HCCA's 17th Annual - Compliance Institute [PDF]

HCCA’s 17th Annual

COMPLIANCE

INSTITUTE

®

April 21–24, 2013 Gaylord National National Harbor, MD (DC Metro Area)

PROGRAM SPONSORED BY

Essential Insight

Law360 has named King & Spalding’s healthcare practice as a Health Care Practice Group of the Year for 2012. We achieved this by delivering value and security to our clients every day.

For additional information, contact: Dennis Barry [email protected] Gary Eiland [email protected] Glen Reed [email protected] Kim Roeder [email protected] Rick Shackelford [email protected] Sara Kay Wheeler [email protected]

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Welcome to the 17th Annual Compliance Institute We, the compliance officers of HCCA, in order to form a more perfect profession, establish justice, ensure regulatory compliance, provide for the anonymous reporting, promote ethics, and secure the liberty of our board members and CEOs, do hereby come together to participate in the 17th annual Compliance Institute here at National Harbor. Today, compliance programs are standing tall like the Washington Monument, and just as the Washington Monument is the symbol of Washington DC, the Compliance Institute has become the symbol of our profession and our commitment to conducting business in an ethical and legal manner. The Compliance Institute has always been a great place to network with your peers and make new friends. At the 2013 Compliance Institute members will have the opportunity to participate in new live SpeedNetworking sessions. Some members prefer to network in a more relaxed setting. The National Harbor features dozens of restaurants and nighttime entertainment options where you can socialize with your peers in a more casual atmosphere. Many of our attendees come to the Institute as a meeting place just to catch up with old friends and make new ones.

Our job as compliance professionals often requires us to deliver difficult messages to management. It requires us to be quite the diplomat in such political arenas. What better place to hold this year’s Compliance Institute than a place where politics is an ongoing challenge. Compliance professionals are faced with constantly changing and new regulations. We at HCCA realize the difficult task of meeting these challenges. I cannot think of a better way to learn the new laws and obtain the skills necessary to implement a change you can believe in than by attending the Compliance Institute. Let’s work together to help our organizations put strong compliance programs in place, so the only time they see the Federal Bureau of Investigation is when they are taking the tour to learn of the agency’s history here in Washington DC. Best Regards, John Falcetano, CHC-F, CCEP-F, CHPC, CHRC, CIA, CICA, HCCA Vice President

Some compliance programs have undergone many changes over the years. Many have had multiple compliance professionals at the helm. It reminds me of the Lincoln Memorial, where a famous President said four score and seven compliance officers ago, or something like that.

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Schedule overview Saturday, April 20

Tuesday, April 23

Volunteer Project............................................ 7:30 am – 12:00 pm

Yoga (pre-registration req’d).................................. 6:30 – 7:30 am

Conference Registration................................... Noon – 8:00 pm

Sunday, April 21 Registration............................................................ 7:30 am – 6:00 pm Morning Sessions.......................................... 9:00 am – 12:00 pm

SpeedNetworking...................................................... 7:30 – 8:30 am Lunch on your own............................................... 12:00 – 1:30 pm Afternoon Sessions.................................................... 1:30 – 4:30 pm SpeedMentoring.......................................................... 3:30 – 4:30 pm Networking Reception (Exhibit Hall).......... 4:30 – 6:00 pm Compliance Today Authors’ Reception/ Academies Reunion.................................................. 5:30 – 6:30 pm

Monday, April 22 Yoga (pre-registration req’d).................................. 6:30 – 7:30 am

Registration............................................................ 7:30 am – 4:00 pm Exhibit Viewing Hours................................ 7:30 am – 1:30 pm

Continental Breakfast............................................ 7:30 – 8:30 am Opening Remarks..................................................... 8:30 – 8:40 am General Session........................................................... 8:40 – 9:40 am General Session........................................................ 9:40 – 10:30 am Networking Break (Exhibit Hall)............ 10:25 – 11:00 am Breakout Sessions 500............................11:00 am – 12:00 pm Networking Luncheon....................................... 12:00 – 1:00 pm Networking Break......................................................1:00 – 1:30 pm Breakout Sessions 600............................................ 1:30 – 2:30 pm Break......................................................................................2:30 – 3:00 pm Breakout Sessions 700............................................ 3:00 – 4:00 pm

Registration............................................................ 7:00 am – 6:00 pm Exhibit Viewing Hours................................ 7:00 am – 7:00 pm

Continental Breakfast............................................ 7:00 – 8:30 am Opening Remarks..................................................... 8:30 – 8:45 am General Session............................................................8:45 – 9:15 am General Session.........................................................9:15 – 10:15 am Networking Break (Exhibit Hall)............ 10:15 – 11:00 am Breakout Sessions 100.............................11:00 am – 12:00 pm Luncheon....................................................................... 12:00 – 1:00 pm Networking Break (Exhibit Hall)....................1:00 – 1:30 pm Breakout Sessions 200............................................ 1:30 – 2:30 pm Networking Break (Exhibit Hall)...................2:30 – 3:00 pm Breakout Sessions 300........................................... 3:00 – 4:00 pm Networking Break (Exhibit Hall).................. 4:00 – 4:30 pm Breakout Sessions 400............................................ 4:30 – 5:30 pm Networking Reception (Exhibit Hall)........... 5:30 – 7:00 pm

Wednesday, April 24 Registration......................................................... 7:30 am – 12:00 pm Post-Conference Sessions.................................... 8:00 – 9:45 am Break.................................................................................. 9:45 – 10:00 am Post-Conference Sessions.............................. 10:00 – 11:45 am CHC Exam..................................................................... 2:00 – 4:00 pm (exam registration opens at 1:30 pm) CHPC Exam................................................................. 2:00 – 4:00 pm (exam registration opens at 1:30 pm) CHRC Exam................................................................ 2:00 – 4:00 pm (exam registration opens at 1:30 pm)

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General information Registration Desk hours Registration will be held in the Exhibit Hall Entry Pre-Function, Exhibition Level of the Gaylord National Harbor. Saturday, April 20.................................................. Noon – 8:00 pm Sunday, April 21................................................ 7:30 am – 6:00 pm Monday, April 22.............................................. 7:00 am – 6:00 pm Tuesday, April 23.............................................. 7:30 am – 4:00 pm On Wednesday, April 24, HCCA’s Registration Desk moves to the Maryland Ballroom Foyer, Ballroom Level. Wednesday, April 24................................... 7:30 am – 12:00 pm

Registration Desk phone Call 301-965-5177 to reach HCCA staff at the Registration Desk during registration hours, Saturday through Tuesday.

Exhibit Hall hours  Sunday, April 21......................................................... 4:30 – 6:00 pm Monday, April 22.............................................. 7:00 am – 7:00 pm Tuesday, April 23............................................... 7:30 am – 1:30 pm

Continuing Education Units You will find a tear-out continuing education application following the “CEU Application” tab in this program. If you have questions, please stop by HCCA’s booth, the registration desk, or any of the ASK ME Desk locations. The form is also available on www.compliance-institute.org, the Compliance Institute website.

Download the 2013 CI Mobile App The HCCAci 2013 Mobile App takes everything you need to know about the Compliance Institute and puts it directly on your mobile device. The app is available on for Apple and Android devices: just visit www.compliance-institute.org/HCCAci. If you don’t have an iPhone, iPad, or Android device, you can still use the HCCAci 2013 mobile website. For more information, visit www.compliance-institute.org/HCCAci.

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THINGS TO DO Networking receptions Be sure to join us on Sunday, April 21 from 4:30–6:00 pm and Monday, April 22, from 5:30–7:00 pm in the Prince George CDE, Exhibition Level for networking with exhibitors and colleagues. Beverages and appetizers will be served both evenings.

Tweetup Come to the #HCCAci Tweetup on Sunday, April 21, at 6:00 pm. Meet at the Lower Atrium across from the National Pastime Sports Bar & Grill and network with other attendees. You’ll have a chance to win an iPad and get two free drinks. Make sure you bring the raffle ticket that you receive when you check in at Registration.

SpeedNetworking To help you make connections faster and better, HCCA has partnered with SpeedNetworking. Their advanced matching technology will enhance your networking experience and ensure that you meet the people you are interested in meeting. To participate in this new opportunity, sign up for SpeedNetworking sessions at the HCCA registration desk. The session will take place on Sunday, April 21 from 7:30–8:30 am in National Harbor 6–7. If you have already signed up, be sure to arrive on time.

SpeedMentoring

HCCA’s new SpeedMentoring program launches at the 2013 Compliance Institute. Mentors and mentees, please report to National Harbor 6–7 on Sunday, April 21 at 3:30 pm for the session. And if you haven’t signed up yet, there may still be an opening. Check at the SpeedMentoring registration desk right next to the main Compliance Institute registration.

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General information Authors’ Reception/Academies Reunion Have you attended an HCCA Academy? Are you an author for Compliance Today (or would like to be)? Be sure to join us for an informal reception on Sunday, April 21, from 5:30–6:30 pm, in the Bella Vista room, located inside Pienza, Atrium Level.

Compliance staff salary survey Earlier this year the HCCA released a survey of salaries for Chief Compliance Officers. We are currently fielding a survey for compliance staff. Use one of the booths in the Maryland Foyer, Ballroom Level to confidentially provide us with your salary survey data. The more responses we have the easier it will be to compare your compensation to your peers.

Book signings On Monday from 10:15–11:00 am the Glasers will be signing copies of their book Be Quiet, Be Heard. On Tuesday from 10:15–11:00 am Dan Heath will be signing copies of his just‑released book Decisive: How to Make Better Choices in Life and Work. Both signings will take place in the Maryland Ballroom Prefunction Area. Copies of both books are available for purchase at the on‑site bookstore.

Professional headshots Get a professional headshot of yourself absolutely free. Come by the photo studio, located in the Maryland Ballroom Foyer. It’s open Monday from 7:00 am–4:00 pm, and Tuesday from 7:00 am–4:00 pm.

Yoga Join us on either Monday or Tuesday morning from 6:30–7:30 am for Yoga. Registration is complimentary, but space is limited and pre‑registration is required. If you are not pre‑registered and would like to join a class, please stop by the Registration Desk to see if there are any spaces available. HCCA will be providing the instructor and yoga mats. The yoga classes will take place in the Eastern Shore 2, Atrium Level.

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Book now for 2014 in San Diego, CA Planning on joining us at the 2014 Compliance Institute in San Diego, CA? Come by the San Diego booth to register and book your hotel room now. It’s the best way to ensure you get a room before they all sell out. The San Diego booth will be located in the Exhibit Hall, Prince George CDE, Exhibition Level.

Lunch specials on Sunday Looking for a place to have lunch on Sunday? Show your HCCA conference badge when placing your order at the following eateries on the Gaylord’s Atrium Level, and choose from these specials (prices do not include taxes or gratuity):

Java Coast: Your choice of salad or sandwich, chips or fruit, and soft drink, $12.00 (offer valid only from 11:30 am–1:30 pm). Pienza: Full lunch buffet for $18.00 (11:30 am–2:00 pm).

National Pastime Sports Bar & Grill: Pastime Combo (burger and fries) for $12.00, or Chicken Tender Combo (chicken tenders and fries) for $13.00, from 11:30 am–11:30 pm.

RESOURCES Internet Cafés/Printing handouts on-site For your convenience, there are two Internet Cafés spread through the meeting space. You may use these areas to print handouts for sessions you are attending. They will be open during conference registration hours on Sunday through Wednesday morning.

Complimentary Wi-Fi for HCCA conference attendees in the meeting space Thank you to Broad and Cassel for sponsoring Wi-Fi for our meeting attendees. Enter the following information to access the complimentary Wi-Fi: Network Name: HCCA Compliance Institute Username: HCCA Password: CI2013

www.compliance-institute.org

General information Looking for a new job? Check out the Compliance Institute job board. QR codes are listed by every job so you can save them in your phone and apply when you get home. The job board is located in the Maryland Ballroom Foyer, Ballroom Level.

Lead retrieval: Connect with exhibitors We are pleased to provide a lead retrieval system in the Exhibit Hall. Using it is easy. Simply scan your badge at the readers provided at each exhibitor booth to request information from that exhibitor. Your badge’s barcode imprint holds the demographic information you provided on your registration form (name, organization, address, city, state, ZIP, phone, and email). Please note that this exchange of contact information with exhibitors is at your discretion.

Purchase session recordings Audio recordings of most educational sessions will be available for purchase. Find a list of session recordings and the order form after the CEU Application in this Program, or stop by the HCCA Registration Desk or ASK ME locations.

NEED TO KNOW Name badge Please wear your name badge at all times during conference events, receptions, and educational sessions. Name badges are required to enter conference functions and the Exhibit Hall. Please stop by the registration desk if you need a replacement badge.

Session seating You are encouraged to arrive early at your preferred sessions, as seating is available on a first-come, first‑served basis (except for Advanced Discussion Groups, for which pre‑registration is required).

Electronic devices As a courtesy to meeting attendees, HCCA requests that all electronic communication devices be turned off during educational sessions. If you must use a device, please step out of the meeting so you do not disturb others.

On-site bookstore Stop by the on-site bookstore and browse through a wide selection of titles on compliance, HIPAA, healthcare, ethics, and management. The bookstore will be stocked with books authored by and recommended by your HCCA presenters. The bookstore will be open Sunday through Tuesday and is located in Maryland Foyer, Ballroom Level.

Speaker ready room A speaker ready room will be available Sunday–Tuesday from 7:00 am–3:00 pm, and Wednesday, 7:00–10:00 am, in National Harbor 1.

Concierge service It’s never been easier to find a perfect restaurant for dinner or get information on tours and things to do around the DC area. We’ve arranged for Concierge service for all of our attendees. Just stop by the Prince Edward Registration Counter, Exhibition Level.

www.compliance-institute.org

Attire Business-casual attire is appropriate for conference functions.

First aid Dial 333 from any hotel phone or sleeping room for emergencies.

No-smoking policy HCCA’s maintains a no-smoking policy in all Compliance Institute functions.

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Having timely, practical information is the best way to identify and reduce your Medicare, HIPAA, Medicaid and research compliance risks while minimizing time, expense and disruption to your organization

Visit AISHealth.com/HCCA for special offers and resources such as Report on Medicare Compliance, Report on Patient Privacy and Report on Research Compliance Volume 9, Number 12 • December 2012

News and Analysis for Colleges, Universities and Teaching Hospitals

Contents Attacks by Public Officials 3 May Require Collective

Despite Election, ‘Fiscal Cliff,’ Pending Regs and Other Issues Keep Anxiety High

From: Repo rt on Rese arch Com pliance Sent: Thur sday, Nove mber 29, 2012 1:21 To: RRC Subs PM criber Subject: Repo rt on Rese arch Com pliance 11/29 /12

Report on

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Analysi With uncertainty about the ramifications of a possible new occupant in the White s for Col leges, Uni House now settled, research universities and others are on alert as federal agencies versities push ahead with the myriad of regulations and other proposals that stalled in the and Tea Controversy, Loss ching Hos run-up to the November presidential contest. While that is an expected scenario, the 4 OfAmidAnother pitals Member, 2012 post-election outlook is far more complicated and less predictable. This wee November Chimp Panel Presses On k’s headlin While they await new requirements from government agencies, research compli29, 2012 es Former To Better Document ance officials and investigators are also on tenterhooks about the impact of actions U. 6 Burdens, AAMC Is Kentuck y Research Congress must take in the coming weeks both to avert the looming “fiscal cliff” and For Som e Awardee er Agre Tallying FCOI Reg Costs to ensure funding to keep the government operational beyond the end of March es to Sev s, NSF COGR Obje OIG Will en-Year cts to ‘Bur when the current continuing resolution expires. Scrutiniz Debarm Budget NIH Will densome ent e 9 Administration All Tie for Tran ’ NSF OIG Approva Miscond Calls for Small Increase Some awardees are also on edge awaiting word from NIH, the National Science FDA sactions uct l of Gran Plan to Issues In Research Spending Foundation and other federal agencies as to whether they will be exempt from the t Continu Assess Two Draf RCR Prog Other Item ations to t Guidance deadline for expending Recovery Act funds imposed by the Office of Management rams Complian s of Inte Docume Regulations and Upcomin ce With rest nts 10 Guidance and Budget last year. Public Acce g Gran Yet to Be ts Managem ss Require Released Among other unfinished federal business: proposed guidance on cost principles Full text ent Web ment articles appe inars from for federal grants; guidance and a final rule for reporting payments from pharma- of artic ar below FFMA & les. and at www ceutical companies, as required under the Sunshine Act provisions of the Recovery AIS 11 In This Month’s E-News .reportonr esearchc Act; and an omnibus rule implementing the privacy and security provisions in the omplianc Former U. e.com, whic HITECH Act, including many affecting research (see box, p. 10). Kentucky Eric Smar h also cont t, formerly Researcher Agre continued ongover p. 8 ains arch es to Seve a professor ives nment-fund n-Year Deba ed programs of pediatrics and finding by rmen physiology or serve in t the at the Univ for Misconduct any advis website and Office of Research ory ersity of Kentu published published in the Fede Integrity that he engagcapacity to the Publi cky, will papers, one c Health not partic ral Regis ed in misco “experimen Servi ter ipate in certai submitted tal manuscript said Smart’s falsifi nduct over a 10-ye ce for seven years n and/or fabric data for knockout cation , ar period. following mice that seven grant application s and/or fabric A Nov. 20 a recommend ated images in 45 did not exist ations of s, and three Challenges to investigators’ work are increasing in frequency, scope and method, figures.” data “wer notice on ORI’s ed by UK. in five progr ORI requi e included ess repor The notic and coming from a widening group of not just bloggers and conservative groupsknow but n scien red Smar grant applications in 10 ts,” and e t to seek agreement tist” conducting resea did not indicate whet a retraction and three progress that he also repor state officials and members of Congress. was her rch on pedia ted reports and impose, secon voluntary. The tric diabe Smart, described by or correction of the also falsifi The Union of Concerned Scientists has stepped in to offer some help to beleasanction d only to published UK 10 years ed period began tes, admitted to debarment paper ago the misco guered researchers with Science in an Age of Scrutiny: How Scientists Can Respondchose to to engag Oct. 23; the for life. More nduct or not, as an “internatio s, as Links: http:/ e in PHS-funde long term comm nally Criticism and Personal Attacks, which UCS terms a “guide that helps scientists deal d resea but ORI said May2003/0 /ori.hhs.gov/content/c rch after a misco only investigators is among the most with harassment and other unwarranted attacks on their integrity and their work.” severe penal his exclusion are place nduc 3-05_smar ties t_appts.htm ase-summary-smart- t finding (RRC 10/12 d under super Universities and other higher education institutions may also find useful advice in visory progr ORI can eric-j; http:/ , p. 1). ams /www.uky. if they UCS’s guide. edu/PR/Ne For Some Editor ws/Archiv Awardees The guide has sections that address responses to “demands for private informaThe es/20 , -bac NSF Natio 03/ Theresa Defino k to toption,” as well as strategies for dealing with “harassing” correspondence andinclu bloggers, nal Science Foun OIG Will Scrutinize ding those dation’s All Transacti Managing Editor and “attacks through a mainstream source.” Office of for Reco work plan. ons very Act Inspector Angela Maas OIG said General “Certainly, institutions need to be better prepared to respond to requests butfor it has “iden awards,” for selec plans to didprinot indic ted awar “analyze Executive Editor ate how many tified high risk vate information,” Michael Halpern, UCS’s program manager for scientificfunds integrity, 100% of in FY audit cand dees, according to Jill Brown transactio such audit idate wrote on the UCS blog in announcing the guide. “States and the federal government its Other plann 2009 and the rema ns on NSF s it inten ds to cond s using data analy recently released inder awards, ed activities fiscal uct. “NSF tics and the include OIG’in FY 2010, and oblig results of 2013 audit awardees s ongoing prior audit have now ated 80% of its $3 review of s” incurred billion A-133 audit Published by Atlantic Information Services, Inc., 1100 17th Street, NW, Washington, D.C., 20036 s, submitted substantial expe of Recovery Act by NSF grant nses,” OIG said. 800-521-4323 • www.AISHealth.com ees, and audits of Responses

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Get Help, Use ‘Calm,’ Strategic Responses When Research Is Attacked, Group Says

ribers Subsc CCB e iv e c re uing Contin ion t a c u Ed s! Credit

Visit AISHealth.com/HCCA for reliable compliance resources and Government News of the Week, our FREE weekly newsletter!

Wishing you’d attended that session you couldn’t make at this Compliance Institute?

Catch up on what you missed with the 2013 Compliance Institute session recordings HCCA is recording over 100 sessions, complete with speaker handouts, at this year’s annual Compliance Institute. Here’s your opportunity to catch up on all the sessions you wished you could attend, and take your time absorbing the valuable knowledge presented.

Purchase your conference experience today. Just fill out and return the tear-out form after the CEU Application in this program. Or visit www.compliance-institute.org and download a PDF form to fill out.

Quick glance— find your session times and locations Saturday, April 20

ROOM LOCATION

7:30 am – 12:00 pm

7 Annual Volunteer Project

Maryland Foyer, Ballroom Level

Conference Registration

Exhibit Hall Entry Pre-Function, Exhibition Level

12:00 – 8:00 pm

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Sunday, April 21

ROOM LOCATION

7:30 am – 6:00 pm

Exhibit Hall Entry Pre-Function, Exhibition Level

Conference Registration

(includes 15-minute break)

PRE-CONFERENCE MORNING BREAKOUT SESSIONS

9:00 am – 12:00 pm

7:30 – 8:30 am

(includes 15-minute break)

PRE-CONFERENCE AFTERNOON BREAKOUT SESSIONS

1:30 pm – 4:30 pm

12:00 – 1:30 pm

SpeedNetworking

National Harbor 6–7

PREAM1 Large Hospital Systems

Azalaea 1, Ballroom Level

PREAM2 Compliance 101

Maryland A/C, Ballroom Level

PREAM3 Compliance Programs: The Next Generation

Potomac B, Ballroom Level

PREAM4 HIPAA Privacy & Security 101

Maryland 4–5, Ballroom Level

PREAM5 Can Compliance Teach Physicians to Comply? Adapting Different Healthcare Models to Teach Physicians Compliance

Chesapeake D–F

PREAM6 False Claims Act Development

Chesapeake 4–6, Ballroom Level

PREAM7 Implementing a Research Auditing Program

Azalaea 3, Ballroom Level

PREAM8 Effective Training: Teach Compliance to Clinicians

Chesapeake G–I, Ballroom Level

PREAM9 Hot Topics in Medicare, RAC, ZPIC & MIC Appeals

Chesapeake J–L, Ballroom Level

PREAM10 Effective ACO Compliance

Annapolis 1–2, Ballroom Level

PREAM11 Labs

Azalaea 2, Ballroom Level

PREAM12 How Is Your Fraud, Waste, and Abuse Program Incorporated into Your Compliance Plan for Your Health Plan?

Chesapeake 1–3, Ballroom Level

PREAM13 Compliance Implications of Health Care Reform

National Harbor 12–13

Lunch (on your own)

See “Lunch specials on Sunday” on page 4

PREPM14 Behavioral Health Compliance and Quality: Opportunities and Challenges for Integration and Implementation

Maryland A/C, Ballroom Level

PREPM15 Preparing for ICD-10 While Living in ICD-9

National Harbor 12–13

PREPM16 ZPICs, RAC, HIPAA Audits in LTC: Are You Ready?

Chesapeake 1–3, Ballroom Level

PREPM17 HHS/OCR Reports on the New HIPAA Rules

Potomac B, Ballroom Level

PREPM18 How to De-Stress the Politics of Physician Coding

National Harbor 2

PREPM19 Handling a Health Care Fraud Investigation

Maryland 4–5, Ballroom Level

PREPM20 Health Facility Drug Diversion: Essential Auditing and Compliance Measures

Chesapeake G–I, Ballroom Level

PREPM21 Bipartisan Compliance Programs Know No Term Limits

Azalaea 2, Ballroom Level

PREPM22 Delving into the Comprehensive Care Enterprise Delivery Model: Uncovering and Resolving Ever‑Increasing Compliance Challenges

Azalaea 3, Ballroom Level

PREPM23 The Drive To Quality: Are You On The Bus or Under It?

Chesapeake D–F, Ballroom Level

PREPM24 Compliance Essentials for DME

Chesapeake J–L, Ballroom Level

PREPM25 And the Question Is: What Are the Key AMC Compliance Focus Areas in the Current Regulatory Environment

Azalaea 1, Ballroom Level

PREPM26 Research Compliance: Hot Topics and Practical Tips from the Trenches

Chesapeake 4–6, Ballroom Level

3:30 – 4:30 pm

SpeedMentoring

National Harbor 6–7 Prince George CDE, Exhibition Level

5:30 – 6:30 pm

Authors’ Reception/Academies Reunion

Bella Vista Room, located inside Pienza Restaurant, Atrium Level

6:00 – 7:00 pm

Tweetup

Lower Atrium across from The National Pastime Sports Bar & Grill

TRACKS

4:30 – 6:00 pm

Networking Reception in Exhibit Hall

GENERAL COMPLIANCE/HOT TOPICS

PHYSICIAN COMPLIANCE

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

LONG-TERM CARE

LEGAL & REGULATORY

QUALITY OF CARE

PRIVACY & SECURITY

AUDITING & MONITORING

ADVANCED DISCUSSION GROUP

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Quick glance— find your session times and locations Monday, April 22

ROOM LOCATION

7:00 am – 6:00 pm

Conference Registration

Exhibit Hall Entry Pre-Function, Exhibition Level

7:00 – 8:30 am

Continental Breakfast

Prince George CDE, Exhibition Level

8:30 – 8:45 am

Opening Remarks

Maryland Ballroom, Ballroom Level

8:45 – 9:15 am

General Session: OIG Update

Maryland Ballroom, Ballroom Level

General Session: Be Quiet, Be Heard: The Paradox of Persuasion

Maryland Ballroom, Ballroom Level

Networking Break in Exhibit Hall

Prince George CDE, Exhibition Level

101 Inside the Beltway: Compliance Effectiveness Tips

National Harbor 12–13

102 Cyber Compliance: What Every Compliance Professional Needs to Know about Cyber Risks and Cyber Vigilance

Chesapeake 4–6, Ballroom Level

103 What You Say Can and Will Be Used Against You

National Harbor 10–11

104 OCR Reports on Enforcement of the HIPAA Rules

Potomac A, Ballroom Level

105 Managing Physician Financial Relationships

Chesapeake J–L, Ballroom Level

106 Practical Strategies for Minimizing Stark Risk

National Harbor 2

107 Patient Identity Theft: Risk, Controls, and Audit

Chesapeake G–I, Ballroom Level

108 One Day at a Time: Compliance and Ethics in the Aftermath of a Tragedy

Chesapeake 1–3, Ballroom Level

109 Navigating the OIG s Self-Disclosure Protocol

Chesapeake D–F

110 Compliance Reporting Post ICD-10: Avoiding the Chasm

Azalaea 1, Ballroom Level

111 Conflicts of Interest: What Happens When What Is Reported to You Does Not Match What Is Reported by or to Others?

National Harbor 3

112 Building a Compliance Program from the Ground Up

Potomac B, Ballroom Level

AD1 Fighting the Good Fight: Expanding Best Practices Beyond the RAC

Magnolia 1, Ballroom Level

AD2 The Latest Trends in Data Breach Threats

Magnolia 2, Ballroom Level

Networking Luncheon

Prince George CDE, Exhibition Level

Networking Break in Exhibit Hall

Prince George CDE, Exhibition Level

201 Non-Profit Governance: What Every Compliance Officer Should Know

Chesapeake 4–6, Ballroom Level

202 An Integrated Approach to Compliance & Risk

Potomac A, Ballroom Level

203 MDS 3.0: A Compliance Officer s Nightmare or Nirvana?

Chesapeake G–I, Ballroom Level

204 Patient Privacy Requirements Beyond HIPAA

Potomac B, Ballroom Level

205 Managing Risk in Psychiatric Medication Management

Chesapeake 1–3, Ballroom Level

206 Compliance Issues in Managed Care

Chesapeake D–F, Ballroom Level

207 Understanding Audit Error Rates: How Are We Doing?

National Harbor 2

208 Why Compliance Officers Should Care About Improving Quality of Care

National Harbor 3

209 340B Drug Discount Program: Understanding the Audit Process and Preparing your Pharmacy

Chesapeake J–L, Ballroom Level

210 Hidden Liabilities in the EMR

National Harbor 10–11

211 The Role of Compliance in Effectively Managing External Audits

National Harbor 12–13

AD3 Integrating Quality Into Your Compliance Program

Magnolia 1, Ballroom Level

AD4 What Makes a Compliance Committee Effective?

