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TABLE OF CONTENTS AHIA MISSION & VISION

AHIA Mission and Vision...... 3 AHIA MISSION & VISION TABLE OF CONTENTS Hotel Floor Plan & Site Map ...... 4-5 Welcome...... 5 Schedule of Events by Day ...... 6-15 AHIA Board of Directors & Conference MISSION STATEMENT Planning Committee...... 17 The Association of Healthcare Internal Auditors provides leadership Exhibit Hall Hours & Social Events Schedule. . 18-19 and advocacy to advance the healthcare internal audit profession AHIA Conference Tracks ...... 20-21 globally by facilitating relevant education, resources, certification 2020 Save the Date...... 21 and networking opportunities. Conference Schedule Sunday, September 15...... 22-30 VISION STATEMENT Monday, September 16...... 31-44 To be the premier association for healthcare internal auditing. Tuesday, September 17...... 45-59 Founded in 1981, the Association of Healthcare Internal Auditors Wednesday, September 18 ...... 61-67 (AHIA) is a network of experienced healthcare internal auditing Sponsors...... 68-69 professionals who come together to share tools, knowledge and Exhibitor Hours & Drawing...... 70 insight on how to assess and evaluate risk within a complex and dynamic healthcare environment. AHIA is an advocate for the Exhibitor Floor Plan ...... 71 profession, continuing to elevate and champion the strategic Exhibitor Listing...... 72-82 importance of healthcare internal auditors with executive CPE Certification ...... 85 management and the Board. If you have a stake in healthcare governance, risk management and internal controls, AHIA is CHIAP™ Certificants...... 86–88 your one-stop resource. The Association of Healthcare Internal FAQs & Policies ...... 89-91 Auditors (AHIA) is an international organization dedicated to the Notes ...... 92 advancement of the healthcare internal auditing profession, which includes auditing disciplines such as operational, compliance, clinical/medical, financial and information technology.Healthcare leadership and the healthcare internal auditing profession recognize AHIA as the catalyst for continually elevating the quality of healthcare WIFI internal auditing and advancing the profession and its members. Wifi is provided to all conference attendees and AHIA embodies ‘excellence through sharing’ and is the healthcare covers all breakout and conference rooms. auditors’ first choice for education, certification and leadership Network Name: AHIA2019 specific to this multi-disciplined profession and for information on best Access Code: ahia2019 (case sensitive) practices and industry and professional trends. AHIA is a leader in partnering with other organizations to expand professional resources.

SEPTEMBER 15–18, 2019 www.ahia.org 3 LEVEL TWO

Terrace

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Broadway Ballroom HOTEL FLOOR PLAN & SITE MAP East Country Music Hall of Fame Theater

LEVEL TWO LEVEL TWO Broadway

Ballroom WELCOME Terrace Country Music West Hall of Fame Lobby Grand W Stairs M M w m W Grand View Terrace Welcome!

It is our pleasure to welcome you to the 38th AHIA Annual Conference. LEVEL THREE The Board of Directors and the AHIA Annual Conference Committee Broadway LEVEL THREE members are confident that you will find the conference curriculum thought provoking, educational, and even inspiring. Ballroom East 6 This year’s theme “Harmonizing the Complexities of Healthcare Internal Auditing,” has tuned the Committee in to develop a balanced Country Music Hall of Fame program of foundational knowledge and advanced topics to help Theater 5 healthcare auditors navigate through the extraordinary operational, 6) fiscal and compliance related challenges that our organizations face. Broadway - 1 LEVEL FOUR Ballroom 4 Please accept our sincerest appreciation for your attendance at this conference ­­— because truly without you the Conference could not Country Music West happen. Enjoy your Conference experience, as you learn new things Hall of Fame Acoustic Lobby 3 and share your own knowledge! Grand Stairs Online Post-Conference Evaluation w m 2 FollowingElectric the conference, you will receive an email directing you the

Grand View Balcon y

Cumberland ( AHIA Annual Conference evaluation. Please take time to complete Terrace this evaluation and let us know about your 2019 experience. Your 1 participationBass will help us identify how to best serve your future needs; and may be required for CPE verification.

About Your CPE Certificate LEVEL THREE You received your official CPE tracking and certificate forms (NASBA/ CCB/AAPC) in your registration welcome bag. In order to receive continuing education credit, follow the directions and submit to your OMNI NASHVILLE6 HOTEL licensure and/or credentialing bodies. You must place your name on Old the session sign-in sheet (located outside of each session room) Hickory Gibson 1 2 3 4 Boardroom to verify attendance at each presentation you indicate you have 5 attended. Before leaving the conference, leave the white copy of the 6) NASBA carbon copy form at the registration desk. Retain the yellow -

1 LEVEL FOUR copy as your certificate of attendance. See page 85 for continuing 4 Mockingbird (1-4) education requirements for this conference.

3 Acoustic 4 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 5

2 Electric Balcon y Cumberland ( 1 Bass

Old Hickory Gibson 1 2 3 4 Boardroom

Mockingbird (1-4) WELCOME

Welcome!

It is our pleasure to welcome you to the 38th AHIA Annual Conference. The Board of Directors and the AHIA Annual Conference Committee members are confident that you will find the conference curriculum thought provoking, educational, and even inspiring.

This year’s theme “Harmonizing the Complexities of Healthcare Internal Auditing,” has tuned the Committee in to develop a balanced program of foundational knowledge and advanced topics to help healthcare auditors navigate through the extraordinary operational, fiscal and compliance related challenges that our organizations face.

Please accept our sincerest appreciation for your attendance at this conference ­­— because truly without you the Conference could not happen. Enjoy your Conference experience, as you learn new things and share your own knowledge!

Online Post-Conference Evaluation Following the conference, you will receive an email directing you the AHIA Annual Conference evaluation. Please take time to complete this evaluation and let us know about your 2019 experience. Your participation will help us identify how to best serve your future needs; and may be required for CPE verification.

About Your CPE Certificate You received your official CPE tracking and certificate forms (NASBA/ CCB/AAPC) in your registration welcome bag. In order to receive continuing education credit, follow the directions and submit to your licensure and/or credentialing bodies. You must place your name on the session sign-in sheet (located outside of each session room) to verify attendance at each presentation you indicate you have attended. Before leaving the conference, leave the white copy of the NASBA carbon copy form at the registration desk. Retain the yellow copy as your certificate of attendance. See page 85 for continuing education requirements for this conference.

SEPTEMBER 15–18, 2019 www.ahia.org 5 SCHEDULE OF EVENTS BY DAY SCHEDULE OF EVENTS BY DAY

SUNDAY, SEPTEMBER 15 | 2019 7:00 am – 5:30 pm Registration Broadway Ballroom Foyer 22 Pre-Conference Workshops Track Session Room Page 8:00 am – 5:30 pm Advanced ACL Concepts: Functions & Scripts Pre-Conference ACL1 Gibson Boardroom 22 10:00 am – 2:00 pm Internal Audit Strategic Fitness Pre-Conference WS01 Old Hickory 23 10:00 am – 2:00 pm Construction Project Governance Myths and Facts Pre-Conference WS02 Cumberland 2 24 1:00 pm – 3:00 pm Engaging with Your Audience — How to Speak the Language of Participants Pre-Conference WS03 Cumberland 3 25 1:00 pm – 5:00 pm Power Excel with MrExcel Pre-Conference WS04 Mockingbird 3 26 1:00 pm – 5:00 pm EHR Auditor User Group Workshop — Epic Focus Pre-Conference EHR1 Cumberland 1 27

SCHEDULE OF EVENTS BY DAY CAE and Audit Roundtables — INVITE ONLY 9:30 am – 12:30 pm Chief Audit Executive Roundtable (Protiviti) CAE1 Cumberland 4 29 12:30 pm – 3:30 pm Chief Audit Executive Roundtable (Deloitte) CAE2 Mockingbird 1 29 Audit Director/Manager Roundtable (Moss Adams) MDRT1 Mockingbird 2 30 12:30 pm – 4:30 pm IT Audit Roundtable (Eminere Group) ITRT1 Cumberland 4 30 3:00 pm – 6:00 pm Chief Audit Executive Roundtable (Crowe) CAE3 Cumberland 2 30

SCHEDULE OF EVENTS BY DAY MONDAY, SEPTEMBER 16 | 2019 7:00 am – 6:00 pm Registration Broadway Ballroom Foyer 31 7:00 am – 8:00 am First Time Attendee Breakfast Grandview Terrace 31 7:00 am – 8:00 am Attendee Continental Breakfast Broadway Ballroom East 31 7:00 am – 7:15 pm Exhibit Hall Open Broadway Ballroom East 31 7:00 am – 8:00 am BL1: Early-bird Breakfast Session Cumberland 1 31 8:00 am – 9:30 am Keynote Presentation (Sponsored by Eide Bailly) Broadway Ballroom West 32 9:30 am – 10:00 am Mid-Morning Networking Break in Exhibit Hall Broadway Ballroom East 32 10:00 am – 11:40 am Breakout Sessions Track Session Room Page Developing an Audit Plan — Step by Step Core Auditor A1 Cumberland 1 33 The Opioid Epidemic: An Important Auditor Update Care Settings B1 Cumberland 2 33 Auditing Privacy and Security Compliance Issues in Research: Why is This So Complex? Compliance C1 Cumberland 3 33 Understanding and Applying COBIT 2019 Information Technology/Security D1 Cumberland 4 34 Clinical Trial Billing Audits — The “Rocky Top” of Reimbursement Revenue Cycle E1 Cumberland 5 34 How to Help your Organization Stay in Compliance via Auditing and Monitoring Health Plan F1 Mockingbird 1 34 Catch Me If You Can: Today’s Pink Collar Criminal Emerging Topics & Practices G1 Broadway Ballroom West 35

11:50 am – 1:00 pm Conference Attendee Luncheon Broadway Ballroom East 35 11:50 am – 1:00 pm AHIA Certification Volunteer Appreciation Lunch — Invitation Only Cumberland 6 35

6 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 7 SCHEDULE OF EVENTS BY DAY SCHEDULE OF EVENTS BY DAY

MONDAY, SEPTEMBER 16 | 2019 cont. 11:50 am – 1:10 pm Breakout Sessions Track Session Room Page The Cloud, its Risk and Implications Lunch and Learn LL1 Cumberland 1 35 Using Data to Enhance Audit Coverage and Drive Value Lunch and Learn LL2 Cumberland 4 36

1:10 pm – 2:00 pm Breakout Sessions Track Session Room Page Don’t Fall Prey to Rookie Mistakes: Scoring Points as a New Auditor Core Auditor A2 Cumberland 1 36 Prescription Practices and Drug Utilization Monitoring Systems Care Settings B2 Cumberland 2 36 Effective Risk Assessment Collaboration Between Internal Audit and Compliance Compliance C2 Cumberland 3 37

The Bots Are Coming…Man Your Risk Battle Stations Information Technology/Security D2 Cumberland 4 37 SCHEDULE OF EVENTS BY DAY Revenue Analytics Revenue Cycle E2 Cumberland 5 37 Auditing: Lessons Learned from the Field Health Plan F2 Mockingbird 1 38 Stressed? How to Keep it Together Emerging Topics & Practices G2 Mockingbird 2 38

2:10 pm – 3:00 pm Breakout Sessions Track Session Room Page Building Control Risk Matrix and Audit Program from the Ground Up Core Auditor A3 Cumberland 1 38 Planning and Conducting Physician Office Site Assessments Care Settings B3 Cumberland 2 39

SCHEDULE OF EVENTS BY DAY ADRs, Prepayment Reviews and Postpayment Audits of Pain Management Practices. How Should You Respond if Your Healthcare Practice is Targeted? Compliance C3 Cumberland 3 39 Biomedical Device Risk Management — Highest Impact and Least Managed Risk in Healthcare Information Technology/Security D3 Cumberland 4 39 Back to Basics: Evaluation & Management (E/M) Code Training Revenue Cycle E3 Cumberland 5 40 Provider Owned Health Plans — Regulatory Risks, Issues, and Lessons Learned Health Plan F3 Mockingbird 1 40 Business Continuity — Will You Be Open? Emerging Topics & Practices G3 Mockingbird 2 40

3:00 pm – 3:30 pm Mid-Afternoon Networking Break with Exhibitors Broadway Ballroom East 41 3:30 pm – 5:10 pm Breakout Sessions Track Session Room Page Launching a Successful Audit through Concluding the Audit, Effective Report Writing and Successful Follow-up Core Auditor A4 Cumberland 1 41 Clinical Research Audits — Planning for Success Care Settings B4 Cumberland 2 41 Assessing Departmental Risk, The Importance of Data Analytics Compliance C4 Cumberland 3 42 Auditing Network Security — Practical Experiences from the Field and What You Should Audit Information Technology/Security D4 Cumberland 4 42 Smart E&M Auditing Tips for Smart EHRs Revenue Cycle E4 Mockingbird 2 43 The Value Internal Audit Provides in Preparing for the CMS Program Audit Health Plan F4 Mockingbird 1 43 Agile Auditing: Transforming Internal Audit Emerging Topics & Practices G4 Cumberland 5 43

5:10 pm – 7:15 pm Welcome Reception Broadway Ballroom West 44

8 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 9 SCHEDULE OF EVENTS BY DAY SCHEDULE OF EVENTS BY DAY

TUESDAY, SEPTEMBER 17 | 2019 7:00 am – 6:00 pm Registration Broadway Ballroom Foyer 45 7:00 am – 8:00 am Attendee Continental Breakfast Broadway Ballroom East 45 7:00 am – 6:30 pm Exhibit Hall Open Broadway Ballroom East 45 7:00 am – 8:00 am BL2: Early-bird Breakfast Session Cumberland 1 45 8:00 am – 9:30 am Keynote Presentation Broadway Ballroom West 46 9:30 am – 10:00 am Mid-Morning Networking Break with Exhibitors Broadway Ballroom East 46 10:00 am – 11:40 am Breakout Sessions Track Session Room Page Application Auditing: What Business Auditors Should Know about IT Core Auditor A5 Cumberland 1 46 Drug Diversion Care Settings B5 Broadway Ballroom West 47

