14Th Annual Compliance Institute April 18–21, 2010 ✪ Hyatt Regency ✪ Dallas, TX

Group Discounts Available (see page 43) Health Care Compliance Association’s 14th Annual Compliance Institute April 18–21, 2010 ✪ Hyatt Regency ✪ Dallas, TX

Final Program

Register Now At www.compliance-institute.org HCCA would like to thank our Affinity Group conference sponsors Meetings in 2010 Platinum Sponsors Hold your organization’s meeting in conjunction with HCCA’s Compliance Institute!

Benefit: Holding your meeting in Dallas will enable your members/staff to network at the largest conference for health care Gold Sponsors compliance professionals. Discounts: All members from your organization will receive the HCCA member rate to the 2010 Compliance Institute. Book your Meeting: HCCA will hold the 2010 Compliance Institute at the Hyatt Dallas at Reunion. Approved applications receive complimentary meeting Silver Sponsors room space at the conference site and your choice of complimentary continental breakfast or am or pm break. Please arrange additional food and beverage CONFERENCE SUPPORTERS directly with the hotel. Affinity group meetings may be held: • Saturday, April 17 • Wednesday, April 21 Media Sponsors • Thursday, April 22 Contact Jennifer Power at 952-405-7916 or [email protected] to learn more

2 www.compliance-institute.org About the Institute

Join your colleagues in Dallas for the single most comprehensive compliance conference designed specifically to meet the needs of today’s healthcare compliance professionals and their staff.

Learning Objectives Who Should Attend

• To describe the various components • Health care compliance professionals of compliance, ethics, and corporate • Risk managers responsibility plans and programs within the health care arena, and to know the • Health care senior executives and leaders, compliance procedures and issues related including CEOs and CFOs in hospitals, to the various health care laws and medical groups and IPAs, ancillary regulations providers, long-term care organizations and health plans • To describe auditing and monitoring processes in order to evaluate your own • Members of the board of trustees of audits, and to identify departmental health care enterprises compliance concerns (another key component of the Compliance Institute) • Institutional chief information officers • To have a working knowledge of the • Coding and billing specialists legal issues compliance professionals • Physicians and other health professionals face, and to equip attendees with the necessary legal knowledge needed to • Health care consultants and attorneys deal with inquiries from the enforcement • Health care regulators and other authorities government personnel • To describe compliance issues faced in • Health care journalists, researchers and a specific segment of the health care policy makers industry • Privacy officers and other professionals • To describe key tactics and compliance handling health care privacy issues actions to implement and the processes to do so • Health information management specialists • To have an understanding of recent laws, regulations, and enforcement actions as • Nurse managers and executives they pertain to a compliance program • Staff educators and trainers • To describe the compliance issues faced and the key processes to use to address them as they relate to a specific segment of the health care arena • To establish a working network of compliance professionals within the compliance professional’s specific segment of health care

www.compliance-institute.org 3 Continuing Education Credits

The Health Care Compliance Association is in the process of applying for external continuing education credits. If you do not see your specific accreditation listed, please call us at 952-988-0141 or 888-850-8373 or email [email protected], as we would like the opportunity to offer it. Please continue to check our website, www.compliance-institute.org, for updates on approval totals for the 2010 Compliance Institute.

