To download exam applications,

please visit www.compliance-institute.org and click on

the “Certification” tab.

Planning to take a certification exam at the

Compliance Institute? Sessions marked in the

brochure with chrc or chc may be helpful.

For more information about the CHC and CHRC certifications, please visit www.hcca-info.org

6

speakers

www.compliance-institute.org

WILMA ACoSTA, CHC [510]Compliance Officer Sutter Medical Center Sacramento, CA

BEN ADkINS [II1]Adkins & Associates Tampa, FL

JANA koLARIk ANDERSoN [401]Attorney Epstein Becker & Green, P.C. Washington, DC

AUDREy ANDREWS [P8]Chief Compliance Officer Tenet Healthcare Dallas, TX

APRIL ANDREWS-SINGH, RN, JD, CHC, CHRC [P7]Compliance Director MEDNAX Services, Inc. Sunrise, FL

CHRIS ANUSBIGIAN, CHC [II5]Senior Manager Health Sciences Deloitte & Touche LLPDetroit, MI

MARTI ARvIN, CHC-f, CHRC, CCEP-f [P4, W4]Privacy Officer University of Louisville Louisville, KY

DEANN BAkER, CHC, CCEP, CHRC [P13]Chief Corporate Compliance Officer Alaska Native Tribal Health Consortium Anchorage, AK

CHRIS BANGERTER, CHC [II2]Corporate Compliance Officer LifePoint Hospitals Brentwood, TN

PAUL M. BARAN [201]PriceWaterhouseCoopers Director, Internal Audit Philadelphia, PA

DEBRA BAvERMAN [207]Vice President Regulatory Compliance Medicare Advantage Division of Universal American Corp Houston, Texas

STEvE BEARAk [W9]President/CEOIdentityForceFramingham, MA

ALISSA BEATTIE, CHC [II3]Compliance Officer New West Health Services Helena, MT

JoHN BEATTIE, CPA, CfE [501]Partner, Healthcare Consulting Group ParenteBeard LLC Mechanicsburg, PA

MARy ANN BEIL [309]Corporate Ethics and Compliance Officer Memorial University Medical Center Savannah, GA

MARy BENNETT [309]Vice President Ethical Leadership Group Mundelein, IL

BETTy B. BIBBINS, MD, CHC, C-CDI, CPEHR, CPHIT [W5]President & Chief Medical Officer DocuComp LLC Cape Charles, VA

BRET BISSEy, CHC [112]Director Regulatory Compliance IMA Consulting Chadds Ford, PA

TERESA M. BIvENS, CHC [505]Deputy Compliance Officer & Education Manager University of Louisville HSC Louisville, KY

TIMoTHy BLANCHARD [706]Partner Blanchard Manning LLP Orcas, WA

JoHN T. BoESE [P6]Of Counsel Fried, Frank, Harris, Shriver & Jacobson LLP Washington, DC

ERIkA BoL, MS, CHC, CPHRM [P19]Privacy Officer, Legal Division Colorado Department of Health Care Policy & Financing Agency Administration and Operations Office

BoBBI BoNNET, RN, MPA [502]Senior Compliance Practice Leader, National Compliance Ethics and Integrity Office Kaiser Permanente Oakland, CA

LINDA BoRGES, MS [P10, II3]Director of Compliance/ Corporate Compliance Officer MVP Health Care Schenectady, NY

MARy BRADy [W8]Senior Nursing Consultant HCT Consulting Bluffton, SC

kIMBERLy BRANDT [P9, 601]Director, Medicare Program Integrity Group CMS Baltimore, MD

BESS ANN BREDEMEyER, BSN, RN, CHC, CPC, PCS [711]Director of Compliance McKesson Practice Consulting Solutions San Francisco, CA

ANGELA BRICE-SMITH [P9]Acting Director, Medicaid Program Integrity GroupCMS

GILLIAN GRAy BRoDERICk [103]Vice President of Health Information Privacy Fundamental Administrative Services, LLC Baltimore, MD

JULENE D. BRoWN, RN, CHC, MSN, CPC [101]Director of Corporate Compliance Innovis Health Fargo, ND

ToDD BRoWN [P18]Eclipsys Atlanta, GA

PETER P. BUDETTI, MD, JD [GS]Deputy Administrator for the Center for Program Integrity CMS

D. MICHELLE BURfoRD, RN, MSN, JD [P10]Risk Manager/Compliance Officer/ Patient Safety Officer Fort Madison Community Hospital Fort Madison, IA

DIANE T. CARTER, CHC [705]Partner Brown McCarroll Austin, TX

DAvID CHILDERS, CIPP [301]President & CEO EthicsPoint, Inc. Lake Oswego, OR

DWIGHT CLAUSTRE, CHC, CHRC [113]Director Huron Consulting Group Sun City West, AZ

PAT CoNNELL, PRN, MBA, CHE, CBHE, CHC [310]Vice President of Behavioral Health/Research/Compliance/Government RelationsBoys Town National Research HospitalOmaha, NE

CyNTHIA CooPER [GS]Author, Extraordinary CircumstancesOne of TIME Magazine’s Persons of the Year CEO, The CooperGroup, LLC Jacksonville, MS

MICHELLE CooPER [II2]Vice President and Corporate Responsibility Officer Catholic Health Initiatives Denver, CO

speakers


SHERyL DACSo [705]Partner Brown McCarroll LLP Houston, TX

CHARMIN DAvIS, CHC [307]Compliance Specialist Health Management Associates Naples, FL

SHAWN y. DEGRooT, CHC-f, CCEP, CHRC [P3]Vice President of Corporate ResponsibilityRegional HealthRapid City, SD

GENE DELADDy [709]Senior Vice President/Chief Compliance Officer/Chief Audit Executive/Chief Privacy Officer of Carolinas HealthCare System Charlotte, NC

vINCENT L. DICIANNI [610]Affiliated Monitors, Inc. Boston, MA

JAMES DoNALDSoN, MS, MPA, CHC, CIPP [204]Privacy and Security Officer Baptist Health Care Corporation Pensacola, FL

ANGELIqUE DoRSEy, JD, CHRC [702]Research Compliance Director Medstar Health Columbia, MD

ANNE DoyLE, MBA, CHC [II3]Executive Vice President Chief Compliance Officer Fallon Community Health Plan Worcester, MA

BARBARA J. DUffy [303, W3]Shareholder Lane Powell PC Seattle, WA

BRUCE EDWARDS [P4]Chief Information Security Officer University of Louisville Louisville, KY

DAy EGUSqUIzA [701]President AR Systems Hansen, ID

kURT EICHENWALD [GS]Author of The Informant Pulitzer Prize Nominee Dallas, TX

GARy W. EILAND [W6]Partner King & Spalding LLP Houston, TX

LAURA ELLIS, JD [203]OIG Senior Counsel Department of Health & Human Services Washington, DC

SUSAN EMANUEL [W7]System RAC CoordinatorCatholic Healthcare WestPhoenix, AZ

kATHLEEN ENNISS, CPC, CHC [407]Compliance Analyst UW Medicine Compliance Seattle, WA

JoANNE B. ERDE [306]Partner Duane Morris LLP Miami, FL

JoHN C. fALCETANo, CHC-f, CCEP-f, CHRC [P14]Chief Audit /Compliance Officer University Health Systems of Eastern Carolina Greenville, NC

HARRy M. fEDER, MPA [511]Senior Vice President/COO IPRO Lake Success, NY

JoAN fERRARo [W3]Vice President Chief Compliance Officer Complete HealthCare Resources, Inc. PIttsburgh, PA

TREvoR fETTER [GS]President and CEO Tenet Healthcare Corporation Dallas, TX

JEffREy fITzGERALD [107, W6]Partner Faegre & Benson LLP Denver, CO

LEA foURkILLER, JD, CHC [105]Chief Compliance Officer Conifer Health Solutions Frisco, TX

HoPE foSTER [W6]Member Mitz, Levin, Cohn, Ferris, Glovsky & Popeo, PC Washington, DC

MoNICA fRAzER, CHC, CHRC [P7]Vice President, Internal Audit Baylor Health Care System Dallas, TX

RoBERT fREEDMAN [P5]Director of Business Development MDaudit Newton Center, MA

BARBARA GAy [503]Director of Advocacy Information American Association of Homes and Services for the Aging Washington, DC

DoNNA GILLEy, CHC [P19]Lattimore, Black, Morgan & Cain, PC

DAvID M. GLASER [W6]Attorney Fredrikson & Byron, P.A. Minneapolis, MN

CHRISToPHER k. GofoRTH, MHA, MPA, CHC [P10]Director of Compliance Program Integrity Stanford University Medical Center Palo Alto, CA

LARRy J. GoLDBERG [710]Principal Deputy Inspector General Office of Inspector General U. S. Department of Health and Human Services Washington, DC

CHERyL GoLDEN, CHC, CHRC [205]Senior Manager Deloitte & Touche Tampa, FL

JANET GoLDSTEIN [P6]Partner Vogel, Slade & Goldstein, LLP Washington, DC

MICHAEL D. GRANSToN [P6]Civil Division, U.S. Department of Justice Washington, DC

STEvEN GREENSPAN, JD, LLM [W9]Director, Government Appeals and Regulatory AffairsExecutive Health ResourcesNewton Square, PA

BoB GRoSS [704]Associate Compliance Officer-Privacy University of Chicago Medical Center Chicago, IL

LEAH B. GUIDRy [113]Managing Director Huron Consulting Group Washington, DC

REGINA f. GURvICH, MBA, CHC [II3]Director Health Plus Brooklyn, NY

CHARLES HACkER [606]Partner PricewaterhouseCoopers LLP New York, NY

8

speakers


DENISE HALL [409]Shareholder Pershing Yoakley & Associates Atlanta, GA

kEITH HALLELAND [210]Shareholder Halleland Habicht PA Minneapolis, MN

MARGARET HAMBLEToN [608]Ministry Integrity, Chief Compliance Officer St. Joseph Health System Orange, CA

HALA y. HELM, JD, MBA, fACHE, fASHRM, CPHRM [P13, II4]Vice President/Chief Compliance Officer John Muir Health Walnut Creek, CA

MICHAEL HEMSLEy, CHC [W6]General Counsel & Vice President Legal Services Catholic Health East Newtown Square, PA

JUANITA HENRy, CHC [W2]Deputy Inspector General for Compliance Texas Health and Human Services Office of Inspector GeneralAustin, TX

THoMAS E. HERRMANN, JD [710]Vice President, Strategic Management Services, LLC Alexandria, VA

JENNIfER L. HILLIARD, MMH, JD [503]Public Policy Attorney American Association of Homes and Services for the Aging Washington, DC

LyNDA HILLIARD, CCEP, CHC [P2, II4]Deputy Compliance Officer University of CA Oakland, CA

GILLy HITCHCoCk [708]Chair, Compliance Committee, Member, Board of Directors Franklin Community Hospital Farmington, ME

DAvID HoffMAN, ESq. [P8]David Hoffman & Associates Philadelphia, PA

CRAIG HoLDEN [P15]Ober Kaler Grimes & Shriver Baltimore, MD

DAvID HoLTzMAN, JD [304]Health Information Privacy Specialist U.S. Health and Human Services Office for Civil Rights Washington, DC

JAMES D. HoRWITz, CHC [602]Vice President Corporate Responsibility/General Counsel Glens Falls, NY

kIMBERLy M. HREHoR, MHA, RHIA, fACHE, CHC [W2]Project Director TMF Health Quality Institute Austin, TX

NICoLE S. HUff, CHSP, CHC [P7]Chief Compliance & Privacy Officer Edward Hospital and Health Services Naperville, IL

MARIAN HUGHLETT, CHC, CHRC [104]Deputy Privacy Officer University of Louisville Louisville, KY

BRAD HUNTER [402]Director AHA Solutions, Inc. Chicago, IL

RoBERT A. HUSSAR, CHC [602]First Deputy Medicaid Inspector General New York State Office of the Medicaid Inspector General Albany, NY

GABRIEL IMPERATo, CHC [506, W6]Managing Partner Broad & Cassel Fort Lauderdale, FL

RoRy JAffE [108]Executive Director CHPSO Sacramento, CA

GLENA JARBoE [505]Compliance Program Coordinator University of Kentucky Lexington, KY

THoMAS JEffRy, JR [208]Partner Arent Fox LLP Los Angeles, CA

kIMBERLy JoHNSoN, RHIA, CPC, CHC [505]Professional Practice Compliance Officer Corporate Compliance Office University of Kentucky Healthcare Lexington, KY

AL JoSEPHS, CHC [609]Senior Director Policies and Training Tenet Healthcare Corporation Dallas, TX

JEff kAPP [P3]Partner Jones DayCleveland, OH

STEfAN kELLER [402]PresidentCertiphi Screening, Inc.Southampton, PA

PAUL kEoPPEL, MBA, MT(ASCP) [II5]Laboratory Compliance Officer Intermountain Healthcare Central Office Salt Lake City, UT

CARoLE ANN kLovE, RN, JD, CHRC [410]Special Projects UCSF Medical Center San Francisco, CA

GLENN A. kRAUSS, RHIA, CCS, CCS-P, CPUR, C-CDI [W5]Coding, Billing and Revenue Cycle Consultant Janesville, WI

RUTH kRUEGER, MS, RRT, CHC [702]Director of Compliance and PrivacySanford USD Medical CenterSioux Falls, SD

JACoB kUPIEzky [W8]President HCT Consulting Chicago, IL

JANA LACERA [308]Director, IRB/Bio-Ethics Community Hospital Munster, IN

LoRI LAUBACH [P5]Partner Moss Adams LLP Tacoma, WA

STEvE LEfAR [109]General Manager, MediRegs Wolters Kluwer Law & Business Riverwoods, IL

DIETER LEHNoRTT [209]Assistant Vice President/Institutional Compliance Officer UT Southwestern Medical Center at Dallas Dallas, TX

ERIN LEMIRE [206]Senior Policy AdvisorOffice of Inspector GeneralWashington, DC

DANIEL R. LEvINSoN [GS]Inspector General Office of Inspector General U.S. Department of Health and Human Services Washington, DC

STEvE LokENSGARD [202]Special Counsel Faegre & Benson Minneapolis, MN

speakers


kEvIN D. LyLES [W1]Health Care Practice Co-Leader Jones Day Columbus, OH

LAURA LyoN [709]Director of Corporate Compliance Carolinas HealthCare System Charlotte, NC

DoNNA MAASSEN, CHC [103, 303]Director of Compliance Extendicare Health Services, Inc. Milwaukee, WI

WILLIAM T. MATHIAS, ESq. [506]Principal Ober, Kaler, Grimes & Shriver Baltimore, MD

kEvIN G. MCANANEy [P15]Attorney Law Office of Kevin G McAnaney Washington, DC

JUDI MCCABE, CHC [W2]SURS Director TMF Health Quality Institute Austin, TX

DAN MCCULLoUGH, BA, RN, CHC [W2]Nurse Analyst TMF Health Quality Institute Austin, TX

ANDREA MCELRoy [408]Chief Compliance Officer Platinum Health Care Skokie, IL

SEAN MCkENNA [406]Assistant U.S. Attorney U.S. Attorney’s Office Northern District of Texas Dallas, TX

RyAN D. MEADE, CHRC [P11]Meade & Roach, LLP Adjunct Professor/Loyola University Chicago School of Law Chicago, IL

DIANE MEyER, CHC [509, W1]Chief Compliance & Privacy Officer Stanford University Medical Center Palo Alto, CA

RoBB MILLER [603]Director Centers for Medicare & Medicaid Services Chicago, IL

MITCH MITCHELSoN [706]Alston & Bird LLP Atlanta, GA

LEW MoRRIS [P8]Chief Counsel to the Inspector General U.S. Department of Health and Human Services Office of Counsel and Office of Inspector General Washington, DC

MARIE MoSELEy [P14]UHS Regulatory Affairs Specialist/ Privacy Officer University Health Systems of Eastern Carolina, Inc. Greenville, NC

RICk MoyER [509]Associate Vice President for Internal Audit and Institutional Compliance Stanford University Palo Alto, CA

GLEN MUELLER [II2]Vice President Audit, Compliance, & Information Security Scripps Health San Diego, CA

kAREN MURRAy, CHC [302]Chief Compliance Officer Yale New Haven Health System New Haven, CT

MIRIAM MURRAy [408]Director Corporate Compliance & Privacy Officer Sava Senior Care Administrative Services, LLC Atlanta, GA

LISA MURTHA, CHC, CHRC [P12]Partner Sonnenschein Nath & Rosenthal LLP Holland, PA

DAvID NELSoN, CHRC [504]Privacy Officer County of San Diego San Diego, CA

CATHERINE NILAND, RN, BS, CHC, CHCqM [607]Organizational Integrity Manager Trinity Health Farmington Hills, MI

RoB NoLAN, CHC, CCEP [510]Vice President & Chief Compliance Officer PharMerica Corporation Louisville, KY

RACHEL NoSoWSky, CHRC [405]Principal Counsel University of California Oakland, CA

CARoL NovAk, RN, CHC [507]Compliance Practice Specialist Kaiser Simi Valley, CA

kELLy NUESkE [P16]Director Risk Management Services Sinaiko Healthcare Consulting, Inc. Minneapolis, MN