Auditing Healthcare Focus Arrangements for Regulatory SCHEDULE OF EVENTS BY DAY Compliance: Physicians, Management Services, Post- Discharge Care, Ambulance Services, Specialty Care, Etc. Compliance C5 Cumberland 3 47 The IT Analysis Paralysis Information Technology/Security D5 Cumberland 4 47 How to CUT the Risk Out of Surgical Billing: Do You Need a Nip & Tuck or a Complete Overhaul? Revenue Cycle E5 Cumberland 5 48 Attacking Managed Care Denials Health Plan F5 Mockingbird 1 48

Hitting the High Notes when Auditing the Middle of the Revenue Cycle Emerging Topics & Practices G5 Cumberland 2 49 SCHEDULE OF EVENTS BY DAY 11:40 am – 1:10 pm Conference Attendee Luncheon Broadway Ballroom East 49 11:40 am – 1:10 pm Breakout Sessions Track Session Room Page Addressing Priorities for Internal Auditors in Healthcare Delivery Organizations Lunch and Learn LL3 Mockingbird 2 49 Are You a Cyber Risk Target? A Non-Technical Hands-on View of Tools and Methods Commonly Used that Any Auditor Should Know about Cyber Security Lunch and Learn LL4 Broadway Ballroom West 50

12:00 am – 1:00 pm AHIA Committee Leadership Luncheon —Invitation Only Mockingbird 3 50 Breakout Sessions Track Session Room Page 1:10 pm – 2:00 pm De-constructing Construction Auditing: From a Healthcare Auditor’s Perspective Core Auditor A6 Cumberland 2 50 Implementation of Clinical Equipment Review Team Process Care Settings B6 Cumberland 3 51 The Current Regulatory Environment and Auditing of Urine Drug Testing Compliance C6 Mockingbird 1 51 The Secure Software Development Lifecycle (SSDLC) and How to Co-Source an Effective Audit Assessment Information Technology/Security D6 Cumberland 1 51 Auditing Overlapping Surgeries & Teaching Physician Rule Compliance Revenue Cycle E6 Cumberland 5 52 Data Analytics and ‘Real World’ Applications: Leveraging D&A for Health Plans Health Plan F6 Cumberland 4 52 Designing a Fraud Risk Management Program Emerging Topics & Practices G6 Broadway Ballroom West 52

10 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 11 SCHEDULE OF EVENTS BY DAY SCHEDULE OF EVENTS BY DAY

TUESDAY, SEPTEMBER 17 | 2019 cont.

2:10 pm – 3:00 pm Healthcare Internal Auditing — Music to Our Ears Core Auditor A7 Cumberland 1 53 Understanding Patient Engagement and Experience Initiatives and What They Mean for Internal Audit Care Settings B7 Cumberland 2 53 Auditing the Locum Tenen Process Compliance C7 Cumberland 3 54 Auditing the Configuration and Use of Telehealth Devices Information Technology/Security D7 Cumberland 4 54 Mitigating Medicare Reimbursement Denials: Real-Time Alerts for Mis-coding and Broken Work Flows Regains Lost Reimbursements and Increases Patient Satisfaction Revenue Cycle E7 Cumberland 5 54 Telemedicine and Verification of Services Health Plan F7 Mockingbird 1 55

Improve Your Processes, Improve Your Organization Emerging Topics & Practices G7 Cumberland 6 55 SCHEDULE OF EVENTS BY DAY

3:00 pm – 3:30 pm Mid-Afternoon Networking Break with Exhibitors Broadway Ballroom East 55 3:30 pm – 5:10 pm Breakout Sessions Track Session Room Page Facilities Audit in the Healthcare World: Construction, Operations and Maintenance Core Auditor A8 Cumberland 1 56 340B Auditing — Where Do I Begin and How to Leverage Data Analytics Care Settings B8 Cumberland 2 56 Disruptions that Impact Healthcare Compliance Compliance C8 Cumberland 3 56 SCHEDULE OF EVENTS BY DAY The Rise of Robotics Process Automation (RPA) and the Role of Internal Audit Information Technology/Security D8 Cumberland 4 57 Auditing Ground Ambulance Transportation Services: Driving a Comprehensive Audit Approach Revenue Cycle E8 Cumberland 5 57 Driving Business Value in Denials Management with Data Analytics Health Plan F8 Mockingbird 1 57 Billing Utilization Data Analysis for Focused Investigations Emerging Topics & Practices G8 Mockingbird 2 58

5:20 pm – 6:20 pm AHIA Business Meeting — All Are Invited To Attend Broadway Ballroom West 58 7:00 pm – 10:00 pm Social Events (advanced ticket purchase required) Various 19, 59

12 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 13 SCHEDULE OF EVENTS BY DAY SCHEDULE OF EVENTS BY DAY

WEDNESDAY,SEPTEMBER 18 | 2019 7:00 am – 12:00 pm Registration Broadway Ballroom Foyer 61 7:00 am – 8:00 am Attendee Continental Breakfast Broadway Ballroom East 61 8:00 am – 9:40 am Breakout Sessions Track Session Room Page Healthcare Compliance Auditing for Zones of Risk Core Auditor A9 Cumberland 1 61 Quality Assurance and Improvement Program (QAIP) — How to Build Quality into Internal Audit Activities Care Settings B9 Cumberland 2 61 How Does Your Organization’s Compliance Program Stack Up in the Healthcare versus Financial Services Industries? Compliance C9 Cumberland 3 62 Vendor Management in the Era of Big Data and Machine Learning Information Technology/Security D9 Cumberland 4 62

Revenue at Risk: From the Bed-side to the Business-side Revenue Cycle E9 Cumberland 5 63 SCHEDULE OF EVENTS BY DAY Health Plan Strategy: Proactive Auditing vs Reactive Auditing Health Plan F9 Mockingbird 1 63 Navigating Risk While Mitigating the Three-Headed Monster Emerging Topics & Practices G9 Mockingbird 2 63

9:40 am – 10:00 am Mid-Morning Refreshment Break Broadway Ballroom East 64 10:00 am – 10:50 am Breakout Sessions Track Session Room Page Top 10 HR Audit Risks Core Auditor A10 Cumberland 1 64 Top Home Health Compliance Risks and Monitoring

SCHEDULE OF EVENTS BY DAY Opportunities Care Settings B10 Cumberland 2 64 Credit Balance Report Auditing and Regulatory Considerations Compliance C10 Cumberland 3 65 Top 10 Emerging Healthcare IT Audit Issues Information Technology/Security D10 Cumberland 5 65 Epic Operational Audits for Non-technical Auditors Revenue Cycle E10 Cumberland 4 65 Auditing Health Plan Benefit Administration for Company Employees Health Plan F10 Mockingbird 1 66 Provider Compliance: It’s Not a Mission Impossible Emerging Topics & Practices G10 Mockingbird 2 66

11:00 am – 1:00 pm Keynote Presentation Broadway Ballroom West 67

14 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 15 AHIA BOARD OF DIRECTORS & CONFERENCE PLANNING COMMITTEE CONFERENCE PLANNING COMMITTEE

2019 AHIA BOARD OF DIRECTORS AHIA BOARD OF DIRECTORS & Mary Jane Schroeder, Chair Mary Jo Flynn, Vice Chair Cavell Alexander, Treasurer Jim Passey, Immediate Past Chair Alicia Capps, Director Amy Greenhoe, Director Todd Havens, Director Eric Kristofic,Director Deborah Pazourek, Director David Richstone, Director Scott Stevenson, Director

2019 CONFERENCE PLANNING COMMITTEE The 2019 Planning Committee has been working since October 2018 to develop a program that will be interesting and addresses relevant topics facing each of us in our daily challenges. We have listened to our members’ feedback which is a driving factor in the development of this year’s program. Special thanks to our dedicated committee members, without their hard work and tireless efforts, this conference would not be possible:

Jackye Thompson, Chair Terri Allen, Preconference Michelle Elliott, Compliance Track Leader; Social Events Katherine Fore, Keynote Presentations; Social Events Amy Greenhoe, Board Liaison Lisa Litwiller, Care Settings Track Leader Ginger Manwell, Revenue Cycle Track Leader Greg Newton, Health Plan Track Leader; Social Events Michelle Piranio, Core Skills Track Leader Mary Jane Schroeder, AHIA Board Chair Darryl Rhames, Emerging Topics & Practices Track Leader Jonathan West, IT & Security Track Leader

Online registration, complete session descriptions, learning objectives, field-of-study classifications, prerequisites and more are available at www.ahia.org

SEPTEMBER 15–18, 2019 www.ahia.org 17 EXHIBIT HALL HOURS & EXHIBIT HALL HOURS & SOCIAL EVENTS SCHEDULE SOCIAL EVENTS SCHEDULE SOCIAL EVENTS SCHEDULE

EXHIBIT HALL HOURS SOCIAL EVENTS HOURS, CONT. EXHIBIT HALL HOURS & Exhibitor Set-up • Big Machine Distillery Tour & Tasting Sunday, September 15 2:00 pm – 5:00 pm 7:00 pm – 9:00 pm $55 per person Exhibit Viewing Hours Big Machine Distillery is located in the heart of downtown Monday, September 16 7:00 am – 7:15 pm Nashville. Boasting the only working distillery on Nashville’s famous (Welcome Reception in progress until 7:15pm) Broadway strip, the Big Machine Store is the perfect unique Tuesday, September 17 7:00 am – 6:30 pm EXHIBIT HALL HOURS & EXHIBIT HALL HOURS &

experience incorporating a taste of the city through their very own SOCIAL EVENTS SCHEDULE Big Machine Platinum Filtered Premium Vodka. Exhibitor Teardown Tuesday, September 17 6:30 pm – 8:30 pm Guests will experience a 30 minute guided tour of the facility to Please note: Exhibitors are not required to staff booths during times learn about the history and processes that make this distillery attendees are in educational sessions. unique. After the tour, guests will have the opportunity to sample four of Big Machine’s most popular products. Guests will also leave Registration Hours with a Big Machine Distillery goodie bag! Sunday, September 15 7:00 am – 5:30 pm Monday, September 16 7:00 am – 6:00 pm • Nashville Hearse Ghost Tour Tuesday, September 17 7:00 am – 6:00 pm 8:00 pm – 9:00 pm / 9:30 pm – 10:30 pm Wednesday, September 18 7:00 am – 12:00 pm $50 per person Depart on a journey to some of Nashville’s most eerie sites in a converted New Orleans hearse. Sit back and relax (if you can) SOCIAL EVENTS HOURS while your driver uncovers the hauntings surrounding the ghosts of Union Station, the infamous “Murder on Music Row,” Nashville’s First Time Attendee Breakfast oldest cemetery, and more. Written by the authors of Haunted Monday, September 16 7:00 am – 8:00 am Nashville, this unique tour is an experience sure to haunt your Grandview Terrace memory for years. Nashville Ghost Tours Haunted Hearse Tours are a great way to see the haunted side of Nashville! Welcome Reception (SPONSORED BY PROTIVITI) Monday, September 16 5:10 pm – 7:15 pm • Grand Ole Opry Show Broadway Ballroom East 7:00 pm – 9:30 pm $65 per person AHIA Certification Volunteer Luncheon Monday, September 16 12:00 pm – 1:00 pm What began as a simple radio broadcast in 1925 is today a live Cumberland 6 entertainment phenomenon. Dedicated to honoring country music’s rich history and dynamic present, the Grand Ole Opry AHIA Committee Leadership Luncheon showcases a mix of country legends and the contemporary Tuesday, September 17 12:00 pm – 1:00 pm chart-toppers who have followed in their footsteps. The Opry, Mockingbird 3 an American icon and Nashville, Tennessee’s number-one attraction, is world-famous for creating one-of-a-kind entertainment Advanced Fee Registration/Ticketed Events experiences for audiences of all ages. It’s been called the “home of Tuesday, September 17 American music” and “country’s most famous stage.” Every year, Limited amount of tickets are available per offering. Visit the registration hundreds of thousands of people make pilgrimages across town or deck to check availability. See next page for details. around the world to the Grand Ole Opry to see the show live.

18 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 19 AHIA CONFERENCE TRACKS AHIA CONFERENCE TRACKS

The AHIA Annual Conference features seven educational tracks so that HEALTH PLAN (TRACK F) AHIA CONFERENCE TRACKS you can pick and choose, in order to capture the information, skills and The Health Plan track will provide insights to the risks, resources most relevant to you. challenges and opportunities facing today’s internal auditor in an environment where the line between payer CORE SKILLS (TRACK A) and provider is becoming more difficult to discern. Whether you’re The Core Skills track includes topics that will supplement a national or regional payer or a provider that is pursuing or already the “auditor’s toolkit” with fundamental audits and audit implementing a health plan capability, this track will provide the tools from a healthcare perspective. The sessions will walk new auditor and the veteran with greater understanding of payer us through the audit life cycle from IIA Standards overview, strategic environment vernacular, will expose you to the risks associated with AHIA CONFERENCE TRACKS risk assessment techniques, planning/information gathering, audit health plan operations and related compliance challenges, and will execution, healthcare industry audit tips and reports that get results. enhance your ability to perform effective and efficient audits in the health plan space. CARE SETTINGS (TRACK B) Recent and proposed healthcare reform legislation has EMERGING TOPICS & PRACTICES (TRACK G) increased the focus on clinical quality. This track will The Emerging Issues Track focuses on topics that are include topics that impact clinical quality, and increase relevant due to current events or trends that impact understanding of related issues facing the healthcare industry today. healthcare. Emerging Issues track topics may be geographically regional in nature, or more aligned with issues COMPLIANCE (TRACK C) that pertain to specific isolated issues or risks facing healthcare The Compliance track sessions focus on increasing the organizations. Participation in the Emerging Issues track will increase healthcare auditor’s understanding of compliance risk your healthcare knowledge base by zeroing in on specialty topics and areas. Healthcare audit professionals will improve their issues. skills in developing risk based compliance audit plans, evaluating key compliance risk areas, and identifying control improvements.

INFORMATION TECHNOLOGY/SECURITY (TRACK D) This track is designed to meet the needs of both the IT specialty auditors and general auditors with responsibilities for IT audit service. The track covers IT hot topics in the healthcare industry by offering technical sessions providing information on IT specific risks and controls as well as sessions on broader IT topics that will increase understanding for healthcare professionals.