Mangolia 2, Ballroom Level

AD5 Stark Compliance Practices

Magnolia 3, Ballroom Level

Networking Break in Exhibit Hall

Prince George CDE, Exhibition Level

9:15 – 10:15 am

BREAKOUT SESSIONS

11:00 am – 12:00 pm

10:15 – 11:00 am

12:00 – 1:00 pm

BREAKOUT SESSIONS

1:30 pm – 2:30 pm

1:00 – 1:30 pm

TRACKS

2:30 – 3:00 pm

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GENERAL COMPLIANCE/HOT TOPICS

PHYSICIAN COMPLIANCE

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

LONG-TERM CARE

LEGAL & REGULATORY

QUALITY OF CARE

PRIVACY & SECURITY

AUDITING & MONITORING

ADVANCED DISCUSSION GROUP

www.compliance-institute.org

Quick glance— find your session times and locations BREAKOUT SESSIONS

3:00 pm – 4:00 pm

Monday, April 22

BREAKOUT SESSIONS

4:30 pm – 5:30 pm

4:00 – 4:30 pm

5:30 – 7:00 pm

ROOM LOCATION

301 Social Networking: Managing the Risks and Realizing the Benefits

Chesapeake D–F, Ballroom Level

302 Physician Alignment: Legal and Fair Market Value Compliance

Chesapeake J–L, Ballroom Level

303 2013 OIG Work Plan for Post Acute Providers

Chesapeake 4–6, Ballroom Level

304 The Defining Moments of a Data Breach

Potomac B, Ballroom Level

305 Anatomy of a Guilty Referral Relationship: Dissecting the Risk Areas and Ensuring Compliance

National Harbor 3

306 What Is Happening in the Pharmacy?

Chesapeake G–I, Ballroom Level

307 Audit Appeals and Preparing for the Future

National Harbor 12–13

308 Compliance as a Quality of Care Metric

National Harbor 10–11

309 Utilizing Data to Identify Fraud, Waste, and Abuse

Potomac A, Ballroom Level

310 Fair Market Value and Clinical Trial Budgets

Chesapeake 1–3, Ballroom Level

311 Monitoring, Measuring, and Mitigating Social Media Risk

National Harbor 2

AD6 Lessons From the Field: Analysis and Solutions of Audience Submitted Case Studies

Magnolia 1, Ballroom Level

AD7 Compliance Program Self Assessment

Magnolia 2, Ballroom Level

AD8 EMR: Use the Tool to Enhance Rather Than Hinder Compliance

Magnolia 3, Ballroom Level

Networking Break in Exhibit Hall

Prince George CDE, Exhibition Level

401 UMDNJ: Compliance after Deferred Prosecution

Chesapeake J–L, Ballroom Level

402 Analyzing Risk in Hospital/Physician Transactions

National Harbor 3

403 Provider Predictive Modeling: Utilizing SNF Data to Mitigate Risk

Chesapeake G–I, Ballroom Level

404 Mobile Threats and How Healthcare Can Reduce Risks

Potomac B, Ballroom Level

405 Trends in Physician Compensation Arrangements

Chesapeake D–F, Ballroom Level

406 Private Contractor Actions: RACs, ZPICs, etc.

Chesapeake 4–6, Ballroom Level

407 Who Is Looking at Your Electronic Medical Record? A Practical Guide to Building an Audit Plan

National Harbor 12–13

408 Not a Quality Expert? How to Integrate Quality into Your Compliance Program

National Harbor 2

409 Using RAC Data Mining to Improve Compliance

National Harbor 10–11

410 Research Participants Rights and Privacy

Chesapeake 1–3

411 Failing and/or Thriving as a Compliance Officer

Potomac A, Ballroom Level

AD9 Tools for Business Ethics Leaders

Magnolia 2, Ballroom Level

AD10 Preparing Compliance Program Effectiveness Reports

Magnolia 3, Ballroom Level

AD1b/repeat Fighting the Good Fight: Expanding Best Practices Beyond the RAC

Magnolia 1, Ballroom Level

Networking Reception in Exhibit Hall

Prince George CDE, Exhibition Level

Tuesday, April 23

ROOM LOCATION

7:30 am – 4:00 pm

Conference Registration

Exhibit Hall Entry Pre-Function, Exhibition Level

7:30 – 8:30 am

Continental Breakfast

Prince George CDE, Exhibition Level

8:30 – 8:40 am

Opening Remarks

Maryland Ballroom, Ballroom Level

8:40 – 9:40 am

General Session: ACO/Healthcare Reform

Maryland Ballroom, Ballroom Level

General Session: Decisive: How to Make Better Choices in Life and Work

Maryland Ballroom, Ballroom Level

Networking Break in Exhibit Hall

Prince George CDE, Exhibition Level

9:40 – 10:25 am

TRACKS

10:25 – 11:00 am

GENERAL COMPLIANCE/HOT TOPICS

PHYSICIAN COMPLIANCE

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

LONG-TERM CARE

LEGAL & REGULATORY

QUALITY OF CARE

PRIVACY & SECURITY

AUDITING & MONITORING

ADVANCED DISCUSSION GROUP

www.compliance-institute.org

9

Quick glance— find your session times and locations BREAKOUT SESSIONS

11:00 am – 12:00 pm

Tuesday, April 23

12:00 – 1:00 pm

BREAKOUT SESSIONS

1:30 pm – 2:30 pm

1:00 – 1:30 pm

ROOM LOCATION

501 Annual Reporting: Documenting Compliance Programs

Potomac A, Ballroom Level

502 Conflicts of Interest: The Compliance Officer’s Role in Assuring the Process of Disclosure Is Effective

National Harbor 12–13

503 100 Ways to Prevent an Overpayment

National Harbor 3

504 HHS/OCR & HIPAA/HITECH Audits: Report and Findings

Potomac B, Ballroom Level

505 Compliance Risks with Non-Physician Practitioners

Chesapeake 4–6, Ballroom Level

506 Anti-Kickback Statute 101

Chesapeake D–F, Ballroom Level

507 Don’t Take Those Old Records Off the Shelf: Change Your Tune Using Real‑Time Monitors to Focus on Risks Identified by OIG, CMS and Other Regulators

National Harbor 2

508 Enhancing Patient Quality & Safety with Compliance

Chesapeake G–I, Ballroom Level

509 Settlement Is Not Always the Final Chapter

Chesapeake 1–3, Ballroom Level

510 Advanced Principles of Compliance Program: Bringing It All Together

National Harbor 10–11

511 Avoiding Career Burnout In Healthcare Compliance

Chesapeake J–L, Ballroom Level

AD2b/repeat The Latest Trends in Data Breach Threats

Magnolia 2, Ballroom Level

AD3b/repeat Integrating Quality Into Your Compliance Program

Magnolia 1, Ballroom Level

AD4b/repeat What Makes a Compliance Committee Effective?

Magnolia 3, Ballroom Level

Networking Luncheon

Prince George CDE, Exhibition Level

Networking Break

Prince George CDE, Exhibition Level

601 The Road to a Compliant Culture though the Bridge of Communication and the Vehicle of Education 602 Keeping Up, Moving Ahead: Practical Guidance for Success and Survival in the Modern World of Government Audits

TRACKS

10

Chesapeake D–F, Ballroom Level

603 A View From New York: Compliance Mandates You May See in Your State

National Harbor 2

604 Managing Privacy & Security of Patient EHR Portals

Potomac B, Ballroom Level

605 Proof Positive: Identify Your Statistically-Hot Providers (Before the Feds Do)

National Harbor 12–13

606 DMEPOS Compliance Issues

National Harbor 3

607 Auditing the Physician Credentialing Process

Chesapeake 4–6, Ballroom Level

608 CEOs Perspectives: Operational Viability & Compliance: Challenges & Opportunities 609 Congressional Priorities for 2013: What Every Healthcare Provider Needs to Know

2:30 – 3:00 pm

National Harbor 10–11

Chesapeake 1–3, Ballroom Level Potomac A, Ballroom Level

610 The Future of Compliance: Where Law Students and New Attorneys Fit In

Chesapeake J–L, Ballroom Level

611 Know Thy Customer: Credentialing & Compliance

Chesapeake G–I, Ballroom Level

AD5b/repeat Stark Compliance Practices

Magnolia 3, Ballroom Level

AD6b/repeat Lessons From the Field: Analysis and Solutions of Audience Submitted Case Studies

Magnolia 1, Ballroom Level

AD7b/repeat Compliance Program Self Assessment

Magnolia 2, Ballroom Level

Networking Break

Potomac, National Harbor, Chesapeake, and Magnolia Foyers

GENERAL COMPLIANCE/HOT TOPICS

PHYSICIAN COMPLIANCE

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

LONG-TERM CARE

LEGAL & REGULATORY

QUALITY OF CARE

PRIVACY & SECURITY

AUDITING & MONITORING

ADVANCED DISCUSSION GROUP

www.compliance-institute.org

Quick glance— find your session times and locations BREAKOUT SESSIONS

3:00 pm – 4:00 pm

Tuesday, April 23

ROOM LOCATION

701 A Dialogue on HIPAA/HITECH Compliance: Considerations Now that the HITECH Rules Are Here

Potomac B, Ballroom Level

702 Programming Your Program

Chesapeake D–F, Ballroom Level

703 The Making of a Successful Quality of Care CIA

Chesapeake 1–3, Ballroom Level

704 Conducting a Privacy Risk Assessment

Potomac A, Ballroom Level

705 ACA: From a Practical, Practice Perspective

Chesapeake G–I, Ballroom Level

706 Creative Arguments to Avoid/Defend Overpayments

National Harbor 12–13

707 Auditing Considerations Related to Implantable Devices Replaced Under Recall or Warranty

National Harbor 3

708 The Role of Quality and Performance Management in Compliance

Chesapeake J–L, Ballroom Level

709 Developments in the 340B Program

National Harbor 2

710 One OIG, Many Tools: Strategic Approaches to Protecting Integrity in an Evolving Health Care Landscape

National Harbor 10–11

711 Compliance Issues in Mergers and Acquisitions

Chesapeake 4–6, Ballroom Level

AD8b/repeat EMR: Use the Tool to Enhance Rather Than Hinder Compliance

Magnolia 3, Ballroom Level

AD9b/repeat Tools for Business Ethics Leaders

Magnolia 2, Ballroom Level

AD10b/repeat Preparing Compliance Program Effectiveness Reports

Magnolia 1, Ballroom Level

7:30 am – 12:00 pm

Conference Registration

Maryland Foyer, Reg Counter C, Ballroom Level

POSTAM1 NCD-LCD Education: A Proactive Approach to Denials

Chesapeake J–L, Ballroom Level

POSTAM2 The Effective Use of Valuations for FMV Compliance

National Harbor 4

POSTAM3 State Development of Medicaid ACO

National Harbor 5

POSTAM4 Your Personalized Road Trip to HIPAA/HITECH Compliance Land

National Harbor 10–11

POSTAM5 E/M Documentation: Deal or No Deal?

Chesapeake 4–6, Ballroom Level

POSTAM6 Hospice/Nursing Home Partnership: Do it Right!

Chesapeake 1–3, Ballroom Level

POSTAM7 Painless Statistics for Compliance Professionals

Chesapeake D–F, Ballroom Level

POSTAM8 Keeping It All Straight: Compliance Resources at Your Fingertips

National Harbor 12–13

POSTAM9 Make Culture Matter! How to Show Leadership that Culture is the Key to Performance

Chesapeake G–I, Ballroom Level

Networking Break

Chesapeake Foyer / National Harbor Foyer

POSTAM10 Importance of Compliance Training

National Harbor 12–13

POSTAM11 Best Practices for Denials Management

Chesapeake 1–3, Ballroom Level

POSTAM12 Healthcare Reform: The Road Ahead

National Harbor 10–11

POSTAM13 Privacy Officer Roundtable: OCR Enforcement—Are You Ready?

Chesapeake D–F, Ballroom Level

POSTAM14 Design a Useable Compliance Policy

Chesapeake G–I, Ballroom Level

POST-CONFERENCE BREAKOUT SESSIONS

ROOM LOCATION

8:00 am – 9:45 am

Wednesday, April 24

POST-CONFERENCE BREAKOUT SESSIONS

10:00 am – 11:45 am

9:45 – 10:00 am

POSTAM15 Negotiating False Claims Act Settlements and Corporate Integrity Agreements POSTAM16 Tips for Auditing/Monitoring of Medicare Documentation for PT, OT, and Speech POSTAM17 A Compliance Officer’s Approach to Fair Market Value Analyses: Practical Advice and Dilemmas

National Harbor 4 Chesapeake J–L, Ballroom Level National Harbor 5 Chesapeake 4–6, Ballroom Level

2:00 – 4:00 pm

CHC Certification Exam (check-in at 1:30 pm)

National Harbor 2–3

2:00 – 4:00 pm

CHPC and CHRC Certification Exams (check-in at 1:30 pm)

National Harbor 4–5

TRACKS

POSTAM18 ICD-10 for the (Non Coder) Compliance Officer

GENERAL COMPLIANCE/HOT TOPICS

PHYSICIAN COMPLIANCE

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

LONG-TERM CARE

LEGAL & REGULATORY

QUALITY OF CARE

PRIVACY & SECURITY

AUDITING & MONITORING

ADVANCED DISCUSSION GROUP

www.compliance-institute.org

11

BECOME CERTIFIED at HCCA’s Compliance Institute Certified in Health Care Compliance (CHC)® Certified in Health Care Privacy Compliance (CHPC)® Certified in Health Care Research Compliance (CHRC)® COST: $250 HCCA members / $350 non-members QUALIFICATIONS: To be eligible to sit for an exam, candidates must acquire 20 CCB credits. One clock hour of session time at the Compliance Institute counts for 1.2 credits. CCB credits are calculated on a 50-minute hour. If you wish to receive credits for your attendance at this conference, you must complete and submit a Continuing Education Application (found inside your Program at a Glance, or ask HCCA staff ). Look in the brochure for sessions marked with CHC, CHPC, or CHRC if you are interested in taking a certification exam and would like to attend potentially helpful sessions.

All exams will be held Wednesday, April 24, from 2:00 – 4:00 pm REPORT TO CHECK-IN AT 1:30 PM CHC exam:

NATIONAL HARBOR 2–3

CHPC exam:

NATIONAL HARBOR 4 –5

CHRC exam:

NATIONAL HARBOR 4 –5

LIMITED SPACE AVAILABLE FOR ON-SITE REGISTRATIONS Stop by HCCA’s booth for an exam application

HCCA is in the process of applying for additional continuing education credits, and these credit totals are subject to change. If you have questions, please call 888-580-8373 or email [email protected]. AAPC: This program has the prior approval of the American Academy of Professional Coders (AAPC) for 19.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. ACHE: The Health Care Compliance Association is authorized to award 19 hours of pre-approved Category II (non-ACHE) continuing education credit for this program toward advancement, or recertification in the America College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward Category II credit should indicate on their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification. AHIMA: This program has been approved for 19.0 continuing education units (CEUs) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor. ASHRM: This meeting has been approved for a total of 19.75 contact hours of Continuing Education Credit toward fulfillment of the requirements of ASHRM designations of FASHRM (Fellow) and DFASHRM (Distinguished Fellow) and towards CPHRM renewal. CCMC: This program has been pre-approved by The Commission for Case Manager Certification to provide continuing education credit to CCM® board certified case managers. The course is approved for 19.25 CE contact hour(s). CLE: The Health Care Compliance Association is a State Bar of California Approved MCLE provider, a Pennsylvania Accredited Provider, a Rhode Island Accredited Provider, and a Texas Accredited Sponsor. An approximate maximum of 19.25 clock hours of CLE credit will be available to attendees of this conference. All CLE credits will be awarded based on individual attendance. Please see the Compliance Institute website (www.compliance-institute. org) for individual states’ approvals.

Compliance Certification Board (CCB): Certified in Healthcare Compliance (CHC)®, Certified in Healthcare Compliance–Fellow (CHC-F), Certified in Healthcare Privacy Compliance (CHPC)®, Certified in Healthcare Research Compliance (CHRC)®, Certified Compliance & Ethics Professional (CCEP)®, Certified Compliance & Ethics Professional– Fellow (CCEP-F), Certified Compliance & Ethics Professional–International (CCEP-I): CCB has awarded a maximum of 22.8 CEUs for these accreditations. Note: CEUs are subject to change. See below for credit breakdowns based on attendance. STANDARD BREAKOUT SESSIONS Pre-conference: 6.6 full-day | AM only 3.3 | PM only 3.3 Monday: 6.6 Tuesday: 5.7 Wednesday: 4.2 MAXIMUM TOTAL: 22.8 NAAC: This program has been approved by NAAC for 19.25 Continuing Education Units for use in fulfilling the continuing education requirements for the Certified Ambulance Coder (CAC) certification. NAHQ: The National Association for Healthcare Quality (NAHQ) has approved this event for 19.25 CE Hours. NAMSS: The National Association Medical Staff Services has approved this event for up to 19.0 NAMSS continuing education credits. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS. NASBA/CPE: The Health Care Compliance Association is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE sponsors, Sponsor Identification No: 105638. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit and may not accept one-half credits. Complaints regarding registered sponsors may be addressed to the National Registry of CPE Sponsors, 150 Fourth Avenue North, Suite 700, Nashville, TN 37219-2417. Website: www.nasba.org. A recommended maximum of 23 credits based on a 50-minute hour will be granted for the entire learning activity. This program addresses topics that are of a current concern in the compliance environment. This is an update, group-live activity. For more information regarding administrative policies such as complaints or refunds, call HCCA at 888-5808373 or 952-988-0141.

Nursing Credit (RN): The Health Care Compliance Association is preapproved by the California Board of Registered Nursing, Provider Number CEP 12990, for an approximate maximum of 23.1 contact hour(s). The following states will not accept CA Board of Nursing contact hours: Delaware, Florida, New Jersey and Utah. Massachusetts and Mississippi nurses may submit CA Board of Nursing contact hours to their state board, but approval will depend on review by the board. Please contact the Accreditation Department at [email protected] with any questions you may have. Oncology Nurses who are certified by ONCC may request CA Nursing Credit (check box or indicate “Nursing” on the CEU form). RACC: Attendees seeking CRA credits through the Research Administrators Certification Council (RACC) may request a certificate of attendance from HCCA by completing an Application for Continuing Education and indicating RACC/CRA on the form. A certificate of attendance along with a complete brochure should be submitted to RACC at the end of each individual’s RACC renewal period. The Research Administrators Certification Council (RACC) promotes the concept of voluntary certification by examination for all research and sponsored programs administrators. Certification in research and sponsored programs administration is highly valued and provides formal recognition of basic knowledge in the field. SoCRA: The Society of Clinical Research Associates (SoCRA – www.SoCRA. org) accepts documentation of candidate participation in continuing education programs for recertification if the program is applicable to clinical research regulations, operations or management, or to the candidate’s clinical research therapeutic area. This program offers 19.25 hours of CE credit. SoCRA’s requirements for recertification Continuing Education credit are quite general, as they pertain to clinical research regulations, operations and management, and to the therapeutic area of the clinical research in which the candidate participates. We therefore leave it to the candidate to determine whether a course or program would be acceptable for SoCRA’s CE requirement. SoCRA does not “validate” individual training courses/ workshops.

CEU APPLICATION

Continuing education units

CEU APPLICATION

Planning to take a certification exam? Compliance Institute sessions listed below may be helpful. PREAM2 Compliance 101  CHC  CHPC  CHRC PREAM4 HIPAA Privacy & Security 101  CHC  CHPC PREAM5 Can Compliance Teach Physicians to Comply? Adapting Different Healthcare Models to Teach Physicians Compliance  CHC

202 An Integrated Approach to Compliance & Risk  CHC 204 Patient Privacy Requirements Beyond HIPAA  CHPC 211 The Role of Compliance in Effectively Managing External Audits  CHC  CHPC  CHRC

502 Conflicts of Interest: The Compliance Officer’s Role in Assuring the Process of Disclosure Is Effective  CHC 504 HHS/OCR & HIPAA/HITECH Audits: Report and Findings  CHPC 506 Anti-Kickback Statute 101  CHC

PREAM7 Implementing a Research Auditing Program  CHRC

AD3 Integrating Quality Into Your Compliance Program  CHC

PREPM17 HHS/OCR Reports on the New HIPAA Rules  CHPC

AD4 What Makes a Compliance Committee Effective?  CHC

PREPM19 Handling a Health Care Fraud Investigation  CHC  CHPC  CHRC

AD5 Stark Compliance Practices  CHC

601 The Road to a Compliant Culture though the Bridge of Communication and the Vehicle of Education  CHC

304 The Defining Moments of a Data Breach  CHPC

604 Managing Privacy & Security of Patient EHR Portals  CHPC

309 Utilizing Data to Identify Fraud, Waste, and Abuse  CHC

704 Conducting a Privacy Risk Assessment  CHPC

310 Fair Market Value and Clinical Trial Budgets  CHRC

705 ACA: From a Practical, Practice Perspective  CHPC

311 Monitoring, Measuring, and Mitigating Social Media Risk  CHPC

POSTAM4 Your Personalized Road Trip to HIPAA/HITECH Compliance Land   CHPC

PREPM26 Research Compliance: Hot Topics and Practical Tips from the Trenches  CHRC 103 What You Say Can and Will Be Used Against You  CHC  CHPC  CHRC 104 OCR Reports on Enforcement of the HIPAA Rules  CHPC 105 Managing Physician Financial Relationships  CHC 106 Practical Strategies for Minimizing Stark Risk  CHC 107 Patient Identity Theft: Risk, Controls, and Audit  CHPC 109 Navigating the OIG’s Self‑Disclosure Protocol  CHC 111 Conflicts of Interest: What Happens When What Is Reported to You Does Not Match What Is Reported by or to Others?  CHC 112 Building a Compliance Program from the Ground Up  CHC AD2 The Latest Trends in Data Breach Threats  CHPC

AD7 Compliance Program Self Assessment  CHC  CHPC  CHRC 407 Who Is Looking at Your Electronic Medical Record? A Practical Guide to Building an Audit Plan  CHC 410 Research Participants Rights and Privacy  CHRC 411 Failing and/or Thriving as a Compliance Officer  CHC AD10 Preparing Compliance Program Effectiveness Reports  CHC 501 Annual Reporting: Documenting Compliance Programs  CHC

510 Advanced Principles of Compliance Program: Bringing It All Together  CHC

POSTAM5 E/M Documentation: Deal or No Deal?  CHC POSTAM9 Make Culture Matter! How to Show Leadership that Culture is the Key to Performance  CHC  CHPC  CHRC POSTAM10 Importance of Compliance Training  CHC  CHPC  CHRC POSTAM13 Privacy Officer Roundtable: OCR Enforcement— Are You Ready?  CHPC POSTAM14 Design a Useable Compliance Policy  CHC  CHPC  CHRC

These sessions are also indicated in the agenda with CHC, CHPC , or CHRC

APPLICATION FOR CONTINUING EDUCATION UNITS This form must be completed in order to receive continuing education units. HCCA’s 17th Annual Compliance Institute April 21 through April 24, 2013 – National Harbor, MD (DC Metro) Check the box corresponding to the credit type(s) you wish to receive and indicate attendance on the following pages. Submit ALL pages regardless of attendance. Please leave this application with staff at the Registration Desk or Return to the CCB office upon completion of the conference: [email protected] [email protected] Fax Line: 952-988-0146. Your certificate will be emailed in approximately 6 weeks. CCB (50 min hr) CHC, CCEP, CHRC, CHPC, CHC-F and CCEP-F AAPC (60 min hr) ACHE (60 min hr) AHDI (60 min hr) AHIMA (60 min hr) ASHRM (60 min hr) CCMC (60 min hr) *CLE/MCLE (50 or 60 min hr)

**NASBA/CPAs (50 min hr) **NAB (60 min hr) NAAC (credits calculated per session) NAMSS (60 min hr) RACC (60 min hr) RN (CA Board of Nursing, 50 min hr) SoCRA (60 min hr) Other:

* Attorneys must submit application within 25 days of the completion of the conference. **Those requesting CPE (NASBA) or NAB credits must also sign attendance sheets at each session. By signing below, I certify that I have attended the sessions indicated on the following pages. Name (print legibly)_______

_____________________________________________________

Signature___________________________________________________________________________ Nurses/Attorneys: License State(s) __________ License/Bar Number(s)______________________ Company___________________________________________________________________________ Address ____________________________________ _______________________________________ City/State/Zip____________________________________________________________________ ___ Email_______________________________________________________________________________ Phone Number____________________ HCCA Member# (optional) ___________________________

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Sunday, April 21, 2013 – Pre-Conference 7:30 –  8:30 AM (1.0 Clock Hours or 60 minutes, CCB Credit ONLY) ____ SpeedNetworking (maximum of 1.5 CCB credits for networking awarded per year) Pre-Conference Morning Breakouts 9:00 AM – 12:00 PM (2.75 Clock Hours or 165 minutes with breaks) ____ PREAM1 Large Hospital Systems ____ PREAM2 Compliance 101 ____ PREAM3 Compliance Programs: The Next Generation ____ PREAM4 HIPAA Privacy & Security 101 ____ PREAM5 Can Compliance Teach Physicians to Comply? Adapting Different Healthcare . . . Compliance ____ PREAM6 False Claims Act Development ____ PREAM7 Implementing a Research Auditing Program ____ PREAM8 Effective Training: Teach Compliance to Clinicians ____ PREAM9 Hot Topics in Medicare, RAC, ZPIC & MIC Appeals ____ PREAM10 Effective ACO Compliance ____ PREAM11 Labs ____ PREAM12 How Is Your Fraud, Waste, and Abuse Program Incorporated into Your . . . Health Plan? ____ PREAM13 Compliance Implications of Health Care Reform Pre-Conference Afternoon Breakouts 1:30 – 4:30 PM (2.75 Clock Hours or 165 minutes with breaks) ____ PREPM14 Behavioral Health Compliance and Quality: Opportunities and Challenges for . . . Implementation ____ PREPM15 Preparing for ICD-10 While Living in ICD-9 ____ PREPM16 ZPICs, RAC, HIPAA Audits in LTC: Are You Ready? ____ PREPM17 HHS/OCR Reports on the New HIPAA Rules ____ PREPM18 How to De-Stress the Politics of Physician Coding ____ PREPM19 Handling a Health Care Fraud Investigation ____ PREPM20 Health Facility Drug Diversion: Essential Auditing and Compliance Measures ____ PREPM21 Bipartisan Compliance Programs Know No Term Limits ____ PREPM22 Delving into the Comprehensive Care Enterprise Delivery Model: Uncovering . . . Challenges ____ PREPM23 The Drive To Quality: Are You On The Bus or Under It? ____ PREPM24 Compliance Essentials for DME ____ PREPM25 And the Question Is: What Are the Key AMC Compliance Focus Areas in the . . . Environment ____ PREPM26 Research Compliance: Hot Topics and Practical Tips from the Trenches 3:35 – 4:30 PM (1.0 Clock Hours or 60 minutes, CCB Credit ONLY) ____ SpeedMentoring (maximum of 1.5 CCB credits for networking awarded per year)

Name:

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Monday, April 22, 2013 General Sessions: 8:45 – 10:15 AM (1.5 Clock Hours or 90 minutes) ____ 8:45 - 9:15 AM General Session: OIG Update ____ 9:15 - 10:15 AM General Session: Be Quiet, Be Heard: The Paradox of Persuasion Monday Breakout Sessions 11:00 AM – 12:00 PM (1.0 Clock Hour or 60 minutes) ____ 101 Inside the Beltway: Compliance Effectiveness Tips ____ 102 Cyber Compliance: What Every Compliance Professional Needs to Know about Cyber Risks. . . Vigilance ____ 103 What You Say Can and Will Be Used Against You ____ 104 OCR Reports on Enforcement of the HIPAA Rules ____ 105 Managing Physician Financial Relationships ____ 106 Practical Strategies for Minimizing Stark Risk ____ 107 Patient Identity Theft: Risk, Controls, and Audit ____ 108 One Day at a Time: Compliance and Ethics in the Aftermath of a Tragedy ____ 109 Navigating the OIG s Self-Disclosure Protocol ____ 110 Compliance Reporting Post ICD-10: Avoiding the Chasm ____ 111 Conflicts of Interest: What Happens When What Is Reported to You Does Not Match . . . Others? ____ 112 Building a Compliance Program from the Ground Up ____ AD1 Fighting the Good Fight: Expanding Best Practices Beyond the RAC ____ AD2 The Latest Trends in Data Breach Threats Monday Breakout Sessions 1:30 – 2:30 PM (1.0 Clock Hour or 60 minutes) ____ 201 Non-Profit Governance: What Every Compliance Officer Should Know ____ 202 An Integrated Approach to Compliance & Risk ____ 203 MDS 3.0: A Compliance Officer s Nightmare or Nirvana? ____ 204 Patient Privacy Requirements Beyond HIPAA ____ 205 Managing Risk in Psychiatric Medication Management ____ 206 Compliance Issues in Managed Care ____ 207 Understanding Audit Error Rates: How Are We Doing? ____208 Why Compliance Officers Should Care About Improving Quality of Care ____ 209 340B Drug Discount Program: Understanding the Audit Process and Preparing your Pharmacy ____ 210 Hidden Liabilities in the EMR ____ 211 The Role of Compliance in Effectively Managing External Audits ____ AD3 Integrating Quality Into Your Compliance Program ____ AD4 What Makes a Compliance Committee Effective? ____ AD5 Stark Compliance Practices

