Leading the Business of Healthcare

2023 Spring Compliance Course Full Schedule

2023 Spring Compliance Course

February 6th-8th, 2023
Cambria Hotel Nashville Downtown
118 8th Avenue South, Nashville, TN 37203


February 6th

7:00-8:00 - Breakfast

8:00-10:30 - Joint Session
Part 1: Compliance Program Oversight using current OIG and DOJ expectations
Presented by Holly Louie
In 2015, industry wide collaboration resulted in publication of a, Practical Guidance for Health Care Governing Boards on Compliance Oversight. That guidance remains the gold standard for developing, managing, revising and overseeing all effective compliance programs. “Although compliance program design is not a “one size fits all” issue, Boards are expected to put forth a meaningful effort to review the adequacy of existing compliance systems and functions.” This session will focus on how to appropriately customize the guidance for your organization. Attendees will receive tips, tools, resources and multiple guidance documents to help them improve existing programs or build new ones. Companies too small for governing boards will learn how to implement effective oversight that fits.

Part 2: Compliance Officer and Committee
Presented by Carrie Aiken
Your compliance program is dependent on leadership and effectiveness in oversight.   As stewards of your culture, these roles are essential to maintaining the fitness and applicability of your program while promoting ethics and being champions for change.  In this session, learn more about these roles, their accountability, and what it means to be corporately responsible in this age of litigation, liability, and enforcement.

10:30-11:00 - Break

11-12:30 - Privacy, Security and the Cyber Connection
Presented by Carrie Aiken
With 20 years into HIPAA and other privacy and security regulations, this session will recap the fundamentals and challenge you to think beyond the core regulations.  We will discuss industry trends, influencing authorities, and how enforcement continues to shape the landscape.  Concepts around ancillary regulations such as GDPR, CCPA and others will be layered with considerations for your cyber posture.   Join us to explore how to advance your privacy and security program, keep it fresh, and maintain a state of readiness to respond.

12:30-1:45 - Lunch

1:45-3:15 - Cyber Insurance Coverage Requirements
Presented by Richard Raue
Not sure if you're fully covered in case of a cyber event? Losing sleep over risks lurking in your network and with your employees? Not sure if your data is already on the dark web?
This hands-on session will go through several insurance carriers' cyber liability insurance applications. We'll cover what risks can be avoided, what has to be mitigated, what's safe to accept, and what must be insured against with cyber liability insurance.
Upon completion, attendees will better understand what Cyber Liability Insurance covers and what your organization needs to implement in order to get the most comprehensive coverage for the best premium. You will feel more confident in the protection that your policies and procedures provide, your employees will start to embrace cyber security, and your organization will see a shift towards a culture of compliance.                                                     

3:15-3:30 - Break

3:30-5:00 - Risk Assessments Using Current OIG and DOJ Expectations
Presented by Holly Louie
Well done risk assessments are your best and most valuable compliance friend. Risk assessments are a daily opportunity to keep your finger on the pulse of compliance in your company.  They should be quantitative, relevant, and customized to each company, their clients and employees. Well done risk assessments are the basis for education and training, policies, procedures, auditing, monitoring and managing each company’s unique risks. Using OIG and DOJ guidelines, recommendations, tools, and faculty tips, this session will help attendees understand the many practical ways to tackle risk assessments for their company. 

5:15-7:00 - Reception


February 7th

7:00-8:00 - Breakfast

8:00-9:30 - Education and Training; proving effectiveness
Presented by Carrie Aiken
Teaching compliance can be challenging because you must achieve balance and address regulations while providing guidance on real life application.  If you cover everything, you can run the risk of oversaturating employees and missing the critical compliance picture.  This session will review how you focus your training, innovative ways to communicate compliance to employees and clients, and connecting the dots for employees between rules and reality.

9:30-9:45 - Break

9:45-11:15 - Surprise Billing
Presented by Holly Louie
The “No Surprises” regulations added multiple surprises to the entire healthcare industry.  The requirements are onerous, expensive to implement, difficult to manage and have far reaching operational compliance risks. Whether your clients are provider (hospital) based, physician offices, urgent care or other types of entities, the challenges will continue for the foreseeable future.  This session will focus on RCM companies’ experiences in the trenches.  What have we learned that can help your company? In addition, attendees will explore other rules related to patient medical bills and what you and your clients need to know.

11:15-11:30 - Break

11:30-12:30 - HBMA Government Relations Update
Presented by Matt Reiter

12:30-2:00 - Lunch

2:00-3:30 - Coding compliance for RCM companies
Presented by Holly Louie
Whether you code or think you don’t code, coding is high risk.  The complete overhaul of E/M codes has created multiple new risks for your clients and your company. How will you use your data to analyze if new patterns are normal or aberrant? Do your clients really understand the new rules? Are your clients billing based on time?  How many AMA CPT© and CMS discrepancies affect your clients? Are your MAC E/M interactive CPT coding tools accurate? Does physician documentation meet the new code requirements? This session will focus on practical operational management of the new and ever increasing E/M risks.

3:30-3:45 - Break

3:45-5:00 - The patchwork quilt of Compliance
Presented by Carrie Aiken
Compliance programs today often focus on the key elements of an effective compliance program.  But how are you factoring in other critical regulations that must be considered to make your program truly effective and comprehensive?  This session will review those side bar regulations which are necessary to our success but often overlooked including telehealth, interoperability, PCI-DSS, TCPA, Red Flag Rules, Anti-Trust, and others.  These should tie into your policies and be complimentary to your overall program to meet expectations and provide assurance to your providers.

5:15-7:00 - Reception


February 8th      

7:00-8:00 - Breakfast

8:00-10:00 - Service Contracts and Business Associates
Presented by Paul Kim
Like following the letter of the law, your provider clients and you must also follow the four corners of your contracts.  Therefore, it is important to address issues comprehensively in your contracts to not only provide answers but also avoid disputes.  This session will outline the must-have provisions in both your service contracts and HIPAA business associate agreements.  In addition to offering sample language and the perspectives of your provider clients, this session will also provide practical tips on how you can negotiate to your benefit.

10:00-10:30 - Break

10:30-12:00 - Hot Topics
Presented by Carrie Aiken, Holly Louie, and Paul Kim
Carrie, Holly and Paul will lead this session that will tackle multiple hot topics and burning questions. This is intended to be an interactive opportunity.  Attendees are encouraged to send topics and questions you want the faculty to discuss.