REVENUE CYCLE (TRACK E) The Revenue Cycle track contains education on topics across the entire revenue cycle from charge capture to collections. Sessions included in this track vary from introductory to specialized information on a specific area of the revenue SAVE THE DATE cycle. Attendees in this track will gain education that can be utilized to conduct valuable reviews in this broad category of operations. September 20–23, 2020 39th AHIA Annual Conference

Seattle Sheraton Seattle, Washington

20 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 21 SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, SEPTEMBER 15 | 2019

7:00 am – 5:30 pm 10:00 am – 2:00 pm

Registration WS01: PRE-CONFERENCE WORKSHOP (HALF-DAY) Broadway Ballroom Foyer Internal Audit Strategic Fitness Old Hickory PRE-CONFERENCE WORKSHOPS TICKETED EVENT: $209 — Limited to 50 individuals 8:00 am – 5:30 pm Jannies Burlingame, CPA, CRMA, Doctoral Researcher, Principal Consultant, SS&B Consulting ACL1: PRE-CONFERENCE WORKSHOP (FULL-DAY) Over the past few years, IA has become highly sophisticated. As such, Advanced ACL Concepts: Functions & Scripts putting an effective IA department in place requires a significant level Gibson Boardroom of investment in skilled resources, methods, training and technical infrastructure. In this workshop, you will learn 5 proven ways, from TICKETED EVENT: $469 (lunch included) our experience and studies of multiple research papers by the IIA, to increase the impact and influence of internal audit. How can your Michael Keiffer, CPA, CIA, CISA, ACDA, President, Michael P. Keiffer, internal audit function meet stakeholders’ needs to deliver not only CPA, PC assurance, but also to advise and anticipate risk. Modules: This is an interactive and hands on session designed to give the I. Contemporize your Internal Audit Reporting, Approach, and Strategy participants an overview of how to use the different ACL functions and how to design and troubleshoot ACL scripts. During the session, II. Be Emotionally Intelligent participants will be given an overview of how to write more powerful III. Integrate and Collaborate—Integrated Assurance ACL expressions (both filters and computed fields) using the different ACL functions. Approximately 10 -20 functions will be covered during IV. Be Innovative – Capitalize on Technology and Adopt Smart Analytics the class, including some of the more complex Functions such as V. Build a Culture of Continuous Improvement DICECOEFFICIENT( ) and RECOFFSET ( ). The session will learn the SUNDAY, SEPTEMBER 15 | 2019 All Auditing None 4 different approaches/methods that the ACL software offers for building Level:  Field of Study:  Prerequisite:  CPE(s): basic to more advanced script. Specific best practices for writing and building scripts will be discussed. The appropriate use and rules of ACL command syntax in ACL scripts will also be covered during the session. Participants will learn how to troubleshoot scripts and how to debug scripts for potential syntax errors. The session will also cover how to build more powerful, interactive scripts through the use of dialogue boxes in scripts and also through the use of variable substitution. Participants will learn about the advanced scripting commands such SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, as the GROUP command, the LOOP command, the ASSIGN command and the NOTIFY command. The session will also cover how a master script can be designed and built to run other scripts in the ACL project. The session will also focus on what specific healthcare related audits WIFI and test areas will be ideal candidates for possible ACL scripts. Wifi is provided to all conference attendees and Level: All Field of Study: Auditing Prerequisite: Participants will   covers all breakout and conference rooms. need to have ACL installed on their computers as this will be a hands- on session 8  CPE(s): Network Name: AHIA2019 Access Code: ahia2019 (case sensitive)

22 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 23 SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, SEPTEMBER 15 | 2019

10:00 am – 2:00 pm 1:00 pm – 3:00 pm

WS02: PRE-CONFERENCE WORKSHOP (HALF-DAY) WS03: PRE-CONFERENCE WORKSHOP Construction Project Governance Myths and Facts Engaging with Your Audience — How to Speak the Cumberland 2 Language of Participants Cumberland 3 TICKETED EVENT: $209 — Limited to 50 individuals Tony Ollman, CPA, CCA, Firm Director, Baker Tilly TICKETED EVENT: $100 Dale Shultz, CIA, CHC, Director Regional Compliance, Baylor Scott Blaine Little, CNT, DTM, Public Speaker and Corporate Trainer, White Healthcare Momentum Seminars Contractors are frequently excellent business professionals, ethical In this two-hour public speaking workshop, you will put the tips and and dedicated to building the best facility for an owner given the tricks of audience engagement in your toolbox that will make the environment that the project is developed in. difference to truly reaching those listening. You will learn: However, they are capitalistic and are motivated to maximize profit. • Misconceptions of public speaking Consequently, the owner needs to ensure the project environment • Rhetorical Devices of Persuasion empowers open communication and free discussion of project • Spice up your presentation with vivid language concerns and issues. Owner’s must understand their responsibilities to keep a project on time and on budget. • Avoid language that kills your credibility • Engage your audience with THEIR learning style This workshop will address controls like the bid and award process, change order control, and schedule management. Construction • Get the Audience on Your Side governance is also ripe with myths like the budget will fix itself, or • The Q&A Session we can make up project delays later in the project. It’s the Owners • How to Break Bad News responsibility to implement a control structure that is staffed with competent project management professionals to mitigate construction With time permitting, we will allow a couple of volunteers to present SUNDAY, SEPTEMBER 15 | 2019 project risk. This workshop will outline a successful governance a short idea on a well know subject. Those presentations will then be structure and provide checklists for auditing construction project reviewed. governance. All Professional Development 2 Level:  Field of Study:  CPE(s): All Auditing None 4 Level:  Field of Study:  Prerequisite:  CPE(s): SUNDAY, SEPTEMBER 15 | 2019 SUNDAY,

Online registration, complete session descriptions, learning objectives, field-of-study classifications, prerequisites and more are available at www.ahia.org

24 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 25 SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, SEPTEMBER 15 | 2019

1:00 pm – 5:00 pm 1:00 pm – 5:00 pm

WS04: PRE-CONFERENCE WORKSHOP (HALF-DAY) EHR1: PRE-CONFERENCE WORKSHOP (HALF-DAY) Power Excel with MrExcel EHR Auditor User Group Workshop – Epic Focus Mockingbird 3 Cumberland 1

TICKETED EVENT: $100 TICKETED EVENT: $199 — Limited to 50 individuals Bill Jelen, Microsoft MVP, Microsoft Certified Training, Publisher, This session will include three presenters which will focus on the areas MrExcel.com of revenue cycle and adding value as internal audit. In addition to You use Excel 40 hours a week, but do you really know how to unleash the presenters, there will be time set aside in a user group format to the power of Excel? Learn cool secrets and tricks lurking on the Data knowledge share among peers. The three presentations are: tab. Learn the ins and outs of Pivot Tables (from the guy who wrote the book on pivot tables!). Create slick charts in a single button click. Add Mitigating Medicare Denials: Real-Time Alerts for Miscoding and thousands of subtotals in seconds. Learn VLOOKUP tricks. Don’t be Broken Workflows tortured by bad data any longer. Participants in the session will receive Shawn Curtiss, HCISPP, Healthcare Privacy and Data Security Product a copy of Jelen’s book, MrExcel LX — The Holy Grail of Excel Tips, a Manager, Bottomline Technologies book written to accompany the live seminar. A coding error from an unclear patient status resulting in an Inpatient All Specialized Knowledge Level:  Field of Study:  Prerequisite: coded as Outpatient; interns changing Inpatient to Observation; or, a Basic knowledge of Excel. You should be comfortable navigating broken workflow that stalls processes. These are among the common through Excel, doing an AutoSum and at least know how to spell “pivot root causes of inaccurate billings and millions of dollars in Medicare table” 4  CPE(s): reimbursement denials. Efforts to identify, alert, remediate, track, and trend these issues is challenging when limited by the lack of visibility inherent in most EMR’s on these topics.

This session will cover how technology, policy, and practice can be SUNDAY, SEPTEMBER 15 | 2019 combined to keep a real-time pulse of coding errors providing a critical opportunity for correction to secure the Medicare reimbursement due.

Optimizing Epic for Denial Prevention Jennifer Davis, MBA, System Director – Denial and Audit Management, UNC Healthcare This session will outline the proven methodology of leveraging denial and revenue loss data to identify high-risk areas, sampling issues in those SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, areas, and employing Lean techniques to implement system solutions creates a framework for sustainable denial and revenue loss prevention. Focusing on a system solution rather than a human solution mitigates human variability and maximizes value for the health care system and the patient.

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26 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 27 SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, SEPTEMBER 15 | 2019

Adding Value to Epic Initiatives as Internal Audit ROUNDTABLES Matt Jackson, CHIAP, PMP, Managing Director, Protiviti AHIA Roundtables are for the senior-most leaders of organizations Kevin Dunnahoo, HCISPP, CISSP, ABCP, ITIL v4 Foundations Certified, internal audit function and/or specialized members of the audit team. HITRUST CSF Practitioner, Associate Director, Protiviti The roundtable format provides the opportunity to discuss common issues, share ideas and best practices and network with peers. The These are challenging but exciting times for the healthcare industry. agenda and content is based upon the issues and topics submitted When we take into consideration increasing regulatory pressure, by the attendees in advance of the meeting. Continuing professional disruptive innovation, the ever-changing threat landscape, and enhanced education (CPE) credit is provided. Buffet Style meal provided. patient awareness…we realize that change is coming at a pace perhaps more rapid than ever before experienced. Healthcare organizations continue to struggle with effective risk mitigation and value realization ADVANCED REGISTRATION IS REQUIRED. efforts related to implementation and/or ongoing maintenance efforts associated with large Epic initiatives. In this session, learn how Internal Learning Objectives: All attendees will have input to the agenda in Audit can play a key role in effectively managing your organization’s advance in order to ensure the topics are relevant and meaningful. implementation efforts throughout this journey and how to identify and In these sessions, participants will: 1. Examine topics consistent with minimize the impact of the many risks you will undoubtedly f the field of healthcare internal auditing 2. Develop recommendations toward best practices in healthcare internal auditing 3. Experience a All Specialized Knowledge and Applications Level:  Field of Study: forum for interaction between experts on topics relevant to the theory Must currently be an Epic user with knowledge of the  Prerequisite: and practice of healthcare internal auditing 4. Develop clear consensus systems and/or have completed some system audits. 4  CPE(s): statements that define best practices in healthcare internal auditing.

ARE YOU WORRIED ABOUT AUTOMATING 9:30 am – 12:30 pm YOUR HIPAA COMPLIANCE AUDIT? Chief Audit Executive Roundtable Cumberland 4 ARE YOU WORRIED ABOUT YOUR HYBRID-CLOUD SUNDAY, SEPTEMBER 15 | 2019 INFRASTRUCTURE GETTING BREACHED? SPONSORED BY

Cybersecurity and HIPAA Assurance for the Hybrid Cloud Professional Auditing None Level:  Field of Study:  Prerequisites:  Unified Single-pane of glass view of your overall CPE(s): 3 Security, Compliance and Risk Posture 

 Continuous Audit Assurance through Automation, SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, Prioritization and Actionable Intelligence 12:30 pm – 3:30 pm  Comprehensive support for Configuration and Security best practices, Regulatory (HIPAA, PCI, NIST, Chief Audit Executive Roundtable GDPR etc.) frameworks Mockingbird 1

 Flexible and Scalable SaaS architecture enables enterprise deployments in an hour SPONSORED BY

To learn more visit us @ Booth #30 www.Spanugo.com Professional Auditing None Level:  Field of Study:  Prerequisites: 3  CPE(s):

28 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 29 SUNDAY, SEPTEMBER 15 | 2019 MONDAY, SEPTEMBER 16 | 2019

12:30 pm – 3:30 pm 7:00 am – 6:00 pm Audit Director/Manager Roundtable Registration Mockingbird 2 Broadway Ballroom Foyer

SPONSORED BY 7:00 am – 8:00 am

First Time Attendee Breakfast Grandview Terrace Professional Auditing None Level:  Field of Study:  Prerequisites: 3  CPE(s): 7:00 am – 8:00 am

12:30 pm – 4:30 pm Attendee Continental Breakfast IT Audit Roundtable Broadway Ballroom East Cumberland 4

7:00 am – 7:15pm SPONSORED BY Exhibit Hall Open Broadway Ballroom East

7:00 am – 8:00 am Professional Auditing None Level:  Field of Study:  Prerequisites: 4  CPE(s): BL1: BREAKFAST AND LEARN SPONSORED BY CROWE Top Cybersecurity Risks in Healthcare 3:00 pm – 6:00 pm Cumberland 1 Chief Audit Executive Roundtable Jared Hamilton, CISSP, CCSK, MCSE: Security, Managing Cumberland 2 Director, Crowe Robert Malarkey, CISSP, CISA, Vice President – IT Audit, Crowe

SUNDAY, SEPTEMBER 15 | 2019 SUNDAY, SPONSORED BY Level: All  Field of Study: Auditing  CPE(s): 1 MONDAY, SEPTEMBER 16 | 2019

Professional Auditing None Level:  Field of Study:  Prerequisites: 3  CPE(s):

30 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 31 SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 MONDAY, SEPTEMBER 16 | 2019

