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6 Program Agenda 604. Vendor Exclusions: What You Don’t know Could Get You in Trouble (not repeated) Carla Wallace ••Government expectations and Affordable Care Act implications ••Screening best practices ••OIG mandatory surveys & enforcement actions 605. Implementing Compliance Programs for Accountable Care Organizations (not repeated) Amy K. Fehn ••Learn about specific regulatory requirements for compliance programs in Accountable Care Organizations chosen for the Medicare Shared Savings Program including Compliance Officer qualifications and program requirements ••Discuss specific risk areas for Accountable Care Organizations and associated penalties ••Discuss auditing and monitoring for effective compliance in Accountable Care Organizations and organizational reporting issues 606. What Compliance Officers Need to Know about Hospital Readmissions (repeat of 105) 10:45 am–12:15 pm (EXTENDED SESSIONS) 701. 50 Shades of Gray: Strategies for Hospital-Physician Alignment in Light of Recent Developments (repeat of V) 702. Voluntary Disclosures under the OIG and CMS Self-Disclosure Protocol (repeat of 201) 703. False Claims Acts Practice—It Ain’t the Same Since It All Changed: Real World Update (repeat of 203) 704. The Compliance Conundrum: What to Do When a Potential Whistleblower Appears in Your Office? (not repeated) Jamie M. Bennett/Mark Pastin/Robert S. Salcido ••What questions should be asked at initial interview when an informer communicates compliance concerns. ••Steps that should be undertaken to ensure that the informer does not experience adverse employment action stemming from the disclosure. ••Considerations that should be evaluated when developing an action plan to investigate the informer’s allegations 705. Medicaid Fraud Enforcement Update 2012 (repeat of 202) 706. Compliance and Criminal and Civil Liability for Overpayments (repeat of 204) 12:15–1:30 pm Lunch on your own or attend the HCCA Membership Luncheon (additional fee; limited attendance; pre-registration required; see page 11) 1:45–2:45 pm 801. ACO Valuation Issues and Economic Challenges in Light of the Regulatory Guidance (repeat of 302) 802. Antikickback and Stark Update (repeat of 502) 803. Using Data to Identify Fraud, Waste and Abuse Risks (not repeated) Judi McCabe ••Define fraud, waste and abuse and understand common fraud schemes ••Methods and tools to obtain and analyze data ••Aberrant utilization patterns: a case study in understanding the data 804. A New Era of Enforcement: An Update on Exclusions and Living under a Corporate Integrity Agreement (not repeated) Jacqueline Baratian/Geeta Wadhwa Kaveti/Thomas E. Zeno ••Exclusion – mandatory versus permissive; the effect of exclusion; criteria used for its imposition; OIG’s focus on executive liability; examples of exclusion will be discussed ••The OIG’s usage of Corporate Integrity Agreements in exchange for exclusion releases – common practices; engaging with the OIG ••What it is like to live under a Corporate Integrity Agreement – CIA implementation; working with the OIG; using Independent Review Organizations 3:00–4:00 pm 901. Lessons from the Front Lines: How Providers Are Responding to the 60-Day Refund Rule (repeat of 402) 902. Medicare Advantage and Part D Plans: Getting Your House in Order (repeat of 405) 903. The Stark Battle: Outside Counsel and Compliance—A Team Approach (not repeated) Dwight Claustre/Julie E. Kass ••When to bring outside counsel into the disclosure process ••Methods for investigating and identifying those issues which fall through the cracks ••What process to use for determining a need to disclose, to whom to disclose and what to disclose 904. Developing an Effective ACO Compliance Program (repeat of 106) WEDNESDAY, OCTOBER 3, 2012 9:00–11:00 am Certified in Healthcare Compliance (CHC) ® Certification Examination (optional) The cost of this optional examination is not included in the conference registration fee. To register for the examination, complete the separate examination application and mail or fax as directed on the application. For a link to the application, visit www.hcca‑info.org and look for information on the AHLA/HCCA 2012 Fraud & Compliance Forum.
