Collaborative Compliance Conference

Monday, February 22, 2021

General Session

10:00 AM - 11:00 AM | 1.00 CEUs CPMA, COC, CPC, CPC-P, CPB, CPCO, CPPM

GS1:OIG Priorities, Enforcement, and Compliance for Coders

Gregory Demske; Chris Schrank

Exhibit Hall

11:15 AM - 11:30 AM

EH1:Break

Breakout Session 1

11:30 AM - 12:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM

1A:Telemedicine – Regulatory and Compliance Issues

Kyle Faget

This session will focus on key telehealth regulatory and compliance issues faced by healthcare providers. Topics include: key terms, licensure, practice standards, required modalities, prescribing controlled substances, privacy, and coverage and reimbursement. Standards applied during the public health emergency will also be addressed.

11:30 AM - 12:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM

1B:2021 E/M Guidelines - Risk Associated with Coding for Time

Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC

In this session we will discuss compliance risks associated with the new 2021 E/M time guidelines for office and outpatient services. We will discuss best practices to implement time based coding.

Exhibit Hall

12:45 PM - 1:00 PM

EH2:Break

Breakout Session 2

1:00 PM - 2:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

2A:Enforcement trends, Compliance and the False Claims Act.

Michael E Paulhus; Marissel Descalzo

This session will cover OIG Enforcement Trends, current state of False Claims Act and important cases, along with compliance pointers for evolving enforcement Trends.

1:00 PM - 2:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM

2B:Telemedicine - Documentation and Coding Requirements

Stephanie M Sjogren, CPC, CDEO, CPMA, CPC-I

Telemedicine is here to stay! With updated 2021 CPT outpatient/office E&M coding requirements the focus now is on quality over quantity in provider documentation. So how do you create meaningful documentation, templates and compliance plans? This session will focus on how to document, review documentation and code telemedicine services. Current regulatory information surrounding telemedicine will be reviewed and discussion on possible shifts in the future.

Exhibit Hall

2:15 PM - 2:30 PM

EH3:Break

Breakout Session 3

2:30 PM - 3:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

3A:Fraud and Abuse Anti-Kickback

Brett McNeal; Stephen Angelette

This session will provide outside counsel and in-house counsel perspectives on: •Anti-Kickback Statute and when it applies •Role of Anti-Kickback Statute in transactional matters from strategic and operational design to implementation •Impact of Regulatory Sprint initiative relative to the Anti-Kickback Statute regulatory safe harbors •The Biden Administration policy initiatives and Congressional behavior •Life cycle of investigations into allegations of violations of Anti-Kickback Statute

Breakout Session 4

2:30 PM - 3:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEDC, CPB, CPCO, CPPM

3B:Understanding Audit Risks in the ED

Marianne Durling MHA, RHIA, CCS, CDIP, CPC, CPCO, CIC, Approved-Instructor

This session will focus on audit risk aread for EDs. Learn the most common areas of compliance concern for emergency departments. We will review the risks and things you should be doing ahead of an audit.

Exhibit Hall

3:45 PM - 4:00 PM

EH4:Break

Breakout Session 4

4:00 PM - 5:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

4A:The Stark Law: Past, Present and Future

Albert Shay

•Requirements of the Stark Law, how it differs from the AKS, and provide examples of its application. •Compliance challenges created by the Stark Law and CMS’ regulatory responses to these challenges. •Potential consequences when hospitals and others fail to comply with the Stark Law and review several of the more significant Stark Law settlement. •CMS’ new Value-Based exceptions in response to the Regulatory Sprint to Coordinated Care.

Breakout Session 3

4:00 PM - 5:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, Approved-Instructor, CANPC, CCC, CCPC, CCVTC, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPC-9, CPCD, CPCO, CPEDC, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

4B:2021 E/M Guidelines - Compliance Concerns for Medically Relevant History and Exam

Jaci J. Kipreos, COC, CPC, CDEO, CPMA, CPC-I, CEMC

The 2021 E/M guidelines for office and outpatient services no longer require quantifiable elements for history and exam. The new guidelines require a medically appropriate history and exam. In this session we will discuss best practices for compliant documentation to support the new guidelines.