8:00 am – 9:30 am 10:00 am to 11:40 am

WELCOME, OPENING REMARKS AND KEYNOTE A1: CORE AUDIT PRESENTATION — SPONSORED BY EIDE BAILLY LLP Developing an Audit Plan — Step by Step Cumberland 1 Work. Laugh. Repeat. Broadway Ballroom West Renee Wessel Jaenicke, CIA, CFE, CCEP, CHC, CGMA, CHIAP, Director of Internal Audit and Compliance, Salinas Valley Greg Schwem, President, Comedy with a Byte Memorial Healthcare System In spite of its therapeutic qualities, laughter is Introductory Auditing 2 Level:  Field of Study:  CPE(s): often absent from the business environment. Greg shows it is possible to laugh at work and about work. Audience members will put down 10:00 am – 11:40 am their iPads and smart phones and laugh along with Greg as he good-naturedly discusses topics B1: CARE SETTINGS such as Smart Phone abuse, social network overload, never-ending conference calls, The Opioid Epidemic: An Important Auditor “frequently” asked questions, and home office Update workers. Greg’s show provides a hilarious look Cumberland 2 at today’s corporate environment and the latest tools used to conduct business. Greg’s client list includes such corporate heavyweights as Angie Caldwell, MBA, CPA , Principal, PYA McDonald’s, Microsoft, General Motors, IBM, Hyatt Hotels, United Sarah Bowman, MBA, RHIA, CHC, Senior Manager, PYA Airlines and Cisco Systems and his comedic take on the 21st century All Auditing 2 workplace and work/life balance has landed him on SIRIUS Radio, FOX Level:  Field of Study:  CPE(s): News, Comedy Central and the pages of Parents Magazine. More than just a business humorist, Greg is also an author, nationally syndicated humor columnist, award-winning greeting card writer and creator of 10:00 am – 11:40 am funnydadinc, voted one of the top Dad humor sites of 2016. He has shared the concert stage with the likes of Celine Dion and Jay Leno. C1: COMPLIANCE

All Professional Development 1 Level:  Field of Study:  CPE(s): Auditing Privacy and Security Compliance Issues in Research: Why is This So Complex? 9:30 am – 10:00 am Cumberland 3 Mid-Morning Networking Break in Exhibit Hall Marti Arvin, JD, CHC-F, CCEP-F, CHRC, CHPC, VP Audit Strategy, CynergisTek, Inc. (Refreshments provided)

Professional Auditing MONDAY, SEPTEMBER 16 | 2019 Broadway Ballroom East Level:  Field of Study:  Prerequisites: None 2  CPE(s): Target Audience: Everyone

32 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 33 MONDAY, SEPTEMBER 16 | 2019 MONDAY, SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 MONDAY, SEPTEMBER 16 | 2019

10:00 am – 11:40 am 10:00 am – 11:40 am

D1: INFORMATION TECHNOLOGY/SECURITY G1: EMERGING TOPICS & PRACTICES

Understanding and Applying COBIT 2019 Catch Me If You Can: Today’s Pink Collar Cumberland 4 Criminal Broadway Ballroom West Katherine Fore, CISA, PCI ISA, Senior Information Systems Auditor, Atrium Health Kelly Paxton, CFE, PI, Speaker and Fraud Consultant, Candice Smith, ASCP, Senior IS Auditor, Atrium Health K Paxton LLC All Auditing None Level: All Field of Study: Behavioral Ethics Prerequisites: Level:  Field of Study:  Prerequisites:    None 2 CPE(s): 2  CPE(s): Target Audience: IS Auditors, Auditors, Audit Managers, CAEs 11:50 am – 1:00 pm 10:00 am – 11:40 am Conference Attendee Luncheon Broadway Ballroom East E1: REVENUE CYCLE

Clinical Trial Billing Audits — The “Rocky Top” of Reimbursement 11:50 am – 1:00 pm Cumberland 5 AHIA Certification Volunteer Appreciation Kelly Willenberg, DBA, RN, CHRC, CHC, CCRP, President, Kelly Willenberg & Associates Lunch — Invitation Only Cumberland 6 All Auditing – Governmental Level:  Field of Study:  None 2 Prerequisites:  CPE(s): 11:50 am – 1:10 pm 10:00 am – 11:40 am LL1: LUNCH AND LEARN SPONSORED BY KPMG

F1: HEALTH PLAN Grab and Go: Get your meal in the exhibit hall and join us for a special lunch session. How to Help your Organization Stay in Compliance via Auditing and Monitoring The Cloud, Its Risk and Implications Mockingbird 1 Cumberland 1 Alex Obenauf, CISA, CRISC, CMA, PMP, Lean 6 Sigma, Director MONDAY, SEPTEMBER 16 | 2019 Jason Haworth, CIA, CPA (inactive), Director, Internal – Healthcare, KPMG LLP Compliance Audit, UnitedHealthcare Mike Beaty, Director – Healthcare, KPMG LLP All Auditing None Level:  Field of Study:  Prerequisites:  All Information Technology CPE(s): 2 Level:  Field of Study:  None 1 Prerequisites:  CPE(s):

34 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 35 MONDAY, SEPTEMBER 16 | 2019 MONDAY, SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 MONDAY, SEPTEMBER 16 | 2019

11:50 am – 1:10 pm 1:10 pm – 2:00 pm

LL2: LUNCH AND LEARN SPONSORED BY CROWE C2: COMPLIANCE

Grab and Go: Get your meal in the exhibit hall and join us for a Effective Risk Assessment Collaboration Between special lunch session. Internal Audit and Compliance Using Data to Enhance Audit Coverage and Drive Cumberland 3 Value John Gaspich, CHIAP, CPA, CFE, ML, MPA, Senior Vice Cumberland 4 President and Chief Audit Executive, Penn State Health All Auditing None Scott Gerard, CPA, Partner, Crowe; Rebecca Welker, FHFMA, Level:  Field of Study:  Prerequisites:  CIA, Crowe CPE(s): 1 All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1 1:10 pm – 2:00 pm

D2: INFORMATION TECHNOLOGY/SECURITY 1:10 pm to 2:00 pm The Bots Are Coming…Man Your Risk Battle A2: CORE AUDIT Stations Don’t Fall Prey to Rookie Mistakes: Scoring Cumberland 4 Points as a New Auditor Terry Corcoran, CISA, CRMA, Advisory Senior Manager, Deloitte Cumberland 1 & Touche LLP Melissa Buckner, Project Consultant, SelectHealth Bruce Daly, MBA, CISPP, CISA, CIA, CRMA, CBCP, Principal, Deloitte & Touche, LLP Introductory Personal Development Level:  Field of Study: None 1 Level: All Field of Study: Auditing Prerequisites: None  Prerequisites:  CPE(s):    CPE(s): 1

1:10 pm – 2:00 pm 1:10 pm – 2:00 pm B2: CARE SETTINGS E2: REVENUE CYCLE Prescription Practices and Drug Utilization Monitoring Systems Revenue Analytics Cumberland 2 Cumberland 5 MONDAY, SEPTEMBER 16 | 2019 Fran Grabowski, CISA, MBA, Director, PwC Landon Adkins, CIA, CHIAP, Director, Healthcare Industry Practice, Protiviti Level: All Field of Study: Auditing Prerequisites: None    Don Billingsley, Director, Protiviti CPE(s): 1 All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1

36 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 37 MONDAY, SEPTEMBER 16 | 2019 MONDAY, SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 MONDAY, SEPTEMBER 16 | 2019

1:10 pm – 2:00 pm 2:10 pm – 3:00 pm

F2: HEALTH PLAN B3: CARE SETTINGS

Auditing: Lessons Learned from the Field Planning and Conducting Physician Office Site Mockingbird 1 Assessments Cumberland 2 Amy Baumeister, Manager, Internal Compliance Audit, UnitedHealthcare Margo Lombardi, CPA, Lead Internal Audit Analyst, Highmark Health Nancy Buck, Manager, Internal Compliance Audit, UnitedHealthcare Vincent Thomas, CPA, CFE, Director, Audit & Advisory Services – Provider, Highmark Health Introductory Auditing Level:  Field of Study:  Prerequisites: None 1 Level: All Field of Study: Auditing Prerequisites: None  CPE(s):    CPE(s): 1 Target Audience: Compliance staff, Internal Audit, Operations Leadership Target Audience: Internal Audit/Compliance Staff/Management

2:10 pm – 3:00 pm 1:10 pm – 2:00 pm C3: COMPLIANCE G2: EMERGING TOPICS & PRACTICES ADRs, Prepayment Reviews and Postpayment Stressed? How to Keep it Together Audits of Pain Management Practices. How Should Mockingbird 2 You Respond if Your Healthcare Practice is Targeted? Cindy Glennon, MPH, CIA, RYT-200, Director of Regulatory Cumberland 3 Compliance Audit, Commonwealth Care Alliance Robert Liles, JD, MBA, MS, Attorney, Liles Parker, Attorneys & All Personal Development Counselors at Law Level:  Field of Study:  Prerequisites: None CPE(s): 1 All Auditing None  Level:  Field of Study:  Prerequisites:  CPE(s): 1

2:10 pm – 3:00 pm 2:10 pm – 3:00 pm D3: INFORMATION TECHNOLOGY/SECURITY A3: CORE AUDIT Biomedical Device Risk Management — Highest Building Control Risk Matrix and Audit Program Impact and Least Managed Risk in Healthcare MONDAY, SEPTEMBER 16 | 2019 from the Ground Up Cumberland 4 Cumberland 1 Robert Malarkey, CISSP, CISA, VP, IT Audit, Crowe Healthcare John Tsantakis, CPA, Healthcare Internal Audit and Advisory Risk Consulting Services Isaak Lerner, CISSP, CISM, CISA, Senior Manager, Crowe All Auditing None Healthcare Risk Consulting Level:  Field of Study:  Prerequisites:  CPE(s): 1 All Information Technology Level:  Field of Study:  None 1 Prerequisites:  CPE(s):

38 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 39 MONDAY, SEPTEMBER 16 | 2019 MONDAY, SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 MONDAY, SEPTEMBER 16 | 2019

2:10 pm – 3:00 pm 3:00 pm – 3:30 pm Mid-Afternoon Networking Break with Exhibitors E3: REVENUE CYCLE (Refreshments provided) Back to Basics: Evaluation & Management (E/M) Broadway Ballroom East Code Training Cumberland 5

Leslie Boles, CCS, CPC, CPMA, CHC, CPC-I, Compliance Audit 3:30 pm – 5:10 pm Manager, Saint Peter’s Healthcare System Introductory Auditing Level:  Field of Study:  Prerequisites: A4: CORE AUDIT None CPE(s): 1  Launching a Successful Audit through Concluding the Audit, Effective Report Writing 2:10 pm – 3:00 pm and Successful Follow-up Cumberland 1 F3: HEALTH PLAN Hank Adkinson, Senior Internal Auditor, Piedmont Healthcare Provider Owned Health Plans — Regulatory Norma Hicks, Senior Internal Auditor, Piedmont Healthcare Risks, Issues, and Lessons Learned Introductory Auditing Level:  Field of Study:  Prerequisites: Mockingbird 1 None 2  CPE(s): Matthew Schwanda, Accounting Analyst, Health First Health Plans 3:30 pm – 5:10 pm James Menck, CPA, CIA, CFE, Senior Manager, Eide Bailly LLP Introductory Auditing Level:  Field of Study:  Prerequisites: B4: CARE SETTINGS None CPE(s): 1  Clinical Research Audits — Planning for Success Cumberland 2 2:10 pm – 3:00 pm Scott Thompson, CHC, CHPC, Risk Consultant, Crowe Healthcare Risk Consulting G3: EMERGING TOPICS & PRACTICES All Auditing None Level:  Field of Study:  Prerequisites:  Business Continuity — Will You Be Open? CPE(s): 2 Mockingbird 2

Jeannie O’Donnell, CIA, CISA, CPC, CHC, CHIAP, Senior Manager, GlassRatner Advisory & Capital Group LLC MONDAY, SEPTEMBER 16 | 2019 All Specialized Knowledge Level:  Field of Study:  Online registration, complete session descriptions, Prerequisites: None CPE(s): 1  learning objectives, field-of-study classifications, prerequisites and more are available at www.ahia.org

40 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 41 MONDAY, SEPTEMBER 16 | 2019 MONDAY, SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 MONDAY, SEPTEMBER 16 | 2019

3:30 pm – 5:10 pm 3:30 pm – 5:10 pm

C4: COMPLIANCE E4: REVENUE CYCLE

Assessing Departmental Risk, The Importance Smart E&M Auditing Tips for Smart EHRs of Data Analytics Mockingbird 2 Cumberland 3 Carolyn Whitlock, MBA, CHC, CHA, CPC, CIFHA, AAPC Darryl Rhames, CFE, CICA, CHIAP, Director of Compliance Fellow, Senior Compliance Consultant, Baylor Scott & White Auditing, University Health System HealthTexas Provider Network Bradley Wright, MBA/MPH, CVA, Manager, Client Solutions & Holly Pettigrew, CHC, COC, CPC, Practice Operations Manager, Business Development, TAG, Inc. Baylor Scott & White HealthTexas Provider Network All Auditing None Level: All Field of Study: Auditing Prerequisites: None Level:  Field of Study:  Prerequisites:     CPE(s): 2 CPE(s): 2

3:30 pm – 5:10 pm 3:30 pm – 5:10 pm

D4: INFORMATION TECHNOLOGY / SECURITY F4: HEALTH PLAN

Auditing Network Security — Practical The Value Internal Audit Provides in Preparing Experiences from the Field and What You Should for the CMS Program Audit Audit Mockingbird 1 Cumberland 4 Jennifer Village, Director, PwC Johan Lidros, CISA, CISM, CGEIT, CRISC, HITRUST CCSFP, Level: All Field of Study: Auditing Prerequisites: None ITIL-F, President, Eminere Group    CPE(s): 2 Fredrik Soderblom, CISA, CISM, Senior Security Architect, XPD AB Level: All Field of Study: Information Technology   3:30 pm – 5:10 pm None 2 Prerequisites:  CPE(s): G4: EMERGING TOPICS & PRACTICES

Agile Auditing: Transforming Internal Audit Cumberland 5

John Romano, CPA, CIA, CITP, CFE, CSM, Partner, Baker Tilly MONDAY, SEPTEMBER 16 | 2019 Phil Schmoyer, CISA, AES, CFE, CSM, Senior Manager, Baker Tilly All Specialized Knowledge Level:  Field of Study:  None 2 Prerequisites:  CPE(s):