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Monday, April 22, 2013 (continued) Monday Breakout Sessions 3:00 – 4:00 PM (1.0 Clock Hour or 60 minutes) ____ 301 Social Networking: Managing the Risks and Realizing the Benefits ____ 302 Physician Alignment: Legal and Fair Market Value Compliance ____ 303 2013 OIG Work Plan for Post-Acute Providers ____ 304 The Defining Moments of a Data Breach ____ 305 Anatomy of a Guilty Referral Relationship: Dissecting the Risk Areas and Ensuring Compliance ____ 306 What Is Happening in the Pharmacy? ____ 307 Audit Appeals and Preparing for the Future ____ 308 Compliance as a Quality of Care Metric ____ 309 Utilizing Data to Identify Fraud, Waste, and Abuse ____ 310 Fair Market Value and Clinical Trial Budgets ____ 311 Monitoring, Measuring, and Mitigating Social Media Risk ____ AD6 Lessons From the Field: Analysis and Solutions of Audience Submitted Case Studies Monday Breakout Sessions 4:30 – 5:30 PM (1.0 Clock Hour or 60 minutes) ____ 401 UMDNJ: Compliance after Deferred Prosecution ____ 402 Analyzing Risk in Hospital/Physician Transactions ____ 403 Provider Predictive Modeling: Utilizing SNF Data to Mitigate Risk ____ 404 Mobile Threats and How Healthcare Can Reduce Risks ____ 405 Trends in Physician Compensation Arrangements ____ 406 Private Contractor Actions: RACs, ZPICs, etc. ____ 407 Who Is Looking at Your Electronic Medical Record? A Practical Guide to Building an Audit Plan ____ 408 Not a Quality Expert? How to Integrate Quality into Your Compliance Program ____ 409 Using RAC Data Mining to Improve Compliance ____ 410 Research Participants Rights and Privacy ____ 411 Failing and/or Thriving as a Compliance Officer ____ AD9 Tools for Business Ethics Leaders ____ AD10 Preparing Compliance Program Effectiveness Reports ____ AD1b/repeat Fighting the Good Fight: Expanding Best Practices Beyond the RAC

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Tuesday, April 23, 2013 General Sessions: 8:40 – 10:25 AM (1.75 Clock Hours or 105 minutes) ____ 8:40 - 9:40 AM General Session: ACO/Healthcare Reform ____ 9:40 - 10:25 AM General Session: Decisive: How to Make Better Choices in Life and Work Tuesday Breakout Sessions 11:00 AM – 12:00 PM (1.0 Clock Hour or 60 minutes) ____ 501 Annual Reporting: Documenting Compliance Programs ____ 502 Conflicts of Interest: The Compliance Officer’s Role in Assuring the Process of Disclosure Is Effective ____ 503 100 Ways to Prevent an Overpayment ____ 504 HHS/OCR & HIPAA/HITECH Audits: Report and Findings ____ 505 Compliance Risks with Non-Physician Practitioners ____ 506 Anti-Kickback Statute 101 ____ 507 Don’t Take Those Old Records Off the Shelf: Change Your Tune Using Real-Time Monitors to Focus . . . ____ 508 Enhancing Patient Quality & Safety with Compliance ____ 509 Settlement Is Not Always the Final Chapter ____ 510 Advanced Principles of Compliance Program: Bringing It All Together ____ 511 Avoiding Career Burnout In Healthcare Compliance ____ AD2b/repeat The Latest Trends in Data Breach Threats ____ AD3b/repeat Integrating Quality Into Your Compliance Program ____ AD4b/repeat What Makes a Compliance Committee Effective? Tuesday Breakout Sessions 1:30 – 2:30 PM (1.0 Clock Hour or 60 minutes) ____ 601 The Road to a Compliant Culture though the Bridge of Communication and the Vehicle of Education ____ 602 Keeping Up, Moving Ahead: Practical Guidance for Success and Survival in the Modern World . . . ____ 603 A View From New York: Compliance Mandates You May See in Your State ____ 604 Managing Privacy & Security of Patient EHR Portals ____ 605 Proof Positive: Identify Your Statistically-Hot Providers (Before the Feds Do) ____ 606 DMEPOS Compliance Issues ____ 607 Auditing the Physician Credentialing Process ____ 608 CEOs Perspectives: Operational Viability & Compliance: Challenges & Opportunities ____ 609 Congressional Priorities for 2013: What Every Healthcare Provider Needs to Know ____ 610 The Future of Compliance: Where Law Students and New Attorneys Fit In ____ 611 Know Thy Customer: Credentialing & Compliance ____ AD5b/repeat Stark Compliance Practices ____ AD6b/repeat Lessons From the Field: Analysis and Solutions of Audience Submitted Case Studies ____ AD7b/repeat Compliance Program Self-Assessment

Name:

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Tuesday, April 23, 2013 (continued) Tuesday Breakout Sessions 3:00 – 4:00 PM (1.0 Clock Hour or 60 minutes) ____ 701 A Dialogue on HIPAA/HITECH Compliance: Considerations Now that the HITECH Rules Are Here ____ 702 Programming Your Program ____ 703 The Making of a Successful Quality of Care CIA ____ 704 Conducting a Privacy Risk Assessment ____ 705 ACA: From a Practical, Practice Perspective ____ 706 Creative Arguments to Avoid/Defend Overpayments ____ 707 Auditing Considerations Related to Implantable Devices Replaced Under Recall or Warranty ____ 708 The Role of Quality and Performance Management in Compliance ____ 709 Developments in the 340B Program ____ 710 One OIG, Many Tools: Strategic Approaches to Protecting Integrity in an Evolving . . . Landscape ____ 711 Compliance Issues in Mergers and Acquisitions ____ AD8b/repeat EMR: Use the Tool to Enhance Rather Than Hinder Compliance ____ AD9b/repeat Tools for Business Ethics Leaders ____ AD10b/repeat Preparing Compliance Program Effectiveness Reports

Wednesday, April 24, 2013 – Post-Conference Morning Breakouts 8:00 – 9:45 AM (1.75 Clock Hours or 105 minutes) ____ POSTAM1 NCD-LCD Education: A Proactive Approach to Denials ____ POSTAM2 The Effective Use of Valuations for FMV Compliance ____ POSTAM3 State Development of Medicaid ACO ____ POSTAM4 Your Personalized Road Trip to HIPAA/HITECH Compliance Land ____ POSTAM5 E/M Documentation: Deal or No Deal? ____ POSTAM6 Hospice/Nursing Home Partnership: Do it Right! ____ POSTAM7 Painless Statistics for Compliance Professionals ____ POSTAM8 Keeping It All Straight: Compliance Resources at Your Fingertips ____ POSTAM9 Make Culture Matter! How to Show Leadership that Culture is the Key to Performance Morning Breakouts 10:00 – 11:45 AM (1.75 Clock Hours or 105 minutes) ____ POSTAM10 Importance of Compliance Training ____ POSTAM11 Best Practices for Denials Management ____ POSTAM12 Healthcare Reform: The Road Ahead ____ POSTAM13 Privacy Officer Roundtable: OCR Enforcement—Are You Ready? ____ POSTAM14 Design a Useable Compliance Policy ____ POSTAM15 Negotiating False Claims Act Settlements and Corporate Integrity Agreements ____ POSTAM16 Tips for Auditing/Monitoring of Medicare Documentation for PT, OT, and Speech ____ POSTAM17 A Compliance Officer’s Approach to Fair Market Value Analyses . . . Dilemmas ____ POSTAM18 ICD-10 for the (Non Coder) Compliance Officer

Name:

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CCB certification made easy Compliance Certification Board (CCB)™ has released updated Candidate Handbooks for its healthcare compliance professional certifications: CHC, CHRC, and CHPC. The handbooks help make CCB certification easy. The new handbooks now include:

·· Easy‑to‑understand steps to become certified and to renew your certification

·· Information on how to add and track your CEUs online

·· Candidates’ frequently asked questions ·· Resources to help prepare for the examination ·· All the applications, renewal, and CEU forms you’ll need for certification

·· How to become part of an online certification study group offered by HCCA View and download the new handbooks on CCB’s website, www.compliancecertification.org.

www.compliancecertification.org

You have to turn over a lot of rocks to

do an investigation right

And you have to make sure those rocks don’t end up rolling over you... Visit HCCA in Booth 715 and buy your copy today!

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Session Recordings Order Form 17th Annual ComplianceInstitute 7 April 21–24,2013 7 National Harbor, MD (DC Metro Area) 7 Gaylord National ®

YOUr FULL NAME

If you are ordering individual sessions, please check the box by each session you wish to purchase. Other Sessions PREAM11 Labs PREAM12 How Is Your Fraud, Waste, and Abuse Program Incorporated into Your Compliance Plan for Your Health Plan? PREPM24 Compliance Essentials for DME PREPM26 research Compliance: Hot Topics and Practical Tips from the Trenches

General Sessions OIG Update be Quiet, be Heard: The Paradox of Persuasion ACO/Healthcare reform

Auditing & Monitoring PREAM7 Implementing a research Auditing Program PREPM20 Health Facility Drug Diversion: Essential Auditing and Compliance Measures 107 Patient Identity Theft: risk, Controls, and Audit 207 Understanding Audit Error rates: How Are We Doing? 307 Audit Appeals and Preparing for the Future

509 Settlement Is Not Always the Final Chapter 510 Advanced Principles of Compliance Program: bringing It All Together 601 The road to a Compliant Culture though the bridge of Communication and the Vehicle of Education 602 Keeping Up, Moving Ahead: Practical Guidance for Success and Survival in the Modern World of Government Audits 609 Congressional Priorities for 2013: What Every Healthcare Provider Needs to Know 610 The Future of Compliance: Where Law Students and New Attorneys Fit In 702 Programming Your Program 709 Developments in the 340b Program 710 One OIG, Many Tools: Strategic Approaches to Protecting Integrity in an Evolving Health Care Landscape POSTAM1 NCD-LCD Education: A Proactive Approach to Denials POSTAM2 The Effective Use of Valuations for FMV Compliance POSTAM9 Make Culture Matter! How to Show Leadership that Culture is the Key to Performance

407 Who Is Looking at Your Electronic Medical record? A Practical Guide to building an Audit Plan

POSTAM10 Importance of Compliance Training

507 Don’t Take Those Old records off the Shelf: Change Your Tune Using real-Time Monitors to Focus on risks Identified by OIG, CMS and Other regulators

POSTAM12 Healthcare reform: The road Ahead

607 Auditing the Physician Credentialing Process 707 Auditing Considerations related to Implantable Devices replaced Under recall or Warranty POSTAM7 Painless Statistics for Compliance Professionals

General Compliance/Hot Topics PREAM2 Compliance 101 PREAM9 Hot Topics in Medicare, rAC, ZPIC & MIC Appeals PREAM13 Compliance Implications of Health Care reform PREPM15 Preparing for ICD-10 While Living in ICD-9 PREPM22 Delving into the Comprehensive Care Enterprise Delivery Model: Uncovering and resolving Ever-Increasing Compliance Challenges PREPM23 The Drive To Quality: Are You On The bus or Under It? 101 Inside the beltway: Compliance Effectiveness Tips 102 Cyber Compliance: What Every Compliance Professional Needs to Know about Cyber risks and Cyber Vigilance 109 Navigating the OIG’s Self-Disclosure Protocol 110 Compliance reporting Post ICD-10: Avoiding the Chasm 111 Conflicts of Interest: What Happens When What Is reported to You Does Not Match What Is reported by or to Others? 201 Non-Profit Governance: What Every Compliance Officer Should Know

POSTAM11 best Practices for Denials Management POSTAM17 A Compliance Officer’s Approach to Fair Market Value Analyses: Practical Advice and Dilemmas

How to Succeed as a Compliance Professional

409 Using rAC Data Mining to Improve Compliance 410 research Participants rights and Privacy

203 MDS 3.0: A Compliance Officer’s Nightmare or Nirvana? 303 2013 OIG Work Plan for Post-Acute Providers 403 Provider Predictive Modeling: Utilizing SNF Data to Mitigate risk 503 100 Ways to Prevent an Overpayment 603 A View From New York: Compliance Mandates You May See in Your State 703 The Making of a Successful Quality of Care CIA

Physician Compliance PREAM5 Can Compliance Teach Physicians to Comply? Adapting Different Healthcare Models to Teach Physicians Compliance PREPM18 How to De-Stress the Politics of Physician Coding 105 Managing Physician Financial relationships 205 Managing risk in Psychiatric Medication Management 305 Anatomy of a Guilty referral relationship: Dissecting the risk Areas and Ensuring Compliance 405 Trends in Physician Compensation Arrangements 605 Proof Positive: Identify Your “Statistically-Hot” Providers (before the Feds Do) 705 ACA: From a Practical, Practice Perspective POSTAM14 Design a Useable Compliance Policy

112 building a Compliance Program from the Ground Up

Privacy & Security

211 The role of Compliance in Effectively Managing External Audits

PREAM4 HIPAA Privacy & Security 101

311 Monitoring, Measuring, and Mitigating Social Media risk

104 OCr reports on Enforcement of the HIPAA rules

411 Failing and/or Thriving as a Compliance Officer 511 Avoiding Career burnout In Healthcare Compliance 611 Know Thy Customer: Credentialing & Compliance 711 Compliance Issues in Mergers and Acquisitions POSTAM8 Keeping It All Straight: Compliance resources at Your Fingertips POSTAM18 ICD-10 for the (Non-Coder) Compliance Officer

Legal & Regulatory PREAM6 False Claims Act Development PREPM19 Handling a Health Care Fraud Investigation 106 Practical Strategies for Minimizing Stark risk 206 Compliance Issues in Managed Care 306 What Is Happening in the Pharmacy?

706 Creative Arguments to Avoid/Defend Overpayments

402 Analyzing risk in Hospital/Physician Transactions

103 What You Say Can and Will be Used Against You

POSTAM5 E/M Documentation: Deal or No Deal?

301 Social Networking: Managing the risks and realizing the benefits

401 UMDNJ: Compliance after Deferred Prosecution

PREPM16 ZPICs, rAC, HIPAA Audits in LTC: Are You ready?

PREPM21 bipartisan Compliance Programs Know No Term Limits

506 Anti-Kickback Statute 101

310 Fair Market Value and Clinical Trial budgets

PREAM3 Compliance Programs: The Next Generation

PREAM8 Effective Training: Teach Compliance to Clinicians

209 Not a Quality Expert? How Do You Integrate Quality into Your Compliance Program?

302 Physician Alignment: Legal and Fair Market Value Compliance

Long-Term Care

606 DMEPOS Compliance Issues POSTAM6 Hospice/Nursing Home Partnership: Do it right!

PREPM17 HHS/OCr reports on the New HIPAA rules 204 Patient Privacy requirements beyond HIPAA 304 The Defining Moments of a Data breach 404 Mobile Threats and How Healthcare Can reduce risks 504 HHS/OCr & HIPAA/HITECH Audits: report and Findings 604 Managing Privacy & Security of Patient EHr Portals 704 Conducting a Privacy risk Assessment 701 A Dialogue on HIPAA/HITECH Compliance: Considerations Now that the HITECH rules Are Here POSTAM4 Your Personalized road Trip to HIPAA/HITECH Compliance Land POSTAM13 Privacy Officer roundtable: OCr Enforcement—Are You ready?

Quality of Care PREAM10 Effective ACO Compliance 108 One Day at a Time: Compliance and Ethics in the Aftermath of a Tragedy 208 Why Compliance Officers Should Care About Improving Quality of Care 308 Compliance as a Quality of Care Metric 408 Not a Quality Expert? How Do You Integrate Quality 508 Enhancing Patient Quality & Safety with Compliance 608 CEOs Perspectives: Operational Viability & Compliance: Challenges & Opportunities 708 The role of Quality and Performance Management in Compliance

501 Annual reporting: Documenting Compliance Programs 502 Conflicts of Interest: The Compliance Officer’s role in Assuring the Process of Disclosure Is Effective

Please note: available sessions may change without notice.

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SUNDAY

Come to the

#HCCAci Tweetup Sunday, April 21 @ 6:00 pm Meet at the Lower Atrium across from the National Pastime Sports Bar & Grill

Tweet using the #HCCAci hashtag You will receive a raffle ticket at the Registration Desk when you check in. When you turn in your raffle ticket at the Tweetup, you will receive two free drink tickets and be entered for a chance to win a new iPad. The winner will be announced at the end of the Tweetup. You must be present to win.

Sunday, April 21 SATURDAY, APRIL 20 7:30 am – 12:00 pm

GENERAL COMPLIANCE/HOT TOPICS

PREAM2 Compliance 101  CHC  CHPC  CHRC

7 Annual Volunteer Project

SUNDAY, 9:00 am – 12:00 pm MARYLAND A/C, BALLROOM LEVEL

MARYLAND FOYER, BALLROOM LEVEL

Sheryl Vacca, SVP/Chief Comp & Audit Officer, University of CA

12:00 – 8:00 pm

77 Identify the basic framework for compliance programs in

th

Conference Registration EXHIBIT HALL ENTRY PRE-FUNCTION, EXHIBITION LEVEL

SUNDAY, APRIL 21 7:30 am – 6:00 pm

Conference Registration EXHIBIT HALL ENTRY PRE-FUNCTION, EXHIBITION LEVEL 7:30 – 8:30 am

SpeedNetworking NATIONAL HARBOR 6–7 9:00 am – 12:00 pm (includes 15-minute break) PRE-CONFERENCE MORNING BREAKOUT SESSIONS INDUSTRY IMMERSION

PREAM1 Large Hospital Systems SUNDAY, 9:00 am – 12:00 pm AZALAEA 1, BALLROOM LEVEL Suzie Draper, Intermountain Healthcare, Vice President, Business Ethics and Compliance Michael Hemsley, Executive Vice President & General Counsel, Catholic Health East John Steiner, Chief Compliance Officer, Cancer Treatment Centers of America Cheryl Wagonhurst, Owner, Law Office of Cheryl Wagonhurst 77 How do you compare? Learn how to benchmark your program

against other large hospitals and health systems through use of polling software

Debbie Troklus, Managing Director, Aegis Compliance & Ethics Center healthcare

77 Apply the compliance principles to your organization

77 Identify three tools you could use in your organization LONG-TERM CARE

PREAM3 Compliance Programs: The Next Generation SUNDAY, 9:00 am – 12:00 pm POTOMAC B, BALLROOM LEVEL Catherine Boerner, President, Boerner Consulting LLC Beth DeLair, DeLair Consulting, S.C. Janine Valdez, Senior Director of Compliance, Sun Healthcare Group, Inc 77 Compliance Metrics in 2013 77 What does “effective” mean? 77 Do you know how to audit? PRIVACY & SECURITY

PREAM4 HIPAA Privacy & Security 101  CHC  CHPC SUNDAY, 9:00 am – 12:00 pm MARYLAND 4–5, BALLROOM LEVEL Erika Bol, Privacy Officer, Colorado Dept of Health Care Policy & Financing 77 An overview of the HIPAA Privacy Rule

77 HITECH’s Breach Notification Requirements 77 An overview of the HIPAA Security Rule PHYSICIAN COMPLIANCE

PREAM5 Can Compliance Teach Physicians to Comply? Adapting Different Healthcare Models to Teach Physicians Compliance  CHC

systems

SUNDAY, 9:00 am – 12:00 pm CHESAPEAKE D–F

solutions and best practices for large hospitals and health systems

D. Scott Jones, Senior Vice President, Claims, Risk Management, and Corporate Compliance, HPIX

77 Understand challenges relevant to large hospitals and large health 77 Engage in dialogue with your colleagues regarding operational

Richard Moses, Physician/Attorney 77 Learn how to educate physicians on compliance concepts

77 Develop a compliance education program for healthcare providers

77 Analyze and discuss compliance teaching problems with a practicing

physician-attorney educator

www.compliance-institute.org

13

Sunday, April 21 LEGAL & REGULATORY

PREAM6 False Claims Act Development SUNDAY, 9:00 am – 12:00 pm CHESAPEAKE 4–6, BALLROOM LEVEL

PREAM9 Hot Topics in Medicare, RAC, ZPIC & MIC Appeals

John Boese, Of Counsel, Fried Frank Harris Shriver & Jacobson LLP

SUNDAY, 9:00 am – 12:00 pm CHESAPEAKE J–L, BALLROOM LEVEL

Gary Eiland, Partner, King & Spalding LLP

Rachel Hold-Weiss, Partner, Arent Fox LLP

Michael Granston, Deputy Director, US Dept of Justice

Connie Raffa, Partner, Arent Fox LLP

Janet Goldstein, Principal, Vogel, Slade & Goldstein, LLP

77 Describe the appeals process and tips for winning Medicare, RAC,

77 Review of recent amendments and case law developments

ZPIC & MIC Appeals

interpreting the False Claims Act

77 Identify common issues that are the subject of hospice and home

for organizational compliance

77 Employ compliance strategies to challenge a denial at any level of

77 Review of latest False Claims Act settlements and the implications 77 Discussion of whistleblower, government and defense perspectives

in False Claims Act matters AUDITING & MONITORING

PREAM7 Implementing a Research Auditing Program  CHRC SUNDAY, 9:00 am – 12:00 pm AZALAEA 3, BALLROOM LEVEL Kevin Eskew, Managing Director, Dentons US LLP F. Lisa Murtha, Partner, Dentons US LLP Kelly Willenberg, Owner, Kelly Willenberg, LLC 77 Development strategies of a research auditing and monitoring

program

77 Tips for reviewing risks for an action plan 77 Implementation process and structure

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

health appeals and how to respond

appeal and prevent denials in the future QUALITY OF CARE

PREAM10 Effective ACO Compliance SUNDAY, 9:00 am – 12:00 pm ANNAPOLIS 1–2, BALLROOM LEVEL Margaret Hambleton, Sr VP, Chief Compliance Officer, St Joseph Health System 77 Understand Accountable Care Organizations (ACOs), including

Medicare Shared Savings Programs (MSSPs), within the framework of the “Triple Aim”: costs, quality, and patient experience

77 Learn the quality and compliance obligations of ACOs

77 Discuss practical solutions to implementing and maintaining an

effective ACO compliance program

INDUSTRY IMMERSION

PREAM11 Labs

PREAM8 Effective Training: Teach Compliance to Clinicians

SUNDAY, 9:00 am – 12:00 pm AZALAEA 2, BALLROOM LEVEL

SUNDAY, 9:00 am – 12:00 pm CHESAPEAKE G–I, BALLROOM LEVEL

Diana Voorhees, Principal/CEO, DV & Associates Inc

Mike Glomb, Partner, Feldesman Tucker Leifer Fidell LLP Jane Hyatt Thorpe, Associate Professor, George Washington University 77 Discuss challenges associated with educating clinicians about

compliance

77 Describe effective methods for teaching clinicians

77 Identify strategies for achieving change in clinician compliance

behavior

14

GENERAL COMPLIANCE/HOT TOPICS

Christopher Young, Laboratory Management Support Services (LMSS) 77 Obtain the latest information on laboratory CPT coding

compliance including current status of molecular and genetic CPT codes and policies

77 Learn how to respond to government demands for refunds of

laboratory overpayments and learn the ins and outs, and risks, of voluntary refunds and the appeals process as they pertain to laboratory claims

77 Discuss current and near future laboratory compliance issues and

best practices for laboratory compliance officers

www.compliance-institute.org

Sunday, April 21 INDUSTRY IMMERSION

PREAM12 How Is Your Fraud, Waste, and Abuse Program Incorporated into Your Compliance Plan for Your Health Plan? SUNDAY, 9:00 am – 12:00 pm CHESAPEAKE 1–3, BALLROOM LEVEL David Crawford, Compliance Director, Affinity Health Plan Caron Cullen, VP, Comp & Regulatory Affairs, Affinity Health Plan Monica Zachary, Commercial Compliance Officer, Corporate Compliance and Ethics, Coventry Health Care Jennifer A. Shimek, Senior Manager, Assurance Services, Ernst & Young LLP 77 Learn how other Health Plan Compliance Officers are overseeing

or implementing the Fraud, Waste, and Abuse Program as an additional element of the Compliance Plan

77 Discuss the differences among Health Plan based upon the size

and structure of the organization—what works and what does not work?

77 Share pros and cons for the integration or separation of the Fraud,

Waste, and Abuse component of your Health Plan’s Compliance Plan GENERAL COMPLIANCE/HOT TOPICS

PREAM13 Compliance Implications of Health Care Reform SUNDAY, 9:00 am – 12:00 pm NATIONAL HARBOR 12–13 Shawn DeGroot, Associate Director, Navigant Frank Sheeder, Partner, DLA Piper 77 What compliance officers need to be doing now 77 Recent regulations that merit attention 77 Points to address with senior leaders

12:00 – 1:30 pm

Lunch (on your own)

1:30 pm–4:30 pm (includes 15-minute break) PRE-CONFERENCE AFTERNOON BREAKOUT SESSIONS INDUSTRY IMMERSION

PREPM14 Behavioral Health Compliance and Quality: Opportunities and Challenges for Integration and Implementation SUNDAY, 1:30 pm – 4:30 pm MARYLAND A/C, BALLROOM LEVEL Marcella Henry, Compliance Officer, Sunrise Community Inc Robyn Joppy, VP & Corp Compliance Officer, Keystone Human Services Lori McLaughlin, Sr VP for Risk Mgmt & General Counsel, The Devereux Foundation Cheryl Wagonhurst, Owner, Law Office of Cheryl Wagonhurst 77 Clinical issues/concerns

77 Reimbursement issues/concerns 77 Enforcement

GENERAL COMPLIANCE/HOT TOPICS

PREPM15 Preparing for ICD-10 While Living in ICD-9 SUNDAY, 1:30 pm – 4:30 pm NATIONAL HARBOR 12–13 Betty Bibbins, President & Chief Med Officer, DocuComp LLC Nicole Harper, Dir.Training & Dev/Process Improvement-Revenue Cycle Operations, St. Vincents Health 77 Discuss how Compliance Officers can champion physician

documentation & coding

77 Identify methods to improve ICD-9 documentation that will

reduce transition chaos into ICD-10

77 Increase awareness of the ICD-10 compliance impact LONG-TERM CARE

PREPM16 ZPICs, RAC, HIPAA Audits in LTC: Are You Ready? SUNDAY, 1:30 pm – 4:30 pm CHESAPEAKE 1–3, BALLROOM LEVEL Mark Reagan, Managing Partner, San Francisco Office, Hooper, Lundy & Bookman, P.C. 77 Lessons learned in ZPIC and RAC Audits

77 What to expect in the initial HIPAA Audits 77 What can SNFs do to prepare?

www.compliance-institute.org

15

Download the 2013 Compliance Institute

®

Mobile App Scan the QR code at left with your mobile device, or visit the website:

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Sunday, April 21 PRIVACY & SECURITY

AUDITING & MONITORING

PREPM17 HHS/OCR Reports on the New HIPAA Rules  CHPC

PREPM20 Health Facility Drug Diversion: Essential Auditing and Compliance Measures

SUNDAY, 1:30 pm – 4:30 pm POTOMAC B, BALLROOM LEVEL

SUNDAY, 1:30 pm – 4:30 pm CHESAPEAKE G–I, BALLROOM LEVEL

Christina Heide, Senior Health Information Privacy Policy Specialist, U.S. Department of Health and Human Services, Office for Civil Rights

Kelly Loya, Director, Enterprise Risk, Sinaiko Healthcare Consulting, Inc., Altegra Healthcare Company

David Holtzman, Senior Health IT and Privacy Specialist, HHS Office for Civil Rights

Kimberly New, Compliance Specialist, University Health System Inc

Frank Ruelas, Principal, HIPAA College

77 Conducting a comprehensive diversion investigation from

Denise Sanders, Partner, Kern Augustine Conroy & Schoppmann, PC 77 The Final Rules…before and now

77 A common data breach scenario and its organizational impact,

including what to do when a breach occurs

77 Considerations in developing a breach response plan in advance of

a crisis

PHYSICIAN COMPLIANCE

PREPM18 How to De-Stress the Politics of Physician Coding SUNDAY, 1:30 pm – 4:30 pm NATIONAL HARBOR 2 Regina Gurvich, Chief Compliance Officer, Manhattan’s Physician Group Howard Tepper, Vice President, Physician Practice and Ambulatory Service, St. Joseph’s Healthcare System 77 Learn how to properly structure a physician audit program 77 Helpful tips to resolve opposing coding opinions 77 Case studies on hot physician coding topics LEGAL & REGULATORY

PREPM19 Handling a Health Care Fraud Investigation  CHC  CHPC  CHRC SUNDAY, 1:30 pm – 4:30 pm MARYLAND 4–5, BALLROOM LEVEL Kirk Ogrosky, Partner, Arnold & Porter LLP Howard Young, Partner, Morgan Lewis

77 Civil and regulatory implications of drug diversion

detection to reporting

77 Implementation of preventive policies and measures HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

PREPM21 Bipartisan Compliance Programs Know No Term Limits SUNDAY, 1:30 pm – 4:30 pm AZALAEA 2, BALLROOM LEVEL Fahad Ahmed, Compliance & Privacy Officer, Yale New Haven Health System Joel Dziengielewski, Director, Disputes & Investigations, Navigant Robert Hussar, Counsel, Manatt, Phelps & Phillips, LLP 77 Tips for navigating in a politically charged environment

77 Developing diplomatic relations among constituents across both

sides of the aisle

77 Avoiding filibusters and vetoes to achieving compliance

effectiveness

GENERAL COMPLIANCE/HOT TOPICS

PREPM22 Delving into the Comprehensive Care Enterprise Delivery Model: Uncovering and Resolving Ever‑Increasing Compliance Challenges SUNDAY, 1:30 pm – 4:30 pm AZALAEA 3, BALLROOM LEVEL Mary Longe, Director, AHA Solutions, Inc, an American Hospital Association company

Meredith Auten, Morgan, Lewis & Bockius LLP

Monique Showalter, Director, AHA Solutions, Inc, an American Hospital Association company

77 Responding to and handling an external health care fraud

Catherine Wakefield, CHC, VP Corp Compliance & IA, MultiCare Health System

77 Discussion of issues and aspects of completing an internal

77 Learn about the new health care model that embraces new

investigation

investigation in a timely and cost-effective manner

77 Discussion of attorney/client privilege and voluntary disclosure and

the resolution of a health care fraud matter

community relationships, builds bridges with physicians, breaks down silos of care and requires data connectivity and transparency

77 Participate in identifying new and residual compliance challenges

for health care organizations, large and small

77 Hear directly from fellow Compliance execs how their

organizations have resolved those compliance challenges

www.compliance-institute.org

17

Sunday, April 21 GENERAL COMPLIANCE/HOT TOPICS

GENERAL COMPLIANCE/HOT TOPICS

PREPM23 The Drive To Quality: Are You On The Bus or Under It?