AAPC: This program has the prior approval of CA NURSING CE: The Health Care Compliance NASBA/CPE: The Health Care Compliance the American Academy of Professional Coders Association is pre‑approved by the California Association is registered with the National (AAPC) for 20.0 continuing education hours. Board of Registered Nursing (Provider Number Association of State Boards of Accountancy Granting of prior approval in no way constitutes CEP 12990), for a maximum of approximately (NASBA) as a sponsor of continuing endorsement by AAPC of the program content 24 fifty-minute contact hour(s). The following professional education on the National Registry or the program sponsor. states will accept CA Board of Nursing of CPE sponsors, Sponsor Identification No: Contact Hours: Alabama, Alaska, Arkansas, 105638. State boards of accountancy have ACHE: This program has prior approval from Iowa, Kansas, Kentucky, Louisiana, Michigan, final authority on the acceptance of individual the American College of Healthcare Executives Minnesota, Nebraska, Nevada, New Mexico, courses for CPE credit and may not accept (ACHE) for approximately 20 category II North Carolina, North Dakota, Ohio, Oregon, one-half credits. To verify if your state board Continuing Education Credits. Texas, West Virginia, Wyoming. The following of accountancy has adopted one-half credits, states do not have continuing education please visit our website at www.hcca-info.org/ AHDI: This program has been approved for requirements: Arizona, Colorado, Connecticut, accountancycredits. Complaints regarding 178 Continuing Education Credits for use in Georgia, Hawaii, Indiana, Maine, Missouri, registered sponsors may be addressed to the fulfilling the Certified Medical Transcriptionist Montana, New York, Oklahoma, Pennsylvania, National Registry of CPE Sponsors, 150 Fourth (CMT) Continuing Education requirements of South Dakota, Tennessee, Vermont, Virginia, Avenue North, Suite 700, Nashville, TN 37219- the Association for Healthcare Documentation Washington, Wisconsin. The following states 2417. Website: www.nasba.org. A recommended Integrity (AHDI). Credit awards will be assessed will NO T accept CA Board of Nursing contact maximum of 24 credits based on a 50-minute based solely on attendees’ specific session hours: Delaware, Florida, New Jersey, and hour will be granted for the entire learning attendance. Utah. Massachusetts and Mississippi nurses activity including Industry Immersions. This AHIMA: This program has been approved may submit CA Board of Nursing contact program addresses topics that are of a current for 20.0 continuing education units (CEUs) hours to their state board, but approval will concern in the compliance environment. This for use in fulfilling the continuing education depend on review by the board. Please contact is an update, group-live activity. For more requirements of the American Health [email protected] with questions. information regarding administrative policies Information Management Association such as complaints or refunds, call the HCCA at CLE: The Health Care Compliance Association (AHIMA). Granting prior approval from 888-580-8373 or 952-988-0141. is a State Bar of California approved Mandatory AHIMA does not constitute endorsement of the Continuing Legal Education (MCLE) provider, program content or its program sponsor. Rhode Island MCLE Accredited Provider, and ASHRM: This conference has been approved Texas MCLE Accredited Provider. The full for the following Continuing Education Credit course including pre-conference and Industry toward fulfillment of the requirements of Immersions is approved for a maximum ASHRM designations of FASHRM (Fellow) and of approximately 20 MCLE clock hours. DFASHRM (Distinguished Fellow) and toward Approval will be sought for all other states CPHRM renewal: with Mandatory Continuing Legal Education requirements. Pre-conference Morning = 2.75 contact hours Pre-conference Afternoon = 2.75 contact hours NAMSS: This program has been approved by the Conference Monday & Tuesday = 9.25 contact hours National Association Medical Staff Services for up to 24.5 continuing education credit(s). Industry Immersions Monday = 3.5 contact hours Industry Immersions Tuesday = 4.5 contact hours Post-conference = 3.75 contact hours

4 www.compliance-institute.org Continuing Education Credits

Compliance Certification Board (CCB): Compliance Certification Board (CCB): Certified in Healthcare Compliance (CHC), Certified Compliance & Ethics Professional (CCEP), Take a Certification Exam Certified in Healthcare Research Compliance (CHRC): CCB has awarded a maximum of at the Compliance Institute Entire activity (with pre- and post‑conference Certified in Health Care sessions) with industry immersions included: 24 Compliance (CHC) Entire activity (with pre- and post‑conference sessions) without industry immersions: 24 Certified in Health Care for these accreditations in the following subject areas: Research Compliance (CHRC) Application of Management Practices for the Compliance Professional; Application of Personal and Business Ethics in Both exams: Wednesday, April 21, 2010 Compliance; Written Compliance Policies and Procedures; Designation of Compliance Officers and Committees; 2:00 – 4:00 pm Compliance Training and Education; Communication and Reporting Mechanisms in Compliance; Enforcement of Deadline for receipt of applications is Compliance Standards and Discipline; Auditing and Monitoring March 24, 2010. To download exam applications, for Compliance; Response to Compliance Violations and please visit www.compliance-institute.org and click on Corrective Actions; HIPAA Privacy Implementation and/or Complying with Government Regulations. the “Certification” tab. with industry immersions without industry immersions Planning to take a certification exam at the Sunday maximum: 6.6 Sunday maximum: 6.6 Compliance Institute? Sessions marked in the Monday maximum: 6.9 Monday maximum: 6.9 brochure with CHRC or CHC may be helpful. Tuesday maximum: 6 Tuesday maximum: 6 Wednesday maximum: 4.5 Wednesday maximum: 4.5