42 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 43 MONDAY, SEPTEMBER 16 | 2019 MONDAY, SUNDAY,MONDAY, AUGUSTSEPTEMBER 30 | 201516 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 5:10 pm – 7:15 pm TUESDAY, SEPTEMBER 17, 2019 Come Hit the High Notes with AHIA — Reception SPONSORED BY PROTIVITI 7:00 am – 6:00 pm Broadway Ballroom East Registration The Welcome Reception is just our way of saying “THANK YOU!” This Broadway Ballroom Foyer informal gathering, held in the Exhibit Hall, is an excellent opportunity to network and socialize in a relaxed, casual and enjoyable atmosphere. We are excited about the fantastic conference ahead and would love to catch up with all our members and friends in attendance. The Welcome 7:00 am – 8:00 am Reception is included as part of your conference Attendee Continental Breakfast registration, and there’s Broadway Ballroom East no ticket necessary! Every attendee will receive one complimentary drink ticket, thanks to our 7:00 am – 6:30 pm friends from Protiviti! Exhibit Hall Open Broadway Ballroom East

7:00 am – 8:00 am

BL2: BREAKFAST AND LEARN SPONSORED BY PLANTE MORAN Uncompensated Care Reporting: Managing Risk and Maximizing Reimbursement Cumberland 1

Katy Dettman, CPA, Principal, Risk and Accounting Advisory Services, Plante Moran Sue Marr, Principal, Healthcare Strategy and Operations, Plante Moran

Level: All  Field of Study: Auditing  CPE(s): 1

44 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 45 MONDAY, SEPTEMBER 16 | 2019 MONDAY, TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 8:00 am – 9:30 am 10:00 am – 11:40 am

AWARDS/VOLUNTEER RECOGNITION PRESENTATION AND B5: CARE SETTINGS KEYNOTE PRESENTATION Drug Diversion The Economics of Healthcare: Driving Health Value Broadway Ballroom West Broadway Ballroom West Healthcare is a very complex, highly regulated industry. Accordingly, the Kimberly New, JD, BSN, RN, Partner, Diversion Specialists, LLC industry is faced with a myriad of challenge that must be addressed to Level: Intermediate Field of Study: Auditing Prerequisites:

TUESDAY, SEPTEMBER 17 | 2019 TUESDAY,   achieve health sustainability. This session will provide insight into the Basic understanding of controlled substance dispensing and challenges from the provider perspective through the lens of risk and administration workflows in healthcare institution 2  CPE(s): risk mitigation. Target Audience: Coding Compliance Auditors Bill Rutherford, CFO & Executive Vice President, HCA Professional Management Services 1 Level:  Field of Study:  CPE(s): 10:00 am – 11:40 am

9:30 am – 10:00 am C5: COMPLIANCE

Auditing Healthcare Focus Arrangements for Mid-Morning Networking Break in the Exhibit Regulatory Compliance: Physicians, Management Hall (Refreshments provided) Services, Post-Discharge Care, Ambulance Broadway Ballroom East Services, Specialty Care, etc. Cumberland 3

10:00 am – 11:40 am Susan Thomas, MHSA, CHC, CIA, CRMA, CPC, Consulting Manager, PYA A5: CORE AUDIT Tynan Kugler, MBA/MPH, CVA, Principal, PYA

All Auditing None Application Auditing: What Business Auditors Level:  Field of Study:  Prerequisites:  Should Know about IT CPE(s): 2 Cumberland 1

Scott Collins, CISA, CRISC, CIA, IT Audit Consultant/Trainer 10:00 am – 11:40 am Introductory Auditing Level:  Field of Study:  Prerequisites: None 2 D5: INFORMATION TECHNOLOGY/SECURITY  CPE(s): The IT Analysis Paralysis Cumberland 4

Barry Matthis, Principal, PYA All Information Technology Level:  Field of Study:  None 2 Prerequisites:  CPE(s):

46 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 47 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 10:00 am – 11:40 am 10:00 am – 11:40 am

E5: REVENUE CYCLE G5: EMERGING TOPICS & PRACTICES

How to CUT the Risk Out of Surgical Billing: Do Hitting the High Notes when Auditing the Middle You Need a Nip & Tuck or a Complete Overhaul? of the Revenue Cycle Cumberland 5 Cumberland 2

Catherine Hicks, RN, MHS, CHC, Compliance Director, Amy Lee Smith, CIA, CRMA, MBA, CHFP, CPC, COC, CPMA,

TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, UCHealth Director, Internal Audit, Bon Secours Mercy Health Lisa Caldwell, Senior Internal Auditor, UCHealth Introductory Auditing Level:  Field of Study:  Prerequisites: All Specialized Knowledge None CPE(s): 2 Level:  Field of Study:   None 2 Prerequisites:  CPE(s): Target Audience: This session is most appropriate for auditors just beginning to perform revenue cycle audits, or those seeking a refresher on the revenue cycle continuum. 10:00 am – 11:40 am

F5: HEALTH PLAN 11:40 pm – 1:10 pm

Attacking Managed Care Denials Conference Attendee Luncheon Mockingbird 1 Broadway Ballroom East Day Egusquiza, President, AR Systems, Inc. All Auditing None Level:  Field of Study:  Prerequisites:  11:40 am – 1:00 pm CPE(s): 2

Target Audience: This presentation is for those that conduct LL3: LUNCH AND LEARN SPONSORED BY PROTIVITI internal audits as well as those that must respond to findings from either an internal audit or external audit. Grab and Go: Get your meal in the exhibit hall and join us for a special lunch session. Addressing Priorities for Internal Auditors in Healthcare Delivery Organizations Mockingbird 2

Alex Robison, CHC, Internal Audit Accreditation in Quality Assessment and Validation, Managing Director, West Region Healthcare Geography Leader, Protiviti Matt Jackson, PMP, Managing Director, Healthcare IT & Digital Solutions Leader, Protiviti Online registration, complete session descriptions, Level: All Field of Study: Auditing Prerequisites: None learning objectives, field-of-study classifications,    CPE(s): 1 prerequisites and more are available at www.ahia.org

48 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 49 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 11:50 am – 1:00 pm 1:10 pm – 2:00 pm

LL4: LUNCH AND LEARN SPONSORED BY EMINERE B6: CARE SETTINGS

GROUP Implementation of Clinical Equipment Review Grab and Go: Get your meal in the exhibit hall and join us for a Team Process special lunch session. Cumberland 3 Are You a Cyber Risk Target? A Non-Technical Amanda Fleharty, BS, Senior Auditor, WellSpan Health Hands-on View of Tools and Methods Commonly TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, Used that Any Auditor Should Know about Cyber Mary Thomas, MBA, Senior Director of Internal Audit, WellSpan Security Health All Specialized Knowledge Broadway Ballroom West Level:  Field of Study:  None 1 Prerequisites:  CPE(s): Johan Lidros, CISA, CISM, CGEIT, CRISC, HITRUST CCSFP, ITIL-F, President, Eminere Group Fredrik Soderblom, CISM, CRISC, Senior Security Architect, 1:10 pm – 2:00 pm Eminere Group C6: COMPLIANCE Level: All  Field of Study: Information Technology  Prerequisites: None  CPE(s): 1 The Current Regulatory Environment and Auditing of Urine Drug Testing Mockingbird 1 12:00 pm – 1:00 pm Jennifer Bridgeforth, MBA, CPHT, CPC®, CPMA, Senior AHIA Committee Leadership Luncheon — Consultant, PYA Invitation Only Jennifer Kastner, CPC, CPMA, CEMC, Senior Consultant, PYA Mockingbird 3 All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1

1:10 pm – 2:00 pm 1:10 pm – 2:00 pm A6: CORE AUDIT

D6: INFORMATION TECHNOLOGY/SECURITY De-constructing Construction Auditing: From a Healthcare Auditor’s Perspective The Secure Software Development Lifecycle Cumberland 2 (SSDLC) and How to Co-Source an Effective Audit Assessment Susan Fredrick, CPA, CIA, MBA, Senior Director of Financial Auditing, Cleveland Clinic Cumberland 1 All Auditing None Level:  Field of Study:  Prerequisites:  Antonio Bovoso, CISSP, CISM, Senior Manager, Deloitte CPE(s): 1 Wendy Feigal, Senior IT Auditor, Mayo Clinic Stephen Ruzzini, CISSP, Manager, Deloitte All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1

50 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 51 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 1:10 pm – 2:00 pm 2:10 pm – 3:00 pm

E6: REVENUE CYCLE A7: CORE AUDIT

Auditing Overlapping Surgeries & Teaching Healthcare Internal Auditing — Music to Our Physician Rule Compliance Ears Nautilus 1 Cumberland 1

Henry Greeley, Senior Data Science Analyst, Mayo Clinic Michael Cronin, MBA, Managing Director, Deloitte & Touche LLP TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, Professional Auditing Introductory Auditing Level:  Field of Study:  Prerequisites: Level:  Field of Study:  Prerequisites: None 1 None 1  CPE(s):  CPE(s):

1:10 pm – 2:00 pm 2:10 pm – 3:00 pm

F6: HEALTH PLAN B7: CARE SETTINGS

Data Analytics and ‘Real World’ Applications: Understanding Patient Engagement and Leveraging D&A for Health Plans Experience Initiatives and What They Mean for Cumberland 4 Internal Audit Cumberland 2 Rob Gilmer, Director, KPMG Ian Flick, Senior Associate, KPMG Dee Dee Owens, CPA, CISA, Six Sigma Green Belt, Partner, KPMG All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1 Molly Kohrs, CPA, PMP, Manager, KPMG All Business Management & Target Audience: Healthcare insurance professionals. Level:  Field of Study: Organization None 1  Prerequisites:  CPE(s): Target Audience: Chief Audit Executives and Chief Compliance 1:10 pm – 2:00 pm Officers, Vice Presidents / Directors / Managers of Internal Audit, Compliance Managers and Staff, Provider Finance G6: EMERGING TOPICS & PRACTICES Managers and Departments, Internal Audit Staff

Designing a Fraud Risk Management Program Broadway Ballroom West

Tom Vincent, CPA, CFE, Director, Audit & Advisory Services, Highmark Health WIFI All Behavioral Ethics Level:  Field of Study:  Prerequisites: None CPE(s): 1 Wifi is provided to all conference attendees and  covers all breakout and conference rooms. Network Name: AHIA2019 Access Code: ahia2019 (case sensitive)

52 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 53 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 2:10 pm – 3:00 pm 2:10 pm – 3:00 pm

C7: COMPLIANCE F7: HEALTH PLAN

Auditing the Locum Tenen Process Telemedicine and Verification of Services Cumberland 3 Mockingbird 1

Karissa Reeves, Senior Internal Auditor, Parkview Health Holly Atkins, CFE, CGAP, Consultant, KPMG Mitch Evans, ACA, FCA, Vice President of Internal Audit, Level: All Field of Study: Auditing Prerequisites: None

TUESDAY, SEPTEMBER 17 | 2019 TUESDAY,    Parkview Health Systems, Inc. CPE(s): 1 All Information Technology Level:  Field of Study:  Prerequisites: None CPE(s): 1  2:10 pm – 3:00 pm

2:10 pm – 3:00 pm G7: EMERGING TOPICS & PRACTICES

Improve Your Processes, Improve Your D7: INFORMATION TECHNOLOGY/SECURITY Organization Auditing the Configuration and Use of Telehealth Cumberland 6 Devices Sunshine Prograis, Director of Operations, The Audit Group, Cumberland 4 Inc. Kevin Groom, CPA, CISA, CISSP, Assistant Vice President, Amber Fitzgerald, Manager, Quality Assurance, The Audit Internal Audit, HCA Healthcare Group, Inc. Danielle DiLuzio, CISA, Manager, HCA Healthcare All Specialized Knowledge Level:  Field of Study:  All Information Technology Prerequisites: None CPE(s): 1 Level:  Field of Study:   None 1 Prerequisites:  CPE(s): 3:00 pm – 3:30 pm 2:10 pm – 3:00 pm Mid-Afternoon Networking Break (Refreshments provided) and Announcement of Prize Drawing E7: REVENUE CYCLE Winners in Exhibit Hall Mitigating Medicare Reimbursement Denials: Broadway Ballroom East Real-Time Alerts for Mis-coding and Broken Work Flows Regains Lost Reimbursements and You must be present to win! Visit Increases Patient Satisfaction each exhibitor with the special Marina 2 card* you will receive at check- in, collect all exhibitor signatures Mark Benoit, Director – Healthcare Privacy Solutions, and return your card as Bottomline Technologies specified and be registered to win a $500 American Express Gift Card. All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1 *Disclaimer noted on drawing card.