PREPM26 Research Compliance: Hot Topics and Practical Tips from the Trenches  CHRC

SUNDAY, 1:30 pm – 4:30 pm CHESAPEAKE D–F, BALLROOM LEVEL

SUNDAY, 1:30 pm – 4:30 pm CHESAPEAKE 4–6, BALLROOM LEVEL

Audrey Andrews, Chief Compliance Officer, Tenet Healthcare Corporation

Ryan Meade, Partner, Meade & Roach, LLP

David Hoffman, President, David Hoffman & Associates

F. Lisa Murtha, Partner, Dentons US LLP

Susan Lynch, Trial Attorney, United States Department of Justice, Commercial Litigation Branch, Fraud Section

Juliann Tenney, Inst Research & Comp Officer, UNC-Chapel Hill

77 Review of state and federal quality initiatives in hospitals and

long‑term care

77 Enforcement activities

77 Learn about the latest research-related laws, regulations and

government guidance issued in 2012 and 2013

77 Understand government enforcement around conflicts of interest,

IRB, grants, off label uses, and related topics

77 Strategies for ensuring quality care and regulatory compliance

77 Examine the intersection between research and fraud and abuse

INDUSTRY IMMERSION

3:30 – 4:30 pm

PREPM24 Compliance Essentials for DME SUNDAY, 1:30 pm – 4:30 pm CHESAPEAKE J–L, BALLROOM LEVEL George Breen, Shareholder, Epstein Becker & Green PC Julene Brown, Director of Compliance Operations/Assistant Compliance Officer, Essentia Health, Organizational Integrity and Compliance Julie Schwab, Corporate Compliance Officer, Sanford Bismarck 77 The auditors are coming: preparing for, living through, and

defending against a DME audit

77 Anticipating the audit: The key compliance policies and practices

your business must have in order to survive

77 Overpayments and the DME industry: What the compliance

officer needs to know—and should do now to be ready for the onslaught

INDUSTRY IMMERSION

PREPM25 And the Question Is: What Are the Key AMC Compliance Focus Areas in the Current Regulatory Environment

SpeedMentoring NATIONAL HARBOR 6–7 4:30 – 6:00 pm

Networking Reception in Exhibit Hall PRINCE GEORGE CDE, EXHIBITION LEVEL 5:30 – 6:30 pm

Authors’ Reception/ Academies Reunion BELLA VISTA ROOM, LOCATED INSIDE PIENZA RESTAURANT, ATRIUM LEVEL  6:00–7:00 pm

Tweetup LOWER ATRIUM ACROSS FROM THE NATIONAL PASTIME SPORTS BAR & GRILL

SUNDAY, 1:30 pm – 4:30 pm AZALAEA 1, BALLROOM LEVEL Lynda Hilliard, Deputy Compliance Officer, University of California Joan Podleski, Director of Institutional Ethics & Compliance, Duke University Luanna Putney, Director of Research Compliance, University of California Kristin West, Assoc VP & Director, Emory University, Office of Research Compliance 77 This interactive session will provide perspectives from three major

academic medical centers compliance professionals on current regulatory questions or areas of concern

18

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Monday, April 22 MONDAY, APRIL 22

11:00 am – 12:00 pm BREAKOUT SESSIONS

7:00 am – 6:00 pm

Conference Registration EXHIBIT HALL ENTRY PRE-FUNCTION, EXHIBITION LEVEL 7:30 – 8:30 pm

Continental Breakfast

GENERAL COMPLIANCE/HOT TOPICS

101 Inside the Beltway: Compliance Effectiveness Tips MONDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 12–13

PRINCE GEORGE CDE, EXHIBITION LEVEL

Greg Radinsky, Vice President & Chief Corporate Compliance Officer, North Shore-LIJ Health System

8:30 – 8:45 am

77 Understand the latest government guidance on compliance

Opening Remarks MARYLAND BALLROOM, BALLROOM LEVEL 8:45 am – 9:15 am

General Session: OIG Update MARYLAND BALLROOM, BALLROOM LEVEL Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services

9:15 am – 10:15 am

General Session: Be Quiet, Be Heard: The Paradox of Persuasion MARYLAND BALLROOM, BALLROOM LEVEL Peter A. Glaser, PhD, Glaser & Associates, Inc. Susan R. Glaser, PhD, Glaser & Associates, Inc. 77 DECODE the hidden world of non-verbal communication to

understand what people are really saying

77 TEACH people how their behavior is a problem without making

them feel defensive

77 CONVERT criticism from defensiveness and blame to insight and

agreement

77 RAISE difficult issues that simultaneously solve problems and

strengthen relationships

77 TRANSFORM the organization’s culture from avoidance to

positive engagement

77 CREATE trust through conflict

10:15 – 11:00 am

Networking Break in Exhibit Hall PRINCE GEORGE CDE, EXHIBITION LEVEL

effectiveness

77 Helpful tips to demonstrate compliance effectiveness

77 Learn how to leverage internal and external compliance data GENERAL COMPLIANCE/HOT TOPICS

102 Cyber Compliance: What Every Compliance Professional Needs to Know about Cyber Risks and Cyber Vigilance MONDAY, 11:00 am – 12:00 pm CHESAPEAKE 4–6, BALLROOM LEVEL David Childers, President and Chief Executive Officer, Compli Vivek Krishnamurthy, Associate, Foley Hoag LLP 77 Explore the types and methods of malicious cyber activity and

discuss regulatory compliance “in the cloud”

77 Understand the best practices associated with creating an effective

cyber governance program

77 Participate in response to a data breach event, and learn how to

create a cyber-vigilance environment LONG-TERM CARE

103 What You Say Can and Will Be Used Against You  CHC  CHPC  CHRC MONDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 10–11 Barbara Duffy, Shareholder, Lane Powell Steven Lack, Supervisory Special Agent (Retired), U.S. Department of Health and Human Services, Office of Inspector General, Office of Investigations 77 Real live examples of documents uncovered in OIG investigations

and how they were used against the Medicare Contractors

77 Places OIG loves to look: Documents that are fruitful for

investigators to build their case

77 How to sensitize your organization to use language consistent with

your compliance goals

www.compliance-institute.org

19

Monday, April 22 PRIVACY & SECURITY

QUALITY OF CARE

104 OCR Reports on Enforcement of the HIPAA Rules  CHPC

108 One Day at a Time: Compliance and Ethics in the Aftermath of a Tragedy

MONDAY, 11:00 am – 12:00 pm POTOMAC A, BALLROOM LEVEL

MONDAY, 11:00 am – 12:00 pm CHESAPEAKE 1–3, BALLROOM LEVEL

David Holtzman, Senior Health IT and Privacy Specialist, HHS Office for Civil Rights

Ginger Bandeen, Quality Improvement Manager, Columbia Community Mental Health

77 Learn how OCR works with the health care industry to comply

77 Explore the lessons learned from a tragic, violent event in a

77 Explore types of issues which are most often investigated and why

77 Discuss the ways that extreme events can impact compliance and

with HIPAA Privacy & Security Rules

77 Ask questions about what OCR looks for in a compliance program

community mental health agency ethics programs

77 Get tips on functioning in the midst of the storm

PHYSICIAN COMPLIANCE

105 Managing Physician Financial Relationships  CHC MONDAY, 11:00 am – 12:00 pm CHESAPEAKE J–L, BALLROOM LEVEL Michelle Pendergrass, Director of Compliance and Privacy Officer, Midland Memorial Hospital Darren Skyles, Attorney, Cotton Bledsoe Tighe & Dawson, PC 77 Review of the federal regulations for physician business courtesies

GENERAL COMPLIANCE/HOT TOPICS

109 Navigating the OIG’s Self‑Disclosure Protocol  CHC MONDAY, 11:00 am – 12:00 pm CHESAPEAKE D–F Kenneth Coronel, Chief Legal Officer, Verisys Corporation Susan Gillin, Deputy Branch Chief, Administrative and Civil Remedies Branch, Office of Inspector General, U.S. Department of Health and Human Services

and recruitment

Laura Laemmle-Weidenfeld, Partner, Patton Boggs

same

77 The importance of the pre-report internal investigation

77 Discuss the policy and process one hospital created to address the

77 Deciding whether to self-report: the good, the bad, and the ugly

77 Describe how the compliance officer and counsel work together to

77 How to comply with the protocol’s procedural requirements and

manage physician relationships LEGAL & REGULATORY

106 Practical Strategies for Minimizing Stark Risk  CHC MONDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 2 Dan Roach, VP Compliance and Audit, Dignity Health Robert Wade, Partner, Krieg Devault LLP 77 Significant Stark pitfalls and risks

77 Strategies for identifying and managing Stark risks 77 Tools to help employees understand Stark AUDITING & MONITORING

107 Patient Identity Theft: Risk, Controls, and Audit  CHPC MONDAY, 11:00 am – 12:00 pm CHESAPEAKE G–I, BALLROOM LEVEL

present a “best light” report

GENERAL COMPLIANCE/HOT TOPICS

110 Compliance Reporting Post ICD-10: Avoiding the Chasm MONDAY, 11:00 am – 12:00 pm AZALAEA 1, BALLROOM LEVEL Dr. Mike Gallagher, CMIO/CMO, Health Revenue Assurance Associates Valerie Rinkle, VP Revenue Informatics, Health Revenue Assurance Associates 77 Ensure continuity across the chasm with a strategy to bridge the

transition from ICD-9 to ICD-10 for your measures, reports and scenario analyses

77 Maintain and document methods for compliant bidirectional use of

intelligence and analytics

77 Identify enterprise-wide risks to patient safety, medical quality,

outcomes, financial analysis and strategic planning based on ICD codes

Mark Ruppert, Director Internal Audit, Cedars-Sinai Medical Center 77 Key patient identity theft risks in an academic medical center

environment (what should be of concern)

77 Effective controls for mitigating those risks (what management

should be doing)

77 Audit approaches (including information technology) to ensuring

controls are working and risks are mitigated (how and where you should look)

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www.compliance-institute.org

Monday, April 22 GENERAL COMPLIANCE/HOT TOPICS

ADVANCED DISCUSSION GROUP

111 Conflicts of Interest: What Happens When What Is Reported to You Does Not Match What Is Reported by or to Others?  CHC

AD2 The Latest Trends in Data Breach Threats  CHPC

MONDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 3

Ted Kobus, Co-Leader, Privacy & Data Protection, BakerHostetler

Marti Arvin, Chief Compliance Officer, UCLA Health System Leon Goldman, Principal, Goldman Healthcare Compliance Consulting, LLC 77 What data is out there already and what does it take to find it?

77 How is it being used by the government—are they getting better

MONDAY, 11:00 am – 12:00 pm MAGNOLIA 2, BALLROOM LEVEL 77 Learn why data breaches are so hard to avoid, even with good

security programs

77 Learn why healthcare organizations are facing investigations, fines,

and class-action lawsuits

77 Learn how to mitigate data breach costs and risks

and better at data-mining?

12:00 – 1:00 pm

assist your workforce in accurate reporting?

Networking Luncheon

77 What can you do to prepare your organization to mitigate risk and

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

PRINCE GEORGE CDE, EXHIBITION LEVEL

112 Building a Compliance Program from the Ground Up  CHC

1:00 – 1:30 pm

MONDAY, 11:00 am – 12:00 pm POTOMAC B, BALLROOM LEVEL

PRINCE GEORGE CDE, EXHIBITION LEVEL

Ryan Meade, Partner, Meade & Roach, LLP Steven Ortquist, VP Chief Ethics & Compliance Officer, Sutter Health 77 Get your arms around the organization: evaluating risks &

establishing priorities.

77 Building a solid compliance infrastructure: what will the

government want to see?

77 Situating yourself for success: key relationships & strategies ADVANCED DISCUSSION GROUP

AD1 Fighting the Good Fight: Expanding Best Practices Beyond the RAC MONDAY, 11:00 am – 12:00 pm MAGNOLIA 1, BALLROOM LEVEL Aurae Beidler, Compliance Certificate Program Manager, Pacific University

Networking Break 1:30 pm–2:30 pm BREAKOUT SESSIONS GENERAL COMPLIANCE/HOT TOPICS

201 Non-Profit Governance: What Every Compliance Officer Should Know MONDAY, 1:30 pm – 2:30 pm CHESAPEAKE 4–6, BALLROOM LEVEL Heidi Christianson, Shareholder, Nilan Johnson Lewis 77 Key state corporate governance legal requirements

77 Key federal tax exemption governance requirements

77 What the IRS will be looking for in a governance audit GENERAL COMPLIANCE/HOT TOPICS

Monica R. Freedle, Kaiser Westside Medical Center, Hospital Compliance Program Manager

202 An Integrated Approach to Compliance & Risk  CHC

77 Executive Dashboards: Getting your point across in one page or

MONDAY, 1:30 pm – 2:30 pm POTOMAC A, BALLROOM LEVEL

less

77 How much is at risk: demonstrate the value of tracking regulatory

audits

77 What are you missing: expand established tools & processes to

ensure follow-through

Tim Kennedy, Director of Operations, Wolters Kluwer Law & Business Keisha Lightbourne, Senior Product Manager, Wolters Kluwer Law & Business 77 Learn how to align people and processes to extend the visibility of

risk across the enterprise

77 Learn the critical technology components necessary to implement a

successful enterprise-wide compliance program

77 Understand the potential ROI that can be achieved through

alignment and integration

www.compliance-institute.org

21

Monday, April 22 LONG-TERM CARE

AUDITING & MONITORING

203 MDS 3.0: A Compliance Officer’s Nightmare or Nirvana?

207 Understanding Audit Error Rates: How Are We Doing?

MONDAY, 1:30 pm – 2:30 pm CHESAPEAKE G–I, BALLROOM LEVEL

MONDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 2

Steven Littlehale, Executive Vice President/Chief Clinical Officer, PointRight Inc.

Tim Renjilian, Sr Managing Director, FTI Consulting

Donna Maassen, Senior Director & Deputy Compliance Officer, Extendicare Health Services Inc

77 The error rates have been found in the audits and reviews

77 Describe the MDS 3.0 and its intended (and unintended) purposes 77 Establish an MDS-based strategy for meeting compliance

standards with care delivery and billing

77 Design an audit tool to assess and monitor key aspects of

compliance

PRIVACY & SECURITY

204 Patient Privacy Requirements Beyond HIPAA  CHPC

Sara Kay Wheeler, Partner, King & Spalding performed by the government and/or the program contractors (e.g., CERT program; OIG audits; etc.)

77 The strengths and weaknesses of those various audits and reviews,

and what providers and suppliers need to consider in evaluating them

77 Practical advice regarding the application of this information to a

provider’s audits and reviews and the development of next steps in light of those findings QUALITY OF CARE

MONDAY, 1:30 pm – 2:30 pm POTOMAC B, BALLROOM LEVEL

208 Why Compliance Officers Should Care About Improving Quality of Care

Carrie Bill, Associate, Feldesman Tucker Leifer Fidell LLP

MONDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 3

Jane Hyatt Thorpe, Associate Professor, George Washington University 77 Describe patient privacy requirements that extend beyond HIPAA

(e.g., Part 2 substance abuse confidentiality protections)

77 Provide tools to ensure compliance

77 Consider model patient consent forms PHYSICIAN COMPLIANCE

205 Managing Risk in Psychiatric Medication Management MONDAY, 1:30 pm – 2:30 pm CHESAPEAKE 1–3, BALLROOM LEVEL Mary Thornton, President, MTA, Inc 77 Psychiatric medications—the perfect storm of high risk, high cost,

and off-label use

77 Compliance must be more actively involved to reduce risk

77 A risk profile for medical services is critical for behavioral health LEGAL & REGULATORY

206 Compliance Issues in Managed Care

Andrew Rowe, CEO, AllMed Healthcare Mgmt Inc 77 Ensure the safety of your patients and satisfaction of your members

while contributing to financial growth and stability

77 Discover tools designed to ensure that your organization is

following the guidelines of regulators GENERAL COMPLIANCE/HOT TOPICS

209 340B Drug Discount Program: Understanding the Audit Process and Preparing your Pharmacy MONDAY, 1:30 pm – 2:30 pm CHESAPEAKE J–L, BALLROOM LEVEL Rose Marie Babbitt, Vice President, Federal Contracts and Grants, American Pharmacist Association 77 Define the purpose of HRSA audits to ensure 340B program

compliance and integrity

77 Identify key practice areas to regularly review to ensure compliant

programs

77 Describe methods to prepare a 340B entity for internal or external

audits

MONDAY, 1:30 pm – 2:30 pm CHESAPEAKE D–F, BALLROOM LEVEL David Deaton, Partner, O’Melveny & Myers LLP James Sheehan, Chief Integrity Officer/Executive Deputy Commissioner, New York City Human Resources Administration 77 Enforcement and risk areas for health care organizations

77 Review of major new regulatory initiatives in managed care 77 Preparing for state and federal audits and program reviews

22

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Monday, April 22 GENERAL COMPLIANCE/HOT TOPICS

210 Hidden Liabilities in the EMR MONDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 10–11 Catherine Gray, Director Corporate Compliance, Vidant Health Yolanda Whichard, Medical Internal Auditor, Office of Audit and Compliance, Vidant Health 77 Recognize potential liabilities that exist throughout the life cycle

of an electronic records system

77 Identify and minimize inherent—but often forgotten—risks in the

EHR such as fraud & abuse, malpractice/e-discovery, and HIPAA violations.

77 Offer some practical tips to avoid the issues identified

ADVANCED DISCUSSION GROUP

AD4 What Makes a Compliance Committee Effective?  CHC MONDAY, 1:30 pm – 2:30 pm MANGOLIA 2, BALLROOM LEVEL Steven Ortquist, VP Chief Ethics & Compliance Officer, Sutter Health Judy Ringholz, Deputy Chief Compliance Officer, Sutter Health 77 Determine who should serve on the Compliance Committee

77 Define the role of the Compliance Committee and how it relates to

the role of the Board

77 Develop tools & processes to enhance the effectiveness of your

Compliance Committee

SESSION IS FULL. Repeats on Tuesday at 11:00 am. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

211 The Role of Compliance in Effectively Managing External Audits  CHC  CHPC  CHRC

AD5 Stark Compliance Practices  CHC

MONDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 12–13

MONDAY, 1:30 pm – 2:30 pm MAGNOLIA 3, BALLROOM LEVEL

Timothy Cleary, SVP Compliance, Internal Audit & Privacy, Health Quest Systems, Inc Stephen Gillis, Dir, Billing Compliance, Mass General Hospital 77 Discuss how organizations can effectively manage an ongoing

barrage of external audits

77 Learn about compliance’s role in responding to audits and dealing

with external agencies such as RAC, CERT, OIG, MIC, MAC, and TMR

77 Hear about real-life experiences in working with the above

organizations

ADVANCED DISCUSSION GROUP

AD3 Integrating Quality Into Your Compliance Program  CHC MONDAY, 1:30 pm – 2:30 pm MAGNOLIA 1, BALLROOM LEVEL Robert Ossoff, Asst Vice Chancellor Compliance, Vanderbilt Medical Center Jeff Wiggins, Vice President, Audit and Compliance, Vidant Health Kathleen Yaremchuk, VP Clinical Practice Performance, Henry Ford Health Syst

ADVANCED DISCUSSION GROUP

Richard Church, Partner, K&L Gates LLP 77 Ensuring payments are consistent with signed written agreements

77 Tracking non-monetary compensation and medical staff incidental

benefits

77 Acquiring and integrating group practices SESSION IS FULL. Repeat session on Tuesday at 1:30 pm is full. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

2:30 – 3:00 pm

Networking Break in Exhibit Hall PRINCE GEORGE CDE, EXHIBITION LEVEL 3:00 pm–4:00 pm BREAKOUT SESSIONS GENERAL COMPLIANCE/HOT TOPICS

301 Social Networking: Managing the Risks and Realizing the Benefits

77 Quality and patient satisfaction are integral parts of a compliance

MONDAY, 3:00 pm – 4:00 pm CHESAPEAKE D–F, BALLROOM LEVEL

77 Processes must be developed to prevent the eleven never events as

Jim Donaldson, Director of Corporate Compliance, Privacy and Security Officer, Baptist Health Care Corp.

program

defined by CMS

77 Compliance must be engaged in documenting healthcare quality

trends

77 Social networking: What is it and why does it matter?

77 What are the risks and benefits of social networking in the

workplace?

77 A case study: Establishing policy to address compliance and ethics

concerns

www.compliance-institute.org

23

Monday, April 22 GENERAL COMPLIANCE/HOT TOPICS

PHYSICIAN COMPLIANCE

302 Physician Alignment: Legal and Fair Market Value Compliance

305 Anatomy of a Guilty Referral Relationship: Dissecting the Risk Areas and Ensuring Compliance

MONDAY, 3:00 pm – 4:00 pm CHESAPEAKE J–L, BALLROOM LEVEL

MONDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 3

Cheryl Camin Murray, Shareholder, Winstead PC

LeToia Crozier, Senior Vice President, Compliance Officer, Cogent HMG

Donnessa Vessakosol, Manager, Strategic Value Group

Anna Grizzle, Partner, Bass, Berry & Sims PLC

77 Current trends and factors in hospital/physician alignment

77 Analysis of hypotheticals highlighting risk associated with

strategies

77 Comparison of the valuation methods in moving from value to

price

77 Federal and state legal restrictions impacting hospital/physician

alignment arrangements LONG-TERM CARE

303 2013 OIG Work Plan for Post‑Acute Providers MONDAY, 3:00 pm – 4:00 pm CHESAPEAKE 4–6, BALLROOM LEVEL David Cade, Deputy General Counsel, U.S. Department of Health and Human Services Alan Schabes, Partner, Benesch, Friedlander, Coplan & Aronoff LLP

physicians’ relationships with other healthcare providers in areas such as certifications of medical necessity, ordering of services, and financial relationships.

77 Discussion of the potential legal exposure under the Anti-Kickback

Statute, Stark Self-Referral Law, and other laws implicated by these relationships.

77 Suggestions for structuring and managing referral source

relationships

LEGAL & REGULATORY

306 What Is Happening in the Pharmacy? MONDAY, 3:00 pm – 4:00 pm CHESAPEAKE G–I, BALLROOM LEVEL

77 Discussion of 2013 OIG Work Plan and implications for post-

Daniel Fitzgerald, Senior Attorney, Regulatory Law, Litigation & Regulatory Law Department, Walgreen Co.

77 Discussion of status of PPACA initiatives for post-acute care

James S. Mathis, Chief Clinical Enterprise Compliance Officer, Assistant Vice Chancellor for Health Affairs, Office of Compliance & Corporate Integrity

acute care providers providers

77 Impact of ZPIC, RAC and PSC contractors on post-acute care

providers

PRIVACY & SECURITY

304 The Defining Moments of a Data Breach  CHPC MONDAY, 3:00 pm – 4:00 pm POTOMAC B, BALLROOM LEVEL John Ford, Principal, Sienna Group LLC Kurt Long, CEO, Founder, FairWarning, Inc. 77 A common data breach scenario and its organizational impact,

including what to do when a breach occurs

77 A crisis management timeline

77 Considerations in developing a breach response plan in advance of

a crisis

77 Usual and customary pricing and the implications of discount club

cards

77 Patient inducement scrutiny on routine retail gifts

77 Medicaid and Prescription Drug Plan audit initiatives and

compliance risks

AUDITING & MONITORING

307 Audit Appeals and Preparing for the Future MONDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 12–13 Dawn Crump, Network Director of Audit and Compliance, SSM Healthcare Susan Emanuel, Director, Revenue Services, System RAC Coordinator, Dignity Health Andrew Wachler, Owner/Principal, Wachler & Associates, P.C. 77 Emerging issues in Medicare and Third Party Payor Audits

77 Successful appeal strategies and approaches for managing appeals 77 Valuable guidance for tracking and incorporating appeal outcomes

into future appeals and compliance

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www.compliance-institute.org

Monday, April 22 QUALITY OF CARE

308 Compliance as a Quality of Care Metric MONDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 10–11 Carrie Bill, Associate, Feldesman Tucker Leifer Fidell LLP Adam Falcone, Partner, Feldesman Tucker Leifer Fidell LLP 77 Address transition of healthcare toward quality of care-driven

delivery/payment system

ADVANCED DISCUSSION GROUP

AD6 Lessons From the Field: Analysis and Solutions of Audience Submitted Case Studies MONDAY, 3:00 pm – 4:00 pm MAGNOLIA 1, BALLROOM LEVEL D. Scott Jones, Senior Vice President, Claims, Risk Management, and Corporate Compliance, HPIX Richard Moses, Physician/Attorney

77 Consider how this requires new models of provider affiliation/

77 Contact the speakers and submit your compliance issues for

77 Discuss compliance risks inherent in these models

77 Examine compliance concerns from a compliance, operations, risk

coordination

GENERAL COMPLIANCE/HOT TOPICS

309 Utilizing Data to Identify Fraud, Waste, and Abuse  CHC MONDAY, 3:00 pm – 4:00 pm POTOMAC A, BALLROOM LEVEL

discussion

management, medical malpractice, physician and non-physician clinician perspective ADVANCED DISCUSSION GROUP

AD7 Compliance Program Self Assessment  CHC  CHPC  CHRC

Judi McCabe, Director, Surveillance & Utilization Review, Medical Review and Medical Policy TMF Health Quality Institute

MONDAY, 3:00 pm – 4:00 pm MAGNOLIA 2, BALLROOM LEVEL

Earl Smith III, Chief Medical Officer, TMF Health Quality Institute

John Falcetano, Chief Audit & Compliance Officer, Vidant Health

77 Define fraud, waste and abuse and understand common fraud

77 Why do a self-assessment?

77 Discuss methods and tools to obtain and analyze data

77 Self assessment tools

schemes

77 Identify aberrant utilization patterns: a case study in understanding

the data

GENERAL COMPLIANCE/HOT TOPICS

310 Fair Market Value and Clinical Trial Budgets  CHRC MONDAY, 3:00 pm – 4:00 pm CHESAPEAKE 1–3, BALLROOM LEVEL Kelly Willenberg, Owner, Kelly Willenberg, LLC 77 Fair Market Value means what to whom?