Speakers PLANNING COMMITTEE (ALSO SPEAKING) Joan P. Dailey, Esq., Senior Attorney, Office of the General Counsel, US Department of Health and Human Services, Washington, DC Shawn Y. DeGroot, CHC‑F, CCEP, CHRC, Vice President of Corporate Responsibility, Regional Hospital, Rapid City, SD Gabriel L. Imperato, Esq., Broad & Cassel, Fort Lauderdale, FL Kevin G. McAnaney, Esq., Law Offices of Kevin McAnaney, Washington, DC Kathleen McDermott, Esq., Morgan Lewis & Bockius LLP, Washington, DC Michael W. Paddock, Esq., Crowell & Moring LLP, Washington, DC Daniel R. Roach, Esq., Vice President Compliance and Audit, Dignity Health, San Francisco, CA SPEAKERS Amy Bailey-Muckler, CHC, CPC, CPC‑H, CPC‑I, CCS‑P, HC Healthcare Consulting LLC, Atlanta, GA Cliff Baker, Managing Partner, Meditology Services, Atlanta, GA Jacqueline Baratian, Chief Compliance Officer/Vice‑President, Maxim Healthcare Services, Columbia, MD Thomas E. Bartrum, Esq., Baker Donelson Bearman Caldwell & Berkowitz PC, Nashville, TN Thomas Beimers, Esq., Faegre Baker Daniels LLP, Minneapolis, MN Robert Belfort, Esq., Manatt Phelps & Phillips LLP, New York, NY Jamie M. Bennett, Esq., Ashcraft & Gerel LLP, Landover, MD Timothy P. Blanchard, Esq., Blanchard Manning LLP, Orcas, WA Kimberly Brandt, Esq., CHC, Chief Healthcare Investigative Counsel, US Senate Finance Committee, Washington, DC Robert M. Brennan, Esq., Parker Hudson Rainer & Dobbs LLP, Atlanta, GA Julie Burns, Esq., Office of the General Counsel, US Department of Health and Human Services, Washington, DC Dwight Claustre, CHC, CHRC, Health Care Compliance Professional, Sun City West, AZ Timothy F. Cleary, FACHE, FHFMA, CHC, CHRC, Senior Vice President Compliance, Internal Audit and Privacy, Health Quest Systems, Inc., Lagrangeville, NY Katherine A. Connelly, CCPA, MBA, Director, Compliance Coding, Billing & Audit, Partners Healthcare Systems, Inc. Charlestown, PA Kevin A. Cornish, National Director Healthcare, Navigant, Phoenix, AZ Thomas S. Crane, Esq., Mintz Levin Cohn Ferris Glovsky & Popeo PC, Boston, MA and Washington, DC Dorothy DeAngelis, Senior Managing Director\ Forensic and Litigation Consulting, FTI Consulting, Charlotte, NC Gregory Demske, Esq., Chief Counsel to the Inspector General, Office of Inspector General, US Department of Health and Human Services, Washington, DC William A. Dombi, Vice President for Law, National Association for Homecare, Washington, DC Michael Ebert, Partner, Advisory Services, KPMG, Philadelphia, PA Laura E. Ellis, Esq., Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC John Falcetano, CHC‑F, CCEP‑F, CHRC, CHPC, Chief Audit & Compliance Officer, Vidant Health, Greenville, NC Amy K. Fehn, Esq., Wachler & Associates PC, Royal Oak, MI LeeAnn Foltz, JD, CHC, Compliance Resource Consultant, Wolters Kluwer Law & Business, Walton, KY Laurence J. Freedman, Esq., Patton Boggs LLP, Washington, DC Stephen J. Gillis, Director, Office of Billing Compliance, Massachusetts General Hospital, Massachusetts General Physician Organization, Boston, MA David M. Glaser, Shareholder, Fredrikson & Byron, Minneapolis, MN Ankur J. Goel, Esq., McDermott Will & Emery LLP, Washington, DC Michael D. Granston, Esq., Deputy Director, Civil Fraud Section, Civil Division, US Department of Justice, Washington, DC Steven A. Greenspan, JD, LLM, Vice President, Regulatory Affairs, Executive Health Resources, Newtown Square, PA Lauren N. Haley, Esq., McDermott Will & Emery LLP, Washington, DC Gary W. Herschman, Esq., Sills Cummis & Gross PC, Newark, NJ Robert G. Homchick, Esq., Davis Wright Tremaine LLP, Seattle, WA Patric Hooper, Esq., Hooper Lundy & Bookman PC, Los Angeles, CA Joseph C. Hudzik, Esq., Deputy Director, Division of Technical