54 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 55 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 3:30 pm – 5:10 pm 3:30 pm – 5:10 pm

A8: CORE AUDIT D8: INFORMATION TECHNOLOGY/SECURITY

Facilities Audit in the Healthcare World: The Rise of Robotics Process Automation (RPA) Construction, Operations and Maintenance and the Role of Internal Audit Cumberland 1 Cumberland 4

Daniel Bouldrick, Senior Manager, Protiviti Debbie Lew, CISA, CRISC, Vice President, Internal Audit

TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, Ruhtab Sahota, Senior Manager, Protiviti Services, Kaiser Permanente Introductory Auditing Kelly Hughes, CISA, CISSP, Director, Internal Audit Services, Level:  Field of Study:  Prerequisites: None 2 Kaiser Permanente  CPE(s): All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 1 3:30 pm – 5:10 pm

B8: CARE SETTINGS 3:30 pm – 5:10 pm

340B Auditing — Where Do I Begin and How to E8: REVENUE CYCLE Leverage Data Analytics Cumberland 2 Auditing Ground Ambulance Transportation Services: Driving a Comprehensive Audit Chris Wasik, CIA, CFE, Vice President, Internal Audit, Bon Approach Secours Mercy Health Marina 2 Kathy Langley, CIA, CISA, ACDA, Data Analytics Audit Manager, Crowe Healthcare Risk Consulting Brandon Berry, CIA, Internal Auditor, Deaconess Health System All Specialized Knowledge Linda Sartore, CPA, CIA, CISA, Chief Audit Executive, Level:  Field of Study:  None 2 Deaconess Health System Prerequisites:  CPE(s): All Specialized Knowledge Level:  Field of Study:  None 2 Prerequisites:  CPE(s): 3:30 pm – 5:10 pm

C8: COMPLIANCE 3:30 pm – 5:10 pm

Disruptions that Impact Healthcare Compliance F8: HEALTH PLAN Cumberland 3 Driving Business Value in Denials Management Day Egusquiza, President, AR Systems, Inc. with Data Analytics All Business Management & Level:  Field of Study: Mockingbird 1 Organization Prerequisites: None CPE(s): 2   Christine Sullivan, CFE, CGAP, AHFI, Manager, KPMG Target Audience: Every level of operations should attend. Compliance ripples into many areas of the healthcare culture. Holly Atkins, CFE, CGAP, CHC, AHFI, Manager, KPMG All Auditing None Level:  Field of Study:  Prerequisites:  CPE(s): 2

56 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 57 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, SEPTEMBER 17 | 2019 3:30 pm – 5:10 pm 7:00 pm – 10:00 pm Social Events – Advance ticket purchase required G8: EMERGING TOPICS & PRACTICES Limited amount of tickets are available per offering. Visit the registration Billing Utilization Data Analysis for Focused desk to check availability. Investigations Mockingbird 2 Big Machine Distillery Tour & Tasting ­— Start Time: 7:00 pm Big Machine Distillery is located in the heart of downtown Nashville. Kelly Loya, CPC-I, CHC, CPhT, CRMA, Associate Partner, Boasting the only working distillery on Nashville’s famous Broadway strip, the Big Machine Store is the perfect unique experience TUESDAY, SEPTEMBER 17 | 2019 TUESDAY, Pinnacle Enterprise Risk Consulting Services, LLC incorporating a taste of the city through their very own Big Machine All Auditing None Level:  Field of Study:  Prerequisites:  Platinum Filtered Premium Vodka. CPE(s): 2 Target Audience: Professionals in internal audit and Guests will experience a 30 minute guided tour of the facility to learn compliance who are interested in an interactive session to about the history and processes that make this distillery unique. After explore the analysis of a billing data-set to identify a ‘clean’ the tour, guests will have the opportunity to sample 4 of Big Machine’s sampling frame for statistical testing leading to extrapolation. most popular products. Guests will also leave with a Big Machine Distillery goodie bag! $55 per person

5:20 pm – 6:20 pm Nashville Hearse Ghost Tour — Start Time: 8:00pm Depart on a journey to some of Nashville’s most eerie sites in a AHIA Business Meeting converted New Orleans hearse. Sit back and relax (if you can) while Broadway Ballroom West your driver uncovers the hauntings surrounding the ghosts of Union Station, the infamous “Murder on Music Row,” Nashville’s oldest The AHIA business meeting gives members insight into the cemetery, and more. Written by the authors of Haunted Nashville, this organization, updates on its state of affairs and a chance unique tour is an experience sure to haunt your memory for years. to share your input. Members and non-members Nashville Ghost Tours Haunted Hearse Tours are a great way to see the alike are welcome and are encouraged to attend. We haunted side of Nashville! $50 per person will play Business Meeting Bingo, and you can be entered into a drawing for free registration to the AHIA Grand Ole Opry — Start Time: 7:00 pm 2019 Annual Conference. In addition, we will serve What began as a simple radio broadcast in 1925 is today a live champagne to celebrate AHIA’s success over the past year. entertainment phenomenon. Dedicated to honoring country music’s rich history and dynamic present, the Grand Ole Opry showcases a mix of country legends and the contemporary chart-toppers who have followed in their footsteps. The Opry, an American icon and Nashville, Tennessee’s number-one attraction, is world-famous for creating one- of-a-kind entertainment experiences for audiences of all ages. It’s been called the “home of American music” and “country’s most famous stage.” Every year, hundreds of thousands of people make pilgrimages across town or around the world to the Grand Ole Opry to see the show live.

Show details for September 17 can be found online at www.opry.com/ calendar. Tickets are Tier 2 level. This price only covers the cost of the show and no additional special events. $65 per person

58 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 59 AHIA EXPERIENCE SURVEY DRAWING WEDNESDAY, SEPTEMBER 18 | 2019

Fill out our Experience Survey and enter our drawing to win a free WEDNESDAY, AUGUST 29, 2019 2020 Conference Registration. To be eligible to win the 2019 AHIA prize drawing you must:

1) Complete the AHIA Experience Survey — provided in your 7:00 am – 12:00 pm registration bag. Registration 2) Turn in your completed survey to AHIA Registration NO LATER Broadway Ballroom Foyer THAN 3:00 pm on Tuesday, September 17, 2019 3) Each attendee may enter this drawing only once. 7:00 am – 8:00 am 4) Must be present to win. Attendee Continental Breakfast WEDNESDAY, SEPTEMBER 18 | 2019 Broadway Ballroom East NO PURCHASE NECESSARY TO ENTER OR WIN. VOID WHERE PROHIBITED. Sponsor: Association of Healthcare Internal Auditors, located at One Oakbrook Plaza, Ste., 800, Oakbrook Terrace, IL 8:00 am – 9:40 am 60181, is the sponsor of this promotion (“AHIA”). AHIA reserves the right, at its sole discretion, to cancel, modify or terminate A9: CORE AUDIT the Drawing at any time. The Drawing will be held on Tuesday, September 17, 2019 immediately following the Exhibitor Drawing in Healthcare Compliance Auditing for Zones of Risk the Exhibit Hall. Cumberland 1

Check us out on social media: Debi Weatherford, CIA, Executive Director Internal Audit, Piedmont Healthcare https://www.linkedin.com/company/ahia/ Debra Muscio, CHC, CCE, CHP, CFE, CHP, CHIAP APPROVED, SVP, Chief Audit, ERM, Privacy, Security, Ethics & Compliance https://www.facebook.com/HealthcareInternalAudit/ Officer, Community Medical Center All Specialized Knowledge Level:  Field of Study:  None 2 Prerequisites:  CPE(s):

8:00 am – 9:40 am

B9: CARE SETTINGS

Quality Assurance and Improvement Program (QAIP)—How to Build Quality into Internal Audit WIFI Activities Wifi is provided to all conference attendees and Cumberland 2 covers all breakout and conference rooms. James Menck, CPA, CIA, CFE, Senior Manager, Eide Bailly LLP Network Name: AHIA2019 Scott Sisel, CPA, Partner and Director of Internal Audit Services, Access Code: ahia2019 (case sensitive) Eide Bailly LLP N/A N/A N/A Level:  Field of Study:  Prerequisites:  CPE(s): 2

60 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 61 WEDNESDAY, SEPTEMBER 18 | 2019 WEDNESDAY, SEPTEMBER 18 | 2019

8:00 am – 9:40 am 8:00 am – 9:40 am

C9: COMPLIANCE E9: REVENUE CYCLE

How Does Your Organization’s Compliance Revenue at Risk: From the Bed-side to the Program Stack Up in the Healthcare versus Business-side Financial Services Industries? Nautilus 3-4 Cumberland 3 Rebecca Welker, FHFMA, CIA, National Leader, Crowe Leyla Erkan, CHC, CHP, Midwest Healthcare Leader, Protiviti Healthcare Risk Consulting, LLC Mitch Evans, ACA, FCA, Vice President of Internal Audit, Kelly Smith, CPA, Senior Manager, Crowe Healthcare Risk Parkview Health Consulting, LLC WEDNESDAY, SEPTEMBER 18 | 2019 Tom Giltrow, CRCM, Director, Protiviti All Specialized Knowledge Level:  Field of Study:  Prerequisites: None CPE(s): 2 Level: All  Field of Study: Auditing  Prerequisites: None   CPE(s): 2 8:00 am – 9:40 am 8:00 am – 9:40 am F9: HEALTH PLAN

D9: INFORMATION TECHNOLOGY/SECURITY Health Plan Strategy: Proactive Auditing vs Reactive Auditing

WEDNESDAY, SEPTEMBER 18 | 2019 WEDNESDAY, Vendor Management in the Era of Big Data and Machine Learning Mockingbird 1 Cumberland 4 Richard J. Merino, Senior Managing Director, Ankura All Auditing None Daniel Fabbri, PhD, Assistant Professor of Biomedical Level:  Field of Study:  Prerequisites:  Informatics, Maize Analytics Inc. CPE(s): 2 Jason Shelton, Founder & CEO, Better IG Consulting

Level: Professional  Field of Study: Auditing  Prerequisites: 8:00 am – 9:40 am None  CPE(s): 2 G9: EMERGING TOPICS & PRACTICES

Navigating Risk While Mitigating the Three- Headed Monster Mockingbird 2 Online registration, complete session descriptions, Lori Laubach, CHC, Partner, Moss Adams; Calvin Swartley, CFA, learning objectives, field-of-study classifications, ASA, Managing Director, Moss Adams prerequisites and more are available at Lawrence Vernaglia, Partner, Foley & Lardner LLP All Compliance & Auditing www.ahia.org Level:  Field of Study:  None 2 Prerequisites:  CPE(s):

62 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 63 WEDNESDAY, SEPTEMBER 18 | 2019 WEDNESDAY, SEPTEMBER 18 | 2019 SUBJECT MATTER LEADERS 9:40 am – 10:00 am 10:00 am – 10:50 am

Mid-Morning Networking Break (Refreshments C10: COMPLIANCE provided) Broadway Ballroom East Credit Balance Report Auditing and Regulatory Considerations Cumberland 3

10:00 am – 10:50 am Kathleen Spears, MJ, CHC, CISA, Director, Ankura Lindsey Lonergan, JD, Vice President and Deputy General A10: CORE AUDIT Counsel, Navicent Health WEDNESDAY, SEPTEMBER 18 | 2019 Professional Auditing Top 10 HR Audit Risks Level:  Field of Study:  Prerequisites: None 1 Cumberland 1  CPE(s):

Sarah McLaughlin, CHRO, Leadership Development Consultant, The Audit Group, Inc. 10:00 am – 10:50 am Introductory Auditing Level:  Field of Study:  Prerequisites: None CPE(s): 1 D10: INFORMATION TECHNOLOGY/SECURITY  Top 10 Emerging Healthcare IT Audit Issues 10:00 am – 10:50 am Cumberland 5

WEDNESDAY, SEPTEMBER 18 | 2019 WEDNESDAY, Glenn Wilson, Enterprise Risk Senior Manager, IAT & Cyber B10: CARE SETTINGS Risk Services, Deloitte & Touche LLP Top Home Health Compliance Risks and Level: Professional  Field of Study: Auditing  Prerequisites: Monitoring Opportunities None  CPE(s): 1 Cumberland 2

Shawn Stevison, CPA, CHC, CRMA, CGMA, Director of Internal 10:00 am – 10:50 am Audit, Signature HealthCARE, LLC Level: All Field of Study: Auditing Prerequisites: None E10: REVENUE CYCLE    CPE(s): 1 Epic Operational Audits for Non-technical Auditors Cumberland 4

Robin Cannon, BS, Principal Auditor, WellSpan Health

Level: All  Field of Study: Auditing  Prerequisites: None  CPE(s): 1

64 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 65 WEDNESDAY, SEPTEMBER 18 | 2019 WEDNESDAY, SEPTEMBER 18 | 2019

10:00 am – 10:50 am 11:00 am – 1:00 pm

CLOSING REMARKS AND KEYNOTE PRESENTATION F10: HEALTH PLAN

Auditing Health Plan Benefit Administration for Ethical Erosion, Ethical Wisdom and Ethical Culture Company Employees Broadway Ballroom West Mockingbird 1 Jack Gilbert, EdD, Clinical Professor, Arizona State University Karissa Reeves, Senior Internal Auditor, Parkview Health In this session, we will explore the damaging and pervasive role of ethical erosion in weakening the ability to do the right thing every day Level: All Field of Study: Auditing Prerequisites: None    and its antidote, ethical wisdom. Then we will examine four ethical CPE(s): 1

pathways (culture, leadership, infrastructure, personal integrity) and WEDNESDAY, SEPTEMBER 18 | 2019 take a deep dive into the five everyday disciplines that support an ethical culture and leverage ethical wisdom. Finally, we will explore 10:00 am – 10:50 am in depth the three disciplines of personal integrity. All of which will lead participants to the opportunity to determine a small set of actions G10: EMERGING TOPICS & PRACTICES to take “back home” that will support the ethical health of their

organization. Provider Compliance: It’s Not a Mission ALL Behavioral Ethics 2 Impossible Level:  Field of Study:  CPE(s): Mockingbird 2

Niurka Adorno, JD, CHC, AVP, Compliance/Regional

WEDNESDAY, SEPTEMBER 18 | 2019 WEDNESDAY, Compliance Officer, Molina Healthcare of SC and PR Jorge Perez-Casellas, JD, LLM, CHC, Managing Director, Ankura Introductory Compliance Level:  Field of Study:  None 1 Prerequisites:  CPE(s):

WIFI Wifi is provided to all conference attendees and covers all breakout and conference rooms. Network Name: AHIA2019 Access Code: ahia2019 (case sensitive)

66 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 67 SPONSORSSUNDAY, SEPTEMBER 15 | 2019 SPONSORS

Thank You to all of our generous sponsors, who contributed KEYNOTE / SILVER SPONSOR financially toward the success of the AHIA 38th Annual Conference. This event would not be possible without their generous sponsor and commitment to the profession of healthcare internal auditing. Eide Bailly Sponsorship is vital to continuing AHIA’s programs and services. www.eidebailly.com/healthcare Without the support of our sponsors, we could not carry out our mission of providing healthcare auditors with high quality, specialized education and vital networking opportunities. SILVER LEVEL SPONSORS

DIAMOND LEVEL SPONSORS Baker Tilly www.bakertilly.com/ Crowe LLC crowe.com

Eminere Group Deloitte & Touche emineregroup.com www.deloitte.com/us/ia

Protiviti GlassRatner protiviti.com/US-en/healthcare www.glassratner.com

PLATINUM LEVEL SPONSOR Kit Check kitcheck.com Protenus protenus.com SPONSORS Moss Adam SpendMend mossadams.com www.spendmend.com SPONSORS

GOLD LEVEL SPONSORS Plante Moran, LLP plantemoran.com KMPG LLP kpmg.com PwC Galvanize pwc.com/internalaudit

www.wegalvanize.com SPONSORS

Spanugo Talson Solutions, LLC www.Spanugo.com www.talsonsolutions.com

68 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 69 EXHIBITORSUNDAY, AUGUST HOURS 30 & DRAWING| 2015 EXHIBITOR FLOOR PLAN