Tuesday, February 23, 2021

General Session

10:00 AM - 11:00 AM | 1.00 CEUs CPMA, COC, CPC, CPC-P, CDEO, CEMC, CPB, CPCO, CPPM

GS2:Compliance Implications Secondary to COVID-19 Panel

Exhibit Hall

11:15 AM - 11:30 AM

EH5:Break

Breakout Session 5

11:30 AM - 12:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

5A:Understanding the (not so) Voluntary Disclosure Rule

Michael D Miscoe, Esq, CPC, CPCO, CPMA, CASCC, CCPC, CUC

This session will address the voluntary disclosure and refund requirements imposed under the FERA and ACA amendments to the False Claims Act. Each element of the rule will be addressed in detail to include when the 60 day reporting clock begins to run, what constitutes credible information of a potential overpayment, and what constitutes reasonable diligence once credible information of an overpayment is received. This session will also address how audit findings should be drafted to preclude inappropriate disclosure liability, risks and penalties for non-compliance and the submission requirements when an overpayment is discovered.

11:30 AM - 12:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CIC, CPB, CPCO, CPPM, CRC

5B:Compliance Concerns in Risk Adjustment

Jeffrey B Miller Esq; Sheri Poe Bernard, COC, CPC, CDEO, CRC, CPC-I

On March 30, 2020 the DOJ initiated a lawsuit against Anthem for allegedly submitting inaccurate Medicare Advantage chart reviews to CMS for risk adjustment, stating that “Anthem knowingly disregarded its duty to ensure the accuracy of the risk adjustment diagnosis data that it submitted to [CMS] for hundreds of thousands of Medicare beneficiaries." This presentation provides participants with up-to-date useful information and practical insights into the Anthem/DOJ dispute, with tools that they can use to improve RA coding for their clients and practices.

Exhibit Hall

12:45 PM - 1:00 PM

EH6:Break

Breakout Session 6

1:00 PM - 2:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

6A:The Compliance Board

CJ Wolf MD MEd CHC CIA, COC, CPC

Making sure your compliance program meets all the recommendations for an effective compliance program is important but making sure the compliance program has the proper oversight from a governing board or compliance committee is paramount to its success. If fact, HHS OIG has written that "Boards are expected to put forth a meaningful effort to review the adequacy of existing compliance systems and functions." In other words, some aspects of an effective compliance program are not necessarily under the direct control of a Chief Compliance Officer, but rather the Board. This session will cover compliance program oversight expectations of Boards, best practices in roles and responsibilities as they relate to the Board and lessons learned from Boards that did not meet their compliance oversight responsibilities.

1:00 PM - 2:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

6B:MS & DRG Validations

Todd Husty, D.O., F.A.C.E.P.

MS-DRGs drive inpatient reimbursement. There are many factors that support the proper MS-DRG assignment. In this session we will discuss the importance of MS-DRG validation and best practices for compliance.

Exhibit Hall

2:15 PM - 2:30 PM

EH7:Break

Breakout Session 7

2:30 PM - 3:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

7A:HIPAA Update and Enforcement

Astara N Crews, CPC, CPEDC

2:30 PM - 3:45 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

7B:Maintaining Compliance in Due Diligence - Mergers & Acquisitions

Jed A Roher

This session will discuss key aspects of due diligence important to any healthcare merger or acquisition. Specific topics to be covered include where due diligence fits in the lifecycle of a transaction, key participants in and the flow of the due diligence process, buy-side and sell-side due diligence philosophy, managing the provision of due diligence information and addressing sensitive topics, and compliance issues that may arise and suggestions on how to address them.

Exhibit Hall

3:45 PM - 4:00 PM

EH8:Break

Breakout Session 8

4:00 PM - 5:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

8A:Effectiveness of Compliance Programs

Rhonda Buckholtz, CPC, CDEO, CPMA, CRC, CENTC, CGSC, COBGC, COPC, CPEDC, Approved-Instructor

In this session we will talk about how to develop, maintain and monitor compliance policies that are most beneficial to your practice. Hot spots, benefits and template use will allow attendees to have the skills to enact a diverse compliance program.

4:00 PM - 5:15 PM | 1.25 CEUs CPMA, COC, CPC, CPC-P, CDEO, CPB, CPCO, CPPM

8B:Managing Conflicts of Interest

Josephine Nelson Harriott; Charise Frazier

General Session

5:15 PM - 6:15 PM | 1.00 CEUs COC, CPC, CPC-P, CPB, CPPM

GS3:Networking Virtual Happy Hour