Payment Policy, Centers for Medicare and Medicaid Services, Baltimore, MD Robert Hussar, Esq., Manatt Phelps & Phillips LLP, Albany, NY Margaret Hutchinson, Esq., Assistant US Attorney, Chief Deputy for Affirmative Litigation, Civil Division, US Attorney General’s Office Eastern District of Pennsylvania, Philadelphia, PA Albert D. Hutzler, Esq., HealthCare Appraisers, Inc., Delray Beach, FL Julie E. Kass, Esq., OBER | KALER, Baltimore, MD Geeta Wadhwa Kaveti, Senior Counsel, Office of the Inspector General, U.S. Department of Health and Human Services, Washington, DC Richard G. Korman, Esq., General Counsel, Avera Health, Inc., Sioux Falls, SD Tony R. Maida, Esq., Deputy Chief, Administrative & Civil Remedies Branch, Office of the Inspector General, US Department of Health and Human Services, Washington, DC Judi McCabe, RN, MSHP, CHC, CPQA, Surveillance and Utilization Review (SUR), TMF Health Quality Institute, Austin, TX Mark Moskovitz, Deputy Director, Medicaid Fraud Division, Office of the State Comptroller, Medicaid Inspector General, Trenton, NJ Daniel Mulholland, Esq., Horty Springer & Mattern PC, Pittsburgh,PA Daniel J. Mulvanny, Esq., Vice President and General Counsel, Peninsula Regional Medical Center, Salisbury, MD Robert H. Ossoff, DMD, MD, CHC, Assistant Vice Chancellor, Compliance and Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN Mark Pastin, PhD, President, Health Ethics Trust/Compliance Resource Group, Inc., Alexandria, VA Robert M. Penezic, Esq., Associate General Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC Marc S. Raspanti, Esq., Pietragallo, Gordon, Alfano, Bosick & Raspanti, LLP, Philadelphia, PA Myla Reizen, Esq., Jones Walker Waechter Poitevent Carrere Denegre LLP, Miami, FL Laura Roberts, Director, Corporate Compliance, Catholic Health East, Newtown Square, PA Richard Roberson, Esq., Bradley Arant Boult Cummings LLP, Jackson, MS Colin T. Roskey, Esq., Alston & Bird LLP, Washington, DC Robert S. Salcido, Esq., Akin Gump Strauss Hauer & Feld LLP, Washington, DC Richard L. Shackelford, Esq., King & Spalding LLP, Atlanta, GA Kathleen Sharp, author, Blood Feud Albert W. Shay, Esq., Morgan Lewis & Bockius LLP, Washington, DC Frank E. Sheeder, III, Esq., DLA Piper, Dallas, TX James G. Sheehan, Esq., Chief Integrity Officer/ Executive Deputy Commissioner, NYC Human Resources Administration, New York, NY Sarah E. Swank, Esq., OBER | KALER, Washington, DC Harvey M. Tettlebaum, Esq., Husch Blackwell LLP, Jefferson City, MO Debbie Troklus, CHRC, CHC‑F, CCEP‑F, CCEP‑I, CHPC, Managing Partner, Aegis Compliance and Ethics Center, Chicago, IL Sheryl Vacca, CHC‑F, CCEP, CCEP‑I, CHRC, CHPC, SVP/Chief Compliance & Audit Officer, University of California, Oakland, CA Lawrence W. Vernaglia, Esq., Foley & Lardner LLP, Boston, MA Andrew B. Wachler, Esq., Wachler & Associates PC, Royal Oak, MI Robert A. Wade, Esq., Krieg DeVault LLP, Mishawaka, IN Carla Wallace, Associate Vice President, Compliance, Quorum Health Resources, Brentwood, TN Judith A. Waltz, Esq., Foley & Lardner LLP, San Francisco, CA Jack Wenik, Esq., Sills Cummis & Gross PC, Newark, NJ Richard Westling, Esq., Waller Lansden Dortch & Davis LLP, Nashville, TN Joseph E.B. White, Esq., Director of Legal Education, Nolan & Auerbach PA, Philadelphia, PA Marlan B. Wilbanks, Esq., Wilbanks & Bridges LLP, Atlanta, GA Jennifer Neyan Willcox, JD, Deputy General Counsel, Yale New Haven Health System, New Haven, CT Jennifer Williams, Esq., Senior Counsel, Office of the Inspector General, US Department of Health and Human Services, Washington, DC Thomas E. Zeno, Of Counsel, Squire Sanders (US), LLP, Washington, DC, and Cincinnati, OH 7
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