For more information about the CHC and CHRC certifications, please visit www.hcca-info.org

www.compliance-institute.org 5 Speakers

Wilma Acosta, CHC [510] John Beattie, CPA, CFE [501] Kimberly Brandt [P9, gs] Compliance Officer Partner, Healthcare Consulting Group Director Program Integrity Group Sutter Medical Center ParenteBeard LLC CMS Sacramento, CA Mechanicsburg, PA Baltimore, MD

Ben Adkins [II1] Mary Ann Beil [309] Gillian Gray Broderick [103] Adkins & Associates Corporate Ethics and Compliance Officer Vice President of Health Information Privacy Tampa, FL Memorial University Medical Center Fundamental Administrative Services, LLC Savannah, GA Baltimore, MD Jana Kolarik Anderson [401] Attorney Mary Bennett [309] Julene D. Brown, RN, CHC, MSN, Epstein Becker & Green, P.C. Vice President CPC [101] Washington, DC Ethical Leadership Group Director of Corporate Compliance Mundelein, IL Innovis Health Audrey Andrews [P8] Fargo, ND Chief Compliance Officer Betty B. Bibbins, MD, CHC, C-CDI, Tenet Healthcare CPEHR, CPHIT [W5] Peter Budetti, MD [GS] Dallas, TX President & Chief Medical Officer Principal Deputy Administrator DocuComp LLC CMS April Andrews-Singh, Cape Charles, VA RN, JD, CHC, CHRC [P7] D. Michelle Burford, RN, MSN, JD Compliance Director Bret Bissey, CHC [112] [P10] MEDNAX Services, Inc. Director Risk Manager/Compliance Officer/ Sunrise, FL Regulatory Compliance Patient Safety Officer IMA Consulting Fort Madison Community Hospital Chris Anusbigian, CHC [II5] Chadds Ford, PA Fort Madison, IA Senior Manager Health Sciences Deloitte & Touche LLP Paula Bistak, RN, MS, CIP, CHRC Diane T. Carter, CHC [705] Detroit, MI [604] Partner Executive Director Brown McCarroll Marti Arvin, CHC‑F, CHRC, CCEP‑F Human Subjects Protection Program Austin, TX [P4, W4] University of Medicine and Privacy Officer Dentistry of New Jersey David Childers, CIPP [301] University of Louisville Newark, NJ President & CEO Louisville, KY EthicsPoint, Inc. Teresa M. Bivens, CHC [505] Lake Oswego, OR Deann Baker, CHC, CCEP, CHRC [P13] Deputy Compliance Officer & Education Chief Corporate Compliance Officer Manager Dwight Claustre, CHC, CHRC [113] Alaska Native Tribal Health Consortium University of Louisville HSC Director Anchorage, AK Louisville, KY Huron Consulting Group Sun City West, AZ Chris Bangerter, CHC [II2] Timothy Blanchard [706] Corporate Compliance Officer Partner Pat Connell, PRN, MBA, CHE, CBHE, LifePoint Hospitals Blanchard Manning LLP CHC [310] Brentwood, TN Orcas, WA Vice President of Behavioral Health/ Research/Compliance/Government Relations Paul M. Baran [201] John T. Boese [P6] Boys Town National Research Hospital PriceWaterhouseCoopers Of Counsel Omaha, NE Director, Internal Audit Fried, Frank, Harris, Shriver & Jacobson LLP Philadelphia, PA Washington, DC Cynthia Cooper [GS] Author, Extraordinary Circumstances Debra Baverman [207] Bobbi Bonnet, RN, MPA [502] One of TIME Magazine’s Persons of the Year Vice President Senior Compliance Practice Leader, CEO, The CooperGroup, LLC Regulatory Compliance Medicare Advantage National Compliance Jacksonville, MS Division of Universal American Corp Ethics and Integrity Office Houston, Texas Kaiser Permanente Michelle Cooper [II2] Oakland, CA Vice President and Corporate Steve Bearak [W9] Responsibility Officer President/CEO Linda Borges, MS [P10, II3] Catholic Health Initiatives IdentityForce Director of Compliance/ Denver, CO Framingham, MA Corporate Compliance Officer MVP Health Care Sheryl Dacso [705] Alissa Beattie, CHC [II3] Schenectady, NY Partner Compliance Officer Brown McCarroll LLP New West Health Services Mary Brady [W8] Houston, TX Helena, MT Senior Nursing Consultant HCT Consulting Bluffton, SC