JENNy o’BRIEN, JD, CHC [101, W6]Medicare Compliance Officer UnitedHealth Group/PSMG Minneapolis, MN

kIRk oGRoSky, JD [206]Partner Arnold & Porter LLP Washington, DC

DAvID B. oRBUCH [202]Chief Compliance Officer, Public and Senior Markets Group UnitedHealth Group Minnetonka, MN

STEvE oRTqUIST, CHC-f, CCEP-f, CHRC [P2, P12]Managing Director Aegis Compliance & Ethics Center, LLP Chicago, IL

RoBERT H. oSSoff, DMD, MD, CHC [305]Assistant Vice Chancellor Compliance & Corporate Integrity Vanderbilt Medical Center Nashville, TN

ALI PABRAI [404]CEO ecfirst Newport Beach, CA

JIM PASSEy, CHC [P10]Director, Compliance & Internal Audit Services Huntington Memorial Hospital Pasadena, CA

vICkIE PATTERSoN, CHC [207]Associate Director Protiviti Tampa, FL

BARBARA J. PIASCIk, CHC [102]SVP/Chief Compliance Officer St. Vincent Catholic Medical Centers New York, NY

JoAN PoDLESkI [W4]Director of Institutional Ethics & Compliance Duke University Durham, NC

CHRISToPHER PURI [403]Attorney Bradley Arant Boult Cummings LLP Nashville, TN

10

speakers


LUANNA k. PUTNEy, PhD, CHC, CCEP [II4]Director of Research Compliance Office of Ethics, Compliance and Audit Services University of California Oakland, CA

GREG RADINSky, JD, MBA, CHC, CCEP [112]Vice President & Chief Corporate Compliance Officer North Shore-Long Island Jewish Health System Great Neck, NY

CoNNIE A. RAffA [703]Partner Arent Fox LLP New York, NY

EMILIE RAyMAN [208]In-House Counsel Chief Compliance Officer Community Memorial Health System Ventura, CA

CHARLES REED [206]Trial Attorney U.S. Department of Justice Washington, DC

kARIE REGo [611]Principal Compliant Films Davis, CA

CHRISToPHER T. REHM [107]PresidentPinnacle Physician Resource GroupDenver, CO

J. SCoTT RICHARDSoN [403]Partner Bradley Arant Boult Cummings LLP Nashville, TN

DAN RoACH [110, 311]Vice President Compliance and Audit Catholic Healthcare West San Francisco, CA

RICk RoBINSoN [P8]Partner Fulbright & Jaworski Washington, DC

DoNALD RoMANo [703]Partner Arent Fox LLP Washington, DC

MARTIE RoSS [606]Attorney Lathrop & Gage LLP Overland Park, KS

BRAD M. RoSToLSky [P13]Reed Smith LLP Philadelphia, PA

WILLIAM f. RUCCI, JR, CPA, MST [708]Rucci, Bardaro & Barrett, PC Malden, MA

MARk P. RUPPERT, CPA, CIA, CISA, CHfP [201]Director, Internal AuditCedars-Sinai Health SystemLos Angeles, CA

PAULA SANDERS [603, W3]Post & Schell, P.C. Harrisburg, PA

MITCH SARUWATARI [P18]VP Quality and ComplianceLiveProcessVerona, NJ

kELLy SAUDERS [302]Partner Deloitte & Touche LLP New York, NY

ALAN E. SCHABES [203]Benesch, Friedlander, Coplan & Aronoff LLP Cleveland, OH

fRANk SHEEDER, CCEP [P3, W1]Partner Jones Day Dallas, TX

JIM SHEEHAN [P17]Medicaid Inspector General Office of the Medicaid Inspector General Albany, NY

J. STUART SHoWALTER, JD, MfS [P10]Atlanta, GA

JEff SINAIko [111]President Sinaiko Healthcare Consulting, Inc. Los Angeles, CA

TIMoTHy R. SMITH, CPA/ABv [106]Manager, HealthCare Appraisers, Inc. Dallas Office Allen, TX

JoHN E. STEINER JR, ESq., CHC, CCEP [101]Chief Compliance OfficerCancer Treatment Centers of America Schaumburg, IL

JoSEPH STRAzzIRE [601]HEAT Liaison to the Medicare Program Integrity Group CMS

DENNy SWENSoN [GS]Executive Producer Light On Productions Boston, MA

JoSé A. TABUENA, CHC [112]Sr. VP, Governance and Compliance PhyServe Physician Services, Inc. Dallas, TX

JAMES TAyLoR, MD, CPC [P5]Medical Director Revenue Cycle Kaiser Permanente Colorado Denver, CO

SUSAN TEDRICk [W8]Chief Compliance Officer Franklin Hospital Farmington, ME

kATHRyN THIBoDEAU-DEvER [709]Director of Corporate Compliance Carolinas HealthCare System Charlotte, NC

CHRISToPHER THoMASoN, CHC [305, 409]Director Compliance & Corporate Integrity Vanderbilt University Medical Center Nashville, TN

RoBERT TIETJEN [W9]President/CEOPolicy Technologies International, Inc.Rexburg, ID

fRED ToUCHETTE [204]Senior Security Analyst AppRiver Gulf Breeze, FL

BRENDA TRANCHIDA [P9]Director, Plan Compliance and Oversight Group, CMS

DEBBIE TRokLUS, CHC-f, CCEP-f, CHRC [P1]Assistant Vice President Compliance University of Louisville HSC Louisville, KY

SHERyL vACCA CHC-f, CCEP, CHRC [P1, 707]SVP/Chief Compliance and Audit Officer University of California Office of the President Oakland, CA

SHAUNA vAN DoNGEN, CIPP [P19]System Manager, Privacy Strategy & Operations Providence Health & Services

LISA vENN, JD, MA [508]Compliance Manager University Hospitals Shaker Heights, OH

LAWRENCE vERNAGLIA [302, 708]Partner Foley & Lardner LLP Boston, MA

MATTHEW D. voGELIEN, CHC [401]Director Huron Consulting Group Kannapolis, NC

speakers


DIANA vooRHEES, MA, CLS, MT, SH, CLCP [II5]Principal/CEO DV & Associates, Inc. Salt Lake City, UT

ANDREW WACHLER [W7]Owner/Principal Wachler & Associates, P.C. Royal Oak, MI

RoBERT WADE [106]Partner Baker & Daniels South Bend, IN

CHERyL WAGoNHURST, CCEP [II2]Partner Foley & Lardner LLP Los Angeles, CA

SUSAN LEE WALBERG, CHC [205]Corporate Compliance Officer MedStar Health Columbia, MD

JUDy WALTz [W8]Partner Foley & Lardner LLP San Francisco, CA

DEBI WEATHERfoRD [P16]Director Internal AuditPiedmont HealthcareAtlanta, GA

SUSAN WELSH [307, 605]Compliance Manager Health Management Associates Naples, FL

JACk WENIk [306]Chair Healthcare Investigations Group Sills Cummis Gross, PC Newark, NJ

kRISTIN H. WEST, JD, CHRC [II4]Associate VP for Research & Director, Office of Research Compliance Emory University Atlanta, GA

SARA kAy WHEELER [409]King & Spalding Atlanta, GA

D. RyAN WHITEHILL, CHC [609]Manager, Ethics and Compliance Training Tenet Healthcare Corporation Dallas, TX

RoBIN L. WILCox, CPA, CHC, CCEP [104]Associate Compliance Officer University of Louisville Louisville, KY

JESSE A. WITTEN [W6]Partner Drinker Biddle & Reath LLP Washington, DC

DEREk Woo [P19, 111]Managing Director Sinaiko Healthcare Consulting, Inc. Los Angeles, CA

CHRISToPHER yoUNG, CHC [II5]President Laboratory Management Support Services (LMSS) Phoenix, AZ

HoWARD yoUNG [406]Partner Morgan Lewis Washington, DC

kEN zEko [209]Director KPMG Dallas, TX

HCCa would like to thank aHa solutions and the aHa-endorsed products

Wireless Networking Products & Secure Messaging

Data Eraser & Data Recovery

Incident Reporting and Management

Voice & Data Networking Products

software for safer healthcare

Identity Theft Prevention, Compliance & Data Breach

Email Archiving & Desktop Virtualization

Background Investigation & Drug Testing

Medication Reconciliation Software

Disaster Readiness & Incident Command

Surgical Information Systems, Surgery & Management

Professional Liability Claims & Litigation Management

Concurrent & Retrospective Clinical Denials Management, Medicare & Medicaid Compliance

Management & Length of Stay Management

Policy & Procedure Management

Videoconferencing RFID IR Patient, Staff, & Asset Tracking


Volunteer with HCCa and Dallas Children’s advocacy CenterDate: saturday, april 17, 2010time: 7:00 am–noonIn addition to networking with your peers and listening to expert speakers, attending the HCCA’s Compliance Institute gives you the opportunity to help a Dallas charity.

This year, HCCA volunteers will help the Dallas Children’s Advocacy Center (DCAC). Projects include planting flowers, painting, spring cleaning, and organizing their clothes closet. The mission of the Dallas Children’s Advocacy Center (DCAC) is to improve the lives of abused children in Dallas County and provide national leadership on child abuse issues.

For more details on this great opportunity, visit the Institute’s website. Transportation will be provided to and from the location. Please dress for working outdoors.

ready to sign up to volunteer or want more information? Contact Jodi Erickson Hernandez at 952-405-7926 or [email protected].

schedule at a glance


sAturDAy, April 172:00 – 7:00 pm Conference Registration

7:00 am – 12:00 pm Volunteer Project with HCCA and Dallas Children’s Advocacy Center

sunDAy, April 187:30 am – 5:30 pm Conference Registration

9:00 am – 12:00 pm

pre-ConferenCe

P1 Compliance 101 – Debbie Troklus, Assistant Vice President Compliance, University of Louisville HSC, Louisville, KY; Sheryl Vacca, SVP/Chief Compliance and Audit Officer, University of California, Oakland, CA chc chrc

P2 Developing an Organizational Risk Profile for Measuring Compliance Program Effectiveness – Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP, Chicago, IL; Lynda Hilliard, Deputy Compliance Officer, University of CA, Oakland, CA chc chrc

P3 Beyond Healthcare Reform – Frank Sheeder, Partner, Jones Day, Dallas, TX; Shawn Y. DeGroot, Vice President of Corporate Responsibility, Regional Health, Rapid City, SD; Jeff Kapp, Partner, Jones Day, Cleveland, OHP4 Privacy & Security 101 – Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Bruce Edwards, Chief Information Security Officer, University of Louisville, Louisville, KY chc chrc

P5 EMR: Challenges, Risk, and Solutions – James Taylor, Medical Director Revenue Cycle, Kaiser Permanente Colorado, Denver, CO; Robert Freedman, Director of Business Development, MDaudit, Newton Center, MA; Lori Laubach, Partner, Moss Adams LLP, Tacoma, WAP6 False Claims Act Developments – John T. Boese, Of Counsel, Fried, Frank, Harris, Shriver & Jacobson LLP, Washington, DC; Michael D. Granston, Civil Division, U.S. Department of Justice, Washington, DC; Janet Goldstein, Partner, Vogel, Slade & Goldstein, LLP, Washington, DC chc chrc

P7 Physician Financial Arrangement Work Plan – Nicole Huff, Chief Compliance & Privacy Officer, Edward Hospital and Health Services, Naperville, IL; April Andrews-Singh, Compliance Director, MEDNAX Services, Inc., Sunrise, FL; Monica Frazer, Vice President, Internal Audit, Baylor Health Care System, Dallas, TXP8 How to Find and Address the Real Fraud and Abuse in “Quality of Care” – Rick Robinson, Partner, Fulbright & Jaworski, Washington, DC; David Hoffman, Esq., David Hoffman & Associates, Philadelphia, PA; Lew Morris, Chief Counsel to the Inspector General, U.S. Department of Health and Human Services, Office of Counsel and Office of Inspector General, Washington, DC; Audrey Andrews, Chief Compliance Officer, Tenet Healthcare, Dallas, TXP9 Program Integrity Across CMS: Medicare, Medicaid, and Parts C and D – Kimberly Brandt, Director, Medicare Program Integrity Group, CMS; Angela Brice-Smith, Acting Director, Medicaid Program Integrity Group, CMS; Brenda Tranchida, Director, Plan Compliance and Oversight Group, CMS

12:00 – 1:30 pm Lunch (on your own)

1:30 – 4:30 pm

pre-ConferenCe

P10 PACE Yourself: Improving Compliance With Better Policies, Awareness, Committees and Education – Jim Passey, Director, Compliance & Internal Audit Services, Huntington Memorial Hospital, Pasadena, CA; Linda Borges, Director of Compliance/Corporate Compliance Officer, MVP Health Care, Inc., Schenectady, NY; J. Stuart Showalter, Atlanta, GA; D. Michelle Burford, Risk Manager/Compliance Officer/Patient Safety Officer, Fort Madison Community Hospital, Fort Madison, IAP11 Research/IRB Stark & Clinical Research: 5 Compliance Scenarios & 5 Practical Safeguards – Ryan D. Meade, Meade & Roach, LLP, Adjunct Professor/Loyola University Chicago School of Law, Chicago, IL; Christopher K. Goforth, Director of Compliance Program Integrity, Stanford University Medical Center, Palo Alto, CA chrc P12 Compliance Effectiveness: Are There Really “Best Practices” and How Do We Practically Measure That? – Lisa Murtha, Partner, Sonnenschein Nath & Rosenthal LLP, Holland, PA; Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP, Chicago, IL chc chrc

P13 Information Security and Privacy: A New World and What This Means to Your Organization – Brad M. Rostolsky, Reed Smith LLP, Philadelphia, PA; Deann Baker, Chief Corporate Compliance Officer, Alaska Native Tribal Health Consortium, Anchorage, AK; Hala Y. Helm, Vice President/Chief Compliance Officer, John Muir Health, Walnut Creek, CA chc chrc

P14 RAC Reality Check – John C. Falcetano, Chief Audit /Compliance Officer, University Health Systems of Eastern Carolina, Greenville, NC; Marie Moseley, UHS Regulatory Affairs Specialist/Privacy Officer, University Health Systems of Eastern Carolina, Inc., Greenville, NCP15 Anti-kickback and Stark Primer and Current Developments – Craig Holden, Ober Kaler Grimes & Shriver, Baltimore, MD; Kevin G. McAnaney, Attorney, Law Office of Kevin G McAnaney, Washington, DC chc chrc

P16 How to Do It! Risk Assessment to a Compliance Internal Audit Workplan – Kelly Nueske, Director, Risk Management Services, Sinaiko Healthcare Consulting, Inc., Minneapolis, MN; Debi Weatherford, Director Internal Audit, Piedmont Healthcare, Atlanta, GA chc chrc

P17 Update on Enforcement Trends Regarding Quality of Care – Jim Sheehan, Medicaid Inspector General, Office of the Medicaid Inspector GeneralP18 Are You Prepared for that Pending Emergency, Disaster or Pandemic? Linking Emergency Management with Business Continuity Planning – Mitch Saruwatari, VP Quality and Compliance, LiveProcess, Verona, NJ; Todd Brown, Eclipsys, Atlanta, GAP19 The Evolution of HIPAA: A Practical Path to HITECH – Derek Woo, Managing Director, Sinaiko Healthcare Consulting, Inc.; Erika Bol, Privacy Officer, Legal Division, Colorado Department of Health Care Policy & Financing, Agency Administration and Operations Office; Donna Gilley, CHC, Lattimore, Black, Morgan & Cain, PC; Shauna Van Dongen, System Manager, Privacy Strategy & Operations, Providence Health & Services

4:30 – 5:30 pm Networking Reception

General ComPlIanCe/HoT ToPICS lonG-Term Care PrIvaCy & SeCurITy

PHySICIan ComPlIanCe leGal & reGulaTory audITInG & monITorInG

QualITy of Care advanCed dISCuSSIon GrouP InduSTry ImmerSIontraCk

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MonDAy, April 197:00 am – 5:30 pm Conference Registration

8:30 – 8:40 am Opening Remarks

8:40 – 9:30 am General Session: How Organizations and Individuals Slide Into Crime – Kurt Eichenwald, Author of The Informant, Pulitzer Prize Nominee, Dallas, TX; Denny Swenson, Executive Producer, Light On Productions, Boston, MA

9:30 – 10:15 am General Session: OIG Update – Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, Washington, DC

10:15 – 11:00 am Break

11:00 am – 12:00 pm 101 Compliance Effectiveness from the Inside Out – Julene D. Brown, Director of Corporate Compliance, Innovis Health, Fargo, ND; Jenny O’Brien, Medicare Compliance Officer, UnitedHealth Group/PSMG, Minneapolis, MN; John E. Steiner Jr, Esq., Chief Compliance Officer, Cancer Treatment Centers of America, Schaumburg, IL chc chrc

102 Analytics for Compliance: A Case Study of Deployment – Barbara J. Piascik, SVP/Chief Compliance Officer, St. Vincent Catholic Medical Centers, New York, NY