77 Budgeting clinical trials can be difficult without knowing budget

numbers from independent physician practices who do research with their facility

77 How does this fit into compliance?

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

311 Monitoring, Measuring, and Mitigating Social Media Risk  CHPC MONDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 2 Yo Delmar, Vice President, GRC Solutions, MetricStream Inc

77 What do you assess?

SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

ADVANCED DISCUSSION GROUP

AD8 EMR: Use the Tool to Enhance Rather Than Hinder Compliance MONDAY, 3:00 pm – 4:00 pm MAGNOLIA 3, BALLROOM LEVEL James Taylor, Physician, Kaiser Permanente 77 Discuss configuration decisions to ensure compliant physician

documentation

77 Minimizing the use of copy-and-paste and other cloned functions

in the EMR

77 Configuration strategies for the EMR that drive compliance built

into the clinic workflow

SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

4:00 – 4:30 pm

Networking Break in Exhibit Hall PRINCE GEORGE CDE, EXHIBITION LEVEL

77 Threat that Social Media poses to the healthcare industry

77 How to strengthen your organization’s compliance program by

embedding social media risk management principles

77 Role of technology in managing social media risks

www.compliance-institute.org

25

Monday, April 22 4:30 pm–5:30 pm BREAKOUT SESSIONS GENERAL COMPLIANCE/HOT TOPICS

401 UMDNJ: Compliance after Deferred Prosecution MONDAY, 4:30 pm – 5:30 pm CHESAPEAKE J–L, BALLROOM LEVEL Bret Bissey, Senior Vice President, Ethics & Chief Compliance Officer, UMDNJ 77 Learn about the compliance program at the country’s largest public

PRIVACY & SECURITY

404 Mobile Threats and How Healthcare Can Reduce Risks MONDAY, 4:30 pm – 5:30 pm POTOMAC B, BALLROOM LEVEL Rick Kam, President & Co-Founder, ID Experts Ted Kobus, Co-Leader, Privacy & Data Protection, BakerHostetler 77 Mobile device use in healthcare is skyrocketing; posing risks to

patient info

sciences University following a Deferred Prosecution

77 Wireless medical devices are connected to IT networks making

that followed Deferred Prosecution

77 Tips: how to minimize risks and reduce privacy incidents

77 Learn about the robust Corporate Integrity Agreement obligations 77 Learn how Compliance was utilized to alert the University’s

culture and image

GENERAL COMPLIANCE/HOT TOPICS

402 Analyzing Risk in Hospital/ Physician Transactions MONDAY, 4:30 pm – 5:30 pm NATIONAL HARBOR 3 David Pursell, Partner, Husch Blackwell David Thompson, Director, CBIZ 77 Understanding compliance risk in hospital/physician transactions

77 Understanding the role of the valuation expert and the key issues of

a valuation report

77 Distinguishing FMV and Commercial Reasonableness Risks LONG-TERM CARE

403 Provider Predictive Modeling: Utilizing SNF Data to Mitigate Risk MONDAY, 4:30 pm – 5:30 pm CHESAPEAKE G–I, BALLROOM LEVEL Shawn Halcsik, Director of Compliance, Evergreen Rehabilitation Paula Sanders, Principal, Health Care Group Chair, Post & Schell, PC 77 Identify SNF claims data used in predictive modeling by the FI/

MAC, RAC and ZPICs

77 Understand how to use your data to perform internal predictive

modeling and create your own risk score

77 Learn to analyze data and not get caught up in tunnel vision

to identify areas of risk; explore options for protecting internal reviews

them remotely accessible

PHYSICIAN COMPLIANCE

405 Trends in Physician Compensation Arrangements MONDAY, 4:30 pm – 5:30 pm CHESAPEAKE D–F, BALLROOM LEVEL Jen Johnson, Partner, VMG Health 77 Address the reason for growth in physician alignment and provide

examples of various types of compensation

77 Address the latest Pay for Performance models

77 Discuss the risks and rewards of setting compensation internally LEGAL & REGULATORY

406 Private Contractor Actions: RACs, ZPICs, etc. MONDAY, 4:30 pm – 5:30 pm CHESAPEAKE 4–6, BALLROOM LEVEL Thomas Beimers, Special Counsel, Faegre Baker Daniels Ralph Wuebker, Chief Medical Officer, Executive Health Resources 77 Examples of ZPIC actions and influence on enforcement decisions 77 What is the legal basis for ZPIC investigations and actions?

77 Appeals of private contractor determinations and the procedural

and substantive basis for appeal AUDITING & MONITORING

407 Who Is Looking at Your Electronic Medical Record? A Practical Guide to Building an Audit Plan  CHC MONDAY, 4:30 pm – 5:30 pm NATIONAL HARBOR 12–13 Sandy Gilmore, HIPAA Compliance, Legacy Health 77 Start with a thorough inventory

77 How to complete a risk assessment of users of your electronic

systems

77 Write the audit plan you can actually perform

26

www.compliance-institute.org

Monday, April 22 QUALITY OF CARE

408 Not a Quality Expert? How to Integrate Quality into Your Compliance Program MONDAY, 4:30 pm – 5:30 pm NATIONAL HARBOR 2 Donna Abbondandolo, Director of Compliance, Catholic Health Services of LI Patricia Ariel, VP & Chief Compliance Officer, Westchester Medical Center 77 Identify the basics

77 Get on board with the Quality team 77 Integrate the data

GENERAL COMPLIANCE/HOT TOPICS

409 Using RAC Data Mining to Improve Compliance MONDAY, 4:30 pm – 5:30 pm NATIONAL HARBOR 10–11 Samuel Donio, President, CBIZ KA Consulting, LLC William Segal, Corporate Compliance Officer, St. Joseph’s Healthcare System 77 Use data mining to proactively review only the specific accounts at

RAC risk

77 From data mining, determine documentation or process shortfalls

that lead to potential denials

77 Correct identified documentation and process issues

ADVANCED DISCUSSION GROUP

AD9 Tools for Business Ethics Leaders MONDAY, 4:30 pm – 5:30 pm MAGNOLIA 2, BALLROOM LEVEL Bruce Anderson, Chief Ethics Officer, Health Net, Inc 77 Learn practical tools to increase your personal effectiveness as an

ethics leaders

77 Dive into the elements of an ethics program 77 Is an ethics program worth the cost? ADVANCED DISCUSSION GROUP

AD10 Preparing Compliance Program Effectiveness Reports  CHC MONDAY, 4:30 pm – 5:30 pm MAGNOLIA 3, BALLROOM LEVEL Gary Herschman, Chair, Health Care Practice Group, Sills Cummis & Gross P.C. 77 How to prepare Annual Reports to your Board demonstrating the

“effectiveness” of your compliance program

77 Practical section-by-section walk through of topics covered & data

needed

77 Sample workpaper forms & Annual Reports SESSION IS FULL. REPEATS TUESDAY AT 3:00. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

GENERAL COMPLIANCE/HOT TOPICS

410 Research Participants Rights and Privacy  CHRC

ADVANCED DISCUSSION GROUP

MONDAY, 4:30 pm – 5:30 pm CHESAPEAKE 1–3

AD1b/repeat Fighting the Good Fight: Expanding Best Practices Beyond the RAC

Tammy Stewart, Director of Research Integrity, Regional Health Jenny Bernhard, Privacy Officer, Regional Health

MONDAY, 4:30 pm – 5:30 pm MAGNOLIA 1, BALLROOM LEVEL

77 Review of history leading to current regulations

Aurae Beidler, Compliance Certificate Program Manager, Pacific University

77 Review of regulations and agencies serving to protect the basic

Monica R. Freedle, Kaiser Westside Medical Center, Hospital Compliance Program Manager

77 Review of proposed changes to HIPAA and The Common Rule

77 Executive Dashboards: Getting your point across in one page or

rights of research participants

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

less

77 How much is at risk: demonstrate the value of tracking regulatory

audits

411 Failing and/or Thriving as a Compliance Officer  CHC

77 What are you missing: expand established tools & processes to

MONDAY, 4:30 pm – 5:30 pm POTOMAC A, BALLROOM LEVEL

5:30 – 7:00 pm

ensure follow-through

Brian Beard, Director Compliance & Ethics, McKesson Specialty Health

Networking Reception in Exhibit Hall

Kenneth Zeko, Director, KPMG

PRINCE GEORGE CDE, EXHIBITION LEVEL

77 Embedding compliance by building and leveraging internal

relationships through collaboration and communication

77 Effectively implementing, documenting and validating compliance

program activities

77 Evaluating internal controls of your compliance program and

assessing compliance risks of your organization

www.compliance-institute.org

27

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Online Information Sessions Wednesday, April 24 3:00 pm ET Monday, May 13 1:00 pm ET

RSvP Today! 1.800.JOINGWU http://cps.gwu.edu/healthcare-compliance

Tuesday, April 23 TUESDAY, APRIL 23

11:00 am – 12:00 pm BREAKOUT SESSIONS

7:30 am – 4:00 pm

Conference Registration EXHIBIT HALL ENTRY PRE-FUNCTION, EXHIBITION LEVEL 7:30 – 8:30 am

Continental Breakfast

GENERAL COMPLIANCE/HOT TOPICS

501 Annual Reporting: Documenting Compliance Programs  CHC TUESDAY, 11:00 am – 12:00 pm POTOMAC A, BALLROOM LEVEL

PRINCE GEORGE CDE, EXHIBITION LEVEL

Sarah Campbell, Director, Policies & Procedures Management, Tenet Healthcare Corporation

8:30 am – 8:40 am

Al Josephs, Sr Director Policy and Training, Tenet Healthcare Corporation

Opening Remarks MARYLAND BALLROOM, BALLROOM LEVEL 8:40 am – 9:40 am

General Session: ACO/Healthcare Reform MARYLAND BALLROOM, BALLROOM LEVEL Moderator: John Falcetano, Chief Audit & Compliance Officer, Vidant Health Shawn DeGroot, Associate Director, Navigant Frank Sheeder, Partner, DLA Piper Troy Barsky, Director, Division of Technical Payment Policy, Chronic Care Policy Group, Center for Medicare, Centers for Medicare & Medicaid Services

77 Benefits of annual reports

77 Components of the annual report 77 Potential uses of annual report

GENERAL COMPLIANCE/HOT TOPICS

502 Conflicts of Interest: The Compliance Officer’s Role in Assuring the Process of Disclosure Is Effective  CHC TUESDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 12–13 Sheryl Vacca, SVP/Chief Comp & Audit Officer, University of CA

Mary Fischer, CEO, Southern Prairie Community Care

77 Identify three key areas which should be covered in the COI

9:40 am – 10:25 am

77 Discuss ideas for auditing or monitoring this area

General Session: Decisive: How to Make Better Choices in Life and Work MARYLAND BALLROOM, BALLROOM LEVEL Dan Heath, co-author of the best-sellers Switch and Made to Stick , and the new book Decisive

10:25 – 11:00 am

Networking Break in Exhibit Hall PRINCE GEORGE CDE, EXHIBITION LEVEL

process

77 Discuss tools which could be useful in the COI process LONG-TERM CARE

503 100 Ways to Prevent an Overpayment TUESDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 3 Pat Newberry, Director Clinical Education, AIS Inc. Bill Ulrich, President, Consolidated Billing Srvcs Inc 77 Common Medicare billing mistakes that result in overpayment 77 Systems every long term care provider should have in place to

prevent overpayment

77 Best practices in resolving an overpayment

www.compliance-institute.org

29

Tuesday, April 23 PRIVACY & SECURITY

504 HHS/OCR & HIPAA/HITECH Audits: Report and Findings  CHPC TUESDAY, 11:00 am – 12:00 pm POTOMAC B, BALLROOM LEVEL Linda Sanches, Sr. Health Information Privacy Specialist, Office for Civil Rights 77 Learn about how HHS/OCR implemented its pilot HIPAA/

HITECH audit program

77 Examine the protocols used to evaluate covered entities of all types

and sizes

77 Review the audit findings and identify compliance gaps and best

practices

PHYSICIAN COMPLIANCE

505 Compliance Risks with Non‑Physician Practitioners TUESDAY, 11:00 am – 12:00 pm CHESAPEAKE 4–6, BALLROOM LEVEL Kimberly Huey, President, KGG Coding & Reimbursement Consulting 77 Specific compliance issues when billing for non-physician

practitioners

77 Medicare regulations related to different sites of service when

billing for non-physician practitioners

77 Risk areas as related to specific specialties LEGAL & REGULATORY

506 Anti-Kickback Statute 101  CHC TUESDAY, 11:00 am – 12:00 pm CHESAPEAKE D–F, BALLROOM LEVEL Robert Brown, Senior Compliance Specialist, UW Medicine Compliance, University of Washington Anjana Patel, Vice Chair, Health & Hospital Law Practice Group, Sills Cummis & Gross P.C. 77 Overview of key regulatory provisions affecting healthcare

marketing

77 Discussion of recent developments, including internet-based

marketing

77 Discussion of compliance strategies for organizational marketing

AUDITING & MONITORING

507 Don’t Take Those Old Records off the Shelf: Change Your Tune Using RealTime Monitors to Focus on Risks Identified by OIG, CMS and Other Regulators TUESDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 2 Andrei Costantino, Director Organizational Integrity, Trinity Health 77 Step-by-step instructions for developing real-time data monitors

using provider internal claims data

77 Examples of outpatient, inpatient, and physician real-time data

monitors and benchmarking reports

77 Discussion of how to use statistical measures to interpret results

and develop auditing plans and auditing strategies QUALITY OF CARE

508 Enhancing Patient Quality & Safety with Compliance TUESDAY, 11:00 am – 12:00 pm CHESAPEAKE G–I, BALLROOM LEVEL John Kalb, Operational Excellence Executive/Compliance & Privacy Officer, Kootenai Health 77 A successful compliance program enhances patient safety and

quality

77 A robust culture around disclosure, transparency and reporting is

important to success

77 Supportive tone at the top, and systems and structures, are

essential

GENERAL COMPLIANCE/HOT TOPICS

509 Settlement Is Not Always the Final Chapter TUESDAY, 11:00 am – 12:00 pm CHESAPEAKE 1–3, BALLROOM LEVEL Rebekah Plowman, Partner, Jones Day William Priest, Chief Compliance Officer, SouthernCare Inc 77 The Department of Justice is not necessarily your friend when it

declines prosecution of post-Settlement qui tam cases

77 The FCA and particularly the now-Constitutional ACA

Amendments to the FCA authorize whistleblowers to bring parasitic lawsuits post-Settlement

77 Use of the public disclosure bar to dismiss parasitic lawsuits is

currently under attack even by the Justice Department

30

www.compliance-institute.org

Tuesday, April 23 GENERAL COMPLIANCE/HOT TOPICS

ADVANCED DISCUSSION GROUP

510 Advanced Principles of Compliance Program: Bringing It All Together  CHC

AD3b/repeat Integrating Quality Into Your Compliance Program  CHC

TUESDAY, 11:00 am – 12:00 pm NATIONAL HARBOR 10–11

TUESDAY, 11:00 am – 12:00 pm MAGNOLIA 1, BALLROOM LEVEL

Dawnese Kindelt, System Compliance Dir/Clinics, Dignity Health

Jeff Wiggins, Vice President, Audit and Compliance, Vidant Health

Lisa Silveria, System Compliance Director, Dignity Health

Kathleen Yaremchuk, VP Clinical Practice Performance, Henry Ford Health Syst

77 Plan your fiscal year—from Risk Assessment to Work Plan

77 Leverage limited resources to oversee a complex compliance

77 Quality and patient satisfaction are integral parts of a compliance

77 Encapsulate your program in a single reference tool for internal and

77 Processes must be developed to prevent the eleven never events as

program

external stakeholders

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

511 Avoiding Career Burnout In Healthcare Compliance TUESDAY, 11:00 am – 12:00 pm CHESAPEAKE J–L, BALLROOM LEVEL Shawn DeGroot, Associate Director, Navigant Robert Ossoff, Asst Vice Chancellor Compliance, Vanderbilt Medical Center 77 Burnout occurs when work-life balance is in a state of

program

defined by CMS

77 Compliance must be engaged in documenting healthcare quality

trends

ADVANCED DISCUSSION GROUP

AD4b/repeat What Makes a Compliance Committee Effective?  CHC TUESDAY, 11:00 am – 12:00 pm MAGNOLIA 3, BALLROOM LEVEL Steven Ortquist, VP Chief Ethics & Compliance Officer, Sutter Health

disequilibrium

Judy Ringholz, Deputy Chief Compliance Officer, Sutter Health

burnout

77 Define the role of the Compliance Committee and how it relates to

77 Compliance professionals are at a significant risk of developing 77 Strategies for avoiding, early detection and treatment of burnout

will be emphasized

ADVANCED DISCUSSION GROUP

AD2b/repeat The Latest Trends in Data Breach Threats  CHPC TUESDAY, 11:00 am – 12:00 pm MAGNOLIA 2, BALLROOM LEVEL Ted Kobus, Co-Leader, Privacy & Data Protection, BakerHostetler 77 Learn why data breaches are so hard to avoid, even with good

security programs

77 Determine who should serve on the Compliance Committee

the role of the Board

77 Develop tools & processes to enhance the effectiveness of your

Compliance Committee

12:00 – 1:00 pm

Networking Luncheon PRINCE GEORGE CDE, EXHIBITION LEVEL 1:00 – 1:30 pm

Networking Break PRINCE GEORGE CDE, EXHIBITION LEVEL

77 Learn why healthcare organizations are facing investigations, fines,

and class-action lawsuits

77 Learn how to mitigate data breach costs and risks

www.compliance-institute.org

31

Tuesday, April 23 1:30 pm–2:30 pm BREAKOUT SESSIONS GENERAL COMPLIANCE/HOT TOPICS

601 The Road to a Compliant Culture though the Bridge of Communication and the Vehicle of Education  CHC TUESDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 10–11 Deann Baker, Sutter Care at Home Compliance Officer, Sutter Health 77 Share examples of the external and internal business and human

resources, examples regarding the opportunities to educate on what’s inspected and how to safely cross the barriers

PRIVACY & SECURITY

604 Managing Privacy & Security of Patient EHR Portals  CHPC TUESDAY, 1:30 pm – 2:30 pm POTOMAC B, BALLROOM LEVEL Adam Greene, Partner, Davis Wright Tremaine LLP Jacki Monson, Privacy Officer, Mayo Clinic 77 Identify privacy challenges of EHR portals, such as access to

records of minors

77 Integrate an EHR portal into your security program 77 Understand when EHR portal satisfies HIPAA PHYSICIAN COMPLIANCE

77 Build the bridge of communication to create an ethical culture

605 Proof Positive: Identify Your “StatisticallyHot” Providers (Before the Feds Do)

77 Discuss the four wheels of successful education: 1) Audience, 2)

TUESDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 12–13

throughout all levels of the organization (buy-in and stakeholder input) Subject, 3) Method, and 4) Delivery GENERAL COMPLIANCE/HOT TOPICS

602 Keeping Up, Moving Ahead: Practical Guidance for Success and Survival in the Modern World of Government Audits TUESDAY, 1:30 pm – 2:30 pm CHESAPEAKE D–F, BALLROOM LEVEL Daniel Gospin, Attorney, Epstein Becker & Green Corey Perman, Compliance Officer-North Region/Legal Counsel, Advocate Health Care

Jared Krawczyk, Chief Product Architect, Fi-Med Management, Inc. Curtis Udell, Director, Corporate Compliance, Center for Vein Restoration 77 Identify and overcome benchmarking challenges—reassess your

current process to increase meaningful data for action

77 Benefits of applying statistically-based code benchmark analysis—

empowering your results with 95 percent of confidence

77 Reveal your “statistically-hot” outliers—integrating statistical

modeling into your monitoring, audits and trending corrective efforts LEGAL & REGULATORY

77 Understand the broadening impact of pervasive government audits

606 DMEPOS Compliance Issues

77 Explore proactive steps and organizational tools in responding to

TUESDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 3

on Compliance operations and areas of focus

governmental audits and identifying corrective measures

77 Appreciate the need to allocate sufficient staffing and financial

resources to minimize risk and exposure LONG-TERM CARE

603 A View From New York: Compliance Mandates You May See in Your State TUESDAY, 1:30 pm – 2:30 pm NATIONAL HARBOR 2 Carol Booth, Compliance Specialist, NY Office of Medicaid Inspector General Susan Kayser, Partner, Duane Morris LLP 77 Required elements of an effective compliance plan 77 Effectiveness reviews and certifications

77 Exclusion authority and provider obligations

Denise Fletcher, Attorney, Brown & Fortunato, P.C. Nathaniel Lacktman, Senior Counsel, Foley & Lardner LLP 77 Understand key compliance issues specific to the DMEPOS

industry

77 Explore best practices, solutions and tools to address DMEPOS

risks

77 Discuss supplier standards, telemarketing, closets, valid orders,

referrals and reimbursement AUDITING & MONITORING

607 Auditing the Physician Credentialing Process TUESDAY, 1:30 pm – 2:30 pm CHESAPEAKE 4–6, BALLROOM LEVEL Mark Eddy, VP Internal Audit, HCA 77 Risks in the physician credentialing process

77 How to conduct an audit of the physician credentialing process 77 Different models of physician credentialing

32

www.compliance-institute.org

Tuesday, April 23 QUALITY OF CARE

608 CEOs Perspectives: Operational Viability & Compliance: Challenges & Opportunities TUESDAY, 1:30 pm – 2:30 pm CHESAPEAKE 1–3, BALLROOM LEVEL Les Leech, CEO, Sunrise, Inc. Dennis Felty, President/CEO, Keystone Human Services 77 Hear from CEOs from large not-for-profit health care

organizations that have well-established Compliance Programs

77 Learn how they ensure compliance needs are met while continuing

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

611 Know Thy Customer: Credentialing & Compliance TUESDAY, 1:30 pm – 2:30 pm CHESAPEAKE G–I, BALLROOM LEVEL Regina Gurvich, Chief Compliance Officer, Manhattan’s Physician Group 77 Completing gap analysis of the process

77 Realizing efficiencies within multiple sets of requirement

77 Compliance through CQI (“Continuous Quality Improvement”) ADVANCED DISCUSSION GROUP

to deal with government cuts to reimbursement and other operational challenges and realities

AD5b/repeat Stark Compliance Practices  CHC

to make your compliance program successful in your organization, and engage in a lively discussion with the CEOs!

TUESDAY, 1:30 pm – 2:30 pm MAGNOLIA 3, BALLROOM LEVEL

77 Take the opportunity to ask questions, learn a few tips about ways

GENERAL COMPLIANCE/HOT TOPICS

Richard Church, Partner, K&L Gates LLP 77 Ensuring payments are consistent with signed written agreements

609 Congressional Priorities for 2013: What Every Healthcare Provider Needs to Know

77 Tracking non-monetary compensation and medical staff incidental

TUESDAY, 1:30 pm – 2:30 pm POTOMAC A, BALLROOM LEVEL

SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

Kim Brandt, Chief Healthcare Investigative Counsel for Senate Finance Committee, US Senate Finance Comm, Min Staff 77 Overview of key health policy issues Congress will be considering

in the 113th Congress

77 Healthcare legislative priorities for the key committees of

jurisdiction

77 Discussion of ongoing and future efforts to curb fraud, waste and

abuse

GENERAL COMPLIANCE/HOT TOPICS

610 The Future of Compliance: Where Law Students and New Attorneys Fit In TUESDAY, 1:30 pm – 2:30 pm CHESAPEAKE J–L, BALLROOM LEVEL Anna Dolinsky, Associate, Akin Gump Strauss Hauer & Feld, LLP Hannah Levinson, Candidate Class of 2013, University of Maryland Francis King Carey School of Law Debbie Troklus, Managing Director, Aegis Compliance & Ethics Center 77 The benefits law clerks and entry-level attorneys bring to

benefits

77 Acquiring and integrating group practices

ADVANCED DISCUSSION GROUP

AD6b/repeat Lessons From the Field: Analysis and Solutions of Audience Submitted Case Studies TUESDAY, 1:30 pm – 2:30 pm MAGNOLIA 1, BALLROOM LEVEL D. Scott Jones, Senior Vice President, Claims, Risk Management, and Corporate Compliance, HPIX Richard Moses, Physician/Attorney 77 Contact the speakers and submit your compliance issues for

discussion

77 Examine compliance concerns from a compliance, operations, risk

management, medical malpractice, physician and non-physician clinician perspective ADVANCED DISCUSSION GROUP

AD7b/repeat Compliance Program Self Assessment  CHC  CHPC  CHRC

compliance programs

TUESDAY, 1:30 pm – 2:30 pm MAGNOLIA 2, BALLROOM LEVEL

in law school graduates

John Falcetano, Chief Audit & Compliance Officer, Vidant Health

77 What compliance officers and industry specialists should look for 77 How to recruit law students and what law schools to recruit from

77 Why do a self-assessment? 77 What do you assess?

77 Self assessment tools SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

www.compliance-institute.org

33

Tuesday, April 23 2:30 – 3:00 pm

PRIVACY & SECURITY

Networking Break

704 Conducting a Privacy Risk Assessment  CHPC

POTOMAC FOYER / NATIONAL HARBOR FOYER / CHESAPEAKE FOYER / MAGNOLIA FOYER

TUESDAY, 3:00 pm – 4:00 pm POTOMAC A, BALLROOM LEVEL

3:00 pm–4:00 pm BREAKOUT SESSIONS

Eric Dieterich, Sunera 77 Learn to perform affordable enterprise privacy risk assessments 77 Understand difference between privacy impact assessment and

enterprise privacy risk assessment

GENERAL COMPLIANCE/HOT TOPICS

701 A Dialogue on HIPAA/HITECH Compliance: Considerations Now that the HITECH Rules Are Here TUESDAY, 3:00 pm – 4:00 pm POTOMAC B, BALLROOM LEVEL Leon Rodriguez, Director of the Office for Civil Rights, U.S. Department of Health and Human Services 77 The HITECH Statute and the recently released HHS omnibus

privacy regulation have dramatically transformed compliance with health information privacy and security requirements

77 Increased scrutiny of covered entity compliance by the HHS

Office for Civil Rights comes at the same time as new substantive requirements and above all, the extension of liability to business associates and their subcontractors

77 This session will cover practical considerations for compliance with

these important rules

GENERAL COMPLIANCE/HOT TOPICS

702 Programming Your Program TUESDAY, 3:00 pm – 4:00 pm CHESAPEAKE D–F, BALLROOM LEVEL Nancy Vogt, Director of Compliance, Aurora Health Care 77 Using technology to track all program activities: annual work plan,

hotline calls, investigations, etc.

77 Designing tracking to report compliance program metrics 77 Using low-tech solutions for creative training

77 Learn about tools to evaluate an organization PHYSICIAN COMPLIANCE

705 ACA: From a Practical, Practice Perspective  CHPC TUESDAY, 3:00 pm – 4:00 pm CHESAPEAKE G–I, BALLROOM LEVEL Frank Ruelas, Principal, HIPAA College 77 Understand key, unique differences in compliance program content 77 Identify how compliance activity is already present

77 Assemble a compliance program using simple tools LEGAL & REGULATORY

706 Creative Arguments to Avoid/Defend Overpayments TUESDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 12–13 David Glaser, Shareholder, Fredrikson & Byron PA Gabriel Imperato, Managing Partner, Broad and Cassel 77 The statutory obligation to return a “known overpayment” and its

application in criminal and civil enforcement proceedings

77 The basis for liability for “retention of a known overpayment” under

the United States False Claims Act

77 The “identification” of a “known overpayment” and the time

requirements for disclosure and return of the overpayment AUDITING & MONITORING

LONG-TERM CARE

703 The Making of a Successful Quality of Care CIA

707 Auditing Considerations Related to Implantable Devices Replaced Under Recall or Warranty

TUESDAY, 3:00 pm – 4:00 pm CHESAPEAKE 1–3, BALLROOM LEVEL

TUESDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 3

Tamar Abell, President, Care 2 Learn Katie Arnholt, Senior Counsel, Administrative and Civil Remedies Branch, Office of Inspector General, U.S. Department of Health and Human Services 77 OIG Expectations and Provider Challenges

77 Development of the monitoring relationship over time

Debi Weatherford, Executive Director Internal Audit, Piedmont Healthcare 77 Government initiatives related to this area

77 Medicare payment considerations: outpatient versus inpatient 77 Auditing and controls review

77 What is a successful Quality of Care CIA?

34

www.compliance-institute.org

Tuesday, April 23 QUALITY OF CARE

708 The Role of Quality and Performance Management in Compliance TUESDAY, 3:00 pm – 4:00 pm CHESAPEAKE J–L, BALLROOM LEVEL Dr. Kristine Koontz, Quality Management Director, Keystone Human Services, Inc. 77 Continual engagement of operations and other stakeholders

in identifying, measuring, monitoring and responding to key performance metrics vital to services

77 Leveraging extant data within an organization (e.g., operations,

HR, Clinical, Finance) through data mining and analysis

77 Embedding established Quality management methodologies and

support into the daily management repertoire GENERAL COMPLIANCE/HOT TOPICS

709 Developments in the 340B Program TUESDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 2 Richard Bucher, Compliance Manager, Intermountain Healthcare Edwin Rauzi, Partner, Davis Wright Tremaine LLP 77 Location, location, location 77 Diversion

77 Manufacturer and government audits GENERAL COMPLIANCE/HOT TOPICS

710 One OIG, Many Tools: Strategic Approaches to Protecting Integrity in an Evolving Health Care Landscape TUESDAY, 3:00 pm – 4:00 pm NATIONAL HARBOR 10–11

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

711 Compliance Issues in Mergers and Acquisitions TUESDAY, 3:00 pm – 4:00 pm CHESAPEAKE 4–6, BALLROOM LEVEL John Fisher II, Health Care & Compliance Counsel, Ruder Ware, LLSC 77 When will you be liable for the liabilities of an entity you are

acquiring?