Exhibitor Set-up: Please note: Exhibitors are not Sunday, September 15 required to staff booths during 1 2 3 4 5 6 7 2:00 pm – 5:00 pm times attendees are in educational sessions. The AHIA Annual Exhibit Viewing Hours: Conference Prize Drawing will be 30 11 Monday, September 16 held on Tuesday, September 17, 7:00 am to 7:00 pm 2019 at 3:15 pm in the Exhibit 29 12 Tuesday, September 17 Hall. Exhibitors are welcome to do Broadway Ballroom any prize drawings at that time. 28 13 7:00 am – 6:30 pm East 14 Exhibitor Teardown: Tuesday, September 17 27 15 6:30 pm – 8:30 pm

26 25 24 23 22 21 20 16 EXHIBITOR DRAWING Visit each exhibitor and enter our drawing to win a $500 VISA 24 Kit Check gift card. To be eligible to win the 2019 AHIA prize drawing 21 Auditboard you must: 5 Baker Tilly 22 Maize Analytics Inc. 1) Visit each exhibitor’s booth and receive a signature on the 13 Momentum Seminars corresponding square on the EXHIBITOR DRAWING CARD 7 Bottomline Technologies Training & Coaching — provided in your registration bag . 26 Crowe LLP 2) Complete the contact information on the EXHIBITOR 16 Plante Moran DRAWING CARD 28 Deloitte 11 Playback Now 3) Turn in your completed card to AHIA Registration NO 20 Deloitte Ask a Hacker LATER THAN 2:30 pm on Tuesday, September 17, 2019 29 Protenus 1 Eide Bailly LLP 4) Each attendee may enter this drawing only once . 27 Protiviti 5) Must be present to win . 25 Eminere Group LLC 2 PwC NO PURCHASE NECESSARY TO ENTER OR WIN. VOID WHERE 23 Fort Hill Associates, LLC 14 RSM US LLC PROHIBITED. Sponsor: Association of Healthcare Internal Auditors, located at One Oakbrook Plaza, Ste., 800, Oakbrook Terrace, IL 12 Galvanize

15 SpendMend EXHIBITOR FLOOR PLAN 60181, is the sponsor of this promotion (“AHIA”). AHIA reserves the 3 GlassRatner right, at its sole discretion, to cancel, modify or terminate the Drawing 30 Spanugo at any time. The Drawing will be held on Tuesday, September 17, 6 HelioMetrics 2019 at 3:15 pm in the Exhibit Hall. 4 Talson Solutions LLC

70 71 EXHIBITOR HOURS & DRAWING EXHIBITOR www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org SUNDAY,EXHIBITORS AUGUST 30 | 2015 EXHIBITORS

During the Annual Conference, be sure to visit the Exhibit Hall the latest information on the products and services you need Bottomline Technologies to do your job more effectively and efficiently. Don’t miss this Booth #7 opportunity to speak one-on-one with representatives from 325 Corporate Dr. the following organizations. THANK YOU to all our exhibitors, Portsmouth, NH 03801 who provide an important service to our conference and the 603-501-6016 healthcare internal auditing profession. [email protected] www.bottomline.com

Auditboard Create, manage, deliver, and present electronic forms. Capture discrete Booth #21 data, eSignature, images, and annotations across platforms and devices. Protect healthcare information, prevent fraud, and meet HIPAA 12900 Park Plaza Dr., Suite 200 and HITECH mandates. Cerritos, CA 90703 626-552-2141 [email protected] www.auditboard.com Crowe LLP Booth #26 AuditBoard is the leading cloud-based platform transforming the way enterprises automate, collaborate and report in real-time on critical risk, 231 South Bemiston, Suite 300 audit and compliance workflows. AuditBoard offers a full suite of easy- Clayton, MO 63105 to-use audit management and compliance solutions for SOX, controls 314-802-2000 management, operational audits, ERM and workflow management. [email protected] AuditBoard’s clients include industry-leading pre-IPO to Fortune 50 www.crowehorwath.com companies looking to streamline their accounting and audit functions. For more information: www.auditboard.com. Crowe LLP healthcare services is focused on providing healthcare internal audit, compliance and risk consulting services. Our deep industry knowledge and “Next Generation” internal audit approach Baker Tilly identify opportunities to tailor innovative solutions to manage risk and Booth #5 solve complex issues in today’s changing healthcare climate.

777 E. Wisconsin Ave. Milwaukee, WI 53202 Deloitte & Touche 414-777-5500 Booth #28 [email protected] www.bakertilly.com 111 S. Wacker Dr. Chicago, IL 60606 Baker Tilly is a leading advisory and accounting firm, providing 312-486-3126 assurance, tax, internal audit and consulting services to healthcare [email protected] providers, higher education systems and research institutions. In www.deloitte.com/us/ia addition to financial statement audit and tax services, we collaboratively EXHIBITORS address strategic areas such as risk management, research Internal audit functions are evolving their approaches to not only deliver EXHIBITORS compliance, construction, managed care contracting, revenue cycle assurance to stakeholders, but to advise on critical business issues and optimization, community health and needs assessments, cybersecurity, better anticipate risk. We can help you develop a strategy to modernize fraud and other strategic and operational issues. Visit us at bakertilly. your internal audit program; enhance your IT internal audit program; EXHIBITORS EXHIBITORS com/healthcare to learn more. and incorporate Agile Internal Audit.

72 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 73 SUNDAY,EXHIBITORS AUGUST 30 | 2015 EXHIBITORS

Eide Bailly LLP Fort Hill Associates, LLC Booth #1 Booth #23

U.S. Bancorp Center 37 Villa Road, Suite 106 800 Nicollet Mall, Suite 1300 Greenville, SC 29615 Minneapolis, MN 55402-7033 864-250-9065 612-253-6514 [email protected] [email protected] www.forthillassociates.com www.eidebailly.com/healthcare Specialists in healthcare construction contract auditing – Fort Hill Eide Bailly is a CPA and business advisory firm with 44 offices across provides personal customer service to satisfy its client’s needs from pre- the nation. By embracing change and innovation, we’ve grown along construction contract reviews though to periodic and closeout audits. with our clients to become one of the top 20 accounting firms in the U.S.

We pride ourselves on being leaders in the healthcare industry, offering Galvanize valuable perspectives beyond our core strength of accounting and Booth #12 tax compliance. We’re business advisors who want to help guide the strategy and operations of our clients, by bringing them sustainable 980 Howe St., Suite 1500 solutions that help improve their organizations. Vancouver, BC V6Z 0C8 Canada Accounting is about numbers, but our business is about relationships. 604-679-3262 [email protected] Learn more at www.eidebailly.com/healthcare. www.wegalvanize.com

Galvanize builds security, risk management, compliance, and audit Eminere Group LLC software to drive change in some of the world’s largest organizations. Booth #25 We unite and strengthen individuals and entire companies through the integrated HighBond software platform. Visit our booth or wegalvanize. 2909 West Bay to Bay Boulevard com to learn more. Tampa, FL 33629 813-832-6672 [email protected] www.emineregroup.com

Eminere Group is a premium assurance and management consulting firm providing IT Risk Management, IT Governance, IT Auditing and Cybersecurity services. We help organizations assess and manage their business risks associated with the deployment and use of information technology. Our teams are made up of the most senior resources in the field, with all the relevant certifications and industry expertise. We take pride in delivering thorough and detailed deliverables which

immediately improve our customers’ compliance and risk posture. We EXHIBITORS are highly responsive and flexible — working with customers to design the exact project they require.

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74 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 75 SUNDAY,EXHIBITORS AUGUST 30 | 2015 EXHIBITORS

GlassRatner Kit Check Booth #3 Booth #24

3445 Peachtree Rd NE, Suite 1225 1875 Connecticut Ave., #300 Atlanta, GA 30326 Washington, DC 20009 470-346-6800 786-548-2432 [email protected] [email protected] www.glassratner.com www.kitcheck.com

GlassRatner is a national specialty financial advisory services firm Kit Check designs solutions to help hospitals deal with issues of providing solutions to complex business problems and Board diversion, standardization, inventory control, data analytics, and level agenda items. The firm applies a unique mix of skill sets and operational efficiencies. The flagship Kit Check product is an RFID- experience to address matters of the utmost importance to an based automated medication tray management system, designed to enterprise such as managing through a business crisis or bankruptcy, help hospital pharmacies gain better visibility into medication usage and pursuing a fraud investigation or corporate litigation, planning & lifespan, increase efficiencies, and free up staff to focus on patient care. executing a major acquisition or divestiture, unraveling a challenging Kit Check’s Bluesight for Controlled Substances platform helps hospitals healthcare issue and other business challenges. combat drug diversion by pinpointing outlier behavior patterns.

HelioMetrics Maize Analytics Inc. Booth #6 Booth #22

3440 Belt Line Blvd., Suite 208 Nashville, TN 37203 St. Louis Park, MN 55416 339-222-9019 612-444-3278 [email protected] [email protected] www.maizeanalytics.com www.heliometrics.net Maize Analytics provides the only patented, peer-reviewed and HelioMetrics is the industry’s leading advanced drug diversion analytics published machine-learning technology on the market, working with software platform. Its proprietary Diversion Triangulation™ methodology, compliance teams to audit EMR accesses, database accesses, and along with behavior analytics, gives healthcare systems and pharmacies external data feeds. By removing false positive alerts and providing full a closed loop process for the precise monitoring, detection and vision into all accesses to ePHI, teams are able to maximize efficiency, investigation of drug diversion, while validating compliance to increase productivity and protect patient privacy. medication handling policies and helping with process improvement.

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76 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 77 SUNDAY,EXHIBITORS AUGUST 30 | 2015 EXHIBITORS

Momentum Seminars Training & Coaching Protenus Booth #13 Booth #29

139 Barley Dr. 1629 Thames St. Christiana, TN 37037 Baltimore, MD 21231 615-513-6443 410-995-8811 [email protected] [email protected] www.momentumseminars.com www.protenus.com

Momentum Seminars Training & Coaching helps organizations The Protenus healthcare compliance analytics platform uses artificial become more effective and profitable by investing in its people. intelligence to audit every access to patient records for the nation’s Whether it’s leadership, team building or better communication skills, leading health systems. Providing healthcare leaders full insight into give your group the tools necessary to be successful. Turnover is how health data is being used, and alerting privacy, security and high in all industries right now, but people don’t leave because they compliance teams to inappropriate activity, Protenus helps our partner are underpaid. They LEAVE because they are underappreciated, hospitals make decisions about how to better protect their data, their underutilized and under trained. It’s no secret people want a sense of patients, and their institutions. Learn more at Protenus.com and follow satisfaction at work. If the climate is one of bad management, lack of us on Twitter @Protenus. understanding or even toxic, good employees seek meaningful work elsewhere. Momentum Seminars helps you KEEP your best employees! Protiviti Booth #27 Plante Moran Booth #16 13727 Noel Road, Suite 800 Dallas, TX 75240 10 S Riverside Plaza 469-374-2495 Chicago, IL 60606 [email protected] 312-207-1040 www.protiviti.com/healthcare [email protected] www.plantemoran.com Protiviti’s healthcare industry team helps leaders make better decisions by managing the risks they face today, as well as illuminating the risks Plante Moran serves hospitals and health systems across the nation and unforeseen consequences inherent in their strategies for growth with high-touch client service and strategic partnerships that provide and opportunity in the future. Whether the top concern is payment long-lasting value and long-term success. In addition to internal audit reform, regulatory compliance, improving revenue, managing costs, solutions, Plante Moran professionals deliver financial and accounting evaluating and safeguarding protected health information, or leveraging services, strategic planning, reimbursement, operations consulting, new technology, Protiviti brings deep industry knowledge and skills to risk management, IT consulting, M&A support, and real estate strategy help healthcare organizations manage risks and maintain their financial services. health across all acute and post-acute specialty areas through the project and/or advisory services we provide.

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78 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 79 SUNDAY,EXHIBITORS AUGUST 30 | 2015 EXHIBITORS

PwC SpendMend Booth #2 Booth #15

300 Madison Avenue 2680 Horizon Dr. SE New York NY 10017 Grand Rapids, MI 49546 646-471-3000 616-257-6300 www.pwc.com/internalaudit [email protected] www.spendmend.com PwC understands that most significant risks have a wide-ranging impact across the organization. As a result, PwC’s Risk Assurance practice has In 2018, SpendMend saved health systems over $100 Million through developed a holistic approach to risk that protects business, facilitates recovery audit efforts in Procure-to-Pay, Pharmacy, Medical Device, strategic decision-making and enhances efficiency. PwC firms help Tax, and Wireless Device spend. SpendMend is focused on stopping organizations and individuals create the value they’re looking for. We’re Financial Leakage. a network of firms in 158 countries with over 250,000 people with one goal: to help your business thrive. Find out more by visiting us at http:// www.pwc.com/internalaudit. Spanugo Booth #30 RSM US LLP Booth #14 3120 Scott Blvd. Santa Monica, CA 95054 615 Channelside Dr., Suite 201 650-465-6870 Tampa, FL 33602 [email protected] 813-316-2247 www.spanugo.com [email protected] www.rsmus.com Spanugo protects your IT assets across the enterprise hybrid cloud by delivering real-time cybersecurity assurance, risk, and compliance RSM is the leading provider of audit, tax and consulting services to management. It accomplishes this by automating resource discovery, the middle market. From financial services, to tax reimbursement configuration management, and implementing security best practices. and technology solutions, our professionals have deep health care experience and a breadth of resources to deliver effective solutions to Spanugo provides a unified single pane of glass view with the nearly 3,000 health care organizations across the nation. comprehensive fine-grained visibility for all resources spanning the on- premises data center infrastructure and multi-cloud environments. EXHIBITORS EXHIBITORS

80 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 81 SUNDAY,EXHIBITORS AUGUST 30 | 2015

Talson Solutions LLC Booth #4 41 N. 3rd St. CAUTION Philadelphia, PA 19106 215-592-9634, ext. 110 [email protected] Major risks ahead www.talsonsolutions.com

Founded in 2001, Talson Solutions, LLC is 100% dedicated to providing Crowe can help you steer clear of common capital project consulting services helping clients reduce capital challenges to healthcare organizations program risk by improving financial controls and project execution. Talson offers specialized services in the areas of construction audit, litigation avoidance, project management, and risk assessment. Talson is aware of the many risks to investors, owners, public agencies, and • Internal audit real estate developers who undertake a significant investment of • Clinical audit capital for design and construction. We have developed a successful track record of engagements by identifying cost recovery opportunities • Cybersecurity and IT audit and creating risk awareness for organizations with extensive capital • Coding compliance programs. Our professionals apply a forward thinking approach to capital projects while effectively utilizing lessons learned to benefit Contact us to learn more about our risk engagement outcomes. management offerings for healthcare.

crowe.com/hc-risk EXHIBITORS

Visit www.crowe.com/disclosure for more information about Crowe LLP, its subsidiaries, and Crowe Global. © 2019 Crowe LLP. HC2004-003D         CPE CERTIFICATION           National Association of State Boards of Accountancy www.ahia.org     (NASBA) AHIA is registered with the National Association of State Boards of Accountancy as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards Session Recordings of accountancy have final authority on the acceptance of individual CPE CERTIFICATION courses for CPE credits. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its Available website, www.NASBARegistry.org. Special On Site Pricing *All attendees receive a Certificate of Continuing Professional Education form in their registration packets upon registration check-in. In order to receive continuing education credit, complete this $395 $295 form by circling the session and number of CPE credits for each session attended. You must place your name on the session sign-in sheet to verify attendance at each Recording Packages Include: presentation you circle. Before leaving the conference, leave the white copy of this form at the registration desk. Retain the yellow copy as your Online Access certificate of attendance. Playback Now Player App Preloaded USB Flash Drive American Academy of Professional Coders (AAPC) *This program has the prior approval of Free Domestic Shipping! AAPC for 31.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. Visit Booth 12 for more information! Compliance Certification Board (CCB)

To order stop by the The Compliance Certification Board (CCB)® has approved this Playback AHIA booth event for up to 29.0 CCB CEUs. Continuing Education Units are or visit www.playbackahia.com awarded based on individual attendance records. Granting of prior approval in no way constitutes endorsement by CCB of this event content or of the event sponsor.