103 HITECH Act…HIPAA 2.0: LTC Provider Implications – Gillian Gray Broderick, Vice President of Health Information Privacy, Fundamental Administrative Services, LLC, Baltimore, MD; Donna Maassen, Director of Compliance, Extendicare Health Services, Inc., Milwaukee, WI

104 HIPAA Risk Assessment Tool for Physician Practices – Robin L. Wilcox, Associate Compliance Officer, University of Louisville, Louisville, KY; Marian Hughlett, Deputy Privacy Officer, University of Louisville, Louisville, KY chc chrc

105 Compliance in a One-Person Office – Lea Fourkiller, Chief Compliance Officer, Conifer Health Solutions, Frisco, TX

106 Avoiding Fair Market Value Pitfalls – Robert Wade, Partner, Baker & Daniels, South Bend, IN; Timothy R. Smith, Manager, HealthCare Appraisers, Inc., Dallas Office, Allen, TX

107 Mistakes Happen: The Nuts and Bolts of a Voluntary Medicare Repayment – Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; Christopher T. Rehm, President, Pinnacle Physician Resource Group, Denver, CO

108 PSOs: New Privacy, Security And Confidentiality Rules – Rory Jaffe, Executive Director, CHPSO, Sacramento, CA

109 Integrating Compliance and Risk Management – Steve Lefar, General Manager, MediRegs, Wolters Kluwer Law & Business, Riverwoods, IL chc chrc

110 Overcoming Obstacles: Strategies for Enhancing Your Effectiveness as a Compliance & Ethics Officer – Dan Roach, Vice President Compliance and Audit, Catholic Healthcare West, San Francisco, CA

111 The Nexus of Information Technology, Compliance and Revenue Cycle Performance – Jeff Sinaiko, President, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA; Derek Woo, Managing Director, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA

112 Gifts and Conflicts of Interest – Greg Radinsky, Vice President & Chief Corporate Compliance Officer, North Shore-Long Island Jewish Health System, Great Neck, NY; Bret Bissey, Director, Regulatory Compliance, IMA Consulting, Chadds Ford, PA; José Tabuena, Sr VP, Governance & Compliance, PhyServe Physician Services, Inc., Dallas, TX chc chrc

113 Risk Assessments…Who, What, Where, When, Why, and How! – Dwight Claustre, CHC, CHRC, Director, Huron Consulting Group, Sun City West, AZ; Leah B. Guidry, Managing Director, Huron Consulting Group, Washington, DC chc chrc

12:00 – 1:00 pm Lunch & General Session – Trevor Fetter, President and CEO, Tenet Healthcare Corporation, Dallas, TX

1:00 – 1:30 pm Break




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MonDAy, April 19 (continued)1:30 – 2:30 pm 201 Fraud Risk Assessment – Mark P. Ruppert, Director, Internal Audit, Cedars-Sinai Health System, Los Angeles, CA; Paul M. Baran,

PriceWaterhouseCoopers, Director, Internal Audit, Philadelphia, PA

202 CMS Audits of Health Plans: How to Avoid the Crisis – Steve Lokensgard, Special Counsel, Faegre & Benson, Minneapolis, MN; David B. Orbuch, Chief Compliance Officer, Public and Senior Markets Group, UnitedHealth Group, Minnetonka, MN

203 Identifying OIG LTC Priorities and Making Necessary Changes – Alan E. Schabes, Benesch, Friedlander, Coplan & Aronoff LLP, Cleveland, OH; Laura Ellis, JD, OIG Senior Counsel, Department of Health & Human Services, Washington, DC

204 Cyber Threats to Health Care Organizations: Tips for the Compliance Professional – James Donaldson, Privacy and Security Officer, Baptist Health Care Corporation, Pensacola, FL; Fred Touchette, Senior Security Analyst, AppRiver, Gulf Breeze, FL

205 Conflicts of Interest: Addressing the Latest Regulations – Susan Lee Walberg, Corporate Compliance Officer, MedStar Health, Columbia MD; Cheryl Golden, Senior Manager, Deloitte & Touche, Tampa, FL chc chrc

206 HEAT Initiative: DOJ and OIG Strategies to Combat Health Care Fraud – Kirk Ogrosky, Partner, Arnold & Porter LLP, Washington, DC; Charles Reed, Trial Attorney, U.S. Department of Justice, Washington, DC; Erin Lemire, Senior Policy Advisor, Office of Inspector General, Washington, DC

207 Tackling the Challenge of Auditing Delegated Entities – Vickie Patterson, Associate Director, Protiviti, Tampa, FL; Debra Baverman, Vice President, Regulatory Compliance Medicare Advantage Division of Universal American Corp, Houston, Texas

208 Structuring, Implementing and Monitoring Service Contracts: A Team Sport of Compliance, Quality, Legal, and Human Resources – Thomas Jeffry, Jr, Partner, Arent Fox LLP, Los Angeles, CA; Emilie Rayman, In-House Counsel, Chief Compliance Officer, Community Memorial Health System, Ventura, CA

209 So, You Think You Have an Effective Compliance Program: Think Again! – Ken Zeko, Director, KPMG, Dallas, TX; Dieter Lehnortt, Assistant Vice President/Institutional Compliance Officer, UT Southwestern Medical Center at Dallas, Dallas, TX chc chrc

210 How to Better Engage Your Board in Compliance: The Rising Standard of Care – Keith Halleland, Shareholder, Halleland Habicht PA, Minneapolis, MN

2:30 – 3:00 pm Break

1:30 – 5:30 pm Industry ImmersIons

II1 Professional Development: Negotiation/Collaboration – Ben Adkins, Adkins & Associates, Tampa, FL

II2 Large Hospitals and Health Systems – Cheryl Wagonhurst, Partner, Foley & Lardner LLP, Los Angeles, CA; Chris Bangerter, Corporate Compliance Officer, LifePoint Hospitals, Brentwood, TN; Michelle Cooper, Vice President and Corporate Responsibility Officer, Catholic Health Initiatives, Denver, CO; Glen Mueller, Vice President Audit, Compliance, & Information Security, Scripps Health, San Diego, CA

II3 Payor/Managed Care – Moderator: Anne Doyle, Executive Vice President, Chief Compliance Officer, Fallon Community Health Plan, Worcester, MA; Panel: Linda Borges, Director of Compliance/Corporate Compliance Officer, MVP Health Care, Schenectady, NY; Regina Gurvich, Director, Health Plus, Brooklyn, NY; Alissa Beattie, Compliance Officer, New West Health Services, Helena, MT




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MonDAy, April 19 (continued)3:00 – 4:00 pm 301 Whistleblowing: What Are We Hearing, Where Should We Be Listening, and How Should We Be Responding? – David Childers, President & CEO/

EthicsPoint, Inc., Lake Oswego, OR chc chrc

302 The Investigative Lights Shine Big and Bright: Perspectives on Best Practices for Internally Initiated Compliance Investigations – Karen Murray, Chief Compliance Officer, Yale New Haven Health System, New Haven, CT; Kelly Sauders, Partner, Deloitte & Touche LLP, New York, NY; Lawrence Vernaglia, Partner, Foley & Lardner LLP, Boston, MA chc chrc

303 Smart Document Management in an Evolving World of Information and Legal Exposure – Barbara J. Duffy, Shareholder, Lane Powell, PC, Seattle, WA; Donna Maassen, Director of Compliance, Extendicare Health Services, Inc., Milwaukee, WI

304 Enforcement Efforts – David Holtzman, Health Information Privacy Specialist, U.S. Health and Human Services Office for Civil Rights, Washington, DC

305 I Thought I Was Supposed to Practice Medicine – Robert H. Ossoff, Assistant Vice Chancellor Compliance & Corporate Integrity, Vanderbilt Medical Center, Nashville, TN; Christopher Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN

306 Medicaid Fraud Enforcement – Jack Wenik, Chair Healthcare Investigations Group, Sills Cummis Gross, PC, Newark, NJ; Joanne B. Erde, Partner, Duane Morris LLP, Miami, FL chc chrc

307 Help Them, Help Themselves—And You – Susan Welsh, Compliance Manager, Health Management Associates, Naples, FL; Charmin Davis, Compliance Specialist, Health Management Associates, Naples, FL

308 Informed Consent: Form versus Process – Jana Lacera, Director, IRB/Bio-Ethics, Community Hospital, Munster, IN

309 Ethics Expedition: Reaching the Summit of Program Effectiveness with Base Camp Resources – Mary Bennett, Vice President, Ethical Leadership Group, Mundelein, IL; Mary Ann Beil, Corporate Ethics and Compliance Officer, Memorial University Medical Center, Savannah, GA

310 Effective Compliance Program Strategies for Small to Medium-Size Organizations – Pat Connell, Vice President of Behavioral Health/Research/Compliance/Government Relations, Boys Town National Research Hospital, Omaha, NE

311 Overcoming Obstacles: Strategies for Enhancing Your Effectiveness as a Compliance & Ethics Officer – Dan Roach, Vice President Compliance and Audit, Catholic Healthcare West, San Francisco, CA

4:00 – 4:30 pm Break

4:30 – 5:30 pm 401 Take a Second Look at Your Physician Relationships: Tips Based on Experience and Changes in the Law – Jana Kolarik Anderson, Attorney, Epstein Becker & Green, P.C., Washington, DC; Matthew D. Vogelien, Director, Huron Consulting Group, Kannapolis, NC

402 OIG-Excluded Parties and Sanctions Screening Compliance – Brad Hunter, Director, AHA Solutions, Inc., Chicago, IL; Stefan Keller, President, Certiphi Screening, Inc., Southampton, PA chc chrc

403 Case Studies in Post-Acute Care Arrangements between SNFs, Hospitals, and other Providers – J. Scott Richardson, Partner, Bradley Arant Boult Cummings LLP, Nashville, TN; Christopher Puri, Attorney, Bradley Arant Boult Cummings LLP, Nashville, TN

404 Applying ISO 27000 to Address Federal & State Security Mandates – Ali Pabrai, CEO, ecfirst, Newport Beach, CA

405 Working with Drug and Device Manufacturers – Rachel Nosowsky, Principal Counsel, University of California, Oakland, CA chrc

406 Department of Justice Investigations and Role of Compliance Department – Sean McKenna, Assistant U.S. Attorney, U.S. Attorney’s Office Northern District of Texas, Dallas, TX; Howard Young, Partner, Morgan Lewis, Washington, DC

407 Auditing Your Copy Forward or Templated EMR Record – Kathleen Enniss, Compliance Analyst, UW Medicine Compliance, Seattle, WA

408 More than Alphabet Soup: BAA, PSAE, RAC, MIC and ZPICs – Andrea McElroy, Chief Compliance Officer, Platinum Health Care, Skokie, IL; Miriam Murray, Director Corporate Compliance & Privacy Officer, Sava Senior Care Administrative Services, LLC, Atlanta, GA

409 Revenue Integrity and Safeguarding: Comprehensive Strategies for Contractor Combat (RACs, MICs, ZPICs and Others) – Sara Kay Wheeler, King & Spalding, Atlanta, GA; Denise Hall, Shareholder, Pershing Yoakley & Associates, Atlanta, GA; Christopher D. Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN

410 HITECH Implementation: Lessons Learned and the Road Ahead – Carole Ann Klove, UCSF Medical Center, San Francisco, CA

5:30 – 7:00 pm Networking Reception




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tuesDAy, April 207:00 am – 4:30 pm Conference Registration

8:30 – 8:45 am Membership Meeting

8:45 – 9:30 am General Session: CMS Keynote Presentation – Peter P. Budetti, Deputy Administrator for the Center for Program Integrity, CMS

9:30 – 10:15 am General Session: Moving Forward: Ethical Leadership for the 21st Century – Cynthia Cooper, Author, Extraordinary Circumstances, One of TIME Magazine’s Persons of the Year, CEO, The CooperGroup, LLC, Jacksonville, MS

10:15 – 11:00 am Break

11:00 am – 12:00 pm 501 Data Mining: Compliance and Internal Audit Applications – John Beattie, Partner, Healthcare Consulting Group, ParenteBeard LLC, Mechanicsburg, PA

502 Uncle Sam HIT Me!! Compliance Risks in Implementation of Electronic Health Records – Bobbi Bonnet, Senior Compliance Practice Leader, National Compliance, Ethics and Integrity Office, Kaiser Permanente, Oakland, CA

503 Assessing the Impact of Compliance-Related Legislative and Regulatory Developments on LTC – Jennifer L. Hilliard, Public Policy Attorney, American Association of Homes and Services for the Aging, Washington; Barbara Gay, Director of Advocacy Information, American Association of Homes and Services for the Aging, Washington, DC

504 Physical Security in the Privacy World – David Nelson, Privacy Officer, County of San Diego, San Diego, CA

505 Dental Compliance: Implementing a Medical Compliance Program in a Dental World – Teresa M. Bivens, Deputy Compliance Officer & Education Manager, University of Louisville HSC, Louisville, KY; Kimberly Johnson, Professional Practice Compliance Officer, Corporate Compliance Office, University of Kentucky Healthcare, Lexington, KY; Glena Jarboe, Compliance Program Coordinator, University of Kentucky, Lexington, KY

506 Internal Investigations – William T. Mathias, Principal, Ober, Kaler, Grimes & Shriver, Baltimore, MD; Gabriel Imperato, Managing Partner, Broad & Cassel, Fort Lauderdale, FL chc chrc

507 Measurable Metrics for Scope of Practice Monitoring and Auditing – Carol Novak, Compliance Practice Specialist, Kaiser, Simi Valley, CA chc chrc

508 Solving Patient Grievances While Avoiding Compliance Snares – Lisa Venn, Compliance Manager, University Hospitals, Shaker Heights, OH

509 Enterprise Risk Assessment and Mitigation: A Practical Approach Leveraging Internal Resources – Diane Meyer, Chief Compliance and Privacy Officer, Stanford University Medical Center, Palo Alto, CA; Rick Moyer, Associate Vice President for Internal Audit and Institutional Compliance, Stanford University, Palo Alto, CA chc chrc

510 “Connecting the Dots”: A Compliance and Quality Partnership – Wilma Acosta, Compliance Officer, Sutter Medical Center, Sacramento, CA; Rob Nolan, Vice President & Chief Compliance Officer, PharMerica Corporation, Louisville, KY

511 Quality, Waste and Abuse in the Medicare and Medicaid Programs – Harry M. Feder, Senior Vice President/COO, IPRO, Lake Success, NY

11:00 am – 3:45 pm

Industry ImmersIons

II4 Academic Medical Centers – Moderator: Lynda Hilliard, Deputy Compliance Officer, University of CA, Oakland, CA; Panel: Kristin H. West, Associate VP for Research & Director, Office of Research Compliance, Emory University, Atlanta, GA; Luanna K. Putney, Director of Research Compliance, Office of Ethics, Compliance and Audit Services, University of California, Oakland, CA; Hala Y. Helm, Vice President/Chief Compliance Officer, John Muir Health, Walnut Creek, CA

II5 Compliance Challenges for the Laboratory Industry: 2010 and Beyond – Moderator: Christopher Young, President, Laboratory Management Support Services (LMSS), Phoenix, AZ; Diana Voorhees, Principal/CEO, DV & Associates, Inc., Salt Lake City, UT; Chris Anusbigian, Senior Manager Health Sciences, Deloitte & Touche LLP, Detroit, MI; Paul Keoppel, Laboratory Compliance Officer, Intermountain Healthcare Central Office, Salt Lake City, UT




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tuesDAy, April 20 (continued)12:00 – 1:00 pm Networking Luncheon

1:00 – 1:15 pm Break

1:15 – 2:15 pm 601 Preparing for the Great Unknown: What Recent Government Health Care Fraud Efforts Mean For You – Kimberly Brandt, Director, Medicare Program Integrity Group, CMS; Joseph Strazzire, HEAT Liaison to the Medicare Program Integrity Group, CMS

602 Implementing New York State’s Mandatory Compliance Programs a Year Later: OMIG and Provider Perspective – James D. Horwitz, Vice President Corporate Responsibility/General Counsel, Glens Falls, NY; Robert A. Hussar, First Deputy, Medicaid Inspector General, New York State Office of the Medicaid Inspector General, Albany, NY

603 LTC: The MICs Are Here – Robb Miller, Director, Centers for Medicare & Medicaid Services, Chicago, IL; Paula Sanders, Post & Schell, P.C., Harrisburg, PA

604 Research Data: Identifying Institutional Risks with Privacy, Confidentiality, and Data Security – Marti Arvin, Chief Compliance Officer, UCLA Health System, Los Angeles, CA; Joan Podleski, Director of Institutional Ethics & Compliance, Duke University, Durham, NC chrc

605 Working the Numbers – Susan Welsh, Compliance Manager, HMA, Fort Myers, FL

606 The Foreign Corrupt Practices Act, the Anti-Kickback Statute, and Healthcare Fraud Enforcement – Martie Ross, Attorney, Lathrop & Gage LLP, Overland Park, KS; Charles Hacker, Partner, PricewaterhouseCoopers LLP, New York, NY chc chrc

607 Who’s Policing the Hospital CoPs? – Catherine Niland, Organizational Integrity Manager, Trinity Health, Farmington Hills, MI

608 Steps You Can Take to Integrate “Quality Of Care” Into Your Compliance Program – Margaret Hambleton, Ministry Integrity, Chief Compliance Officer, St. Joseph Health System, Orange, CA