6 www.compliance-institute.org Speakers

Charmin Davis, CHC [307] Susan Emanuel [W7] David M. Glaser [W6] Compliance Specialist System RAC Coordinator Attorney Health Management Associates Catholic Healthcare West Fredrikson & Byron, P.A. Naples, FL Phoenix, AZ Minneapolis, MN

Shawn Y. DeGroot, CHC-F, CCEP, Kathleen Enniss, CPC, CHC [407] Christopher K. Goforth, MHA, CHRC [P3] Compliance Analyst MPA, CHC [P10] Vice President of Corporate Responsibility UW Medicine Compliance Director of Compliance Program Integrity Regional Health Seattle, WA Stanford University Medical Center Rapid City, SD Palo Alto, CA Joanne B. Erde [306] Gene DeLaddy [709] Partner Larry J. Goldberg [710] Senior Vice President/Chief Compliance Duane Morris LLP Principal Deputy Inspector General Officer/Chief Audit Executive/Chief Privacy Miami, FL Office of Inspector General Officer of Carolinas HealthCare System U. S. Department of Health and Charlotte, NC John C. Falcetano, CHC‑F, CCEP‑F, Human Services CHRC [P14] Washington, DC Vincent L. DiCianni [610] Chief Audit /Compliance Officer Affiliated Monitors, Inc. University Health Systems of Eastern Carolina Cheryl Golden, CHC, CHRC [205] Boston, MA Greenville, NC Senior Manager Deloitte & Touche James Donaldson, MS, MPA, CHC, Harry M. Feder, MPA [511] Tampa, FL CIPP [204] Senior Vice President/COO Privacy and Security Officer IPRO Janet Goldstein [P6] Baptist Health Care Corporation Lake Success, NY Partner Pensacola, FL Vogel, Slade & Goldstein, LLP Joan Ferraro [W3] Washington, DC Angelique Dorsey, JD, CHRC [702] Vice President Research Compliance Director Chief Compliance Officer Michael D. Granston [P6] Medstar Health Complete HealthCare Resources, Inc. Civil Division, U.S. Department of Justice Columbia, MD PIttsburgh, PA Washington, DC