77 What is the appropriate role of compliance in the transaction?

77 Defining the scope of due diligence and addressing compliance

issues

ADVANCED DISCUSSION GROUP

AD8b/repeat EMR: Use the Tool to Enhance Rather Than Hinder Compliance TUESDAY, 3:00 pm – 4:00 pm MAGNOLIA 3, BALLROOM LEVEL James Taylor, Physician, Kaiser Permanente 77 Discuss configuration decisions to ensure compliant physician

documentation

77 Minimizing the use of copy-and-paste and other cloned functions

in the EMR

77 Configuration strategies for the EMR that drive compliance built

into the clinic workflow

SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

ADVANCED DISCUSSION GROUP

AD9b/repeat Tools for Business Ethics Leaders TUESDAY, 3:00 pm – 4:00 pm MAGNOLIA 2, BALLROOM LEVEL Bruce Anderson, Chief Ethics Officer, Health Net, Inc

Brian P. Ritchie, Assistant Inspector General for Centers for Medicare & Medicaid Audits, Office of Audit Services, Office of Inspector General

77 Learn practical tools to increase your personal effectiveness as an

Jennifer A. Trussell, Special Agent in Charge, Investigations Branch, Office of Investigations, Office of Inspector General

77 Dive into the elements of an ethics program

Robert K. DeConti, Assistant Inspector General for Legal Affairs, Office of Counsel to the Inspector General Vicki L. Robinson, Senior Counsel for Policy, Office of Inspector General Erin C. Bliss, Director, External Affairs, Office of Inspector General 77 Understanding the range of tools OIG utilizes

77 Highlights of how OIG deploys its tools to address emerging and

priority areas

ethics leaders

77 Is an ethics program worth the cost? ADVANCED DISCUSSION GROUP

AD10b/repeat Preparing Compliance Program Effectiveness Reports  CHC TUESDAY, 3:00 pm – 4:00 pm MAGNOLIA 1, BALLROOM LEVEL Gary Herschman, Chair, Health Care Practice Group, Sills Cummis & Gross P.C. 77 How to prepare Annual Reports to your Board demonstrating the

“effectiveness” of your compliance program

77 Practical section-by-section walk through of topics covered & data

needed

77 Sample workpaper forms & Annual Reports SESSION IS FULL. Pre‑registration is required for Advanced Discussion Groups. Attendance limited to 50 participants.

www.compliance-institute.org

35

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Sign up for HCCAnet online before downloading the app. 1) G  o to www.hcca-info.org/ HCCAnet and log in with your HCCA username and password. 2) Update  your profile information (add a picture), and subscribe to the eGroups that interest you (by clicking “My Subscriptions”). 3) S  earch for “MemberCentric” in your app store, or scan the QR codes below.

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Booth # 207

New Online Course! Responsible Use of Social Media in Healthcare

WEDNESDAY

This new online training course defines the risks and consequences of social networking and provides guidance to help employees use social media responsibly. Topics include:    

Recognizing the value but also the risks and consequences of using social media Identifying the negative impact of improper use of social media Defining best practices for using social media HIPAA and privacy concerns

Visit HCCS in booth # 207 and we’ll make a $5 donation to Doctors Without Borders (877) 933-4227 • www.hccs.com • [email protected]

Earn Your

HEALTH CARE COMPLIANCE CERTIFICATE ONLINE Award-winning program Taught by world-class faculty Now offered in a flexible online format Competitive tuition includes textbooks and fees Complete the program in just one year Designed for working professionals

Visit us in bOOTH 921 for the chance to win an iPad!

WEDNESDAY

For more information: law.hamline.edu/healthlaw

YOUR COMPLIANCE EDUCATION SUPER HERO www.captainintegrity.com

Captain Integrity is a fun and easy-to-read educational resource used to brand a health care organization’s compliance program. With Captain Integrity, your physicians and employees will receive necessary compliance education by using a lighthearted approach. SAMPLE

Who Benefits From Captain Integrity Products? • Physicians • Medical Staff Members • Board Members • Employees • Other Constituents of Your Organization If you would like additional information about how Captain Integrity can help your organization call 866.222.0076, or contact Bob Wade directly at 574.485.2002. www.kriegdevault.com

www.captainintegrity.com

Wednesday, April 24 WEDNESDAY, APRIL 24 7:30 am – 12:00 pm

Conference Registration MARYLAND FOYER, REGISTRATION COUNTER C, BALLROOM LEVEL 8:00 am–9:45 am POST-CONFERENCE BREAKOUT SESSIONS GENERAL COMPLIANCE/HOT TOPICS

POSTAM1 NCD-LCD Education: A Proactive Approach to Denials WEDNESDAY, 8:00 am – 9:45 am CHESAPEAKE J–L, BALLROOM LEVEL

GENERAL COMPLIANCE/HOT TOPICS

POSTAM3 State Development of Medicaid ACO WEDNESDAY, 8:00 am – 9:45 am NATIONAL HARBOR 5 Keith Halleland, Shareholder, Halleland Habicht PA 77 Overview of what some states are considering to better meet

financial constraints and demand for quality care and outcomes for people covered by Medicaid

77 Overview of what some creative providers are proposing to meet

these goals

77 Regulatory frameworks and compliance considerations for

government funded ACOs PRIVACY & SECURITY

POSTAM4 Your Personalized Road Trip to HIPAA/HITECH Compliance Land   CHPC

Andrew Conkovich, VP Corporate Responsibility Officer, Carondelet Health Network

WEDNESDAY, 8:00 am – 9:45 am NATIONAL HARBOR 10–11

Greg Harlow, Director–Clinical Trials Operations, Carondelet Health Network

Erika Bol, Privacy Officer, Colorado Dept of Health Care Policy & Financing

77 Proactively determine which procedures/treatments are at risk for

Shallie Bryant, HIPAA Privacy & Security Assistant Manager/ Deputy Privacy & Security Officer, CaroMont Health

77 Develop focused educational materials that are clinician friendly

Stephanie Heline, Owner, Strategic Design Studio

audit

77 Develop key organizational partnerships

77 Map your trip: Be ready to navigate the twists and turns to comply

with HIPAA/HITECH

GENERAL COMPLIANCE/HOT TOPICS

77 Do your maintenance, don’t wait to break down on the side of the

POSTAM2 The Effective Use of Valuations for FMV Compliance

77 See the sites and tell your friends: How to communicate a complex

WEDNESDAY, 8:00 am – 9:45 am NATIONAL HARBOR 4 Timothy Smith, President, Touchstone Valuation, LLC 77 Identify the range of options for determining FMV, including

road: Move towards proactive compliance and build a culture of privacy and confidentiality subject to different audiences and still have fun. PHYSICIAN COMPLIANCE

POSTAM5 E/M Documentation: Deal or No Deal?  CHC

internal analysis, use of surveys, and engaging third-party appraisers

WEDNESDAY, 8:00 am – 9:45 am CHESAPEAKE 4–6, BALLROOM LEVEL

what resources should be utilized to establish FMV

Maggie Mac, Director of Compliance Operations, SL Quality Diagnostic and Treatment Center

program

Dennis Mihale, President & Chief Medical Officer, Chelsea Management Group

77 Learn how to risk assess transactions and arrangements to evaluate 77 Implement best practices for valuations in a FMV compliance

77 Understand the highlights of E/M documentation rules for non-

coders and physicians

77 Learn to spot high risk E/M documentation and compliance errors 77 Common sense tips for E/M code assignment and documentation

compliance

www.compliance-institute.org

37

Wednesday, April 24 LEGAL & REGULATORY

POSTAM6 Hospice/Nursing Home Partnership: Do it Right! WEDNESDAY, 8:00 am – 9:45 am CHESAPEAKE 1–3, BALLROOM LEVEL

GENERAL COMPLIANCE/HOT TOPICS

POSTAM9 Make Culture Matter! How to Show Leadership that Culture is the Key to Performance  CHC  CHPC  CHRC

Rachel Hold-Weiss, Partner, Arent Fox LLP

WEDNESDAY, 8:00 am – 9:45 am CHESAPEAKE G–I, BALLROOM LEVEL

Connie Raffa, Partner, Arent Fox LLP

David Gebler, President, Skout Group, LLC

77 Describe Hospice/SNF relationships and the attendant regulatory,

77 Understand how to quantitatively measure and manage your

compliance and quality of care barriers and collaborations

77 Review of Hospice/SNF contract requirements in the COPs and

the differences in reimbursement, Medical Director functions, patient goals, admission and election criteria

77 Discussion of fraud and abuse issues in Hospice/SNF relationships

noted by HHS, CMS, OIG, RAC, MIP, MedPac, State Medicaid programs AUDITING & MONITORING

POSTAM7 Painless Statistics for Compliance Professionals WEDNESDAY, 8:00 am – 9:45 am CHESAPEAKE D–F, BALLROOM LEVEL Frank Castronova, Health Care Management Biostatistician, Blue Cross Blue Shield of Michigan Andrea Merritt, Director, Compliance & Audit Svcs, Nova Compliance Group 77 Present basic descriptive statistical measures and inferences

77 Discuss sampling principles for audit and compliance purposes

based on OIG guidance

77 Discuss extrapolation techniques and appropriate follow-up

procedures

HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

POSTAM8 Keeping It All Straight: Compliance Resources at Your Fingertips WEDNESDAY, 8:00 am – 9:45 am NATIONAL HARBOR 12–13 Dawnese Kindelt, System Compliance Dir/Clinics, Dignity Health Lisa Silveria, System Compliance Director, Dignity Health 77 Detail your program in a single tool for internal and external

stakeholders

77 Centralize your department processes and communication

77 Take away templates and documents you can easily duplicate in

your organization

organization’s culture and the role culture and values play in supporting the key transitions facing healthcare organizations

77 Learn best practices in managing mergers and integration of

practice groups

77 Take away tools to effectively deploy accountability-based safety

and patient care programs

9:45 – 10:00 am

Networking Break CHESAPEAKE FOYER / NATIONAL HARBOR FOYER 10:00 am–11:45 am POST-CONFERENCE BREAKOUT SESSIONS GENERAL COMPLIANCE/HOT TOPICS

POSTAM10 Importance of Compliance Training  CHC  CHPC  CHRC WEDNESDAY, 10:00 am – 11:45 am NATIONAL HARBOR 12–13 Al Josephs, Sr Director Policy and Training, Tenet Healthcare Corporation Ryan Whitehill, Mgr Ethics & Compliance Training, Tenet Healthcare Corporation 77 Compliance training ensures transparency, a culture of compliance,

and a better work environment

77 Compliance training helps with change (change agent) and

increases organizational efficiency and productivity

77 Compliance training ensures uniformity and standardization;

risk management

GENERAL COMPLIANCE/HOT TOPICS

POSTAM11 Best Practices for Denials Management WEDNESDAY, 10:00 am – 11:45 am CHESAPEAKE 1–3, BALLROOM LEVEL Ralph Wuebker, Chief Medical Officer, Executive Health Resources 77 Current trends in commercial payor denials and appeals by region,

payor, and case mix

77 Consistent medical necessity compliance processes across all

patient populations and payor types

77 Documentation for claim status determination

38

www.compliance-institute.org

Wednesday, April 24 GENERAL COMPLIANCE/HOT TOPICS

POSTAM12 Healthcare Reform: The Road Ahead WEDNESDAY, 10:00 am – 11:45 am NATIONAL HARBOR 10–11 Kevin Lyles, Partner, Jones Day Diane Meyer, Chief Compliance & Privacy Officer, Stanford University Medical Center Frank Sheeder, Partner, DLA Piper 77 Compliance and enforcement trends in the next year

77 Practical approaches to preventing compliance exposure PRIVACY & SECURITY

POSTAM13 Privacy Officer Roundtable: OCR Enforcement—Are You Ready?  CHPC WEDNESDAY, 10:00 am – 11:45 am CHESAPEAKE D–F, BALLROOM LEVEL Marti Arvin, Chief Compliance Officer, UCLA Health System Brian Beard, Director Compliance & Ethics, McKesson Specialty Health 77 Don’t procrastinate: tips on being prepared for an OCR audit

77 Living under an OCR resolution agreement: hindsight is 20/20 77 What the future might hold PHYSICIAN COMPLIANCE

POSTAM14 Design a Useable Compliance Policy  CHC  CHPC  CHRC WEDNESDAY, 10:00 am – 11:45 am CHESAPEAKE G–I, BALLROOM LEVEL

LEGAL & REGULATORY

POSTAM15 Negotiating False Claims Act Settlements and Corporate Integrity Agreements WEDNESDAY, 10:00 am – 11:45 am NATIONAL HARBOR 4 Daniel Anderson, Assistant Director, US Department of Justice Roger Goldman, Partner, Latham & Watkins LLP Geeta W. Kaveti, Senior Counsel, Office of Counsel to the Inspector General, U.S. Department of Health and Human Services Marc Raspanti, Paetragallo Gordon Alfano Bosick & Raspanti, LLP 77 A discussion of factors which typically result in the settlement of

False Claims Act cases with the Department of Justice and/or Relator

77 An overview of the most common issues and aspects of negotiating

settlements under the False Claims Act with the United States Attorney and Department of Justice and the Office of Inspector General of Health and Human Services

77 A discussion of the challenges for organizations which have

assumed obligations under a Corporate Integrity Agreement AUDITING & MONITORING

POSTAM16 Tips for Auditing/ Monitoring of Medicare Documentation for PT, OT, and Speech WEDNESDAY, 10:00 am – 11:45 am CHESAPEAKE J–L, BALLROOM LEVEL Carol Novak, Practice Specialist, Kaiser Foundation Health Plan Philip Yuson, Practice Specialist, Rehabilitative Services, Kaiser-Permanente, Southern California Region 77 Develop objective and measurable metrics to monitor Medicare

compliance in the areas of outpatient PT, OT, and Speech Therapy

Jacqueline Bloink, Director of Compliance, Arizona Community Physicians

77 Discuss Medicare requirements for appropriate therapy

77 Design the Compliance Policy for your small or large physician

77 Present examples of operational changes that foster Medicare

group. Bring your lap top

77 Keep it to (3) pages or less to ensure that it is read and used at your

facility

77 Use the October 2000 Federal Register as the guide

documentation and coding (e.g., conditions of medical necessity) documentation compliance and quality clinical practice GENERAL COMPLIANCE/HOT TOPICS

POSTAM17 A Compliance Officer’s Approach to Fair Market Value Analyses: Practical Advice and Dilemmas WEDNESDAY, 10:00 am – 11:45 am NATIONAL HARBOR 5 Rick Cameron, Managing Director, Healthcare, Navigant Greg Endicott, Managing Director, Strategic Value Group, LLC Lawrence W. Vernaglia, Partner & Chair of the Health Care Industry Team, Foley and Lardner LLP Andrea M. Ferrari, Manager, HealthCare Appraisers Inc. 77 Compliance officer’s education on legal and practical issues relating

to use of valuation, fair market value and commercial reasonableness

77 Discussion of hypothetical valuation firms’ disagreement on

determination of emergency department on-call pay for physicians in a “stacked” compensation arrangement

77 Role-play by regarding the waiver of attorney/client privilege

www.compliance-institute.org

39

Wednesday, April 24 HOW TO SUCCEED AS A COMPLIANCE PROFESSIONAL

2:00 – 4:00 pm

POSTAM18 ICD-10 for the (Non‑Coder) Compliance Officer

CHC Certification Exam

WEDNESDAY, 10:00 am – 11:45 am CHESAPEAKE 4–6, BALLROOM LEVEL

NATIONAL HARBOR 2–3

report at 1:30 pm for check-in

Betty Bibbins, President & Chief Med Officer, DocuComp LLC

2:00 – 4:00 pm

Nicole Harper, Dir Training & Dev/Process Improvement-Revenue Cycle Operations, St. Vincents Health

CHPC and CHRC Certification Exams report at 1:30 pm for check-in

77 Communicate the positive outcome/WIIFM in understanding

ICD-10 implications for Compliance and Administrator stakeholders within healthcare facilities and systems

NATIONAL HARBOR 4–5

77 Explore into how ICD-10 compliance impacts all of the non-

clinical pieces of the revenue cycle

77 Discuss strategies to mitigate loss (i.e. Quality of Care Profile

Reporting, payments, compliance, regulatory agencies)

HCCA would like to thank AHA Solutions and those solution providers exclusively awarded the AHA Endorsement. Visit www.aha-solutions.org for more information.

Background Screening & Drug Testing

Cyber Risk Insurance

Copyright Licensing Solutions

Interpretation & Translation Services

kyruus

40

Clinical Denials Management & Medical Necessity Compliance Solutions Services

Data Breach Preparedness & Response

Conflict of Interest Management Solutions

Patient Identity & Financial Assessment

Policy & Procedure Management Software & Services

Incident Reporting & Management

Credentials Verification Solutions

Professional Liability Claims & Risk Management

www.compliance-institute.org

Network with your fellow attendees at the 2013 Compliance Institute Subscribe today to the 2013 HCCA Compliance Institute Discussion Group and connect with other attendees.

www.hcca-info.org/cigroup

Conference Discussion Groups on HCCAnet ®

www.hcca-info.org/HCCAnet

HCCAnet Regional Discussion Groups Subscribe to the new Regional Discussion Groups on HCCAnet today, and connect with other compliance professionals in your area.

HCCA has a Regional Conference for each group, so if you have attended or plan to attend a Regional Conference, be sure to subscribe to that Group.

The Regional Groups provide an online forum to interact with local compliance & ethics professionals, share information about your compliance successes and challenges, and share documents and resources.

Login to HCCAnet at www.hcca-info.org/HCCAnet and click "My Subscriptions" to see a list of all the eGroups.

www.hcca-info.org/regionalgroups

Pacific NW (Seattle) Upper Midwest (Minneapolis)

Cascade (Portland)

New England (Boston)

Upper North Central (Ohio)

East Coast (Washington DC) Mountain (Denver)

East Central (Pittsburgh) Midwest (Kansas)

West Coast (Los Angeles) Desert SW (Phoenix)

South Central (Nashville) Southwest (Dallas)

Alaska (Anchorage)

Mid Central (Kentucky)

Southeast (Atlanta)

Gulf Coast (Houston)

South Atlantic (Florida)

Puerto Rico (San Juan) Hawaii (Honolulu)

EXHIBITORS

Upper West Coast (Bay Area)

Upper Northeast (New York)

EXHIBITORS

It’s All About the Service

Exhibit Hall Hours The Exhibit Hall is located in the Prince George’s Exhibit Hall on the Exhibition Level, near the HCCA Registration Desk. Sunday, April 21 4:30 – 6:00 pm.................................. Networking Reception (appetizers and cocktails will be served)

Monday, April 22 7:00 am – 7:00 pm......................... Hall Open

7:00 – 8:30 am.................................. Continental Breakfast 10:15 – 11:00 am............................ Refreshment Break 1:00 – 1:30 pm.................................. Networking Break 2:30 – 3:00 pm.................................. Networking Break

HCCA would like to thank all exhibitors and sponsors for their participation in the largest health care compliance conference in the world.

4:00 – 4:30 pm.................................. Networking Break

5:30 – 7:00 pm.................................. Networking Reception (appetizers and cocktails will be served)

Tuesday, April 23 7:30 am – 1:30 pm......................... Hall Open

7:30 – 8:30 am.................................. Continental Breakfast

10:25 – 11:00 am........................... Networking Break in the Exhibit Hall

The Exhibit Hall closes at 1:30 pm.

www.compliance-institute.org

41

Exhibitors Accreditation Commission for Health Care

104

AHA Solutions Inc

621

The Accreditation Commission for Health Care (ACHC) is a not-forprofit accrediting organization that has represented quality and excellence in the health care industry for more than 25 years. ACHC was created For Providers, By Providers and has CMS Deeming Authority for Home Health, Hospice and DMEPOS services. For more information on ACHC’s accreditation programs, visit www.achc.org. AHA Solutions, Inc. is a resource to hospitals pursuing operational excellence. As an American Hospital Association (AHA) member service, AHA Solutions collaborates with hospital leaders and market consultants to conduct product due diligence and identify solutions to hospital challenges in the areas of finance, human resources, patient flow and technology. As a subsidiary of the AHA, the organization convenes people with like interests for knowledge sharing centered on timely information and research. www.aha-solutions.org AHA Solutions is proud to reinvest its profits in the AHA mission: creating healthier communities.

Association of Healthcare Internal Auditors (AHIA)

503

The Association of Healthcare Internal Auditors (AHIA) is an international organization dedicated to the advancement of the healthcare internal auditing profession, which includes auditing disciplines such as operational, compliance, clinical/medical, financial and information technology. Healthcare leadership and the healthcare internal auditing profession recognize AHIA as the catalyst for continually elevating the quality of healthcare internal auditing and advancing the profession and its members. AHIA embodies “excellence through sharing” and is the healthcare auditors first choice for education and leadership specific to this multi-disciplined profession and for information on best practices and industry and professional trends. Join AHIA and you will make a worthwhile investment in your career and the future of your institution that will provide both short- and long term payoff. Benefits include specialized education, resources and networking opportunities. Visit our website at www.AHIA.org.

AllClear ID

114

AllClear ID (formerly Debix) is the technology leader in the data breach response market. Major healthcare organizations, Fortune 500 companies, universities, and state and local governments trust AllClear ID to protect their customers. Our patented AllClear Credit Monitoring provides a faster and more effective response to identity threats, and 9 out of 10 privacy experts prefer AllClear ID over ordinary credit monitoring. AllClear ID has notified over 50 million consumers, and has an award-winning customer service team. www.AllClearID.com/business

Altegra Health (PLATINUM SPONSOR)

200 & 202

Sinaiko Healthcare Consulting, Inc., founded in 1990, has served many of the nation’s most prominent healthcare organizations and health law practices. Sinaiko has now officially changed its name to the Reimbursement & Advisory Services Division of Altegra Health, reflecting an organizational change and integration that commenced in 2010. The firm is among the sector’s most experienced healthcare consulting firms, encompassing a range of service areas ranging from revenue cycle consulting and litigation support to coding and compliance, valuation and transactions, reimbursement audit and quality analytics. We have extensive national coding resources. These historical areas of focus are now integrated with perhaps the deepest resources in Medicare/Caid risk adjustment and risk adjustment technology in the industry. Please visit www.altegrahealth.com.

42

Atlantic Information Services

305

Atlas Systems Inc

121

Having timely, practical information is the best way to identify and reduce your Medicare, Medicaid and HIPAA compliance risks while minimizing time, expense and disruption to your organization. Atlantic Information Services, Inc. offers easy-to-implement guidance, including: The HCCA-AIS Medicaid Compliance News, Medicare Part D Compliance News, Report on Medicare Compliance, Report on Patient Privacy, and A Guide to Auditing Health Care Billing Practices. Visit www.aishealth.com/AISCompliance.html for complete details and to order. Comply-Health is an innovative compliance management solution that enables an effective compliance and risk management program. The strong suite of offering includes independent yet integrated modules for managing policies and procedures, audit, risk, enterprise tasks, incidents and surveys. In addition, Comply-Health offers a strong analytics engine for managing revenues and a contract management solution that enables implementation of best practices for Stark compliance. Our innovative approach ensures regulatory compliance while fostering enterprise wide adoption and reduced administrative burden. www.comply-health.com

Basha LLC d/b/a Ascpro

9

ASCpro is designed to automate a facility’s regulatory compliance documents & assignment of tasks. ASCpro’s interface allows industry users (administrators, management companies, consultants & surveyors) the use of a tool to assist in becoming accredit, remain compliant or prepare for a AAAHC, AAAASF, HFAP, TJC, CMS survey. SMART. SIMPLE. SECURE.

BESLER Consulting

214

Blass Consulting & Compliance

708

Bloomberg BNA

400

BESLER Consulting offers an automated sanction screening and licensure validation solution which provides your Organization with the capability to meet the accelerated regulatory requirements for screening of your employees, caregivers, contractors and vendors against Federal and State Databases. In addition, our team of clinical and certified Compliance and Clinical experts can assist your Organization in bridging the gap between the clinical and financial aspects of your entire revenue integrity model. www.besler.com. Blass Compliance offers a powerful combination of software and services and is currently active with a number of HIPAA and Meaningful Use projects. Most healthcare organizations have limited resources for managing an ever-increasing scope of compliance activities and are turning to software tools like ComplyAssistant to help them manage compliance projects more efficiently. ComplyAssistant contains a comprehensive rule-accreditation suite with assessment guidance, policies, forms, etc. along with compliance management dashboard and functions for events, audits, assessments, risk analysis, and mitigation. ComplyAssistant can support any size organization. In addition, we offer excellent professional consulting services for assessments, mitigation planning and more. Visit us today at www.complyassistant.com. Bloomberg BNA, a wholly owned subsidiary of Bloomberg, is a leading source of legal, regulatory, and business information. Its network of more than 2,500 reporters, correspondents, and leading practitioners delivers expert analysis, news, practice tools, and guidance — the information that matters most to professionals. Bloomberg BNA’s authoritative Health Law Resource Center™ spans the full range of areas with topic tabs including Fraud, Abuse & Compliance; Hospital & Provider Regulation; and Medicare & Medicaid. www.bna.com

www.compliance-institute.org

Exhibitors The Bonadio Group

108

Certiphi Screening

BridgeFront

800

CHAN HEALTHCARE

When regulatory compliance requests from federal, state, and local funding sources seem overwhelming, organizations turn to The Bonadio Group for assistance. Our team of registered nurses, compliance professionals, rate and reimbursement specialists, consultants, and trainers assist you in making your compliance efforts comprehensive, yet affordable. We can assist with a broad spectrum of regulations and programs, including HIPAA, Medicare, Medicaid, DOH, DHHS, and other guidelines, as well as developing, implementing, and monitoring corporate compliance programs. Effective, customizable and budget-friendly; BridgeFront helps healthcare provide the highest quality of staff education. All 100% online, you have the flexibility to take the courses as-is or modify them, and even build your own courses. For over ten years, BridgeFront has provided engaging online education on HIPAA, corporate compliance, revenue cycle, communications, clinical, leadership and now ICD-10. For more information, go to www.bridgefront.com.

Broad and Cassel (PLATINUM SPONSOR)

For more than 30 years, Broad and Cassel has successfully handled matters in virtually every area of health law and fraud and abuse and enforcement and compliance matters with all types and sizes of clients. Our attorneys are uniquely quali­fied to serve the legal needs of health industry clients because of the seamless integration of our Health Law and White Collar and Criminal and Civil Fraud Defense and Compliance Practice Groups. This integrated organization and experience allows us to successfully navigate complex enforcement, compliance and legal issues and avoid litigation and enforcement action wherever possible. 954-764-7060  • www.broadandcassel.com

BSI Professional Services

14

Offering a full spectrum of accreditation and consultative services, BSI empowers your staff to fulfill your critical mission of patient care; training your people, assessing performance, and providing innovative tools to help you improve.