609 Mission Possible: Meeting Compliance Training Obligations Under a CIA – Al Josephs, Senior Director Policies and Training, Tenet Healthcare Corporation, Dallas, TX; D. Ryan Whitehill, Manager, Ethics and Compliance Training, Tenet Healthcare Corporation, Dallas, TX chc chrc

610 Compliance from the Independent Monitor’s Perspective – Vincent L. DiCianni, Affiliated Monitors, Inc., Boston, MA

611 Delivering Powerful Compliance Messages in Print, Web & Video – Karie Rego, Principal, Compliant Films, Davis, CA

2:15 – 2:45 pm Break

2:45 – 3:45 pm 701 RAC ATTACK: A Successful Guide for Appeals – Day Egusquiza, President, AR Systems, Hansen, ID

702 Hospital Research Compliance: Where’s the Risk and How to Address – Ruth Krueger, Director of Compliance and Privacy, Sanford USD Medical Center, Sioux Falls, SD; Angelique Dorsey, Research Compliance Director, Medstar Health, Columbia, MD chrc

703 Hospice and Nursing Home Partnership: How to Get It Right! – Connie A. Raffa, Partner, Arent Fox LLP, New York, NY; Donald Romano, Partner, Arent Fox LLP, Washington, DC chc chrc

704 Turning Awareness Into Action: An Academic Medical Center’s Approach to Educating its Workforce of HIPAA Privacy and Information Security Principles and Practices – Bob Gross, Associate Compliance Officer-Privacy, University of Chicago Medical Center, Chicago, IL

705 Avoiding the “HEAT”: Compliance Programs for Small Practices – Sheryl Dacso, Partner, Brown McCarroll, LLP, Houston, TX; Diane T. Carter, Partner, Brown McCarroll, Austin, TX

706 Hospital-Patient Status: Overpayment and False Claims Act Liability – Timothy Blanchard, Partner, Blanchard Manning LLP, Orcas, WA; Mitch Mitchelson, Alston & Bird LLP, Atlanta, GA

707 Compliance Auditing and Monitoring: Demonstrating Effectiveness – Sheryl Vacca, SVP/Chief Compliance and Audit Officer, University of California, Oakland, CA chc chrc

708 Quality of Care and Compliance: How to Engage the Board Of Directors – Larry Vernaglia, Partner, Foley & Lardner LLP, Boston, MA; Gilly Hitchcock, Chair, Compliance Committee, Member, Board of Directors, Franklin Community Hospital, Farmington, ME; William F. Rucci, Jr, Rucci, Bardaro & Barrett, PC, Malden, MA

709 Creating and Sustaining a Compliance Program Commensurate with Your Multi-Hospital System’s Size and Complexity – Gene DeLaddy, Senior Vice President/Chief Compliance Officer/Chief Audit Executive/Chief Privacy Officer of Carolinas HealthCare System, Charlotte, NC; Laura Lyon, Director of Corporate Compliance, Carolinas HealthCare System, Charlotte NC; Kathryn Thibodeau-Dever, Director of Corporate Compliance, Carolinas HealthCare System, Charlotte NC

710 Tools for Achieving Compliance in an Era of Health Care Reform – Thomas E. Herrmann, Vice President, Strategic Management Services, LLC, Alexandria, VA; Larry J. Goldberg, Principal Deputy Inspector General, Office of Inspector General, U. S. Department of Health and Human Services, Washington, DC

711 Dealing with the Medicare Consultation Code Deletion – Bess Ann Bredemeyer, Director of Compliance, McKesson Practice Consulting Solutions, San Francisco, CA




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WeDnesDAy, April 217:00 am – 12:30 pm Conference Registration

8:00 am – 12:00 pm W1 The Road Ahead – Frank Sheeder, Partner, Jones Day, Dallas, TX; Diane Meyer, Chief Compliance & Privacy Officer, Stanford University Medical Center, Palo Alto, CA; Kevin D. Lyles, Health Care Practice Co-Leader, Jones Day, Columbus, OH

W2 Riding Herd on Fraud, Waste & Abuse – Judi McCabe, SURS Director, TMF Health Quality Institute, Austin, TX; Dan McCullough, Nurse Analyst, TMF Health Quality Institute, Austin, TX; Juanita Henry, Deputy Inspector General for Compliance, Texas Health and Human Services, Office of Inspector General, Austin, TX; Kimberly M. Hrehor, Project Director, TMF Health Quality Institute, Austin, TX chc chrc

W3 Understanding the Interactions Between Federal and State Integrity Recovery Programs in the Post-Acute Healthcare Setting – Joan Ferraro, Vice President, Chief Compliance Officer, Complete HealthCare Resources, Inc., Pittsburgh, PA; Paula Sanders, Post & Schell, P.C., Harrisburg, PA; Barbara Duffy, Lane Powell, PC, Seattle, WA

W4 Privacy Officer’s Roundtable – Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Joan Podleski, Director of Institutional Ethics & Compliance, Duke University, Durham, NC chc chrc

W5 Clinical Documentation Improvement & Federal Integrity Activity (RACs, MACs, MICs…): Your Acute and Post-Acute Hospital’s Compliance in Preventing Inappropriate/Unnecessary Admissions – Betty Bibbins, President & Chief Medical Officer, DocuComp LLC, Cape Charles, VA; Glenn A. Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, Coding, Billing and Revenue Cycle Consultant, Janesville, WI

W6 Part 1: Recent Developments in Voluntary Disclosure/Part 2: False Claims Act Developments and Management of Risk/Part 3: The Role of the Compliance Officer, General Counsel, Management, and the Board – (Part 1) David M. Glaser, Attorney, Fredrikson & Byron, P.A., Minneapolis, MN; Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; (Part 2) Hope Foster, Member, Mitz, Levin, Cohn, Ferris, Glovsky & Popeo, P.C., Washington, DC; Jesse A. Witten, Partner, Drinker Biddle & Reath LLP, Washington, DC; (Part 3) Gabriel Imperato, Managing Partner, Broad & Cassel, Fort Lauderdale, FL; Jenny O’Brien, Medicare Compliance Officer, UnitedHealth Group/PSMG, Minneapolis, MN; Michael Hemsley, CHC, General Counsel & Vice President Legal Services, Catholic Health East, Newtown Square, PA; Gary W. Eiland, Partner, King & Spalding LLP, Houston, TX chc chrc

W7 RAC Preparation & Successful Appeals – Andrew Wachler, Owner/Principal, Wachler & Associates, P.C., Royal Oak, MI; Susan Emanuel, System RAC Coordinator, Catholic Healthcare West, Phoenix, AZ

W8 Quality Incentives: Practical Next Steps for Legal, Compliance and Operational Improvements – (Part 1) Jacob Kupiezky, President, HCT Consulting, Chicago, IL; Mary Brady, Senior Nursing Consultant, HCT Consulting, Bluffton, SC; (Part 2) Susan Tedrick, Chief Compliance Officer, Franklin Hospital, Farmington, ME; Judy Waltz, Partner, Foley & Lardner LLP, San Francisco, CA

W9 The World According to the (Should-Be) All-Knowing and Omnipresent Compliance Gurus – Robert Tietjen, President/CEO, Policy Technologies International, Inc., Rexburg, ID; Steve Bearak, President/CEO, IdentityForce, Framingham, MA; Steven Greenspan, JD, LLM, Director, Government Appeals and Regulatory Affairs, Executive Health Resources, Newton Square, PA




s

reCeiVe a $100 DisCount For tHe ComPlianCe institute

when you also attend HCCa’s 2010 research Compliance Conference or sCCe’s Conference for effective Compliance systems in Higher education, april 21–24, 2010, in Dallas, texas at the Hyatt regencyNEW THIS YEAR: HCCA and SCCE have combined the Research Compliance Conference and the Conference for Effective Compliance Systems in Higher Education into one conference. Receive two conferences for the price of one. For more information or to register, call 888-580-8373 or visit www.hcca-info.org.


HCCA’s 2010 Educational OpportunitiesPlan now to attend HCCA’s upcoming conferences. HCCA offers first-class education, resources, and networking opportunities for everyone in the health care compliance field. Whatever your focus, HCCA has a conference for you.

NatioNal CoNfereNCes

Managed Care Compliance ConferenceFebruary 21–23, 2010 | Scottsdale, AZ

2010 Compliance instituteApril 18–21, 2010 | Dallas, TX

research Compliance ConferenceApril 21–24, 2010 | Dallas, TX

audit & Compliance Committee ConferenceMay 20–21, 2010 | New York, New York

aHla/HCCa fraud and Compliance forumSeptember 26–28, 2010 | Baltimore, MD

Physician Practice Compliance ConferenceOctober 17–19, 2010 | Philadelphia, PA

CoMPliaNCe aCadeMies

february 1–4, 2010Scottsdale, AZ

March 15–18, 2010Boston, MA

June 7–10, 2010San Francisco, CA

august 16–19, 2010Chicago, IL

october 25–28, 2010San Francisco, CA

November 15–18, 2010Orlando, FL

december 13–16, 2010San Diego, CA

researCH aCadeMY

february 15–18, 2010Orlando, FL

PrivaCY aCadeMY

october 4–7, 2010San Diego, CA

Web CoNfereNCes Explore current hot topics for compliance professionals. HCCA’s Web Conferences provide instant and up‑to‑date education from the convenience of your own office. New conferences are announced regularly, and prior sessions are available for purchase on CD‑ROM. Visit HCCA’s website at www.hcca‑info.org for the latest updates.

regioNal CoNfereNCes

southeastJanuary 15, 2010 | Atlanta, GA

south atlanticJanuary 29, 2010 | Orlando, FL

southwest February 19, 2010 | Dallas, TX

alaska March 4–5, 2010 | Anchorage, AK

Upper North Central May 7, 2010 | Columbus, OH

Upper North east May 21, 2010 | New York, NY

Pacific Northwest June 4, 2010 | Seattle, WA

West Coast June 18, 2010 | Newport Beach, CA

New englandSeptember 13, 2010 | Boston, MA

Upper MidwestSeptember 16, 2010 | Minneapolis, MN

MidwestSeptember 24, 2010 | Overland Park, KS

North CentralOctober 1, 2010 | Indianapolis, IN

east CentralOctober 8, 2010 | Pittsburgh, PA

HawaiiOctober 15, 2010 | Honolulu, HI

MountainOctober 22, 2010 | Denver, CO

Mid CentralNovember 5, 2010 | Louisville, KY

south CentralNovember 12, 2010 | Nashville, TN

desert southwestNovember 19, 2010 | Phoenix, AZ

Learn more about HCCA’s educational opportunities and register at www.hcca-info.org

agenda sunday, april 18


saturday, april 177:00 am –12:00 pm

volunteer Project

2:00–7:00 pm

Conference registration

sunday, april 18Sunday7:30 am –5:30 pm


Sunday9:00 am –12:00 pmPre-ConferenCe

General ComPlIanCe/HoT ToPICS

P1 Compliance 101 chc chrc

Sunday 9:00 am – 12:00 pm

• Understand the complex regulatory framework and significant issues currently facing organizations regarding physician arrangements compliance

• Be prepared to conduct a physician arrangements diagnostic assessment starting with the contract management system

• Understand lessons learned from industry audits as well as potential consequences of government disclosure matters

Debbie Troklus, Assistant Vice President Compliance, University of Louisville HSC, Louisville, KY; Sheryl Vacca, SVP/Chief Compliance and Audit Officer, University of California, Oakland, CA


P2 developing an organizational risk Profile for measuring Compliance Program effectiveness chc chrc


• Identify at least 5 effective measures for compli-ance auditing and monitoring

• Develop and apply effectiveness measures to tools developed during this session

• Identify at least 3 ways to “add value” in report-ing your audit results

Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP, Chicago, IL; Lynda Hilliard, Deputy Compliance Officer, University of CA, Oakland, CA


P3 Beyond Healthcare reformSunday 9:00 am – 12:00 pm

• Historical, political, and economic background

• The most important developments from a com-pliance perspective

• The implications of these developments

• What health care organizations should do

Frank Sheeder, Partner, Jones Day, Dallas, TX; Shawn Y. DeGroot, Vice President of Corporate Responsibility, Regional Health, Rapid City, SD; Jeff Kapp, Partner, Jones Day, Cleveland, OH

PrIvaCy & SeCurITy

P4 Privacy & Security 101 chc chrc


• An overview of the HIPAA Security Rule

• An overview of the standard transactions and code sets

• An overview of the HIPAA Privacy Rule

Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Bruce Edwards, Chief Information Security Officer, University of Louisville, Louisville, KY

PHySICIan ComPlIanCe

P5 emr: Challenges, risk, and SolutionsSunday 9:00 am – 12:00 pm

• Identify where risk is associated with specific functions in an electronic medical record

• Transitioning coders to a new paradigm: Educator/Auditor v. Rescue Recovery Coders

• Present methods to audit or monitor the con-trols of the electronic record

James Taylor, Medical Director Revenue Cycle, Kaiser Permanente Colorado, Denver, CO; Robert Freedman, Director of Business Development, MDaudit, Newton Center, MA; Lori Laubach, Partner, Moss Adams LLP, Tacoma, WA

leGal & reGulaTory

P6 false Claims act developments chc chrc


• Review the recent amendments and case law developments interpreting the False Claims Act

• Review the latest False Claims Act settle-ments and the implications for organizational compliance

• Discuss the government, whistleblower and defense perspectives in False Claims Act matters

John T. Boese, Of Counsel, Fried, Frank, Harris, Shriver & Jacobson LLP, Washington, DC; Michael D. Granston, Civil Division, U.S. Department of Justice, Washington, DC; Janet Goldstein, Partner, Vogel, Slade & Goldstein, LLP, Washington, DC

audITInG & monITorInG

P7 Physician financial arrangement Work PlanSunday 9:00 am – 12:00 pm

• Discuss purpose of a physician financial arrangement work plan

• Develop compliance steps to ensure compliance with Stark, Anti-Kickback and False Claims Act

• Auditing and monitoring techniques to enhance process improvements to meet legal requirements

Nicole Huff, Chief Compliance & Privacy Officer, Edward Hospital and Health Services, Naperville, IL; April Andrews-Singh, Compliance Director, MEDNAX Services, Inc., Sunrise, FL; Monica Frazer, Vice President, Internal Audit, Baylor Health Care System, Dallas, TX

22



QualITy of Care

P8 How to find and address the real fraud and abuse in “Quality of Care”Sunday 9:00 am – 12:00 pm

• A practical discussion of the current state of the enforcement environment regarding quality of care

• In-depth look at where the “real” quality of care fraud and abuse is found among healthcare providers

• What providers can and should be doing now

Rick Robinson, Partner, Fulbright & Jaworski, Washington, DC; David Hoffman, Esq., David Hoffman & Associates, Philadelphia, PA; Lew Morris, Chief Counsel to the Inspector General, U.S. Department of Health and Human Services, Office of Counsel and Office of Inspector General, Washington, DC; Audrey Andrews, Chief Compliance Officer, Tenet Healthcare, Dallas, TX


P9 Program Integrity across CmS: medicare, medicaid, and Parts C and dSunday 9:00 am – 12:00 pm

• Overview of key program integrity initiatives for 2010 for all CMS lines of business and what they mean for you

• Current CMS priorities for program integrity and how they will impact your organization

• CMS Audits: Who does them, what do you need to know and how can you be prepared

Kimberly Brandt, Director, Medicare Program Integrity Group, CMS; Angela Brice-Smith, Acting Director, Medicaid Program Integrity Group, CMS; Brenda Tranchida, Director, Plan Compliance and Oversight Group, CMS

Sunday12:00–1:30 pm

lunch (on your own)

Sunday1:30–4:30 pmPre-ConferenCe


P10 PaCe yourself: Improving Compliance With Better Policies, awareness, Committees and educationSunday 1:30 – 4:30 pm

• How to write POLICIES that have clear, under-standable standards

• How to improve your compliance AWARENESS and recognition program

• How to reinvigorate compliance COMMITTEES and improve auditing of the EDUCATION component

Jim Passey, Director, Compliance & Internal Audit Services, Huntington Memorial Hospital, Pasadena, CA; Linda Borges, Director of Compliance/Corporate Compliance Officer, MVP Health Care, Inc., Schenectady, NY; J. Stuart Showalter, Atlanta, GA; D. Michelle Burford, Risk Manager/Compliance Officer/Patient Safety Officer, Fort Madison Community Hospital, Fort Madison, IA


P11 research/IrB Stark & Clinical research: 5 Compliance Scenarios & 5 Practical Safeguards chrc

Sunday 1:30 – 4:30 pm

• Explore how Stark is relevant to clinical research/ Propose 5 safeguards that hospitals can adopt to manage Stark compliance risks during clinical research

• Describes the differing Stark risks in clinical research between academic medical centers and community hospitals

• Analyzes from a Stark perspective 5 common relationships between hospitals and physician-investigators

Ryan D. Meade, Meade & Roach, LLP, Adjunct Professor/Loyola University Chicago School of Law, Chicago, IL; Christopher K. Goforth, Director of Compliance Program Integrity, Stanford University Medical Center, Palo Alto, CA


P12 Compliance effectiveness: are There really “Best Practices” and How do We Practically measure That? chc

Sunday 1:30 – 4:30 pm

• Recent OIG Guidance and settlement agreement requirements that list the expectations for an effective compliance program

• Metrics and an audit tool to utilize in testing compliance program objectives

• Insight into the criteria CMS, OIG and the DOJ use when assessing the effectiveness of a compli-ance program

Lisa Murtha, Partner, Sonnenschein Nath & Rosenthal LLP, Holland, PA; Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP, Chicago, IL

PrIvaCy & SeCurITy

P13 Information Security and Privacy: a new World and What This means to your organization chc chrc

Sunday 1:30 – 4:30 pm

• Discussion of Legal, Risk Management & Compliance domains, their unique issues, and how they interface

• Discussion of regulatory collaboration, such as HIPAA, the HITECH Act and Red Flags Rule

• Discussion with the audience of a risk assess-ment and investigation case study

Brad M. Rostolsky, Reed Smith LLP, Philadelphia, PA; Deann Baker, Chief Corporate Compliance Officer, Alaska Native Tribal Health Consortium, Anchorage, AK; Hala Y. Helm, Vice President/Chief Compliance Officer, John Muir Health, Walnut Creek, CA




P14 raC reality CheckSunday 1:30 – 4:30 pm

• Part A v. Part B audits; impact of RAC audits on physician practices

• Debunking the myths; getting it right the first time; what do I need to be doing now to prepare?