Anne Doyle, MBA, CHC [II3] Trevor Fetter [GS] Steven Greenspan, JD, LLM [W9] Executive Vice President President and CEO Director, Government Appeals and Chief Compliance Officer Tenet Healthcare Corporation Regulatory Affairs Fallon Community Health Plan Dallas, TX Executive Health Resources Worcester, MA Newton Square, PA Jeffrey Fitzgerald [107, W6] Barbara J. Duffy [303, W3] Partner Bob Gross [704] Shareholder Faegre & Benson LLP Associate Compliance Officer-Privacy Lane Powell PC Denver, CO University of Chicago Medical Center Seattle, WA Chicago, IL Cheryl Forst, RN, BSN, CCRP [604] Bruce Edwards [P4] Senior Analyst, Human Subjects Leah B. Guidry [113] Chief Information Security Officer Protection Program Managing Director University of Louisville University of Medicine and Dentistry Huron Consulting Group Louisville, KY of New Jersey Washington, DC Newark, NJ Day Egusquiza [701] Regina F. Gurvich, MBA, CHC [II3] President Hope Foster [W6] Director AR Systems Member Health Plus Hansen, ID Mitz, Levin, Cohn, Ferris, Glovsky & Popeo, PC Brooklyn, NY Washington, DC Kurt Eichenwald [GS] Charles Hacker [606] Author of The Informant Monica Frazer, CHC, CHRC [P7] Partner Pulitzer Prize Nominee Vice President, Internal Audit PricewaterhouseCoopers LLP Dallas, TX Baylor Health Care System New York, NY Dallas, TX Gary W. Eiland [W6] Denise Hall [409] Partner Robert Freedman [P5] Shareholder King & Spalding LLP Director of Business Development Pershing Yoakley & Associates Houston, TX MDaudit Atlanta, GA Newton Center, MA Laura Ellis, JD [203] Keith Halleland [209] OIG Senior Counsel Barbara Gay [503] Shareholder Department of Health & Human Services Director of Advocacy Information Halleland Lewis Nilan & Johnson, PA Washington, DC American Association of Homes and Services Minneapolis, MN for the Aging Washington, DC www.compliance-institute.org 7 Speakers

Margaret Hambleton [608] Nicole S. Huff, CHSP, CHC [P7] Carole Ann Klove, RN, JD, CHRC Ministry Integrity, Chief Compliance Officer Chief Compliance & Privacy Officer [410] St. Joseph Health System Edward Hospital and Health Services Special Projects Orange, CA Naperville, IL UCSF Medical Center San Francisco, CA Hala Y. Helm, JD, MBA, FACHE, Marian Hughlett, CHC, CHRC [104] FASHRM, CPHRM [P13, II4] Deputy Privacy Officer Ruth Krueger, MS, RRT, CHC [702] Vice President/Chief Compliance Officer University of Louisville Director of Compliance and Privacy John Muir Health Louisville, KY Sanford USD Medical Center Walnut Creek, CA Sioux Falls, SD Brad Hunter [402] Michael Hemsley, CHC [W6] Director Jacob Kupiezky [W8] General Counsel & Vice President AHA Solutions, Inc. President Legal Services Chicago, IL HCT Consulting Catholic Health East Chicago, IL Newtown Square, PA Robert A. Hussar, CHC [602] First Deputy Jana Lacera [308] Juanita Henry, CHC [W2] Medicaid Inspector General Director, IRB/Bio-Ethics Deputy Inspector General for Compliance New York State Office of the Medicaid Community Hospital Texas Health and Human Services Inspector General Munster, IN Office of Inspector General Albany, NY Austin, TX Lori Laubach [P5] Gabriel Imperato, CHC [506, W6] Partner Thomas E. Herrmann, JD [710] Managing Partner Moss Adams LLP Vice President, Strategic Management Broad & Cassel Tacoma, WA Services, LLC Fort Lauderdale, FL Alexandria, VA Steve Lefar [109] Rory Jaffe [108] General Manager, MediRegs Jennifer L. Hilliard, MMH, JD [503] Executive Director Wolters Kluwer Law & Business Public Policy Attorney CHPSO Riverwoods, IL American Association of Homes and Sacramento, CA Services for the Aging Dieter Lehnortt [209] Washington, DC Glena Jarboe [505] Assistant Vice President/Institutional Compliance Program Coordinator Compliance Officer Lynda Hilliard, CCEP, CHC [P2, II4] University of Kentucky UT Southwestern Medical Center at Dallas Deputy Compliance Officer Lexington, KY Dallas, TX University of CA Oakland, CA Thomas Jeffry, Jr [208] Erin Lemire [206] Partner Senior Policy Advisor Gilly Hitchcock [708] Arent Fox LLP Office of Inspector General Chair, Compliance Committee, Member, Los Angeles, CA Washington, DC Board of Directors Franklin Community Hospital Kimberly Johnson, RHIA, CPC, CHC Daniel R. Levinson [GS] Farmington, ME [505] Inspector General Professional Practice Compliance Officer Office of Inspector General David Hoffman, Esq. [P8] Corporate Compliance Office U.S. Department of Health and Human David Hoffman & Associates University of Kentucky Healthcare Services Philadelphia, PA Lexington, KY Washington, DC