Attendees seeking CPE credit through CCB must request a certificate from AHIA. Contact us [email protected] or [email protected] and we will assist you.

SEPTEMBER 15–18, 2019 www.ahia.org 85 CHIAP™ CERTIFICANTS CHIAP™ CERTIFICANTS

CERTIFICATION TRAILBLAZERS Linda Greer Vida Labrador Julie Griffin Ken E. Lafata AHIA is proud to introduce the inaugural class of CHIAP™ Certificants. Kevin Groom David Lancaster Congratulations and thank you for setting the standard for your peers in Olga S. Grullon Dan Landsberg the healthcare internal audit industry. Nataliya Hammond Brenda Larijani Russell Harder Michelle LaTouche Kelly L. Abrahamowicz Vikki C. Cook Debra A. Harris Carolyn Launer Landon Adkins Terry Corcoran Todd M. Havens Jerry Lear Cavell L. Alexander Janet M. Cox Lois Helms Russell A LeBlanc Mark Alexander Stephanie J. Cox Alan Henton Janie Lee Niloufar Alian Astara N. Crews Karen Hill Kenton LeFore Nadine Alliance Estiverne Anna L. Cuson Alice Ho Lori Lehn Anthony Almeda Mary E. Davis Elizabeth Hoffmann Loran Lerma Alice Anne Andress Gennadiy Daych Sheila A. Holland Debbie Lew Jason Anstead Rosario P. de Leon Jerod Holloway Diana Lockman Suzanne Applegate Christy Decker Laura L. Hooper Melinda Lokey Susan J. Arpei Susan Dell Jennifer Hornyak Ann Lovelady Holly Atkins Tanya Denyes April J. Hulette Kelly Loya Jarod S. Baccus Megan DeVries Theresa Irons Robert Lund Bernice Jill Baron Cheryl Donegan Jill R. Jackson Irene Ma Michael P. Bathke Pamela Duncan Matt Jackson Sherri Magnus Grant D. Baumgartner Edward Duran Tonya Jackson William L. Malm Stephanie Beckman Sharon Eagleburger Victoria L. Jacoby Ginger M. Manwell Cynthia L. Bennett Mark J. Eddy Renee W. Jaenicke Joyce A. Massott-Burnett Rodney V. Bennett Matthew R. Edman Olufunmilola O. Jemilugba Charles McDonald David E. Bickett Clyde H. Efird III JJ Jenkins Pegeen E. McGowan Julie A. Billington Michelle Elliott Kelley A. Jerome Cynthia McIntosh Cynthia L. Bishop Michael P. Fabrizius Lisa S. Johnson Jamie McKay Mary Bondurant Mariana Faustinelli Melissa Jolly Michael P. McKeever Jackie Bonny Heather Finch Chandra Jones Adam T. McKenery Cathy Bordelon Carol S. Fitzgerald Jill W. Jones Jamie McKnight Karen Brady Darlene FitzPatrick Dexter Jumamoy Sherry D. McLendon Kyle Brewster Deneen Flowers Veronica Kasdorf Sharon Meraro Summer Buchanan Mary Jo Flynn Lawrence Katzman Robert R. Michalski Kimberly A. Butler Stephen Ford Jr. Natasha Kelly Rhonda Mills John H. Byrd Jr Jim Frank Wendy Kemp Ann Marie Milton Lori Cantrell Troy J. Franklin Kristina Kendall Ahmed Shawky Mohammed Tonya Carrigan Susan Fredrick Yungjin Kim Maria G. Mojica Calece Cass Kristin Freitas Bruce D. Kincaid Gregory Moore Brian J. Cathcart Samantha Frost Robert Kinsman Sandra R. Mozee-Smith LaDonna M. Caviness Sandi Fuerst Mardelle Klaus Cynthia Mullen-Gartland Lisa R. Cavitt Darrick B. Fuller Michael Schaaf Klueh Debra A. Muscio Katherine P. Chambers Amy Gargus Alton Knight Mary Mussari Lori Chapin John P. Gaspich Jr. Shirley A. Komoto Lorette Nagel Sabine Charles Evan Gatian Philippa D. Krauss Jodi Nayoski Amber Coleman Angelle Granier Kenny H. Kumata Afua Neal Meghan D. Concepcion Mary Jo Gray Sharon Kurtz Greg Newton Georgia Conroy Amy Greenhoe Wendy A. LaBarbera Claire E. Norwood

86 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 87 CHIAP™ CERTIFICANTS FAQS & POLICIES

Roger Novoa Darren Skolnick Who do I ask if I have questions? CHIAP™ CERTIFICANTS Jeannie O’Donnell Amy Lee Smith Please visit us at the AHIA Registration Desk. AHIA volunteers and staff Patricia J. Olenick Bogumila L. Smolen would be delighted to answer any questions you may have about the Maria C. Ortega Steve Sokol conference, your membership or the organization. Just ask! Registration Terence Ou Dana Starck is open from 7:00am until the close of activities each day. Susan E. Palmer Shawn A. Stevison Daniel Pantera Angela M. Stuckey Room Seating/Capacity Policy Cynthia Papas Judith A. Swanston Seating in all sessions is on a first-come, first-served basis, so April Patterson Edwin L. Taliaferro WE ENCOURAGE YOU TO ARRIVE EARLY TO SECURE A SEAT Kathryn Patterson Kristen R. Taylor IN THOSE SESSIONS YOU WISH TO ATTEND. Several of our Deborah Pazourek Steve Taylor sessions are very popular this year and we have made every effort to Karen Percent Christopher Telano accommodate all pre-registration requests. To ensure adequate seating, Christa Perkins Senh Thai we ask that you attend those sessions indicated on your pre-conference Christina Perlis Susan Thomas itinerary. If you alter your itinerary (which you may do at any time), April Peters Jackye R. Thompson

please select perimeter seating in those sessions, when available, in FAQS & POLICIES Deanna M. Pichon Scott Thompson consideration of those attendees who pre-registered. PLEASE NOTE: Paul E. Plata Beth Timmerman Due to fire code restrictions, no one will be permitted to enter a session Susan Plummer John Tinker wherein the room reaches maximum capacity. Charles F. Price IV Thomas J. Tocash Derek Quinn LeAnna Torres Deborah Radke Kristen A. Tranmal Access to Presentations/Handouts Joanna Rakers John Tsantakis ONLINE: Attendees can reference and print session presentations Randall B. Ray Amy Turner and handouts at www.ahia.org — during and after the conference. Tammy Rehm Starr Turner We strive to provide the most complete information to you as early as Angela Rewa Elise Ueoka possible and appreciate your patience as we continue to receive and Darryl Rhames Elizabeth Uhlrich update this content. You must be registered for the conference in order Tammy Rice Lisabeth Vilches to have access to the website. Travis Richmond Margaret Von Sehrwald David E. Richstone Laurie S. Ward In support of AHIA’s commitment to sustainability, printed copies of Bradley I. Richter Debi Weatherford session presentations and handouts will NOT be provided this year. Alex Robison Heather Welch Conference attendees will receive unlimited access to posted session Susana Rodriguez Rebecca M. Welker handouts online. Be sure to check www.ahia.org periodically to review Kimberly K. Rogers Barry White newly uploaded handouts. William Rushton Kim Whiteside Shyla Russell Charie Wicklund * AHIA executes speaker agreements with all presenters stipulating Laura Sak-Castellano Jerylyn A Williams that session handouts belong to the presenters and can be distributed Carol Scanga Richard Williams only as reference materials for registered conference attendees. AHIA Beth Schindler Devon L. Wilson prohibits sharing and distribution of handouts to non-attendees. Hope Schofield Kimberly H. Wilson Duplication of this product and its content in print or digital form for the Mary Jane R. Schroeder Valla F. Wilson purpose of sharing with others is prohibited without permission from the Melissa H. Scott Stacy Wood Association of Healthcare Internal Auditors. Michael W. Shafer Laura Wray Nina Shah Amy J. Yates Cyber Café Latha Sharma Kevin Yates The Cyber Café offers attendees quick, convenient and complimentary Shawn Shelley Kyle Yermalovich access to the Internet. Located near the Exhibit Hall stop by access Dale Shultz Yiya Yuan conference presentations, check email or catch up on the latest Rachel Simons Guillermo Zegarra headlines. Limited printing capabilities are available. Dora Sirakova

88 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 89 FAQS & POLICIES FAQS & POLICIES

What meals are provided at the conference? Enforcement Breakfast, lunch and twice daily snack breaks are included with your Participants asked to stop any harassing behavior are expected to registration fee. The Welcome Reception on Monday evening provides comply immediately. heavy hors d’oeuvres, dessert, beverages and a cash bar. Each attendee has received a complimentary drink ticket in the registration/ Exhibitors in the expo hall, sponsor or vendor booths, or similar welcome bag. activities are also subject to the anti-harassment policy. In particular, exhibitors should not use sexualized images, activities, or other What happens at the Annual Business Meeting and should I material. attend? As a member of AHIA, you are a stakeholder of this organization. This If a participant engages in harassing behavior, event organizers retain is your opportunity to receive an update on the state of the organization the right to take any actions to keep the event a welcoming environment and to give AHIA leadership input on how we can best serve your for all participants. This includes warning the offender or expulsion from needs. We encourage you to show your support and take part in this the conference [with no refund]. informative event. Members and non-members are welcomed.

Event organizers may take action to redress anything designed FAQS & POLICIES Lost and Found to, or with the clear impact of, disrupting the event or making the If you have lost an item — please check with the front desk and environment hostile for any participants. security will be contacted to assist you. AHIA is not responsible for lost or stolen items. We expect participants to follow these rules at all event venues and event-related social activities. We think people should follow these rules

FAQS & POLICIES FAQS Anti-harassment Policy outside event activities too! The AHIA Annual Conference is dedicated to providing a harassment- free conference experience for everyone, regardless of gender, Reporting gender identity and expression, sexual orientation, disability, physical If someone makes you or anyone else feel unsafe or unwelcome, appearance, body size, race, age or religion. We do not tolerate please report it to AHIA management as soon as possible. Harassment harassment of conference participants in any form. Conference and other code of conduct violations reduce the value of our event for participants violating these rules may be sanctioned or expelled from everyone. We want you to be happy at our event. People like you make the conference, without a refund, at the discretion of the conference our event a better place. organizers. You can make a report either personally or anonymously. Harassment includes, but is not limited to: • Verbal comments that reinforce social structures of domination Expulsion [related to gender, gender identity and expression, sexual orientation, A participant may be expelled by the decision of any of the above listed disability, physical appearance, body size, race, age, religion.] entities for whatever reasons they deem sufficient. However, here are some general guidelines for when a participant should be expelled: • Sexual images in public spaces • A [first/second/third/seventeenth] offense resulting in a warning from • Deliberate intimidation, stalking, or following staff • Harassing photography or recording • Continuing to harass after any “No” or “Stop” instruction • Sustained disruption of talks or other events • A pattern of harassing behavior, with or without warnings • Inappropriate physical contact • A single serious offense (e.g., punching or groping someone) • Unwelcome sexual attention • A single obviously intentional offense (e.g., taking up-skirt photos) • Advocating for, or encouraging, any of the above behavior Hotel/venue security and local authorities should be contacted when appropriate.

90 www.ahia.org AHIA 38TH ANNUAL CONFERENCE SEPTEMBER 15–18, 2019 www.ahia.org 91 NOTES NOTES

92 www.ahia.org AHIA 38TH ANNUAL CONFERENCE A Global Leader In Healthcare Internal Audit

With a dedicated healthcare team and a Center of Excellence dedicated to gathering insights and determining industry best practices, Protiviti is a leading voice in internal audit.

Some of our key healthcare internal audit offerings include:

• High-value specialty audits or subject-matter expertise across areas such as operations, revenue cycle, finance, compliance and IT

• Transformation and reorganization to coincide with senior leadership’s needs

• Effectiveness evaluation of internal audit-related activities

• Risk assessment and audit plans to ensure IA is aligned as a strategic partner with senior leadership

protiviti.com

© 2019 Protiviti Inc. An Equal Opportunity Employer M/F/Disability/Veterans. PRO-0718