• What should I do when the auditors come knocking?

John C. Falcetano, Chief Audit /Compliance Officer, University Health Systems of Eastern Carolina, Greenville, NC; Marie Moseley, UHS Regulatory Affairs Specialist/Privacy Officer, University Health Systems of Eastern Carolina, Inc., Greenville, NC

leGal & reGulaTory

P15 anti-kickback and Stark Primer and Current developments chc chrc

Sunday 1:30 – 4:30 pm

• Primer on Stark and anti-kickback statutes and regulations

• Significant case law and regulatory developments

• Changes and issues from health care reform legislation

Craig Holden, Ober Kaler Grimes & Shriver, Baltimore, MD; Kevin G. McAnaney, Attorney, Law Office of Kevin G McAnaney, Washington, DC


P16 How to do It! risk assessment to a Compliance Internal audit Workplan chc chrc

Sunday 1:30 – 4:30 pm

• Knowledge on the 6 key risk domains and how to use the principles of the internal control framework or enterprise risk management framework to identify risks within each domain

• Ideas for cost effective strategies to assess and monitor risks based on your organization’s risk appetite, tolerance and available resources

• A good understanding of risk assessment and monitoring tools, how to develop them and a risk universe

Kelly Nueske, Director, Risk Management Services, Sinaiko Healthcare Consulting, Inc., Minneapolis, MN; Debi Weatherford, Director Internal Audit, Piedmont Healthcare, Atlanta, GA

QualITy of Care

P17 lessons from mandatory ComplianceSunday 1:30 – 4:30 pm

New York Medicaid requires every hospital to have an 8 element compliance program, and to certify that it is “effective.” This session will dis-cuss predictable issues and lessons learned from the implementation of mandatory compliance programs, which are included in all new national health care plan proposals. Some issues:

• Measuring “effective”; dealing with vendors, contract staff, contracted departments; vendor, board member, and employee screening for exclusion, debarment, and affiliates

• Central compliance structures in organizations with multiple facilities, business lines; hot issues identified through compliance and disclosure

Jim Sheehan, Medicaid Inspector General, Office of the Medicaid Inspector General


P18 are you Prepared for that Pending emergency, disaster or Pandemic? linking emergency management with Business Continuity PlanningSunday 1:30 – 4:30 pm

• Increase your understanding of planning and response efforts for handling incidents such as the H1N1 Pandemic

• Provide case studies describing how organiza-tions maintained operations during these events

Mitch Saruwatari, VP Quality and Compliance, LiveProcess, Verona, NJ; Todd Brown, Eclipsys, Atlanta, GA


P19 The evolution of HIPaa: a Practical Path to HITeCHSunday 1:30 – 4:30 pm

Derek Woo, Managing Director, Sinaiko Healthcare Consulting, Inc.; Erika Bol, Privacy Officer, Legal Division, Colorado Department of Health Care Policy & Financing, Agency Administration and Operations Office; Donna Gilley, Lattimore, Black, Morgan & Cain, PC; Shauna Van Dongen, System Manager, Privacy Strategy & Operations, Providence Health & Services

Sunday4:30–5:30 pm

networking reception

Web 2.0 is about the new, faster, everyone connected internet.

Each resource is 100% dedicated to compliance and ethics management. So sign up for whichever one works best for you, or for all four if you’re already living the Web 2.0 life.

HCCA is embracing this approach and offers you a number of ways to build out your network, connect with compliance professionals, and leverage this new technology. Take advantage of these online resources, keep abreast of the latest in compliance news, and stay ahead of the curve.

Dozens of discussion groups and more than 3,000 participantshttp://community.hcca-info.org

Profiles of over 1,300 compliance and ethics professionals eager to connecthttp://www.linkedin.com/groups?gid=83345

Connect with compliance and ethics professionals on Facebookhttp://www.hcca-info.org/Facebook http://www.hcca-info.org/Fan_Page

Over 11,000 people already follow us on Twitter to get breaking compliance newshttp://twitter.com/HCCA_News

http://www.linkedin.com/groups?gid=61769

http://www.linkedin.com/groups?gid=61769

http://twitter.com/scce_news


One Vision, Many Perspectives: Today’s Healthcare Audit Community

ASSOCIATION OF HEALTHCARE

INTERNAL AUDITORS

2010 ANNUAL CONFERENCE

September 13-15, 2010

Hyatt RegencyBaltimore, MD

www.ahia.org

agenda monday, april 19


monday, april 19Monday7:00 am –5:30 pm


Monday8:30–8:40 am

opening remarks


General SeSSIon: How organizations and Individuals Slide Into CrimeKurt Eichenwald, Author of The Informant, Pulitzer Prize Nominee, Dallas, TX; Denny Swenson, Executive Producer, Light On Productions, Boston, MA


General SeSSIon: oIG update Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, Washington, DC


Break

Monday11:00 am –12:00 pm


101 Compliance effectiveness from the Inside out chc chrc

Monday 11:00 am – 12:00 pm

• Proof of delegated accountability

• Awareness of the legal ‘ground rules’ associated with risk areas

• Cultural ‘buy-in’ including how to engage executive management (business and legal predicates)

Julene D. Brown, Director of Corporate Compliance, Innovis Health, Fargo, ND; Jenny O’Brien, Medicare Compliance Officer, UnitedHealth Group/PSMG, Minneapolis, MN; John E. Steiner Jr, Esq., Chief Compliance Officer, Cancer Treatment Centers of America, Schaumburg, IL


102 analytics for Compliance: a Case Study of deploymentMonday 11:00 am – 12:00 pm

• Gather lessons learned for implementing perfor-mance analytics solutions for compliance

• Identify strategies for assessing compliance risk, tracking audits, and measuring success

• Learn what data to measure and how to develop workflows and proactive analyses

Barbara J. Piascik, SVP/Chief Compliance Officer, St. Vincent Catholic Medical Centers, New York, NY

lonG-Term Care

103 HITeCH act…HIPaa 2.0: lTC Provider ImplicationsMonday 11:00 am – 12:00 pm

• New Federal Breach Requirements—things to consider

• How HITECH changes HIPAA

• Enhanced Enforcement—what you need to know

Gillian Gray Broderick, Vice President of Health Information Privacy, Fundamental Administrative Services, LLC, Baltimore, MD; Donna Maassen, Director of Compliance, Extendicare Health Services, Inc., Milwaukee, WI

PrIvaCy & SeCurITy

104 HIPaa risk assessment Tool for Physician Practices chc chrc

Monday 11:00 am – 12:00 pm

• Provides a comprehensive HIPAA Risk Assessment tool (Excel format) for physician practices

• Discusses example audit survey responses and explores methods for assigning values to each response

• Explains how to use the Risk Assessment results in developing a HIPAA audit plan

Robin L. Wilcox, Associate Compliance Officer, University of Louisville, Louisville, KY; Marian Hughlett, Deputy Privacy Officer, University of Louisville, Louisville, KY


105 Compliance in a one-Person officeMonday 11:00 am – 12:00 pm

• This session will provide information on how to prioritize and manage compliance issues in a one person office

• Creative ideas will be discussed on how to maintain an effective compliance program

• Tools, templates and audit processes will be shared to assist the one person compliance program

Lea Fourkiller, Chief Compliance Officer, Conifer Health Solutions, Frisco, TX

leGal & reGulaTory

106 avoiding fair market value PitfallsMonday 11:00 am – 12:00 pm

• Identify & avoid common pitfalls when establishing the FMV and commercial rea-sonableness of physician compensation arrangements

• Structure physician arrangements to avoid ambiguity & unintended outcomes

• Analysis of recent case law dealing with FMV and commercial reasonableness issues

Robert Wade, Partner, Baker & Daniels, South Bend, IN; Timothy R. Smith, Manager, HealthCare Appraisers, Inc., Dallas Office, Allen, TX


107 mistakes Happen: The nuts and Bolts of a voluntary medicare repaymentMonday 11:00 am – 12:00 pm

• Strategies for making repayments in a manner that minimizes the risks of a hostile government reaction

• How to structure a retrospective claims review including review standards, sampling and extrapolation and reporting findings

• Case study based upon real examples with practical suggestions for making repayments without drawing a target on your (or someone else’s) back

Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; Christopher T. Rehm, President, Pinnacle Physician Resource Group, Denver, CO

26



QualITy of Care

108 PSos: new Privacy, Security and Confidentiality rulesMonday 11:00 am – 12:00 pm

• PSO provider confidentiality rules: “HIPAA for provider identities”

• Patient Safety Work Product privilege

• The connection between patient safety and compliance

Rory Jaffe, Executive Director, CHPSO, Sacramento, CA


109 Integrating Compliance and risk management chc chrc

Monday 11:00 am – 12:00 pm

• Using risk assessment to establish controls

• Automating controls to measure compliance

• Measuring compliance success through risk management

Steve Lefar, General Manager, MediRegs, Wolters Kluwer Law & Business, Riverwoods, IL

advanCed dISCuSSIon GrouP

110 overcoming obstacles: Strategies for enhancing your effectiveness as a Compliance & ethics officerMonday 11:00 am – 12:00 pm

• Recognizing the impediments to success

• The authority dilemma

• Strategies for breaking down barriers

(attendance limited to 50 people)Dan Roach, Vice President Compliance and Audit, Catholic Healthcare West, San Francisco, CA


111 The nexus of Information Technology, Compliance and revenue Cycle PerformanceMonday 11:00 am – 12:00 pm

• Unique perspective on risks/benefits of integra-tion of IT, operations and compliance

• Specific examples and quantified ROI from improved compliance/IT integration

• Q&A: increasingly important topic for non-IT professionals given stimulus $ for EHR

Jeff Sinaiko, President, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA; Derek Woo, Managing Director, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA


112 Gifts and Conflicts of Interest chc chrc

Monday 11:00 am – 12:00 pm

• How the latest industry codes and policy direc-tives will impact your gifts and conflicts of interest policy

• Hot compliance issues related to industry-pro-vider relationships, including methods to detect undisclosed conflicts

• Understand the relationship between potential conflicts of interests and quality oversight

Greg Radinsky, Vice President & Chief Corporate Compliance Officer, North Shore-Long Island Jewish Health System, Great Neck, NY; Bret Bissey, Director, Regulatory Compliance, IMA Consulting, Chadds Ford, PA; José Tabuena, Sr VP, Governance & Compliance, PhyServe Physician Services, Inc., Dallas, TX


113 risk assessments…Who, What, Where, When, Why, and How! chc chrc

Monday 11:00 am – 12:00 pm

• Why is the greatest risk not doing risk assessments

• What should a risk assessment be and what might it look like

• Where do I start and when does it end; Work plan, audit plan, risk assessment the perfect alignment

Dwight Claustre, CHC, CHRC, Director, Huron Consulting Group, Sun City West, AZ; Leah B. Guidry, Managing Director, Huron Consulting Group, Washington, DC

Monday12:00–1:00 pm

lunch & General SessionTrevor Fetter, President and CEO, Tenet Healthcare Corporation, Dallas, TX


Break



201 fraud risk assessmentMonday 1:30 – 2:30 pm

• Understand the nature of fraud risk relative to other risk, and identify steps for completing a fraud risk assessment

• Incorporating fraud risk into your annual inter-nal audit or corporate-wide risk assessments

• Addressing fraud risk on an ongoing and indi-vidual audit basis

Mark P. Ruppert, Director, Internal Audit, Cedars-Sinai Health System, Los Angeles; Paul M. Baran, PriceWaterhouseCoopers, Director, Internal Audit, Philadelphia, PA


202 CmS audits of Health Plans: How to avoid the CrisisMonday 1:30 – 2:30 pm

• Understand the scope of CMS audits of Medicare Advantage plans

• Learn how to prepare your organization for a CMS audit

• Learn how to devise a corrective action plan in response to an identified deficiency

Steve Lokensgard, Special Counsel, Faegre & Benson, Minneapolis, MN; David B. Orbuch, Chief Compliance Officer, Public and Senior Markets Group, UnitedHealth Group, Minnetonka, MN



lonG-Term Care

203 Identifying oIG lTC Priorities and making necessary ChangesMonday 1:30 – 2:30 pm

• Review of OIG Work Plan, Semi-Annual Report and Compendium LTD Focus

• Discussion of recent OIG LTC enforcement actions• Suggestions for incorporating new processes/

procedures into corporate compliance programsAlan E. Schabes, Benesch, Friedlander, Coplan & Aronoff LLP, Cleveland, OH; Laura Ellis, JD, OIG Senior Counsel, Department of Health & Human Services, Washington, DC

PrIvaCy & SeCurITy

204 Cyber Threats to Health Care organizations: Tips for the Compliance ProfessionalMonday 1:30 – 2:30 pm

• Why Compliance Officers need to be engaged in information security and data protection

• A look at key cyber threats and how they relate to your compliance efforts

• Practical suggestions for detecting and mitigat-ing digital risks

James Donaldson, Privacy and Security Officer, Baptist Health Care Corporation, Pensacola, FL; Fred Touchette, Senior Security Analyst, AppRiver, Gulf Breeze, FL


205 Conflicts of Interest: addressing the latest regulations chc chrc

Monday 1:30 – 2:30 pm

• Understand new regulations related to physician conflicts of interest

• Address emerging issues such as self disclosure and False Claims Act revisions

• Maintaining physician monitoring through the development of process and controls

Susan Lee Walberg, Corporate Compliance Officer, MedStar Health, Columbia MD; Cheryl Golden, Senior Manager, Deloitte & Touche, Tampa, FL

leGal & reGulaTory

206 HeaT Initiative: doJ and oIG Strategies to Combat Health Care fraudMonday 1:30 – 2:30 pm

• Receive an overview of prevalent fraud schemes identified by the newly created HEAT and DOJ’s and OIG’s coordinated law enforcement response

• Learn about recent criminal prosecutions by the Medicare Fraud Strike Forces and recommenda-tions for preventing future fraud

• Find out which states and regions will be impacted by the expanding federal enforcement efforts

Kirk Ogrosky, Deputy Chief, U.S. Department of Justice, Washington, DC; Charles Reed, Trial Attorney, U.S. Department of Justice, Washington, DC; Erin Lemire, Senior Policy Advisor, Office of Inspector General, Washington, DC


207 Tackling the Challenge of auditing delegated entitiesMonday 1:30 – 2:30 pm

• Conquering the challenging audit requirements

• Tried and true approaches to auditing delegated entities

• Lessons learned from wins and disappointments

Vickie Patterson, Associate Director, Protiviti, Tampa, FL; Debra Baverman, Vice President, Regulatory Compliance Medicare Advantage Division of Universal American Corp, Houston, Texas

QualITy of Care

208 Structuring, Implementing and monitoring Service Contracts: a Team Sport of Compliance, Quality, legal, and Human resourcesMonday 1:30 – 2:30 pm

• Utilize and structure service contracts as a tool to promote quality

• Identify and avoid compliance risks associated with service contractors

• Ideas on building a collaborative team to address and improve quality compliance requirements

Thomas Jeffry, Jr, Partner, Arent Fox LLP, Los Angeles, CA; Emilie Rayman, In-House Counsel, Chief Compliance Officer, Community Memorial Health System, Ventura, CA


209 So, you Think you Have an effective Compliance Program: Think again! chc chrc

Monday 1:30 – 2:30 pm

• Using data analytics to objectively pursue com-pliance program effectiveness—where does your data point?

• Training and monitoring—where should you focus, and what resources do you need?

