Two Day Conference – All About Compliance.

The Collaborative Compliance Conference
Virtual Only | August 29-30 | Earn CEUs or CLEs

Collaborative Compliance Conference 2023

Tuesday, August 29, 9:00 AM - 10:00 AM, MT

GS1 /Recent Updates to the DOJ Compliance Program Evaluation Document /Jeffrey B Miller, Esq
In this session, Jeffrey Miller, Esq., an experienced chief compliance officer and attorney, will delve into the DOJ’s most recent pronouncements on what makes compliance programs legitimate and effective, providing strategic and practical advice on establishing or improving your program. If you want your compliance program to run efficiently and effectively, and stand up to DOJ scrutiny, this program is for you.

Tuesday, August 29, 10:15 AM - 11:30 AM, MT

1A / Compliance Enforcement Update Related to Medically Unnecessary Services / Timothy P Blanchard MHA, JD
In this session, we’ll discuss underlying coverage/payment requirements, developments in claims processing and post-payment reviews, evolving provider enrollment implications, and False Claims Act litigation and settlements.

1B / Transgender Patient Care: How You Can Help / Trent Stechschulte & Karen Owens
While federal and state insurers have implemented regulatory changes to require coverage of services for transgender individuals based on application of mental health parity under MHPAEA and other laws, organizations continue to struggle to find a consistent standard of care and scope of coverage. This session will examine these laws and provide options for consideration. Contemporaneously, transgender individuals are the targets of pending legislation in several states and have seen an alarming increase in crime based on gender and/or sexual orientation. This session will also provide an overview and analysis of pending bills and laws in various states. Additionally, issues of equity and allyship to help organizations become more welcoming for transgender males and females will be discussed.

Tuesday, August 29, 12:30 PM - 1:45 PM, MT

2A / Telehealth Beyond the Pandemic / Stephanie M Sjogren, COC, CPC, CDEO, CPMA, CRC, CPC-I
Now that the public health emergency has ended, we must consider rules that we haven’t needed in three years, updated rules, and newly created rules. This session will highlight medical coding and billing rules in effect as of May 12, 2023, and what we need to look for in our compliance audits. We will discuss virtual check-ins, audio-only services, the Consolidated Appropriations Act, OIG audits pertaining to telehealth, proper place of service reporting, appropriate modifier usage, and more.

2B / Compliance Plan Effectiveness / Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CGSC, COPC, Approved-Instructor
In this session we will talk about how to develop, maintain, and monitor compliance policies that are most beneficial to your practice. Through hot spots, benefits, and template use, attendees will learn the skills needed to enact a diverse compliance program.

Tuesday, August 29, 2:15 PM - 3:30 PM, MT

3A / HIPAA Privacy: Right of Access Considerations in 2023 / Astara N Crews, CPC, CPEDC
In this presentation, we’ll review the new HIPAA regulations and changes to other laws that covered entities have to take into account for a patient’s right to access their protected health information. The session will include a brief review of the next major updates, tips, and what to expect from the Office of Civil Rights final rule in 2023.

3B / Making the Connection Between HIPAA Security and Patient Care / Sabrina Skeldon, CPC-A, CPMA, CRC
In this session, we’ll discuss statutory HIPAA security requirements, scenarios where failure to address HIPAA security has resulted in criminal and civil liability, and how to manage HIPAA related risks.

Tuesday, August 29, 4:00 PM - 5:15 PM, MT

4A / Understanding the Compliance Program Requirement for SNFs as Part of the RoPs / Paige Pennington
Effective Oct. 24, 2022, CMS surveyors began assessing compliance with 42 CFR §§483.85 (F895) and 483.95(f) (F946). These FTags are part of the phase 3 implementation of the 2016 reform of requirements for long-term care facilities. This session will cover the differences between the long-standing OIG Compliance Program Guidance for Nursing Facilities published in 2000 and supplemented in 2008 and the more recent Requirements of Participation (RoPs). Additionally, this session will provide compliance professionals with tips for responding to surveyor probes during the recertification survey process for requirements at F895 and F946. Attendees will learn about the various sources of compliance program requirements and guidance, their similarities, and differences. Tips for customizing a compliance program based on organization size will be offered, as well as how to prepare responses to surveyor probes related to the compliance program RoPs.