CaseWare IDEA

905C

Audimation Services is the U.S. distributor of IDEA, CaseWare™ Monitor and SmartExporter. IDEA is a powerful and user-friendly tool designed to help accounting and financial professionals extend their auditing capabilities, detect fraud and meet documentation standards. CaseWare™ Monitor is a sophisticated risk and controls monitoring solution that allows business, risk and control professionals, and auditors to quickly and confidently monitor any automated system. SmartExporter simplifies the extraction of SAP data for review and analysis. www.caseware.com

CBIZ KA Consulting Services

809

CBIZ KA Consulting Services, LLC (CBIZ) has been assisting hospitals and healthcare systems with the intricacies of reimbursement since 1978. Throughout our history, we have focused on helping our clients navigate the complexity of both governmental and commercial-payment models with the dual goals of optimizing revenue and achieving compliance. Our extensive knowledge base and years of industry experience provide a blueprint for clinical decision making, data analysis and documentation. We specialize in RAC services, medical necessity compliance and health information management.

www.compliance-institute.org

615

Certiphi Screening® provides compliance screening services exclusively to the healthcare community. Our services include state-of-the-art OIG/ EPLS and healthcare sanctions screening via our SanctionsBase.com web tool; employee and applicant background checks; full-service fingerprinting; integrated electronic I-9 and E-Verify services; occupational health screening and Department of Transportation (DOT) compliance services. Certiphi® is the only company whose applicant screening services have been endorsed by the American Hospital Association. To learn more, visit the Certiphi website at www.certiphi.com.

914 & 916

CHAN HEALTHCARE is the U.S. market leader in providing Internal Audit, Consulting Services and Software Solutions to the healthcare industry. Leveraging our knowledge and expertise, we partner with our clients to identify opportunities which mitigate risk in an ever changing environment. We deliver innovative solutions to today’s complex healthcare issues. Say hello to CHAN HEALTHCARE at Booths 914 and 916, visit our website (www.chanllc.com) or call our office at 314.802.2800.

Clearwater Compliance, LLC

2

Clearwater Compliance, LLC, is all about and only about helping healthcare organizations and their service providers become and remain HIPAA-HITECH Compliant. Owned and operated by veteran, C-suite health care executives, Clearwater Compliance provides comprehensive, by-the-regs web-based compliance software and tools, risk management solutions, training, and professional services for small medical practices and healthcare startups to major healthcare systems, health plans and Fortune 100 companies. Since 2010, the company has served more than 300 organizations (including over 100 hospitals). Find out more at http://clearwatercompliance.com.

CliftonLarsonAllen, LLP

215

Code Blue Coding

907

The Coding Network

608

LarsonAllen LLP is a nationally recognized professional service firm that provides business advisory, consulting, assurance, accounting, and tax services, with extensive expertise in health care. Internal audit and information technology audit and consulting services are two service specializations, among many. Our consultants and specialists offer a wealth of customized services, including: risk assessments, network penetration testing, outsourced or co-sourced internal audits, information technology audits, and security awareness training, just to name a few. www.larsonallen.com Code Blue Coding partners with healthcare organizations to provide customized Evaluation & Management (E&M) Coding educational programs. These CME accredited seminars help physicians understand how to properly document and charge for work performed. We have successfully helped physicians and healthcare organizations throughout the nation optimize revenue as well as improve compliance. We offer online as well as live, in-person seminars to help with your individual needs. The Coding Network provides four primary products: remote coding services (ongoing or temporary), coding compliance reviews, coding helpline services and physician documentation training. Our 330 U.S. based certified coder/auditors provide services in 55 medical specialties in 50 states, 75 academic institutions, 206 billing companies and numerous community-based practices and facilities. Visit our website at www.codingnetwork.com.

43

Exhibitors Coding Strategies, Inc

607

Compliance Concepts, Inc.

421

Coding StrategiesSM is your complete source for auditing, education, reference tools and consulting services. CSI consultants have extensive healthcare business experience and are the experts at tackling the challenges healthcare professionals face daily, such as operational, coding, compliance and reimbursement issues. We are educators at heart. Therefore, many of our services revolve around training and providing reference tools because we believe disseminating accurate information is one of the best ways we can serve the healthcare community. www.codingstrategies.com Compliance Concepts, Inc. (CCI) was established to help organizations create a controlled environment that reinforces the commitment of the organization to compliance. This is accomplished through utilizing CCI’s highly trained healthcare consulting staff, ComplianceLine, a 24-Hour Reporting Hotline service, and SanctionCheck, a cumulative searchable fraud and exclusions database. For more information, visit www.ComplianceConcepts.com.

Compliant Films

406

Compliant Films offers a cost-effective way to create engaging annual and special compliance training by using video. We create custom produced video programs and we also offer our library of short 2 to 6 minute programs on a wide variety of compliance topics such as coding and billing, conflicts of interest, privacy and fraud and abuse. We can insert short video programs into any existing PowerPoint or Learning Management System module to make it more appealing to viewers. We make our videos fun and use patient-based situations to appeal to clinicians. Our videos are designed so that they can be used in an annual training and also throughout the year as compliance “commercials.” Compliant Films delivers high quality video through the unique talents of Antonio Rego, a former Hollywood producer, and Karie Rego, a nationally known payment and investigations attorney with 20 years of experience. Learn more about us and watch sample videos at www.compliantfilms.com.

Copyright Clearance Center

7

CCC, the rights licensing experts, is a global rights broker for the world’s most sought after materials, including millions of in- and out-of-print books, journals, newspapers, magazines, images, blogs and ebooks. Founded in 1978 as a not-for-profit organization, CCC provides smart solutions that simplify the licensing of content that lets businesses and academic institutions quickly get permission to use copyright-protected materials, while compensating publishers and content creators for the use of their works. For more information, visit www.copyright.com

Craneware

415

Craneware is the leader in automated revenue integrity solutions that improve healthcare organizations’ financial performance. Craneware solutions help hospitals effectively price, charge, code and retain earned revenue for patient care services and supplies. Clients achieve visibility required to prevent revenue leakage, optimizing reimbursement, increasing operational efficiency and minimizing compliance risk. www.craneware.com

44

CynergisTek, Inc

320

Deloitte (PLATINUM SPONSOR)

501

HIPAA Enforcement has finally come. While many firms like ours are speculating about the audit process, we have had the benefit of preparing for and experiencing it with a client, one of the “First 20” audit selectees. How would you score your organization’s readiness for an OCR audit? How does your organization prepare for this audit experience? CynergisTek is a leading provider of privacy and security regulatory compliance and IT audit solutions for the healthcare industry, including an entire portfolio dedicated to OCR Audit Readiness and Business Associate Risk Management—two of the most urgent HIPAA/ HITECH concerns that we are hearing from the healthcare compliance community. Visit us at www.cynergistek.com to learn more about our compliance monitoring and management programs and we look forward to seeing you in Las Vegas! The mission of Deloitte’s Health Sciences practice is to work with our clients’ health plans, health care providers, and life sciences companies to help shape the new health economy and the roles they play within it. Working together, we can help our clients in their efforts to bring discoveries to life and improve the quality of care while achieving their business goals and objectives. Drawing on more than 70 years of Health Sciences experience, with the innovation, knowledge, and commitment of more than 3,300 professionals focused on the industry, we have access to a full range of audit, tax, consulting, and financial advisory services across all sectors of the industry. We offer wide-ranging, customized services and solutions designed to help our clients in their efforts to capitalize on opportunities and tackle their most pressing and complex challenges. To learn more, visit www.deloitte.com/us/healthsciences.

Dentons US LLP (GOLD SPONSOR)

Dentons boasts one of the premier health care and public policy professional services teams in the country. We represent a wide range of life science businesses, university based health care organizations, medical device companies, health care provider systems, manufacturers, payors, managed care companies, com­munity hospitals, physician practices, and health care associations and foundations. Please see www.dentons.com for more informa­tion. 312-876-8000

DoctorsManagement

15

DoctorsManagement is a full-service medical practice consulting firm comprised of dedicated experts to support your practice goals. We help large and small healthcare organizations reduce compliance risks, increase practice profits, improve patient satisfaction and employee morale as well as reduce stress for physicians and staff. The firm has more than 50 years of proven success and employs nationally recognized industry experts in every area of medical practice management, including compliance, coding, auditing, financial services, patient retention, human resources and more. www.doctors-management.com 800-635-4040

eHealthcareIT

515

New from eHealthcareIT: RegComPlus+ Assessment. Compliance Assessment Tool. eHealthcareIT offers a new generation of customizable, engaging and comprehensive Corporate Compliance, HIPAA Compliance, and Clinical Compliance online learning events that encompass over 80 courses covering hundreds of department specific, mission critical topics. The content is written, monitored, and updated by industry leading subject matter experts with operational expertise. Functional training coupled with healthcares only “Bulletproof ” rated eLearning system offers eHealthcareIT clients dependable training solutions. www.ehealthcareit.com ;[email protected]; 1-800-806-0874.

www.compliance-institute.org

Exhibitors eProtex

807

Epstein Becker & Green (SILVER SPONSOR)

620

Ernst & Young

116

eProtex helps healthcare providers keep medical devices safe for patients and their ePHI, and compliant with HIPAA, Meaningful Use, and FDA mandates. Serving 100+ healthcare facilities, eProtex is the nation’s first data security company specialized in reversing the hidden risks of connected medical devices. EpsteinBeckerGreen has been at the forefront of health care law for nearly 40 years, taking the lead in understanding, interpreting and shaping laws and regulations that affect the health care and life sciences industry. EpsteinBeckerGreen attorneys have experience providing complete corporate compliance program legal services that are tailored to the size of the organization and the nature of the business. For more information on the firm’s practice and experiences assisting client’s with their corporate compliance programs, please visit www.ebglaw.com. At Ernst & Young LLP, we understand that balancing the dual demands of compliance and competition is not easy. Government regulators and the public are scrutinizing every move. Our Fraud Investigation & Dispute Services practice is dedicated to helping health care providers develop strategies to identify and manage risk.

Executive Health Resources

407 & 409

Executive Health Resources, Inc. (EHR), The Physician Advisor Company™, is the leading provider of medical necessity compliance solutions to more than 2,000 hospitals and health systems across the country. Endorsed by the American Hospital Association and Peer Reviewed by the Healthcare Financial Management Association, EHR’s comprehensive solutions are delivered through expert Physician Advisors who are specially-trained in Medicare/Medicaid rules and regulations relating to medical necessity and have real-time access to EHR’s database of more than 4 million validated medical necessity reviews. The unmatched intelligence generated from this database of medical necessity reviews and EHR’s extensive library of clinical and regulatory evidence-based research is delivered directly to each EHR Physician Advisor through a unique and scalable workflow technology platform known as EHRiC (EHR Information Center). The platform helps to ensure accurate, timely and defensible medical necessity recommendations in a rapid turn-around setting and drives EHR’s leading quality assurance, analytics, and customized reporting offerings. Learn more about EHR at www.ehrdocs.com.

Experian® Data Breach Resolution

115

Experian® is a leader in data breach resolution and one of the first companies to develop solutions to address this critical issue. Our protection products give you the strength to meet industry regulations, media scrutiny and customer turnover head-on. Experian has successfully managed thousands of incidents and some of the highest-profile data breaches, including many of the Fortune 500 while providing leadingedge, turn-key incident management backed by a proven track record. www.experian.com/databreach

FairWarning, Inc

801

FairWarning® is the inventor and global leader in appliance-based software solutions which monitor and protect patient privacy in electronic health records enabling healthcare providers to confidentially connect physicians, clinics, patients and affiliates. FairWarning’s turn-key privacy auditing solutions are compatible with healthcare applications from every major vendor. Customers consider FairWarning privacy auditing solutions essential for compliance with healthcare privacy regulations such as ARRA HITECH, HIPAA, California SB 541 and AB 211, and other state laws. www.FairWarning.com

46

Fi-Med Management Inc

903

FTI Consulting

217

The George Washington University (PLATINUM SPONSOR)

303

GNYHA Ventures

502

Fi-Med provides the medical industry with state of the art analytic processing, chart reviews and compliance, coding education, denial management, revenue cycle management, lockbox, EMR, e-prescribe and e-encounters. For more information, please visit www.fimed.com. FTI Consulting, Inc. is a global business advisory firm dedicated to helping organizations protect and enhance enterprise value in an increasingly complex legal, regulatory and economic environment. With more than 3,000 professionals located in most major business centers in the world, we work closely with clients every day to anticipate, illuminate, and overcome complex business challenges in areas such as investigations, litigation, mergers and acquisitions, regulatory issues, reputation management and restructuring. More information can be found at www.fticonsulting.com.

The George Washington University’s Graduate Certificate in Healthcare Corporate Compliance: This CCB-accredited program provides a comprehensive corporate compliance education for current or aspiring corporate compliance officers. The 12 credit program can be completed in seven months with two short in-class residencies in Alexandria, VA and an interactive distance learning segment in-between. Students have unparalleled access to experts in the field, including former regulators and policymakers, as well as legislators, patient advocates and other compliance professionals. 1-800-Join GWU or www.nearyou.gwu.edu/hcc. GNYHA Ventures, Inc. and technical partner Bluemark, are pleased to announce the release of TRACKer™ PRO, the next generation of TRACKer™. While TRACker™ remains the premier solution available today to manage all Medicare fee for service audits including the RAC program, TRACKer™ PRO is a comprehensive audit and compliance toolset designed to assist providers in managing the entire spectrum of audits including Medicare, Medicaid as well as commercial payers. www.gnyhaventures.com

Hall Render Killian Heath & Lyman P.C. (SILVER SPONSOR)

Hall Render provides organizations in the highly regulated health care industry with full service legal representation. From the time William S. Hall founded the firm in 1967, Hall Render has focused its practice in health law and is now recognized as one of the nation’s preeminent health law firms. With more than 160 attorneys, Hall Render represents over 500 organizations, including hospitals and health systems, physician practices, life science firms and non-profit organizations.www.hallrender.com

Hamline University Health Law Institute

921

Hamline Law’s nationally ranked Health Law Institute has expanded its award-winning, CCB accredited Health Care Compliance Certificate program. Taught by world-class faculty and renowned industry leaders, the program will now be offered in an online format powered by Hamline’s proprietary iPad ® app, beginning in May 2012. Designed for working professionals, the program can be completed in just one year, which includes a brief in-class residency in Saint Paul, Minn. With the curriculum available 24 hours a day, students can create a flexible schedule around their personal and professional obligations. http://law.hamline.edu/healthlaw/

www.compliance-institute.org

Exhibitors HCPro

700 & 702

HealthCare Appraisers, Inc.

321

The Health Care Compliance Association (HCCA) is the nation’s leading organization serving the needs of health care compliance professionals by providing education and resources for effective compliance programs. Recognized for its annual Compliance Institute, HCCA offers a wide array of conferences and training programs at the local and national level. Resources for compliance professionals are provided through HCCA’s website, www.hcca-info.org , and its publication, Compliance Today. Annual dues for individuals are $295 and include a subscription to Compliance Today, access to members‑only features on website, and discounts on HCCA conferences and products. Visit us at www.hcca-info.org or call us at 888-580-8373.

Healthcare Cost Solutions

618

Health Care Compliance Strategies, Inc. (HCCS) 207 & 209

Founded in 1999 in Tempe, Arizona, HealthDox has been serving healthcare organizations with reliable enterprise solutions. Our solutions simplify your tasks, enhance efficiency and improve patient care quality. We offer user-friendly software solutions in Policy & Procedure Management, Contract Management, Risk Management and Physician Order Management. Our seven-step implementation process has helped many healthcare organizations succeed. We look forward to helping you!

HCPro (www.hcmarketplace.com) offers solutions for all your regulatory and compliance challenges, including two exciting new releases. HCPro Comply™ for Revenue Cycle™, an organization-wide compliance intelligence resource, ensures that your hospitals are getting the right information, right when they need it. HCPro Education for your smooth ICD-10 transition offers tailored education solutions for the full spectrum of education audiences. You know HCPro for audioconferences, Boot Camps, and other resources on Medicare, Coding, CDI, and HIPAA.

Health Care Compliance Association (HCCA)

715

HCCS provides online compliance and competency training courses and learning management systems to healthcare facilities. HCCS has provided over 2.5 million hours of expert training content in the areas of Medicare, Medicaid, HIPAA, Research, Quality Compliance and much more to hospitals, teaching facilities, medical schools, health plans and other healthcare entities. The HCCS COI-SMART program is the market leading tool for tracking and management of Conflict of Interest disclosures. Stop by for a demonstration. www.hccs.com

HealthCare Appraisers, a nationally recognized valuation and consulting firm, provides services exclusively to the healthcare industry, including: Fair Market Value opinions for compensation and service arrangements (e.g., employment, ED call coverage, medical directorships, collection guarantees, equipment lease/use arrangements, and service/co-management arrangements); Business Valuation (e.g., ASCs, hospitals, dialysis centers, home health, diagnostic/ treatment facilities, physician practices, and intangible assets); Consulting and Advisory Services; and Litigation Support. Delray Beach | Denver | Dallas| Chicago | Tel: (561) 330-3488 www.HealthCareAppraisers.com Healthcare Cost Solutions (HCS) is an HIM consulting firm providing Compliance Audits, Coding and HIM Services to US hospitals. Specialties include: DRG/APC/HCC Audits, RAC Reviews/Appeals, PACT Validation, LTAC, Pro Fee, CVIR/IR Audits, Charge/Billing Audits, On-site/Remote Coding, Interim Management/Outsourcing, Online Query Forms and ICD-10 Tutorials, ICD-10 Preparedness. Featuring HART: Healthcare Audit Resource Technology, proprietary database solutions for the ever-changing environment of the external audit and increased governmental scrutiny.

HealthDox

4

HealthIT+, business division of QSSI

606

Health Endeavors

Health Endeavors provides 24/7 web-based software solutions for hospitals and physicians. We offer integrated solutions for conflict of interest management, physician non-monetary comp tracking, contract & entity information management, medical director hours/time studies tracking, training center for staff, physicians and board members, submission of online questions and note audits to certified coders for analysis, credentialing document management, ACO resources and physician alignment solutions. We are uniquely different as we provide a one-stop 24/7 solution. www.healthendeavors.com

616

HealthIT+develops innovative, cost-effective technology solutions for the healthcare industry. Healthcare providers use our Exchange+™ solution to electronically submit medical documentation via the esMD gateway. Our HIPAA+ automates privacy and security compliance in a single, unified package that proactively detects incidents and potential breaches. As a web-based, managed service, HIPAA+ supports customer actions with expert analysts. HealthIT+® is a business division of QSSI, an industry leader providing Health IT solutions. QSSI specializes in Cloud Application Engineering, Data Management, Security & Privacy Services, Software Engineering, Managed Business Services, and Software Quality Assurance.

Health Revenue Assurance Associates (HRAA)

720

HealthPort

600

HIPAA Solutions LLC

109

Since 2001, Health Revenue Assurance Associates (HRAA) has been a leading solutions provider for Health Information Management through: Compliance-focused Outpatient and Inpatient coding and documentation audits; Education programs; Chargemaster reviews; APC AuditorProTM and DRG AuditorProTM internal auditing software technology. As 2013 approaches, HRAA is poised to be the leading provider of ICD-10-CM/ PCS education and coding services for all US based hospitals. HRAA will provides a comprehensive transition solution the includes education, coding resources while client staff is undergoing training, coding resources to handle backlog as productivity levels drop off, auditing resources to ensure retention of education. www.healthrevenue.com

www.compliance-institute.org

HealthPort ensures the compliant exchange of protected health information through comprehensive audit management technology with integrated release of information services. This crucial combination helps healthcare facilities prevent data breaches, meet the meaningful use threeday turnaround time for medical record requests, and manage, track and report on all audits. Visit www.healthport.com or call 800-737-2585 HIPAA Solutions, LC provides nationally recognized compliance resources for HIPAA and HITECH regulations that are designed to meet the requirements of healthcare providers, health plans, business associates, Health Information Exchanges, EHR vendors, and government entities. Resources include the HIPAA ComplyPAK™, a web-based suite of software tools that automates legal and technical compliance with Privacy and Security rules of HIPAA and HITECH, as well as high quality legal and technical consulting, auditing, and training resources to ensure enterprise-wide compliance of both business processes and IT environments. www.hipaasolutions.org

47

Be recognized for your experience and knowledge Become CCB certified in: ·· Healthcare compliance (CHC) ·· Healthcare research compliance (CHRC) ·· Healthcare privacy compliance (CHPC)

Earn the recognition you deserve. Demonstrate your knowledge and expertise. Enhance your credibility.

learn more at www.compliancecertification.org

Exhibitors HireRight

218

HiSoftware, Inc.

504

HireRight is a leading provider of on-demand health care employment background screening, drug and health screening, and employment eligibility solutions that help employers automate, manage and control screening and related programs. Many companies, including more than one-third of the Fortune 500, trust HireRight because the company delivers customer-focused solutions that provide greater efficiency and faster results. HireRight also provides pre-integrated employment screening services through e-recruiting solutions from top providers such as Oracle, Taleo, Kenexa, SAP, PeopleAdmin, HealthcareSource, HRsmart, and SilkRoad. HireRight, Inc. is an Altegrity company headquartered in Irvine, CA with offices and affiliates around the globe. www.hireright.com HiSoftware (www.hisoftware.com) is a leading provider of compliance and security solutions for the monitoring and enforcement of risk management and privacy guidelines across digital environments. HiSoftware’s solutions enable healthcare organizations to successfully balance privacy with access to information and realize the benefits of collaboration. The company’s solutions automate the auditing and enforcement of policies governing content privacy, confidentiality, brand integrity, site quality, and accessibility on public websites, intranets and SharePoint sites.

Huron Healthcare

301

Huron Healthcare’s Compliance and Investigations team provides healthcare organizations and their legal counsel with the broadest, most comprehensive, and highest quality regulatory compliance and investigations solutions in the industry. Our Healthcare Compliance & Investigations team delivers focused solutions for the most complex matters of compliance, governance, risk management, investigations, and litigation. Working collaboratively, we help clients identify, design, and implement effective and sustainable compliance programs to mitigate risk and meet evolving regulatory challenges and requirements, now and into the future. When investigations or litigation occur, we develop expert response and defense strategies along with highly focused data collection and analytics as part of our comprehensive investigation and litigation assistance. Our understanding of the regulatory landscape and our extensive experience in healthcare allow us to design and implement proven solutions, enabling our clients to effect change, implement best practices, and achieve excellence. www.huronconsultinggroup.com

Iatric Systems, Inc.

509

ID Experts (PLATINUM SPONSOR)

ID Theft Solutions

917

Identify Finder, LLC

703

ID Theft Solutions of America (IDTSOA) is a leader in proactive data breach prevention specializing in protection before, during, and after an identity is stolen. IDTSOA helps healthcare facilities create or strengthen their “Culture of Security” through education, consultation and solutions, while also attaining compliance with current and constantly changing privacy laws. Our experience within the healthcare industry has allowed us to become the most EFFECTIVE, AFFORDABLE, and COMPREHENSIVE solution available. For more information, please visit www.idtsoa.com. Identity Finder is a global leader in sensitive data discovery and security. Founded in 2001, we provide Healthcare organizations with advanced technology to help prevent data leakage. Our DLP software finds and protects Data-at-Rest and In-Use either centrally or at the endpoint by searching files, e-mails, desktops, servers, databases, and websites. Using the company’s proprietary AnyFind™ technology, Identity Finder intelligently locates social security numbers, patient healthcare information (PHI), passwords, payment card industry data (PCI), eMR, IDC9/10 codes and other sensitive data. It can search remote desktops, servers, databases, websites, and much more. Beyond identification, the technology helps securely shred or encrypt information. For more information about our Identity Finder Healthcare DLP solution please click here: http://www.identityfinder.com/us/Business/Solutions/Industry/Healthcare

Iatric Systems helps hospitals and health systems leverage their HIS investment with software, interfaces and reporting services. Since 1990, more than 900 hospitals worldwide have implemented Iatric Systems’ solutions including Security Audit Manager (SAM), an advanced application that automatically monitors audit logs across your entire enterprise, sees every access and identifies potential HIPAA privacy breaches. For more information, contact [email protected] or visit security.iatric.com.

IMA Consulting

iContracts, Inc

INCompliance

119

iContracts Universal Contract Manager (UCM) is the perfect cloud based solution for managing contracts and compliance issues across your organization. UCM’s powerful repository, ease-of-use, and flexibility give’s your team immediate visibility into Stark compliance, Physicians’ agreements, materials contracts, pricing, and more.

www.compliance-institute.org

417 & 419

ID Experts is the leader in comprehensive data breach solutions that deliver the most positive outcomes. The company has managed hundreds of data breach incidents, protecting millions of affected individuals, for leading healthcare organizations, corporations, financial institutions, universities and government agencies. In healthcare, the company contributes to relevant legislation and rules including HITECH and is a corporate member of HCCA and HIMSS. ID Experts data breach preparedness and response services have been endorsed by the American Hospital Association. ID Experts is active with organizations that advocate for privacy for Americans including ANSI/Identity Theft Prevention, Identity Management Standards Panel and the International Association of Privacy Professionals. For more information, visit http://www2.idexpertscorp.com/; join in the All Things HITECH discussion via LinkedIn at bit.ly/ AllThingsHITECH; and follow ID Experts on Twitter @IDExperts.

19

IMA Consulting provides financial and regulatory compliance, revenue cycle, interim management, operations improvement and revenue enhancement and recovery services exclusively to the healthcare industry. Our business model is very different than the highly leveraged models typically utilized by larger firms in that we staff our engagements with highly experienced consultants.

604

INCompliance offers compliance consulting services and training programs for health care organizations and insurance companies, specifically designed to meet your organization’s needs. INCompliance consultants are attorneys and compliance professionals who have practical experience in the health care and insurance industries. INCompliance services include: Goverance Training and Consulting; HIPAA Audits, Investigations and Training; Corporate Integrity Agreement Audits and Training; General Compliance Consulting Services. Visit our website www.incomplianceconsulting.com, or contact us directly at 614.221.8938.

49

Exhibitors Innovare

908

Inovaare offers end-to-end compliance and quality management software solutions for healthcare organizations using its unique CQMS platform. These solutions are tailored for providers, payers and manufacturers. The CQMS platform includes regulatory audit, incident tracking, regulatory filings, compliance training, reporting and dashboards. Inovaare offer these solutions both On Demand and On Premise model. For further information, please visit us at www.inovaare.com.

Intersect Healthcare

8

Intersect Healthcare, Inc. (IHI) is one of the nation’s leading providers of Payor Compliance, Audit, Data Mining and Denial Management software for healthcare providers. IHI has developed the most comprehensive solution for managing regulatory audits, revenue integrity, denials and appeals. Currently over 300 hospitals nationwide have licensed VERACITY™ software as an easy-to use, effective and affordable solution that integrates both paper-based and electronic record systems. Intersect Healthcare leverages Software as a Service (SaaS) technology to enable organizations to streamline audit processes, reduce costs and eliminate the IT department as a bottleneck. To learn more about Intersect Healthcare and VERACITY™ please visit www.intersecthealthcare.com.

Kforce Healthcare Inc.

507

Kforce Healthcare Inc. specializes in HIM services including all aspects of the coding department, revenue cycle and more. We work with over 350 healthcare providers, including 75 percent of the nation’s top Honor Roll Hospitals. We can support you during audit events, coding backlogs or other business challenges. Our expertise includes 22 National Compliance Managers on staff, a compliance plan supporting accuracy standards of 95% for coding, and a consultant population with an average of over 10 years of HIM experience.

Kinney Management Services LLC

206

Kinney Management Services, LLC is one of the premiere electronic health records companies in New York State and the nation. We provide program management, consulting, software and technology services to healthcare industry professionals, associations, counties, school districts and cooperative education agencies. Kinney Services, Inc., a nationally recognized leader with our exclusion screening Kchecks™. Kchecks™ is a web based software solution for compliance officers, human resource managers, and anyone involved in the exclusion review process. COSTEFFECTIVE ALTERNATIVE: Kchecks™ allows users to search for individuals or entities that have been sanctioned, debarred or otherwise excluded from participation in federally funded health care programs 24 hours a day, seven days a week, from any location via the Internet. www.kinneyllc.com

King & Spalding (GOLD SPONSOR)

King & Spalding represents health­care companies involved in the delivery of healthcare and payment for healthcare services across all facets of the legal issues they face. We also have one of the broadest and deepest benches of lawyers, scientists and consultants specializing in the representation of pharmaceutical, biotechnology and medical technology compa­nies. We help our clients alleviate risk, accomplish strategic goals and succeed in litigation. As one of the largest healthcare practices in the country, we have received national acclaim for excellence in transactional, litigation and regulatory representation of clients across the spectrum of healthcare. For more information, please visit www.kslaw.com/healthcare or call 404-572-4600.

KIWI-TEK

Krieg DeVault LLP/Captain Integrity (GOLD SPONSOR)

614

Krieg DeVault LLP, a full-service corporate lawfirm, in addition to its other health care consulting services, provides healthcare compliance education using entertaining monthly picture strips on health law and compliance issues featuring Captain Integrity. Krieg DeVault represents clients throughout the country in all facets of health law and compliance. The firm’s legal services incorporate hospitals and health systems, large physician groups, home health agencies, academic medical centers and other health care providers. For more information, visit www.kriegdevault.com.