• Using dashboards to present program effective-ness information to senior management and your board

Ken Zeko, Director, KPMG, Dallas, TX; Dieter Lehnortt, Assistant Vice President/Institutional Compliance Officer, UT Southwestern Medical Center at Dallas, Dallas, TX

28




210 How to Better engage your Board in Compliance: The rising Standard of CareMonday 1:30 – 2:30 pm

• Emerging government expectations for business organizations

• The board’s evolving role in compliance

• The increasing value of effective compliance programs

(attendance limited to 50 people)Keith Halleland, Shareholder, Halleland Habicht PA, Minneapolis, MN

Monday2:30–3:00 pm Break

Monday1:30–5:30 pm Industry ImmersIons

InduSTry ImmerSIon

ii1 Professional development: negotiation/CollaborationMonday 1:30 – 5:30 pm

• Learn a process to address intimidating and disruptive behaviors

• Learn relationship building and collaborative practices

• Learn how to manage workplace conflict

Ben Adkins, Adkins & Associates, Tampa, FL

InduSTry ImmerSIon

ii2 large Hospitals and Health SystemsMonday 1:30 – 5:30 pm

• Managing the new risks areas for large hospitals and large health systems. Particular focus will be on challenges of 2010: FERA, HEAT, etc.

• Exploring best practices: structure, training, auditing and monitoring.

• Maximizing the use of your compliance program resources, and re-evaluating the traditional compliance program structure and support

Cheryl Wagonhurst, Partner, Foley & Lardner LLP, Los Angeles, CA; Chris Bangerter, Corporate Compliance Officer, LifePoint Hospitals, Brentwood, TN; Michelle Cooper, Vice President and Corporate Responsibility Officer, Catholic Health Initiatives, Denver, CO; Glen Mueller, Vice President Audit, Compliance, & Information Security, Scripps Health, San Diego, CA

InduSTry ImmerSIon

ii3 Payor/managed CareMonday 1:30 – 5:30 pm

• From quality of care concerns to fraud: federal and New York State perspectives

• Hot topics in Medicare Compliance: CMS Audits, Marketing Surveillance and Oversight, and Data Validation

• Does your plan have an effective Compliance Awareness and Recognition Program? Engaging employee participation

Moderator: Anne Doyle, Executive Vice President, Chief Compliance Officer, Fallon Community Health Plan, Worcester, MA; Panel: Linda Borges, Director of Compliance/Corporate Compliance Officer, MVP Health Care, Schenectady, NY; Regina Gurvich, Director, Health Plus, Brooklyn, NY; Alissa Beattie, Compliance Officer, New West Health Services, Helena, MT



301 Whistleblowing: What are We Hearing, Where Should We Be listening, and How Should We Be responding? chc chrc

Monday 3:00 – 4:00 pm

• Best practice guidance for collecting reports of code of conduct violations

• Insight into updated trends and benchmarking data relating to fraud and other misconduct

• Practical advice for incorporating social media into your ethics and compliance programs

David Childers, President & CEO/ EthicsPoint, Inc., Lake Oswego, OR


302 The Investigative lights Shine Big and Bright: Perspectives on Best Practices for Internally Initiated Compliance Investigations chc chrc

Monday 3:00 – 4:00 pm

• Learn about running effective investigations through cases studies from the perspectives of the consultant, compliance officer and lawyer

• Best practices for internally initiated inves-tigations, and common (and uncommon) investigatory mistakes

• Recommendations for triaging problems for dif-ferent levels of investigation

Karen Murray, Chief Compliance Officer, Yale New Haven Health System, New Haven, CT; Kelly Sauders, Partner, Deloitte & Touche LLP, New York, NY; Lawrence Vernaglia, Partner, Foley & Lardner LLP, Boston, MA



lonG-Term Care

303 Smart document management in an evolving World of Information and legal exposureMonday 3:00 – 4:00 pm

• Examine the practical and operational require-ments of information needs in LTC where regulatory and legal exposure are looming

• What to do with Hybrid documents, electronic ADL tracking documents and other informa-tion that might not fit into the old paradigm of compliance and risk management.

• Litigation readiness considerations

Barbara J. Duffy, Shareholder, Lane Powell, PC, Seattle, WA; Donna Maassen, Director of Compliance, Extendicare Health Services, Inc., Milwaukee, WI

PrIvaCy & SeCurITy

304 enforcement effortsMonday 3:00 – 4:00 pm

• Updates on OCT’s Privacy Rule enforcement efforts

• Major new enforcement initiatives

• Emerging Issues (Privacy and HIT, Privacy and GINA, Patient Safety and Quality Improvement Act of 2005 enforcement)

David Holtzman, Health Information Privacy Specialist, U.S. Health and Human Services Office for Civil Rights, Washington, DC


305 I Thought I Was Supposed to Practice medicineMonday 3:00 – 4:00 pm

• Where does patient care fit into the world of Compliance?

• How do compliance professionals get physician buy in to the compliance process?

• How do regulation changes or conflicts with patient care impact the relationship with physicians

Robert H. Ossoff, Assistant Vice Chancellor Compliance & Corporate Integrity, Vanderbilt Medical Center, Nashville, TN; Christopher Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN

leGal & reGulaTory

306 medicaid fraud enforcement chc chrc

Monday 3:00 – 4:00 pm

• Explain increased investigation and enforce-ment of Medicaid Fraud and Abuse

• Hightlight New and Ongoing Areas of Concern, 2009 OIG Work Plan

• Discuss recent state and federal enforcement actions

Jack Wenik, Chair Healthcare Investigations Group, Sills Cummis Gross, PC, Newark, NJ; Joanne B. Erde, Partner, Duane Morris LLP, Miami, FL


307 Help Them, Help Themselves—and youMonday 3:00 – 4:00 pm

• Identifying the needs of your compliance plan

• Identifying key supportive information

• Giving your mangers the tools they need

Susan Welsh, Compliance Manager, Health Management Associates, Naples, FL; Charmin Davis, Compliance Specialist, Health Management Associates, Naples, FL

QualITy of Care

308 Informed Consent: form versus ProcessMonday 3:00 – 4:00 pm

• Review the historical and regulatory back-ground regarding consent and the impact on the process

• Understand the importance of separating the consent form and the consent process

• Learn new strategies and tools to improve the organization’s processes that address consent

Jana Lacera, Director, IRB/Bio-Ethics, Community Hospital, Munster, IN


309 ethics expedition: reaching the Summit of Program effectiveness with Base Camp resourcesMonday 3:00 – 4:00 pm

• Plot Your Ascent: Differentiate between essen-tial and non-essential program activities

• Underwrite Your Expedition: Determine how to continue essential activities for less cost

• Effective Climbing Techniques: Incorporate proven methods to enhance effectiveness; view from the peak: What does effectiveness look like on a budget?

Mary Bennett, Vice President, Ethical Leadership Group, Mundelein, IL; Mary Ann Beil, Corporate Ethics and Compliance Officer, Memorial University Medical Center, Savannah, GA


310 effective Compliance Program Strategies for Small to medium-Size organizationsMonday 3:00 – 4:00 pm

• Successful monitoring and compliance auditing processes

• Training tools for employee education to include: e-learning, specialized training courses, and sharing training programs with other organizations.

• Challenges and opportunities for incorporating specialty services and clinics into an institute-wide compliance program

(attendance limited to 50 people. session is full as of 1/19/10.)Pat Connell, Vice President of Behavioral Health/Research/Compliance/Government Relations, Boys Town National Research Hospital, Omaha, NE

30




311 overcoming obstacles: Strategies for enhancing your effectiveness as a Compliance & ethics officerMonday 11:00 am – 12:00 pm

• Recognizing the impediments to success

• The authority dilemma

• Strategies for breaking down barriers

(attendance limited to 50 people)Dan Roach, Vice President Compliance and Audit, Catholic Healthcare West, San Francisco, CA


Break



401 Take a Second look at your Physician relationships: Tips Based on experience and Changes in the lawMonday 4:30 – 5:30 pm

• Contracting tips to avoid issues under the fraud and abuse laws

• Recent Stark Law changes that necessitate action on your part

• Effective operational best practices for relation-ship monitoring and tracking—not just legal’s responsibility!

Jana Kolarik Anderson, Attorney, Epstein Becker & Green, P.C., Washington, DC; Matthew D. Vogelien, Director, Huron Consulting Group, Kannapolis, NC


402 oIG-excluded Parties and Sanctions Screening Compliance chc chrc

Monday 4:30 – 5:30 pm

• How to determine if your hospital is doing an effective job of searching for excluded parties

• Learn about the resources available to avoid exposure from excluded parties

• Learn what the OIG is expecting from you regarding compliance and how to comply with the regulations

Brad Hunter, Director, AHA Solutions, Inc., Chicago, IL ; Stefan Keller, President, Certiphi Screening, Inc., Southampton, PA

lonG-Term Care

403 Case Studies in Post-acute Care arrangements between Snfs, Hospitals, and other ProvidersMonday 4:30 – 5:30 pm

• Review relationships b/w SNFs and hospitals, analyze their compliance aspects

• Discuss what is allowable within these rela-tionships and creating compliance friendly relationships

• Propose a checklist for auditing existing or new relationships and agreements

J. Scott Richardson, Partner, Bradley Arant Boult Cummings LLP, Nashville, TN; Christopher Puri, Attorney, Bradley Arant Boult Cummings LLP, Nashville, TN

PrIvaCy & SeCurITy

404 applying ISo 27000 to address federal & State Security mandatesMonday 4:30 – 5:30 pm

• Examine how to address PCI DSS, HITECH, HIPAA requirements with ISO 27000

• Analyze valued NIST guidance documents to address critical mandates

• Step through how to address incident manage-ment and IT business continuity with ISO 27002

Ali Pabrai, CEO, ecfirst, Newport Beach, CA


405 Working with drug and device manufacturers chrc

Monday 4:30 – 5:30 pm

• Consulting agreements: addressing conflicts of interest and avoiding fraud and abuse exposure

• Clinical trials basics: contract issues and regula-tory compliance

• Health information privacy and security: how to respond to data requests

Rachel Nosowsky, Principal Counsel, University of California, Oakland, CA

leGal & reGulaTory

406 department of Justice Investigations and role of Compliance departmentMonday 4:30 – 5:30 pm

• Compliance professionals play a critical role in resolving fraud investigations

• Learn from an experienced Assistant U.S. Attorney and defense counsel

• Hear different perspectives on cooperation by providers during investigations

Sean McKenna, Assistant U.S. Attorney, U.S. Attorney’s Office Northern District of Texas, Dallas, TX; Howard Young, Partner, Morgan Lewis, Washington, DC


407 auditing your Copy forward or Templated emr recordMonday 4:30 – 5:30 pm

• Are you at risk using copy forward and/or cut and paste in your EMR?

• Is medical necessity reflected in the exploded progress note?

• Develop an audit plan for assessing your risk

Kathleen Enniss, Compliance Analyst, UW Medicine Compliance, Seattle, WA


Innovative Services.Delivering Solutions.Meade & Roach, LLP is dedicated to delivering health care regulatory compliance solutions. We have earned a reputation for providing hands-on solutions to complex compliance needs. We not only understand the law, we understand our clients. Together with our affiliate, Aegis Compliance & Ethics Center, LLP, our firms are dedicated to health care compliance.

• Medicare/Medicaid Compliance• Clinical Research Compliance• Fraud & Abuse/Stark Analysis• Board Advisory Services• Contract Compliance Officer Services• Compliance Program Design & Implementation• Clinical Trial Agreement Review & Negotiation

• Recovery Audit Contractor (RAC) Services• Compliance Training & Education• HIPAA Privacy & Security• Corporate Compliance Program Effectiveness Reviews• Voluntary Disclosure Representation• Compliance Auditing & Monitoring• IRB Reviews

meaderoach.com 888.739.8194 aegis-compliance.com

32

agenda tuesday, april 20


QualITy of Care

408 more than alphabet Soup: Baa, PSae, raC, mIC and ZPICsMonday 4:30 – 5:30 pm

• Learn about recent changes to Business Associate requirements and impact to your organization

• Discuss recent state legislation related to pre-ventable serious adverse events and possible risks

• Review of proactive measures to respond to RAC, MIC, ZPIC audits

Andrea McElroy, Chief Compliance Officer, Platinum Health Care, Skokie, IL; Miriam Murray, Director Corporate Compliance & Privacy Officer, Sava Senior Care Administrative Services, LLC, Atlanta, GA


409 revenue Integrity and Safeguarding: Comprehensive Strategies for Contractor Combat (raCs, mICs, ZPICs and others)Monday 4:30 – 5:30 pm

• Discuss overview of the contractor landscape and the procurement timeline

• Explore preparedness techniques and other strategies for contractor disputes

• Address current developments relevant to each category of contractor

Sara Kay Wheeler, King & Spalding, Atlanta, GA; Denise Hall, Shareholder, Pershing Yoakley & Associates, Atlanta, GA; Christopher D. Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN


410 HITeCH Implementation: lessons learned and the road aheadMonday 4:30 – 5:30 pm

• Implementation challenges and successes • Breach notification processes—how best to pre-

pare your organization • Thinking ahead—accounting of disclosure, what

changes will be needed for your organization

(attendance limited to 50 people. session is full as of 1/19/10.)Carole Ann Klove, UCSF Medical Center, San Francisco, CA


networking reception

tuesday, april 20TueSday7:00 am –4:30 pm


TueSday8:30–8:45 am

membership meeting


General SeSSIon: CmS Keynote Presentation• Overview of Obama Administration health care

fraud priorities

• What is the new Center for Program Integrity and how it will impact your organization

Peter P. Budetti, Deputy Administrator for the Center for Program Integrity, CMS


General SeSSIon: moving forward: ethical leadership for the 21st Century• The recent financial crises and current scandals:

commonalities, root causes and risk indicators

• Lessons learned and what it means for compli-ance and ethics professionals

• Practical tips for building a strong ethical foun-dation that will lead to sustainable success

Cynthia Cooper, Author, Extraordinary Circumstances, One of TIME Magazine’s Persons of the Year, CEO, The CooperGroup, LLC, Jacksonville, MS


Break

TueSday11:00 am –12:00 pm


501 data mining: Compliance and Internal audit applicationsTueSday 11:00 am – 12:00 pm

• Data mining for improved financial performance

• How to deter, detect and correct internal control gaps and deficiencies, and increase compliance

• Examples of queries, algorithms and applicable statistical analysis

John Beattie, Partner, Healthcare Consulting Group, ParenteBeard LLC, Mechanicsburg, PA


502 uncle Sam HIT me!! Compliance risks in Implementation of electronic Health recordsTueSday 11:00 am – 12:00 pm

• Identify key compliance risks areas in EHR implementation

• Learn strategies to reduce EHR compliance risk

• How EHR compliance supports “Meaningful Use”

Bobbi Bonnet, Senior Compliance Practice Leader, National Compliance, Ethics and Integrity Office, Kaiser Permanente, Oakland, CA

lonG-Term Care

503 assessing the Impact of Compliance-related legislative and regulatory developments on lTCTueSday 11:00 am – 12:00 pm

• Learn about regulatory changes that affect LTC providers’ compliance efforts

• Look ahead to pending federal legislation

• Come away with information you can use now to be ahead of the curve on changes to the False Claims Act, Health care reform, HI-TECH and HIPAA issues, and more

Jennifer L. Hilliard, Public Policy Attorney, American Association of Homes and Services for the Aging, Washington; Barbara Gay, Director of Advocacy Information, American Association of Homes and Services for the Aging, Washington, DC



PrIvaCy & SeCurITy

504 Physical Security in the Privacy WorldTueSday 11:00 am – 12:00 pm

• Identify areas where physical security gaps can occur outside of IT

• Policy checklist with suggested assignments for responsibilities

• Provide a non-technical physical security audit tool

David Nelson, Privacy Officer, County of San Diego, San Diego, CA


505 dental Compliance: Implementing a medical Compliance Program in a dental WorldTueSday 11:00 am – 12:00 pm

• The ups and downs of implementing a medical compliance plan in a dental world

• Understanding the CMS Teaching Physician Rules as they apply to dental services

• Compliance and dental billing: is there a “fudge factor?”

Teresa M. Bivens, Deputy Compliance Officer & Education Manager, University of Louisville HSC, Louisville, KY; Kimberly Johnson, Professional Practice Compliance Officer, Corporate Compliance Office, University of Kentucky Healthcare, Lexington, KY; Glena Jarboe, Compliance Program Coordinator, University of Kentucky, Lexington, KY

leGal & reGulaTory

506 Internal Investigations chc chrc

TueSday 11:00 am – 12:00 pm

• Explore strategies for completing internal inves-tigations in a timely and cost effective manner

• Discuss attorney-client privilege, including challenges for lawyers in compliance functions

• Examine when and where to disclose (Medicare contractor, HHS-OIG, US Attorney’s Office)

William T. Mathias, Principal, Ober, Kaler, Grimes & Shriver, Baltimore, MD; Gabriel Imperato, Managing Partner, Broad & Cassel, Fort Lauderdale, FL


507 measurable metrics for Scope of Practice monitoring and auditing chc chrc


• How to develop objective, practical and mea-surable Scope of Practice metrics to monitor compliance

• Discussion and illustrations of tools for moni-toring and auditing clinical Scope of Practice issues

• Tried and tested examples of communication/reporting tools for dissemination of metrics

Carol Novak, Compliance Practice Specialist, Kaiser, Simi Valley, CA

QualITy of Care

508 Solving Patient Grievances While avoiding Compliance SnaresTueSday 11:00 am – 12:00 pm

• Identify regulatory requirements for handling patient complaints/grievances

• Obtain guidance for resolving patient com-plaints while identifying potential compliance issues embedded in patient complaints

• Discuss strategies for improved coordination between compliance and patient service efforts

Lisa Venn, Compliance Manager, University Hospitals, Shaker Heights, OH


509 enterprise risk assessment and mitigation: a Practical approach leveraging Internal resources chc chrc


• A practical model for conducting annual Enterprise Risk Assessments and ongoing Enterprise Risk Management

• How to establish risk-based plans to determine priorities and contribute to audit and mitigation activities

• Take home tools, forms and steps to implement an internal Enterprise Risk Assessment and Enterprise Risk Management

Diane Meyer, Chief Compliance and Privacy Officer, Stanford University Medical Center, Palo Alto, CA; Rick Moyer, Associate Vice President for Internal Audit and Institutional Compliance, Stanford University, Palo Alto, CA


510 “Connecting the dots”: a Compliance and Quality PartnershipTueSday 11:00 am – 12:00 pm

• Explore WHY “connecting the dots” between other regulatory depts and compliance is a necessity to future compliance risk mitigation

• Practical recommendations for working through the complexity of integrating compli-ance as related to peer review, medical staff, credentialing, case management patient status changes, etc.