4B / Price Transparency and the No Surprises Act / Stacy Nicole Harper , JD, MHSA, CPC
The No Surprises Act (NSA) and other transparency laws have changed the way that providers and payers communicate regarding the cost of healthcare services. This presentation will focus on the initial requirements and impacts to healthcare payers, providers, and facilities. We’ll discuss requirements under the NSA, review the notice requirements for uninsured and out-of-network patients, assess the status of transparency requirements, develop strategies for provision of the good faith estimate, and consider recent CMS audit and compliance activity. We’ll also identify additional requirements that are yet to come and talk about things that every provider needs to know and best practices to ensure compliance and minimize risk of non-compliance or enforcement.

Wednesday, August 30, 9:00 AM - 10:15 AM, MT

GS2 / Regulatory Headwinds in Medicare Advantage and Value-based Care / Khushwinder Singh MD MHA, CPC, CPCO, CPMA, CRC & Mary Inman
In this session, you’ll learn about the latest compliance regulatory releases from the OIG, CMS, and others, as well as new developments in various FCA litigations, OIG audits, and DOJ actions. You will also gain insight into how the new RADV rule affects Medicare Advantage health plans.

Wednesday, August 30, 10:30 AM - 11:45 AM, MT

5A / Developing a Compliance Audit Plan for Revenue Cycle Activities / CJ Wolf MD MEd CPC COC, COC, CPC
A great number of compliance enforcement activities simply follow the money, which your compliance audit plan should take into account. Much of your proactive compliance auditing and monitoring activities should involve revenue cycle activities. In this session, we’ll review compliance enforcement action related to the revenue cycle, outline a process for creating an audit plan that includes revenue cycle activities, and explore clinical scenarios and medical necessity that can impact revenue cycle compliance.

5B / How to Build a Robust Managed Care Program / Khushwinder Singh MD MHA, CPC, CPCO, CPMA, CRC & Jeff De Los Reyes
Join this session to learn about the compliance obligations related to Medicare Advantage data submissions for payment integrity. You’ll learn how to prepare your compliance-focused risk adjustment programs based on the latest from OIG and CMS and compliance regulatory issues. You will also gain insight into how to prepare for the RADV rule affecting Medicare Advantage health plans.

Wednesday, August 30, 12:00 PM - 1:00 PM, MT

GS3 / Networking Lunch

Wednesday, August 30, 1:15 PM - 2:30 PM, MT

6A / How the False Claims Act Impacts Coders and Other Healthcare Professionals / Edward Baker
The U.S. Supreme Court recently issued a unanimous decision to uphold the application of the False Claims Act, even when the underlying regulatory guidance that serves as the basis for an alleged violation is less than perfectly clear. What is the significance of this decision for medical coders and other healthcare professionals? And what are the lessons that can be drawn for coders from recent False Claims Act enforcement actions by the U.S. Department of Justice and State Attorney Generals? Find out in this presentation by a former Assistant U.S. Attorney and MFCU Director who now represents whistleblowers in healthcare fraud cases.

6B / EMTALA Review / Michelle Williams
In this session, we’ll review the basic elements of the Emergency Medical Treatment and Labor Act (EMTALA) law requirements, enforcement examples related to EMTALA, and best compliance practices for preventing, detecting, and/or correcting EMTALA non-compliance.

Wednesday, August 30, 3:00 PM - 4:15 PM, MT

7A / Navigating Opioid Compliance: Ensuring Safe and Responsible Documentation Practices / Heather Greene, CPC, CDEO, CIC, CPMA, CRC, Approved-Instructor
Join this enlightening and informative session as we take a deep dive into mental health documentation. We’ll uncover the most common documentation pitfalls and transform them into opportunities for mastery. We’ll open the vault of auditors’ secrets by revealing the top missed documentation/audit issues, offer possible solutions to documentation concerns, and review an auditor’s wish list to share auditors’ tips for documentation improvement.

7B / Stark and Anti-Kickback Fundamentals / Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC
This presentation will address the fundamentals of the Stark Law and Anti-Kickback Statute. Attendees will learn key definitions and the basics regarding established exceptions/safe harbors under the rule. With this information, attendees will have sufficient knowledge to identify potential Stark and Anti-Kickback issues for more in-depth analysis by transactional health law counsel.

Bring your team

Discounted packages for teams.

This gives your department a convenient way to stay current on specialty-specific topics and earn CEUs or CLEs if needed. Contact us today to learn more about special group pricing.

2023 Collaborative Compliance Conference Picture