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Register before January 6, 2009, and save $200! February 22–24, 2009 | Scottsdale, AZ Managed Care Compliance Conference HCCA’s Managed Care Compliance Conference provides essential information for individuals involved with the management of compliance at health plans. Plan to attend if you are a compliance professional from a health plan (all levels from officers to consultants); in-house and external counsel for a health plan; internal auditor from a health plan; regulatory compliance personnel; or managed care lawyer. Topics to be covered may include: compliance risk monitoring and auditing; application of Sarbanes Oxley requirements to non-profit health plans; ethics and building an ethical culture; board involvement in compliance; Medicare Prescription Drug Plan compliance and audit experience; New York's Medicaid compliance guidance for managed care plans; and HIPAA privacy and security challenges at health plans. 888-580-8373 | www.hcca-info.org
Speakers Sharon Anolik Blue Cross Blue Shield of California San Francisco, CA General Session Speaker: Hot Topics from the Medicare & Medicaid Services Kim Brandt Director, Program Integrity Group Center for Medicare and Medicaid Services Baltimore, MD Elizabeth Browning, CHC Compliance Manager Fallon Community Health Plan Worcester, MA Steve Bunde CPA, CFE, CHC Sr. Director of Corporate Integrity & Internal Audit Health Partners Minneapolis, MN Leila A. Daiuto Director, Life Sciences & Healthcare Axentis, Inc. Cleveland, OH Dorothy DeAngelis Managing Director Huron Consulting Group Charlotte, NC Anne Doyle Executive VP/ Chief Compliance Officer Fallon Community Health Plan Worcester, MA Lori Dutcher Vice President Compliance MSSA Kaiser Foundation Health Plan Pasadena, CA Libby Easton-May Manager Huron Consulting Group Simsbury, CT Gary Fitzgerald Director Compliance & Regulatory Affairs Harmony Health Plan of IL, Inc. Chicago, IL Jeannette Frey Privacy Officer Fallon Community Health Plan Waltham, MA Dan Garcia Senior Vice President Kaiser Permanente Oakland, CA William Gedman VP Audit, Fraud & Abuse UPMC Health Plan Pittsburg, PA Annmarie Gover Medicare Compliance Officer Capital BlueCross Harrisburg, PA Kim Green Compliance Officer Blue Cross Blue Shield of Minnesota Minneapolis, MN Lucia Guidice Director, Healthcare Advisory Practice PricewaterhouseCoopers, LLP Boston, MA Jason Hall Interim Regional Compliance Officer Hawaii Region, Kaiser Permanente Hawaii Rebecca Learner Senior VP & Compliance Officer SCAN Health Plan Long Beach, CA Sandra Miller Director of Government Compliance Blue Cross Blue Shield of Minnesota St. Paul, MN Christian Presley Compliance Officer Blue Cross Blue Shield of Massachusetts Boston, MA Rick Shackelford Partner King & Spalding, LLP Atlanta, GA General Session Speaker: NYS–OMIG Compliance Guidance for Medicaid Managed Care Jim Sheehan Associate U.S. Attorney Office of the Medicaid Inspector General Albany, NY Linda Tomaselli Partner Epstein Becker & Green PC Washington, DC General Session Speaker: Hot Topics from the Medicare & Medicaid Services Brenda Tranchida Program Compliance and Oversight Group, Center for Drug and Health Plan Choice Centers for Medicare and Medicaid Services Baltimore, MD Matt Weber Partner Holland & Hart LLP Denver, CO Deb Ziegler Corporate Compliance Officer Capital Blue Cross Harrisburg, PA Health Care Compliance Association • 888-580-8373 • www.hcca-info.org 71 October 2008
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Volume Ten Number Ten October 2008
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INSIDE Publisher: Health Care Compl
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which ensures that the understandin
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Table 1: 14 CLAS Standards U.S. Dep
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Scholarship Recipients The Four Dua
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and need emergency care (e.g., an i
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Court analyzes first case under Sta
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It was established in 1969 in respo
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and get linked up with e-newsletter
Page 19 and 20: Social networking Many compliance p
Page 21 and 22: Focus on Organizational Compliance
Page 23 and 24: Medicare’s medical necessity crit
Page 25 and 26: Is no notice enough notice Legal pr
Page 27 and 28: Exploring the question: Does this r
Page 29 and 30: “Does this really make a complian
Page 31 and 32: Certification - the recognized mark
Page 33 and 34: suffice. This potential error can b
Page 35 and 36: Introducing Compliance & Ethics Soc
Page 37 and 38: who typically sell multiple plans o
Page 39 and 40: n State OIG that fight Medicaid fra
Page 41 and 42: Coordinating external requests for
Page 43 and 44: The what, why and how of Medicare C
Page 45 and 46: The what, why and how of Medicare C
Page 47 and 48: to hear the message first. Educatin
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Page 51 and 52: or whistleblower lawsuit. Moreover,
Page 53 and 54: SEC Disclosure: Managing informatio
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Page 81 and 82: When to use a monitor Although some
Page 83 and 84: ASKLEADERSHIP John asks the leaders
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Page 87 and 88: Corruption enforcement actions targ
Page 89 and 90: “I am a compliance professional a
Page 91 and 92: n M. Michelle Walker, LifePoint Hos
Page 94: 600 U.S. BANK PLAZA SOUTH 220 SOUTH
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