• Specific scenarios: Peer Review and OPPE, clinical documentation, patient rights and grievances, Ethics Committee review, and more

(attendance limited to 50 people)Wilma Acosta, Compliance Officer, Sutter Medical Center, Sacramento, CA; Rob Nolan, Vice President & Chief Compliance Officer, PharMerica Corporation, Louisville, KY

34




511 Quality, Waste and abuse in the medicare and medicaid ProgramsTueSday 11:00 am – 12:00 pm

• A discussion of the various government contrac-tors that are auditing providers; understanding what the definitions of waste and abuse are and how the quality of care provided must meet pro-fessionally recognized standards of care

• Examples of billing for services that are not medically necessary, inappropriate and/or insuf-ficient documentation to support services billed

• Quality of care issues that do not meet profes-sionally recognized standards and claiming for serious adverse advents

Harry M. Feder, Senior Vice President/COO, IPRO, Lake Success, NY

TueSday11:00 am –3:45 pmIndustry ImmersIons

InduSTry ImmerSIon

ii4 academic medical CentersTueSday 11:00 am – 3:45 pm

• Regulatory challenges related to clinical trials billing

• Physician/Faculty Compensation and Conflicts of Interest (Grassley)

• Access to the Medical Record at an AMC (Investigator access to PHI research purposes)

Moderator: Lynda Hilliard, Deputy Compliance Officer, University of CA, Oakland, CA; Panel: Kristin H. West, Associate VP for Research & Director, Office of Research Compliance, Emory University, Atlanta, GA; Luanna K. Putney, Director of Research Compliance, Office of Ethics, Compliance and Audit Services, University of California, Oakland, CA; Hala Y. Helm, Vice President/Chief Compliance Officer, John Muir Health, Walnut Creek, CA

InduSTry ImmerSIon

ii5 Compliance Challenges for the laboratory Industry: 2010 and BeyondTueSday 11:00 am – 3:45 pm

• Coding the new molecular diagnostic technolo-gies and billing for laboratory develop test

• Preparing the laboratory for new compliance issues resulting from the transition to electronic health records

• Coping with laboratory compliance issues resulting from health-care reform

Moderator: Christopher Young, President, Laboratory Management Support Services (LMSS), Phoenix, AZ; Diana Voorhees, Principal/CEO, DV & Associates, Inc., Salt Lake City, UT; Chris Anusbigian, Senior Manager Health Sciences, Deloitte & Touche LLP, Detroit, MI; Paul Keoppel, Laboratory Compliance Officer, Intermountain Healthcare Central Office, Salt Lake City, UT

TueSday12:00–1:00 pm

networking luncheon


Break



601 Preparing for the Great unknown: What recent Government Health Care fraud efforts mean for youTueSday 1:15 – 2:15 pm

• What the recent government focus on health care fraud means to your compliance efforts

• Preparing your organization if the legislative fraud and abuse provisions pending in Congress are enacted

• How recent law enforcement/CMS initiatives are helping shape CMS prevention efforts

Kimberly Brandt, Director, Medicare Program Integrity Group, CMS; Joseph Strazzire, HEAT Liaison to the Medicare Program Integrity Group, CMS


602 Implementing new york State’s mandatory Compliance Programs a year later: omIG and Provider PerspectiveTueSday 1:15 – 2:15 pm

• The scope and requirements of the mandatory compliance program regulations.

• OMIG findings regarding the effectiveness of provider compliance programs

• The impact of the regulations on providers

James D. Horwitz, Vice President Corporate Responsibility/General Counsel, Glens Falls, NY; Robert A. Hussar, First Deputy, Medicaid Inspector General, New York State Office of the Medicaid Inspector General, Albany, NY

lonG-Term Care

603 lTC: The mICs are HereTueSday 1:15 – 2:15 pm

• Review the current status of the Medicaid Integrity Program

• Participate in a detailed update and discus-sion of findings from the Medicaid Integrity Contractor Audits

• Learn how long term care providers can be better prepared for the MIC Audits

Robb Miller, Director, Centers for Medicare & Medicaid Services, Chicago, IL; Paula Sanders, Post & Schell, P.C., Harrisburg, PA

PrIvaCy & SeCurITy

604 research data: Identifying Institutional risks with Privacy, Confidentiality, and data Security

chrc

TueSday 1:15 – 2:15 pm

• Ethical principles and federal regulations concerning research subject privacy and confidentiality

• Common audit findings of privacy and confi-dentiality risks

• Providing added data protections through study design, technology, and policies

Paula Bistak, Executive Director, Human Subjects Protection Program, University of Medicine and Dentistry of New Jersey, Newark, NJ; Cheryl Forst, Senior Analyst, Human Subjects Protection Program, University of Medicine and Dentistry of New Jersey, Newark, NJ




605 Working the numbersTueSday 1:15 – 2:15 pm

• Getting meaningful numbers from them

• Getting meaningful numbers for them

• Presenting the information and encouraging change

Susan Welsh, Compliance Manager, HMA, Fort Myers, FL

leGal & reGulaTory

606 The foreign Corrupt Practices act, the anti-Kickback Statute, and Healthcare fraud enforcement chc chrc


• Review of the application of the Foreign Corrupt Practices Act and the compliance implications for health care organizations in international business relationships

• A review of recent developments under the Federal Anti-Kickback Statute related to busi-ness relationships with pharmaceutical and medical device companies

• A discussion of the practical strategies for addressing compliance concerns in interna-tional and domestic business relationships

Martie Ross, Attorney, Lathrop & Gage LLP, Overland Park, KS; Charles Hacker, Partner, PricewaterhouseCoopers LLP, New York, NY


607 Who’s Policing the Hospital CoPs?TueSday 1:15 – 2:15 pm

• Explanation of what the Conditions of Participation do and don’t require

• How to identify top compliance risks, including obscure requirements

• Examples of real life experiences and audit tools

Catherine Niland, Organizational Integrity Manager, Trinity Health, Farmington Hills, MI

QualITy of Care

608 Steps you Can Take to Integrate “Quality of Care” Into your Compliance ProgramTueSday 1:15 – 2:15 pm

• Understand the key compliance risks related to quality of care

• Assessing and prioritizing quality risks and incorporating these into a compliance plan

• Contrast and discuss the roles of legal counsel, compliance, and quality in addressing risks

Margaret Hambleton, Ministry Integrity, Chief Compliance Officer, St. Joseph Health System, Orange, CA


609 mission Possible: meeting Compliance Training obligations under a CIa chc chrc


• Setting up and rolling out a comprehensive training plan

• Leveraging technology to deliver and track training

• Training Content—If your audience isn’t rockin’, your program isn’t either

Al Josephs, Senior Director Policies and Training, Tenet Healthcare Corporation, Dallas, TX; D. Ryan Whitehill, Manager, Ethics and Compliance Training, Tenet Healthcare Corporation, Dallas, TX


610 Compliance from the Independent monitor’s PerspectiveTueSday 1:15 – 2:15 pm

• Independent Monitoring is being used with greater frequency as part of CIA, Deferred or Non-prosecution Agreements

• Independent Monitors oversee compliance activities to ensure improvements, transparency, cooperation and effective internal controls

• Independent Monitors test the adequacy of Compliance Programs including training, report-ing, quality improvements, Board and company activities, documentation and quality controls

Vincent L. DiCianni, Affiliated Monitors, Inc., Boston, MA


611 delivering Powerful Compliance messages in Print, Web & video TueSday 1:15 – 2:15 pm

• Identifying and creating concise and powerful messages from the most high-risk Medicare reimbursement and fraud regulations

• Packaging your message using print, web, and video, including tips on consistency, budgets, branding, viral videos and using examples and appropriate humor

• Using carrots and sticks to increase education penetration, including pros/cons of mandatory requirements, RVU credit, contests, etc.

Karie Rego, Principal, Compliant Films, Davis, CA

TueSday2:15–2:45 pm Break



701 raC aTTaCK: a Successful Guide for appealsTueSday 2:45 – 3:45 pm

• Each step of RAC claims review/appeal process, critical deadlines & data requirements.

• Advance preparation. Operational approaches for conducting your own internal risk assessments

• Review of Transmittal 141, CR 6183 published on 9-12-08; “Limitation on recoupment/935”

Day Egusquiza, President, AR Systems, Hansen, ID

36




702 Hospital research Compliance: Where’s the risk and How to address chrc


• The challenges of integrating research compli-ance with hospital compliance—finding the common ground

• Strategies for partnering hospital, clinical and research teams to meet the challenges

• Hardwiring processes and auditing tools

Ruth Krueger, Director of Compliance and Privacy, Sanford USD Medical Center, Sioux Falls, SD; Angelique Dorsey, Research Compliance Director, Medstar Health, Columbia, MD

lonG-Term Care

703 Hospice and nursing Home Partnership: How to Get It right! chc chrc


• Examine barriers and collaborative regulatory compliance and quality of care issues between Hospice and SNF

• Compare Hospice/SNF COPs, contract require-ments, reimbursement pitfalls, Medical Director responsibilities, patient goals, admission and election criteria

• Discuss risk areas identified by OIG Work Plan and Advisory Opinions, Medicaid Integrity Program, CIAs and RACs

Connie A. Raffa, Partner, Arent Fox LLP, New York, NY; Donald Romano, Partner, Arent Fox LLP, Washington, DC

PrIvaCy & SeCurITy

704 Turning awareness Into action: an academic medical Center’s approach to educating its Workforce of HIPaa Privacy and Information Security Principles and PracticesTueSday 2:45 – 3:45 pm

• Implement a multi-prong approach to “Turning Awareness Into Action”

• Create an effective and vigilant HIPAA privacy compliance program during tough economic times

• Become a trusted and respected HIPAA resource to your institution and its workforce

Bob Gross, Associate Compliance Officer-Privacy, University of Chicago Medical Center, Chicago, IL


705 avoiding the “HeaT”: Compliance Programs for Small PracticesTueSday 2:45 – 3:45 pm

• Learn how to structure a compliance assessment for the smaller physician practice

• Receive tools for assessing and managing the process and results of the assessment

• Understand the challenges for physicians seek-ing compliant practices

Sheryl Dacso, Partner, Brown McCarroll, LLP, Houston, TX; Diane T. Carter, Partner, Brown McCarroll, Austin, TX

leGal & reGulaTory

706 Hospital-Patient Status: overpayment and false Claims act liabilityTueSday 2:45 – 3:45 pm

• A review of recent enforcement activity and case developments involving patient admission status in hospitals

• A discussion of case management review protocols and compliance for health care organizations

• Auditing and monitoring patient admission status and False Claims Act liability for health care organizations

Timothy Blanchard, Partner, Blanchard Manning LLP, Orcas, WA; Mitch Mitchelson, Alston & Bird LLP, Atlanta, GA


707 Compliance auditing and monitoring: demonstrating effectiveness chc chrc


• Identify at least 5 effective measures for compli-ance auditing and monitoring

• Develop and apply effectiveness measures to tools developed during this session

• Identify at least 3 ways to “add value” in report-ing your audit results

Sheryl Vacca, SVP/Chief Compliance and Audit Officer, University of California, Oakland, CA

QualITy of Care

708 Quality of Care and Compliance: How to engage the Board of directorsTueSday 2:45 – 3:45 pm

• How to get your board to appreciate quality of care as a compliance issue

• What boards are currently doing

• What boards should be doing to ensure compli-ance as part of their fiduciary obligation

Larry Vernaglia, Partner, Foley & Lardner LLP, Boston, MA; Gilly Hitchcock, Chair, Compliance Committee, Member, Board of Directors, Franklin Community Hospital, Farmington, ME; William F. Rucci, Jr, Rucci, Bardaro & Barrett, PC, Malden, MA


Did you know… The Dallas metropolitan area is the #1 visitor and leisure destination in Texas.

Dallas has the largest contiguous arts district in the United States.

The City of Dallas has over 300 public art works in its collection.

The Dallas area has more than 200 golf courses.

The SIxTH fLooR MUSEUM at Dealey Plaza chronicles the assassination and legacy of President John F. Kennedy, interprets and supports the Dealey Plaza National Historical Landmark District and the John F. Kennedy Memorial Plaza, and presents contemporary culture within the context of presidential history. www.jfk.org

The WoMEN’S MUSEUM, located in historic Fair Park, is a Smithsonian affiliate and the nation’s only comprehensive women’s history museum. www.thewomensmuseum.org

The MEADoWS MUSEUM, located on the campus of Southern Methodist University, houses one of the most comprehensive collections of Spanish art outside of Spain. www.smu.edu

The AfRICAN AMERICAN MUSEUM in Dallas’s Fair Park has one of the largest collections on African-American folk art in the nation and is a Smithsonian affiliate. www.aamdallas.org

The NASHER SCULPTURE CENTER, designed by Renzo Piano, features more than 300 works of modern and contemporary sculpture from the Raymond and Patsy Nasher collection. www.nashersculpturecenter.org

The DALLAS’ fARMERS MARkET is one of the largest working farmer’s markets in the country, with over a million visitors annually. www.dallasfarmersmarket.org

The DALLAS ARBoRETUM holds the Southwest’s largest annual outdoor floral festival. www.dallasarboretum.org

The historic MCkINNEy AvENUE TRoLLEy operates a free service daily and is one of the largest volunteer-run systems in the world. www.mata.org

The DALLAS WoRLD AqUARIUM is home to a 255,000 gallon freshwater aquarium tank. www.dwazoo.com

For aDDitional inFormation aBout Dallas attraCtions, Please Visit www.VisitDallas.Com

what to Do in Dallas

38

agenda wednesday, april 21



709 Creating and Sustaining a Compliance Program Commensurate with your multi-Hospital System’s Size and ComplexityTueSday 2:45 – 3:45 pm

• Design a compliance infrastructure that accommodates the size and complexity of your organization and encourages consistent and timely compliance education to all employees.

• Develop and implement tools and resources to educate and inform the Board effectively.

• Foster communication between compliance and internal audit to improve efficiency and avoid duplicate work

Gene DeLaddy, Senior Vice President/Chief Compliance Officer/Chief Audit Executive/Chief Privacy Officer of Carolinas HealthCare System, Charlotte, NC; Laura Lyon, Director of Corporate Compliance, Carolinas HealthCare System, Charlotte NC; Kathryn Thibodeau-Dever, Director of Corporate Compliance, Carolinas HealthCare System, Charlotte NC


710 Tools for achieving Compliance in an era of Health Care reformTueSday 2:45 – 3:45 pm

• Understand OIG’s recent work regarding vul-nerabilities in the Medicare/Medicaid programs (enrollment, billing, payment, compliance)

• Become aware of OIG recommendations and recent legislation promoting compliance with Medicare/Medicaid program requirements

• Develop strategies for assessing compliance with existing and new requirements, and taking remedial steps

Thomas E. Herrmann, Vice President, Strategic Management Services, LLC, Alexandria, VA; Larry J. Goldberg, Principal Deputy Inspector General, Office of Inspector General, U. S. Department of Health and Human Services, Washington, DC


711 dealing with the medicare Consultation Code deletion


• Identify steps to determine how you will be affected by CMS’ decision to not pay consulta-tion service codes

• Identify how to bill when you can’t bill Consultation Codes but you provided a consul-tation service

• Identify when you can still bill Consultation Codes

Bess Ann Bredemeyer, Director of Compliance, McKesson Practice Consulting Solutions, San Francisco, CA

wednesday, april 21WedneSday7:00 am –12:30 pm


WedneSday8:00 am –12:00 pm


w1 The road aheadWedneSday 8:00 am – 12:00 pm

• Compliance and enforcement trends in the next year

• Practical approaches to preventing compliance exposure

Frank Sheeder, Partner, Jones Day, Dallas, TX; Diane Meyer, Chief Compliance & Privacy Officer, Stanford University Medical Center, Palo Alto, CA; Kevin D. Lyles, Health Care Practice Co-Leader, Jones Day, Columbus, OH


w2 riding Herd on fraud, Waste & abuse chc chrc

WedneSday 8:00 am – 12:00 pm

• Taking stock: surveying the landscape of fraud, waste and abuse in healthcare

• Shootin’ straight: a case study in identifying fraud, waste and abuse

• The round up: PEPPER and other ideas for decreasing risk and improving compliance

Judi McCabe, SURS Director, TMF Health Quality Institute, Austin, TX; Dan McCullough, Nurse Analyst, TMF Health Quality Institute, Austin, TX; Juanita Henry, Deputy Inspector General for Compliance, Texas Health and Human Services, Office of Inspector General, Austin, TX; Kimberly M. Hrehor, Project Director, TMF Health Quality Institute, Austin, TX

lonG-Term Care

w3 understanding the Interactions Between federal and State Integrity recovery Programs in the Post-acute Healthcare SettingWedneSday 8:00 am – 12:00 pm

• Opportunity for providers to share proactive strategies in managing MICs, RACs, and ZPICs

• Discuss the changing environment of enforce-ment: False Claims Act, HITECH Act, Mandatory Compliance Programs?