Kroll Advisory Solutions

16

Kroll Advisory Solutions, the global leader in risk mitigation and response, delivers a wide range of solutions that span investigations, due diligence, compliance, cyber security and physical security. Clients partner with Kroll Advisory Solutions for the highest-value intelligence and insight to drive the most confident decisions about protecting their companies, assets and people. Kroll Advisory Solutions is recognized for its expertise, with 40 years of experience meeting the demands of dynamic businesses and their environments around the world. Headquartered in New York with offices in 29 cities across 17 countries, Kroll Advisory Solutions has a multidisciplinary team of 700 employees. For more information, visit: www.krollcybersecurity.com.

LockPath

105

Loyola University Chicago School of Law

220

McBee Associates, Inc.

514

LockPath provides technology for managing organizational risk and information security to prove compliance. Its Keylight platform provides keen insight by correlating security information from multiple data sources with current regulations and policies to gauge risk. LockPath was founded by information security and governance, risk management and compliance industry veterans. Loyola University Chicago School of Law offers two online degrees in health law: A Master of Jurisprudence (MJ) for health care professionals who work in compliance and need to know more about the laws, regulations and policies governing health care and a Master of Laws (LLM) for attorneys who want to expand their practice to service health care clients. Learn more about Loyola’s Beazley Institute for Health Law and Policy at www.LUC.edu/healthlaw or 1-800-424-3986. McBee Associates, Inc. believes that compliance is essential to good business. A recognized leader in providing consulting services to the health care industry, the firm is one of the nation’s largest independent health care consulting practices. With unparalleled commitment to compliance, McBee Associates develops lasting solutions that ensure the financial and operational success of its clients. The firm offers Medical Necessity Audits, Billing Compliance Reviews, Internal Control Reviews, Coding Audits, and Clinical Documentation Reviews, as well as a full suite of revenue integrity services. Visit us at www.mcbeeassociates.com or call 1.800.767.6203.

MCN Healthcare

314 & 316

MCN Healthcare is a leading provider of healthcare regulatory compliance solutions including Policy Manager, Policy Library, and StayAlert!—e-mail notification of regulatory changes and implementation tools. Visit us at www.mcnhealthcare.com

120

KIWI-TEK—The Coding Authority—is a remote coding solutions provider. We offer national coverage using domestic or international coders that are certified, experienced, and quality focused. We provide both facility and professional coding for Inpatient and Outpatient services.

50

www.compliance-institute.org

Let's talk about effective Healthcare Corporate & HIPAA compliance training for your staff, contractors, and physicians. Healthcare facilities that are serious about training and educating their staff choose eHealthcareIT. We don’t need to tell you, healthcare compliance is a very serious business. Training for your staff is as critical as ever.

Expertise eHealthcareIT’s subject matter experts are comprised of highly qualified healthcare professionals specializing in regulatory compliance. Included within this group of professionals are physicians, registered nurses, certified coding specialists, registered records administrators, certified public accountants and attorneys.

Come se us at boo e th

515

You know as well as we do that one size does not fit all: • Over 100 engaging, department specific HIPAA Compliance, Clinical Research Compliance, and Corporate Compliance courses. • Customization that enables you to embed your policies, procedures, welcome messages, site specific pictures and “contact information”. • A complete library of engaging, department specific courses for HIPAA Compliance, Clinical Research Compliance, and Corporate Compliance. Your compliance education should not be a matinee at the movies. Contact eHealthcareIT for further information or consultation.

Engaging & Practical Learning Reliable, engaging, IT friendly and up to date content is key to a successful compliance education program, which is what eHealthcareIT brings to the table.

eHealthcareIT eLearning Solutions

email: [email protected] or call 1-800-806-0874. www.ehealthcareit.com

Exhibitors MDAudit

204

MDaudit™ automates the administrative duties of compliance auditing using strategic, risk-based audit methodology. It is in use at more than half of the top fifteen healthcare organizations in the country, as identified by US News & World Report. MDaudit doubles audit productivity, maximizes revenue and helps streamline compliance auditing processes. www.hayesmanagement.com

Meade, Roach and Annulis/Aegis Compliance (PLATINUM SPONSOR)

101 & 103

Meade & Roach, LLP distinguishes itself as a law firm focused on delivering practical solutions for healthcare regulatory compliance needs. Each of our partners have more than a decade of focused, industry-leading experience in this area. The results we have achieved for clients speak for themselves. We not only understand the law, we understand our clients, who range from the nation’s largest academic medical centers and hospital systems to stand-alone specialty facilities and physician practice groups.

MedeAnalytics

520

Medelearn

500

Founded in 1994, MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices and payers—to ensure accountability and improve financial, operational and clinical outcomes. For more information, visit www.medeanalytics.com. Medelearn is the industry-leading compliance training system developed specifically for healthcare organizations. It is easy to use, effective for all types of training needs and affordable for any size organization. Choose from our full HIPAA, JCAHO, OSHA courses or author your own curriculum with our easy-to-use course-building interface. Manage all your classroom and web-based training with our student management center. Improve your training effectiveness while saving 80% in training costs. www.medelearn.org

Medical Electronic Attachment, Inc. (MEA)

5

Medical Electronic Attachment (MEA), the recognized leader in secure health information exchange, offers solutions that enable the capture, transmission, storage and retrieval of medical documentation through the MEA Information Exchange Engine (IEE). MEA’s solutions can be used for claim attachments, HEDIS, quality reviews, Medicare Risk Adjustment, esMD/CMS audits, health information exchange and more. MEA’s mission is to provide value for their clients through an advanced technology and innovative products and services designed to remove manual and paper-based workflows. Further information may be obtained at www.mea-fast.com.

MediTract (PLATINUM SPONSOR)

819 & 821

MediTract is the leading contract management service provider exclusively serving the healthcare industry. MediTract currently works with thousands of hospitals and hundreds of healthcare systems nationwide. The company’s solutions help healthcare professionals regain control of their contracts and reduce the cost of doing business by providing the tools necessary to improve management’s visibility of contractual obligations, enhance compliance and streamline workflow. For more information please call toll free 1-877-492-8490 or email at [email protected]. www.meditract.com

MedSafe

MetricStream

1&3

MetricStream is the market leader in integrated Governance, Risk, Compliance (GRC) and Internal Audit Solutions for Healthcare providers and payers. MetricStream GRC solutions are used by leading Health Insurance companies, Healthcare service providers, Pharmaceutical, Medical devices & Healthcare product companies for automating and streamlining risk, compliance, policy and audit programs across the enterprise. Independent analysts recognize MetricStream as a leader in GRC Platforms. www.metricstream.com

MRO

102

MRO, a leader in disclosure management and health information exchange (HIE), offers healthcare providers an enterprise-wide solution for the secure and compliant exchange of Protected Health Information (PHI). Through a proprietary disclosure management platform, MRO offers a combination of market expertise and technology-driven services to enable facilities to achieve a higher level of compliance oversight, mitigate risk and achieve meaningful use. The company offers a full range of solutions, spanning release-of-information (ROI), audit compliance and tracking, HIPAA consent restriction management, accounting of disclosures, meaningful use and document management solutions. MRO also provides electronic HIE connections: esMD for CMS audits, patient and provider portals, and Social Security Administration (SSA) portals for disability determination. As a Health Information Service Provider (HISP), MRO features direct secure messaging services for healthcare providers.

NAVEX Global (PLATINUM SPONSOR)

307 & 309

NAVEX Global is the trusted global ethics and compliance expert for more than 8,000 clients in over 200 countries—the largest ethics and compliance community in the world. A merger of industry leaders ELT, EthicsPoint, Global Compliance Services and PolicyTech, NAVEX Global provides a comprehensive suite of software and services to manage governance, risk and compliance. For more information on how, please visit www.navexglobal.com.

Navigant Consulting, Inc

701

Nova Compliance Group, Hall Render Company

517

Navigant is a specialized, global expert services firm dedicated to assisting clients in creating and protecting value in the face of critical business risks and opportunities. Through senior level engagement with clients, Navigant professionals combine technical expertise in Disputes and Investigations, Economics, Financial Advisory and Management Consulting, with business pragmatism in the highly regulated Construction, Energy, Financial Services and Healthcare industries to support clients in addressing their most critical business needs. Nova Compliance Group, a Hall Render Company, offers compliance consulting and coding services. The experienced compliance consultants provide support in development and maintenance of compliance programs, interim and ongoing Compliance Officer services, compliance program assessments, education and training, and compliance auditing. Nova also offers evaluation and management coding audit services and physician evaluation and management education by our highly trained staff. 248-457-7858 | www.novacompliance.com

408

For over 20 years, MedSafe has established the industry’s best practice standards for quality, and regulatory compliance services for healthcare practices. Through their onsite, and online programs MedSafe assures that physicians and their businesses are actively in compliance with the latest government regulations including HIPAA/HITECH, Corporate/ Billing Compliance, OSHA, and more.

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Exhibitors Ntracts

519

Online Tech

919

Ntracts LLC, a Hall Render Company, offers contract management software and services that help healthcare organizations reduce legal and regulatory risks. The Ntracts software-as-a-service (SaaS) application establishes a single contract repository that actively notifies parties of approaching milestones, automates workflow and speeds contract origination. Ntracts also offers clients a complete portfolio of consulting services that boost efficiency and save clients money. For more information, or to request a demonstration, visit www.ntracts.com. Follow us on Twitter @ntracts Online Tech is a HIPAA compliant Business Associate offering cloud, dedicated server, colocation, and disaster recovery hosting in the safe climate of the Great Lakes region. Online Tech signs BAAs, carries breach insurance, and invests in independent HIPAA, PCI DSS, and SOC 2 audits. Online Tech nurtures win-win partnerships for long-term satisfaction, adapting to the growing and changing needs of your business. Contact us for more information: 877-740-5028, contactus@onlinetech. com, or www.OnlineTech.com.

Pacific University

617

Pacific University offers a Graduate Certificate in Healthcare Compliance, an 18-credit, 12 month cohort program designed for the working adult, with courses held online and onsite in Hillsboro, Oregon. The Graduate Certificate Program in Healthcare Compliance is accredited by the Compliance Certification Board (CCB). For more information, visit: http://www.pacificu.edu/healthcarecompliance/

Panacea Healthcare Solutions Inc.

219 & 221

Panacea Healthcare Solutions, Inc. has provided coding, compliance, reimbursement and revenue solutions infused with intelligence and delivered through our consulting, software, publications and webcasts to more than 4,000 U.S. providers in 2011. Each one is rooted in Panacea’s extensive frontline experience in healthcare finance, coding and compliance.

PharmaSeek Financial Services

619

PharmaSeek Financial Services (PFS) is dedicated to helping clinical sites improve their research billing compliance operations. Our seasoned professionals help sites navigate federal and state regulations, FDA guidelines, governmental statutes, and the ever-changing clinical research parameters. We are here to assist with all aspects of research billing compliance including Medicare Coverage Analysis, research billing processes and policies review, and contract and budget negotiations. For more information, visit www.pharmaseekfinancialservices.com.

Pinnacle Healthcare Consulting

815

Pinnacle Healthcare Consulting provides a range of strategic, financial and operational services for hospitals, health systems, physician groups and other healthcare organizations to improve clinical and business performance. Pinnacle is a nationally recognized leader in business valuation, physician compensation, performance improvement and compliance support. The firm also provides physician practice management, medical billing/coding audits, and technology/integration support services. By building relationships and championing innovation, Pinnacle has created dynamic services, backed by a powerful team to solve the most complex challenges. Call Pinnacle at 303-801-0123 or visit www.PinnacleGroupHC.com.

www.compliance-institute.org

Policy Medical Inc.

714

Policy Medical, known as “The Patient Safety People,” is the healthcare pioneer devoted to helping hospitals achieve the highest levels of patient safety by cost effectively automating policy and procedure management. Our industry experts have created the FIRST hospital specific, out-ofthe-box policy management solution to prepare for a successful Joint Commission audit. Our only focus—hospital policy management systems. Our clients—the LARGEST critical mass of hospitals worldwide using the official PolicyManager™ system. The result—the deepest best practice knowledge of any firm globally on healthcare policy management that connects you to literally 100,000’s of your hospital compliance and quality peers. www.policymedical.com

PointRight, Inc.

20

PointRight is the industry leader in providing data-driven analytics and web-based tools that measure risk, rehospitalization rates, staffing, quality of care, compliance and reimbursement accuracy in healthcare and insurance. Using some of the largest and best databases in the industry, our nationally recognized clinical staff, researchers and technologists expertly translate disparate data into usable information and insight. We work with MDS, survey, financial, staffing, loss and claims and public and proprietary data to ensure excellence in processes and outcomes. For more information, visit www.pointright.com

Post Acute Advisors

516

Power DMS Suite (Innovative Data Solutions)

707

PreCheck

308

PricewaterhouseCoopers (GOLD SPONSOR)

100

Post Acute Advisors is a specialty consulting firm, with extensive expertise in the post acute levels of care (rehabilitation, therapy, skilled nursing, home health). Our unique mix of clinical and management background helps us to not only identify existing or potential compliance risk, but the ability to calculate risk and develop/implement solid solutions for resolution that have been proven to be successful with clinical and medical staff. PowerDMSTM Suite is an industry leading total software solution to compliance management. With its seamless approach to document lifecycle and e-signature management, complete certification tracking with rich course development tools and general employee management modules, compliance can be realized. PreCheck provides healthcare organizations with the information they need to preserve the integrity of their people and programs. In addition to background verification and credentialing, our suite of cost-effective risk management solutions for healthcare organizations includes outsourcing solutions for employee sanction screening, professional license management, employment verification, I-9 management, and drug screening. Call 800-999-9861 or visit the web site at www.PreCheck.com for more information. PricewaterhouseCoopers Health Industries serves as catalyst for change and the leading advisor to organizations across the health continuum. PwC draws from its broad perspective and capabilities across and beyond the health industries to help solve the array of emerging complex problems health organizations face, lead cultural and clinical transformation, and create a new, sustainable model for care delivery that is quality driven, patient centered and technology enabled. www.pwc.com/healthcare

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Exhibitors Prospective Payment Specialists

18

Prospective Payment Specialists has assisted more than 2,200 hospitals achieve their goals in the areas of compliance and the revenue cycle for 21 years. Our three primary practice areas of Chargemaster Services, Coding & Billing Validation and RAC Proactive Reviews & Appeals Support are staffed with experienced and credentialed professionals focused only on their area of specialization. We are a Preferred Vendor for 4 of the 7 largest hospital systems in the Country, many teaching facilities, Critical Access hospitals and some of the country’s leading law firms. 800-477-5017 or www.ppscompliance.com

Protiviti

521

Protiviti (www.protiviti.com) is a global consulting firm that helps companies solve problems in finance, technology, operations, governance, risk and internal audit. Through our network of more than 70 offices in over 20 countries, we have served more than 35 percent of FORTUNE® 1000 and Global 500 companies. We also work with smaller, growing companies, including those looking to go public, as well as with government agencies. Protiviti is a wholly owned subsidiary of Robert Half International Inc. (NYSE: RHI). Founded in 1948, Robert Half International is a member of the S&P 500 index.

Proven Healthcare Solutions

505

Proven Healthcare Solutions provides real-time, remote, first-level medical necessity admission review. Our service is designed to review a patient’s medical record and return a screening outcome typically within 30 minutes. There are no case minimums. We can help you fill your admission review scheduling gaps—nights, weekends or holidays. Achieve compliance with federal, state and commercial payers by placing your patients in the correct care setting from the beginning. www.provenhcs.com (800) 560-3962

Qualifacts System Inc.

920

Qualifacts is the largest SaaS provider of EHR and billing systems for behavioral health and human services providers. Qualifacts’ CareLogic Enterprise includes comprehensive, integrated clinical, financial, reporting and administrative information management capabilities, which improve clinical workflow, revenue cycle management and operational transparency. On March 22, 2011, CareLogic Enterprise received ONC-ATCB certification as a Complete EHR supporting Meaningful Use criteria for Eligible Providers; further information available at www.qualifacts.com/meaningfuluse

Quorum Health Resources

402 & 404

QHR is the 7th largest healthcare consulting firm in the country. QHR has helped more than 1,000 hospitals in the United States. QHR also manages more not-for-profit hospitals than any other company, with clients in 38 states, representing $7 billion in hospital net revenue. Our consulting clients include freestanding community acute care hospitals, multi-hospital systems, university-affiliated facilities, teaching institutions, large Catholic healthcare organizations, integrated delivery systems and hospital networks in both urban and rural markets. Our market presence and broad level of resources give us the agility and flexibility to serve almost any hospital’s specific challenge. The QHR Learning Institute provides education to more than 8,000 healthcare professionals each year. For more information, go to www.qhr.com or call toll free 866-371-4669.

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RegScan, Inc.

107

Reimbursement Management Consultants

420

Reptrax/IntelliCentrics

802

Rippe and Kingston Systems, Inc.

716

RegScan for Health Care is an online subscription-based regulatory monitoring service. With expert alert Tools to keep you Informed, RegScan has been a trusted provider of regulatory compliance management solutions since 1987. Our innovative tools can keep everyone up-to-date, so they’ll always know what to expect. Our proven technology has made us a trusted resource in the environmental market, so we’re expanding into the health care market—just in time for the Affordable Care Act. RMC is a Northwest-based consulting firm providing exceptional services nationwide since 1994. Specializing in Coding Compliance Reviews, we work with Compliance Professionals to ensure their hospitals and physician practices are in compliance with coding, billing and documentation guidelines. Our staff are highly qualified individuals with myriad experience conducting reviews for healthcare institutions, governmental agencies and attorneys. Our success is directly attributed to quality people doing quality work. Your satisfaction is guaranteed. www.rmcinc.org Reptrax, provided by IntelliCentrics, is the requested and referenced standard for healthcare vendor credentialing. IntelliCentrics is developing a full-service compliance management system to help facility administrators meet today’s stringent security requirements. We’re already helping to ensure the safety of over 4,500 facilities. Stop by our booth to learn how. Rippe & Kingston, founded in 1976, is an International Information Technology Solutions and Services firm with clients in 42 States and 8 Countries. We provide solutions and managed services to the legal and healthcare industries. Our affordable contract management service is flexible and easy to use. Built into Contract Guardian is a powerful search engine, reporting, and journaling capabilities to manage contracts. Hosted and purchased solutions available. For more information call 1-800-650-1999, email [email protected] or visit us at www.ContractGuardian.com

SAI Global Compliance

401 & 403

Strategic Management

208

SAI Global Compliance is the leading provider of enterprise governance, risk management and compliance solutions for healthcare providers. With these solutions, healthcare providers reduce risks, improve efficiencies and protect their brands using a single platform to address their comprehensive GRC requirements. The Compliance 360 solution for healthcare addresses the need for policy management, centralized regulatory management, Joint Commission Accreditation, corporate integrity agreements, adverse-event management, contract management, Medicare CMS RAC audits, self assessments, and enterprise risk management. Strategic Management is a nationally recognized consulting firm focused on delivering high-quality, innovative and timely compliance and regulatory services to clients in the health care industry. For nearly twenty years, Strategic Management has been on the forefront of regulatory and enforcement initiatives related to the health care industry, its operations and business practices. Strategic Management specializes in health care compliance management and consulting services with a specific focus on compliance program evaluations, risk assessments, HIPAA compliance, claims data analysis, litigation support, physician arrangements reviews, responding to government auditors and regulatory analysis. For more information, please visit our website at www.compliance.com or contact Arpana Narain at (703) 683-9600 or [email protected].

www.compliance-institute.org

Exhibitors TeachPrivacy, LLC

909

The UHC-AAMC Faculty Practice Solutions Center®

817

Vendor Credentialing Service (VCS)

508

Vendormate

915

Founded by the leading privacy law expert Professor Daniel Solove, TeachPrivacy provides computer-based privacy and data security training specializing in HIPAA and HITECH. Our training incorporates videos, quizzes and interactive elements which makes it highly engaging. Our philosophy: training that makes you think and makes you care. The UHC-AAMC Faculty Practice Solutions Center® provides a Webbased suite of robust benchmark data, practical analyses and decision support tools to inform clinical, operational and revenue cycle improvement initiatives for faculty physician practices. These data can be used to support your organization’s local coding and compliance efforts and help inform participation in quality reporting. VCS offers a no cost web-based vendor credentialing and compliance management program. VCS not only credentials your representatives, but also your suppliers. The VCS program, being web based, can be deployed in a few hours. The VCS program is used by leading healthcare institutions nationwide. VCS partners include GPO’s, IDN’s, 1000+ bed hospitals, Surgery Centers, Physician Offices and offsite medical offices. To find out more: www.VCSdatabase.com (281) 863-9500 Vendormate provides unique credentialing and compliance monitoring solutions for healthcare vendor companies, representatives, and contractors. These important service providers are registered, screened, and continually monitored for non-compliance. Integrated badge services control facility access based on compliance status and credentials. www.vendormate.com

Verisys (PLATINUM SPONSOR)

315

Verisys offers its flagship product, FACIS, Fraud and Abuse Control Information System, to the health care industry. FACIS is a historical and current aggregation of sanctions and disciplinary information on medical providers. Verisys is a “primary source” provider centralizing content from thousands of federal and state sources. Verisys is a CVO and is NCQA Certified and URAC Accredited. VERISYS also sources and links its data to other data like: licensing, NPI, SSN-DMF, DEA and OFACSDN. www.verisys.com

WeComply

21

WeComply, a leader in online ethics and compliance training, offers 100+ courses that are easily customized and available in multiple languages. Companies can host courses in their own LMS or use WeComply’s patented system, which provides centralized administration, custom reporting and other advanced features. Exclusive compliance training partner of ACC Alliance and Proskauer. www.WeComply.com

Widener University School of Law

Wolters Kluwer/MediRegs (PLATINUM SPONSOR)

201

YEI Healthcare

405

Zhealth & Zhealth Publishing

216

Zix Corporation

901

Wolters Kluwer Law & Business is a leading global provider of intelligent information and digital solutions. We connect legal, health care and business professionals, educators and law students with timely, specialized authoritative content and information-enabled solutions that support success through productivity, accuracy and mobility. Serving customers worldwide, Wolters Kluwer Law & Business portfolio includes products under the Aspen Publishers, CCH Incorporated, Croner, Kluwer Law International, Loislaw, Best Case, ftwilliam.com and MediRegs names. Our products are regarded as trusted resources for general legal and practice-specific knowledge, compliance, audit and risk management, dynamic workflow solutions, and expert commentary. Learn more at www.mediregs.com. We’ll be the exclusions and sanctions experts, so you don’t have to be.™ Prevent unexpected recoupments and refunds with EPStaffCheck™ by YEI Healthcare and efficiently and cost-effectively perform regular checks of all employees, contractors, vendors, and physicians. Just upload your staff and vendor rosters for immediate verification and set up time-saving updates. One low, yearly subscription gets you unlimited searches, free web training, and toll-free support. YEI Healthcare also offers off-the-shelf and custom medical necessity, coding, and a wide variety of data files and claim scrubbing services. Find out more at http://healthcare.yostengineering.com. ZHealth Publishing is all about providing “do-it-yourself ” reference guides such as: Dr. Z’s Medical Coding Series, 23-laminated CVIR Anatomy Charts, On-line CEU Web Education and Audit Services for healthcare professionals to use daily to improve coding compliance—and, in many cases—reimbursement. We focus exclusively on the specialty area we know best: interventional radiology, cardiology, and vascular surgery. www.zhealthpublishing.com Healthcare organizations and their business associates need to be mindful of the critical role email plays in their day-to-day operations. The insecure nature of email combined with its inherent high volume of traffic makes it particularly susceptible area for HIPAA-related violations. ZixCorp is the market leader for email encryption services, combining the simplicity of software-as-a-service with the convenience of customizable encryption policies. ZixCorp offers automated key hosting and sharing, resulting in a scalable, reliable, easy-to-use and simple-to-administer solution. www.zixcorp.com

117

The Health Law Institute at Widener University School of Law has been a national leader in educating lawyers and other healthcare professionals. The Law School’s Award winning Masters of Jurisprudence programs offer concentrations in Regulatory Compliance and in Legal Nurse Consulting and are now available completely online ( July 2012). http://law.widener.edu

www.compliance-institute.org

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HCCA would like to thank our CONFERENCE SPONSORS PLATINUM SPONSORS

GOLD SPONSORS

SILVER SPONSORS

CONFERENCE SUPPORTERS

MEDIA SPONSORS

DON’T GO HALFWAY.

GO 360.

MANAGE CLAIM AUDITS & CLAIMS DENIALS Using Compliance 360. Multiple audits, hundreds of claims, dozens of team members, zero free time. Miss one date and you forfeit hardearned revenue. With so much complexity - and so much at stake - only Compliance 360 offers the confidence of a 24x7 Virtual Audit Coordinator that manages every step of every audit in one central system. No gaps, no guesses, no gotchas. Visit www.compliance360.com to learn how we’re helping thousands of providers protect

GET THE 360° VIEW.

Visit Booth #401/403 To Enter A Drawing To Win Complimentary Registration To Day Egusquiza’s RAC Bootcamp in Chicago, July 22-24 2013 www.compliance360.com

MAPS

their revenues - and their peace of mind.

URAC ACCREDITED

MAPS

CREDENTIALS VERIFICATION ORGANIZATION

Gaylord National Exhibition Level

LEAD RETRIEVAL GAYLORD SERVICES

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2

CONCIERGE SERVICE

FET EXHIBITOR SERVICES

EXHIBIT HALL HCCA REGISTRATION

LUNCH WILL BE IN THE BACK OF THE EXHIBIT HALL ON MONDAY AND TUESDAY

BREAKOUT SESSIONS (SUNDAY ONLY)

BREAKOUT SESSIONS ADVANCED DISCUSSION GROUPS ON MONDAY AND TUESDAY

Gaylord National Ballroom Level

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Gaylord National Convention Ballrooms HCCA COMMONS

HCCA COMMONS: • Headshots • Internet Café • Salary Survey • Podcasting • Ask Me Desk • Bookstore

BREAKOUT SESSIONS

BREAKOUT SESSIONS

HCCA COMMONS

GENERAL SESSIONS

TRANSPORTATION TO OTHER HOTELS: PICK UP AND DROP OFF

www.compliance-institute.org

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SPEAKER READY ROOM

BREAKOUT SESSIONS

Gaylord National Conference Rooms

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Register now for

HCCA’s upcoming 2013 events Research Compliance Conference

Regional Conferences

Austin, TX • June 2–5

Puerto Rico • San Juan, PR • May 2–3 Upper North Central • Columbus, OH • May 10 Upper Northeast • New York, NY • May 17 Pacific Northwest • Seattle, WA • June 14 West Coast • Newport Beach, CA • June 21 Cascade Range • Portland, OR • June 28 New England • Boston, MA • September 9 Upper Midwest • Minneapolis, MN • September 20 Midwest • Overland Park, KS • September 27 North Central • Indianapolis, IN • October 4 East Central • Pittsburgh, PA • October 11 Hawaii • Honolulu, HI • October 17–18 Mountain • Denver, CO • October 25 Mid Central • Louisville, KY • November 8 Desert Southwest • Scottsdale, AZ • November 15 South Central • Nashville, TN • November 22 Upper West Coast • Oakland, CA • December 6 Gulf Coast • Houston, TX • December 13

AHLA/HCCA Fraud & Compliance Forum September 29–October 1 • Baltimore, MD

Clinical Practice Compliance Conference Philadelphia, PA • October 13–15

Basic Compliance Academies Scottsdale, AZ • June 3–6 New York, NY • August 5–8 Las Vegas, NV • September 16–19 Denver, CO • October 21–24 Orlando, FL • November 11–14 San Diego, CA • December 2–5

Research Basic Compliance Academies Chicago, IL • November 4–7

Health Care Privacy Basic Compliance Academies San Diego, CA • June 24–27 Chicago, IL • November 4–7

Join us again in

2014!

Web Conferences Explore hot topics for compliance professionals with instant and up‑to‑date education from the convenience of your own office. HCCA announces new conferences regularly, and prior sessions are available for purchase on CD‑ROM. Visit www.hcca-info.org for the latest updates.

Learn more about HCCA events at

www.hcca-info.org Dates and locations are subject to change.

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Essential Insight

Law360 has named King & Spalding’s healthcare practice as a Health Care Practice Group of the Year for 2012. We achieved this by delivering value and security to our clients every day.

For additional information, contact: Dennis Barry [email protected] Gary Eiland [email protected] Glen Reed [email protected] Kim Roeder [email protected] Rick Shackelford [email protected] Sara Kay Wheeler [email protected]

www.kslaw.com/health

Join us again in 2014!