• Discuss the never ending recoupment strategies: Never Events, Secondary Payors, third-party audits, and the list goes on

Joan Ferraro, Vice President, Chief Compliance Officer, Complete HealthCare Resources, Inc., Pittsburgh, PA; Paula Sanders, Post & Schell, P.C., Harrisburg, PA; Barbara Duffy, Lane Powell, PC, Seattle, WA

PrIvaCy & SeCurITy

w4 Privacy officer’s roundtable chc chrc


• A facilitated discussion of current issues in privacy compliance

• An opportunity to hear colleagues discuss and share ideas on how to address hot topics, as well as what has and has not worked for them

Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Joan Podleski, Director of Institutional Ethics & Compliance, Duke University, Durham, NC

agenda wednesday, april 21



w5 Clinical documentation Improvement & federal Integrity activity (raCs, maCs, mICs…): your acute and Post-acute Hospital’s Compliance in Preventing Inappropriate/unnecessary admissionsWedneSday 8:00 am – 12:00 pm

• Differentiate the complex criteria levels of medi-cal necessity that determine inpatient versus outpatient observation status

• Demonstrate the impact of documentation and medical necessity upon the communication of the severity-of-illness to justify the utilization of resources

• Explain the important physician documenta-tion responsibilities under the numerous CMS Integrity Programs

Betty Bibbins, President & Chief Medical Officer, DocuComp LLC, Cape Charles, VA; Glenn A. Krauss, RHIA, CCS, CCS-P, CPUR, C-CDI, Coding, Billing and Revenue Cycle Consultant, Janesville, WI

leGal & reGulaTory

w6 Part 1: recent developments in voluntary disclosure/Part 2: false Claims act developments and management of risk/Part 3: The role of the Compliance officer, General Counsel, management, and the Board chc chrc


• A review of recent developments and strategies for voluntary disclosure

• A discussion of methods for managing the risk of whistleblowers in health care organizations

• A panel discussion of the role of the Compliance Officer, General Counsel and upper level management and the Board of a health care organization in addressing internal and external compliance matters

(Part 1) David M. Glaser, Attorney, Fredrikson & Byron, P.A., Minneapolis, MN; Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; (Part 2) Hope Foster, Member, Mitz, Levin, Cohn, Ferris, Glovsky & Popeo, P.C., Washington, DC; Jesse A. Witten, Partner, Drinker Biddle & Reath LLP, Washington, DC; (Part 3) Gabriel Imperato, Managing Partner, Broad & Cassel, Fort Lauderdale, FL; Jenny O’Brien, Medicare Compliance Officer,

UnitedHealth Group/PSMG, Minneapolis, MN; Michael Hemsley, CHC, General Counsel & Vice President Legal Services, Catholic Health East, Newtown Square, PA; Gary W. Eiland, Partner, King & Spalding LLP, Houston, TX


w7 raC Preparation & Successful appealsWedneSday 8:00 am – 12:00 pm

• Recent developments and emerging issues related to RACs and other government audits

• The Medicare appeals process and successful appeal strategies and defenses

• Operational considerations and proactive com-pliance measures to put providers in the best position to defend an audit

Andrew Wachler, Owner/Principal, Wachler & Associates, P.C., Royal Oak, MI; Susan Emanuel, System RAC Coordinator, Catholic Healthcare West, Phoenix, AZ

QualITy of Care

w8 Quality Incentives: Practical next Steps for legal, Compliance and operational ImprovementsWedneSday 8:00 am – 12:00 pm

This session will be divided into two parts that will focus on specific next steps you can take in your organization to reduce the risk of a quality of care failure and achieve better quality within your organization:

• The first session will focus on opportunities to align operational incentives around quality and build a “commitment to quality” within your organization

• The second session will focus on specific steps you can take to reduce the risk of a government enforcement action involving a quality of care failure, which will include an in-depth look at data mining and how to design your quality of care risk assessment, and will also cover a case study of a quality of care legal risk assessment

(Part 1) Jacob Kupiezky, President, HCT Consulting, Chicago, IL; Mary Brady, Senior Nursing Consultant, HCT Consulting, Bluffton, SC; (Part 2) Susan Tedrick, Chief Compliance Officer, Franklin Hospital, Farmington, ME; Judy Waltz, Partner, Foley & Lardner LLP, San Francisco, CA


w9 The World according to the (Should-Be) all-Knowing and omnipresent Compliance GurusWedneSday 8:00 am – 12:00 pm

• Share and gain a more holistic perspective on other compliance issues by dissecting anony-mous hospital compliance scenarios

• Discuss different ways to maintain revenue integrity while better managing and reporting on hospital incidents

• Understand how to promote a quality initiative and increase physician and employee satis-faction through the use and practice of your policies and procedures

Robert Tietjen, President/CEO, Policy Technologies International, Inc., Rexburg, ID; Steve Bearak, President/CEO, IdentityForce, Framingham, MA; Steven Greenspan, JD, LLM, Director, Government Appeals and Regulatory Affairs, Executive Health Resources, Newton Square, PA

Come to Dallas for 7 days of high-quality compliance education anD saVe

see page 19 for tHe speCial offer


exhibitors

3M Health Information SystemsA Fashion Hayvin, Inc. Accurate Background, Inc.AHA Solutions, Inc.AISAssociation of Healthcare Internal Auditors (AHIA) Baker Daniels/Captain IntegrityBesler ConsultingBlickenWolf, LLCBNACarnahan Group IncCertiphi Screening IncCoding Metrix IncCoding Network, LLC (The)Compliance 360Compliance CoachCompliance Concepts, IncCompliantFilmsCooperGroup, LLCCPR Technologies Inc.Craneware, IncCura Software SolutionsCynergisTek IncCyracom InternationalDeloitteEHealthcare ITElsevier-MC StrategiesEpstein Becker & Green PCEthicsPoint, IncExecutive Health ResourcesFTI ConsultingGeorge Washington UniversityGlobal Compliance

Group One ServicesHayes Mgmt Consulting/MD AuditHCCSHCPro, Inc.Health Revenue Assurance AssociatesHealthcare Appraisers, IncHealthPortHuron Consulting Group

Identity ForceIMA Consulting IncIndidge SystemsIntegrity First ConsultingJohn Sterling Associates LLCKPMGLarsonAllen LLPLoyola University Chicago Health Law ProgramsMcBee AssociatesMcKessonMCN HealthcareMD Ranger, Inc.Meade & RoachMedeAnalyticsMedelearn

Medical Learning, IncMediTractMedworxxMFR, P.C.Milliman Care GuidelinesMindleaf TechnologiesNavigant ConsultingNtracts, LLC; Hall RenderNymityParenteBeard LLCPolicy Medical, Inc.PolicyTechPreCheck, Inc.PricewaterhouseCoopersProspective Payment SpecialistsProtivitiProven Healthcare SolutionsQuorum Health ResourcesRadiology Coding Certification Board (RCCB)Reimbursement Mgmt Consultants, IncRippe & Kingston SystemsSinaiko HealthcareStrategic ManagementThe Pinnacle GroupVendor Credentialing ServiceVendormate, IncVerisysWest, a Thomson Reuters businessWolters Kluwer Law & BusinessZhealth PublishingZix Corporation

interact with these exhibitors at HCCa’s 2010 Compliance institute:


registrationName: (please type or print)

Please fill out the following information. Sharing your demographic information with HCCA will help us create better networking opportunities for you.

STeP 1: demographic information

reGISTraTIon ConTInueS on nexT PaGe (over)

HCCa’s 14th annual 2010 Compliance institute

What is your functional job title? Please select one.

List others not listed here:

Academic/Professor

Administration

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Attorney (Outside Counsel)

Audit Analyst

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RNPlease tell us if you are a first-time attendee of the Compliance Institute:

This is my first annual Compliance Institute

prices reflect savings

STeP 2: Please type or print your contact information

STeP 3: Session selection

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STeP 5: Payment

hoW to reGister

maIl Include registration form with check payable to:HCCa, 6500 Barrie road, Suite 250, minneapolis, mn 55435

onlIne visit www.compliance-institute.org

fax to 952-988-0146 (including billing information)

QueSTIonS? Call 888-580-8373 or e-mail [email protected]

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*new members only. (dues regularly $295 annually.)**price includes shipping cost.†registered conference attendee pricing only. non-attendees may purchase for additional fees. contact hcca for information.

totAl:

CI0410

registration HCCa’s 14th annual 2010 Compliance institute

Please select sessions to assist HCCa in room planning. Select only one session per time slot (Industry Immersions overlap with Breakout Sessions). noTe: advanced discussion Groups marked with * are limited to 50 participants.

SATURDAY, APRIL 17 register me for the HCCa volunteer Project (7:00 am–noon)

SUNDAY, APRIL 18

PRE-CONFERENCE 9:00 am – 12:00 pm P1 P2 P3 P4 P5 P6 P7 P8 P9

PRE-CONFERENCE 1:30 – 4:30 pm P10 P11 P12 P13 P14 P15 P16 P17 P18

MONDAY, APRIL 19

BREAKOUT SESSIONS 11:00 am – 12:00 pm 101 102 103 104 105 106 107 108 109 110* 111 112 113

BREAKOUT SESSIONS 1:30 – 2:30 pm 201 202 203 204 205 206 207 208 209 210*

Industry Immersions 1:30 – 5:30 pm ii1 ii2 ii3

BREAKOUT SESSIONS 3:00 – 4:00 pm 301 302 303 304 305 306 307 308 309 310 (full)* 311*

BREAKOUT SESSIONS 4:30 – 5:30 pm 401 402 403 404 405 406 407 408 409 410 (full)*

TUESDAY, APRIL 20

BREAKOUT SESSIONS 11:00 am – 12:00 pm 501 502 503 504 505 506 507 508 509 510* 511

Industry Immersions 11:00 am – 4:30 pm ii4 ii5

BREAKOUT SESSIONS 1:15 – 2:15 pm 601 602 603 604 605 606 607 608 609 610 611

BREAKOUT SESSIONS 2:45 – 3:45 pm 701 702 703 704 705 706 707 708 709 710 711

WEDNESDAY, APRIL 21

POST-CONFERENCE 8:00 am – 12:00 pm W1 W2 W3 W4 W5 W6 W7 W8 W9

RegisteR on or before 4/1/10 after 4/1/10

HCCa members ..................................................................................$949 ................... $999

membership renewal & registration ........................................ $1,244 ................$1,294

non-members ................................................................................. $1,099 ................$1,149

new membership & registration* .............................................. $1,149 ................$1,199

Pre-Conference registration morning ...........................................$125 ................... $125

Pre-Conference registration afternoon ........................................$125 ................... $125

Post-Conference registration...........................................................$125 ................... $125

Conference Binders (Monday/Tuesday only)† ......................................... $75 ......................$75

dvd-rom of recorded Sessions**† (see p. 36 for details) ...............$183 ................... $183

dvd-rom license extension† (see p. 36 for details) ........................... $99 ......................$99

discount for attending HCCa’s 2010 research Compliance Conference or SCCe’s Conference for effective Compliance Systems in Higher education .......................... ($100).................. ($100)

discount for 5 or more from the same company ................................. ($100).................. ($100)

Details


CoNfERENCE HoTEL RESERvATIoNS

Hyatt Regency Dallas at Reunion 300 Reunion Boulevard Dallas, TX 75207-4498

A dedicated booking website has been created for the Compliance Institute so attendees can enjoy the convenience of making their hotel reservations online. Attendees will be able to make, modify, and cancel their hotel reservations online, as well as take advantage of any room upgrades, amenities, or other services offered by the hotel.

To visit the website, please go to: https://resweb.passkey.com/go/hcca2010

Phone reservations: Call the hotel directly at 888-421-1442.

Rate: $207/single or $227/double plus tax.

The cutoff date for the group rate is March 26, 2010, or until the group block is full.

The Hyatt is currently sold out of sleeping rooms beginning Tuesday, April 20. There are still sleeping rooms available Saturday, April 17 through Monday, April 19. HCCA has set up an overflow hotel block at the Sheraton Dallas:

Sheraton Dallas Hotel 400 North Olive Street Dallas, TX 75201

To make hotel reservations at the Sheraton Dallas Hotel, please call 1-888-627-8191 or visit this website:

http://www.starwoodmeeting.com/StarGroupsWeb/res?id=1001270159&key=BCE3B

Identify yourself as a member of Health Care Compliance Association to receive the special rate.

Rate: $149 per night single/double plus tax.

The Sheraton Dallas is located 1.10 miles from the Hyatt at Reunion and will require that you take a taxi cab to/from the conference hotel. The average cab fare is $10–$15 one way. Due to the location of the conference hotel, it is impossible to walk there from any other hotel location.

If you are having problems making your hotel reservations, please contact Jennifer Power at [email protected] or directly at 952-405-7916.

AIRLINE DISCoUNT: Conference attendees receive a 5% discount on American Airlines. Your Authorization Code for this conference is: 5440AD. Go to www.aa.com and after you have selected your flight(s), under the “Enter Passenger Details” tab, go to the “AA.com Promotion Code” field and enter your Authorization Code.

REGISTRATIoN PAyMENT TERMS Checks are payable to HCCA. Credit cards accepted: American Express, MasterCard, or Visa. HCCA will charge your credit card the correct amount should your total be miscalculated.

TAx DEDUCTIBILITy All expenses incurred to maintain or improve skills in your profession may be tax deductible; including tuition, travel, lodging and meals. Please consult your tax advisor (Federal tax ID # 23-2882664).

CANCELLATIoNS/SUBSTITUTIoNS No refunds will be given for “no-shows” or cancellations. You may send a substitute or receive a credit for other conferences to be used within one year. Please call Patti Hoskin at 888-580-8373 or e-mail [email protected].

GRoUP DISCoUNTS $100 per person for five or more from the same company, based on membership status; only if each attendee completes a registration and they are faxed or mailed in simultaneously.

HCCA IS GoING GREEN Attendees will receive electronic access to the course materials prior to the program as well as an electronic version of the materials at the program. Attendees will not automatically receive the binders. If you would like to purchase the binders for $75, please check “Conference Binders” above. (Please note: there will be two 3˝ D-ring binders, and binders contain Monday and Tuesday conference sessions only.)

CoNTINUING EDUCATIoN CREDITS The Health Care Compliance Association is in the process of applying for external continuing education credits. Please continue to check our website, www.compliance-institute.org, for updates on approval totals for the 2010 Compliance Institute.

PREREqUISITES/ADvANCED PREPARATIoN None.

MEALS Continental breakfast and lunch are provided on Monday and Tuesday. Coffee will be served on Sunday and Wednesday.

SPECIAL NEEDS/CoNCERNS Prior to your arrival, please call HCCA at 888-580-8373 if you have a special need and require accommodation to participate in the Compliance Institute.

DRESS CoDE Business casual dress is appropriate for this conference.

AGREEMENTS & ACkNoWLEDGEMENTS I agree and acknowledge that I am undertaking participation in HCCA events and activities as my own free and intentional act, and I am fully aware that possible physical injury might occur to me as a result of my participation in these events. I give this acknowledgement freely and knowingly and assert that I am, as a result, able to participate in HCCA events, and I do hereby assume responsibility for my own well-being. I agree and acknowledge that HCCA plans to take photographs at the HCCA Compliance Institute and reproduce them in HCCA educational, news, or promotional material, whether in print, electronic, or other media, including the HCCA website. By participating in the HCCA Compliance Institute, I grant HCCA the right to use my name, photograph, and biography for such purposes.

Leading By ExampleMay 2–8, 2010

Corporate Compliance & Ethics Week

No AUDIo oR vIDEo RECoRDING of HCCA CoNfERENCES IS ALLoWED.

Health Care Compliance assocation6500 Barrie road, suite 250minneapolis, mn 55435www.hcca-info.org888-580-8373

register now at www.ComPlianCe-institute.org

HealtH Care ComplianCe assoCiation’s14th annual ComPlianCe institute april 18–21, 2010 ✪ Hyatt regency ✪ Dallas, tX

14th annual ComPlianCe institute april 18–21, 2010 ✪ Hyatt regency ✪ Dallas, tX

register by april 1 and saVe!

group discounts health care compliance ssociation … · 2014-09-04 · final program group...

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