Craig Holden [P15] Al Josephs, CHC [609] Steve Lokensgard [202] Ober Kaler Grimes & Shriver Senior Director Policies and Training Special Counsel Baltimore, MD Tenet Healthcare Corporation Faegre & Benson Dallas, TX Minneapolis, MN David Holtzman, JD [304] Health Information Privacy Specialist Jeff Kapp [P3] Jim Lord [606] U.S. Health and Human Services Partner Assistant U.S. Attorney Office for Civil Rights Jones Day U.S. Attorney’s Office Washington, DC Cleveland, OH Seattle, Washington

James D. Horwitz, CHC [602] Stefan Keller [402] Kevin D. Lyles [W1] Vice President Corporate Responsibility/ President Health Care Practice Co-Leader General Counsel Certiphi Screening, Inc. Jones Day Glens Falls, NY Southampton, PA Columbus, OH

Kimberly M. Hrehor, MHA, RHIA, Paul Keoppel, MBA, MT(ASCP) [II5] Laura Lyon [709] FACHE, CHC [W2] Laboratory Compliance Officer Director of Corporate Compliance Project Director Intermountain Healthcare Central Office Carolinas HealthCare System TMF Health Quality Institute Salt Lake City, UT Charlotte, NC Austin, TX

8 www.compliance-institute.org Speakers

Donna Maassen, CHC [103, 303] Marie Moseley [P14] Jenny O’Brien, CHC [101, W6] Director of Compliance UHS Regulatory Affairs Specialist/ Medicare Compliance Officer Extendicare Health Services, Inc. Privacy Officer UnitedHealth Group-Ovations Milwaukee, WI University Health Systems of Eastern Carolina, Inc. Minnetonka MN Greenville, NC William T. Mathias, Esq. [506] Kirk Ogrosky [206] Principal Rick Moyer [509] Deputy Chief Ober, Kaler, Grimes & Shriver Associate Vice President for Internal Audit U.S. Department of Justice Baltimore, MD and Institutional Compliance Washington, DC Stanford University Kevin G. McAnaney [P15] Palo Alto, CA David B. Orbuch [202] Attorney Chief Compliance Officer, Law Office of Kevin G McAnaney Glen Mueller [II2] Public and Senior Markets Group Washington, DC Vice President Audit, Compliance, & UnitedHealth Group Information Security Minnetonka, MN Judi McCabe, CHC [W2] Scripps Health SURS Director San Diego, CA Steve Ortquist, CHC‑F, CCEP‑F, CHRC TMF Health Quality Institute [P2, P12] Austin, TX Karen Murray, CHC [302] Managing Director Chief Compliance Officer Aegis Compliance & Ethics Center, LLP Dan McCullough, BA, RN, CHC [W2] Yale New Haven Health System Chicago, IL Nurse Analyst New Haven, CT TMF Health Quality Institute Robert H. Ossoff, DMD, MD, CHC Austin, TX Miriam Murray [408] [305] Director Corporate Compliance Assistant Vice Chancellor Compliance & Andrea McElroy [408] & Privacy Officer Corporate Integrity Chief Compliance Officer Sava Senior Care Administrative Services, LLC Vanderbilt Medical Center Platinum Health Care Atlanta, GA Nashville, TN Skokie, IL Lisa Murtha, CHC, CHRC [P12] Ali Pabrai [404] Sean McKenna [406] Partner CEO Assistant U.S. Attorney Sonnenschein Nath & Rosenthal LLP ecfirst U.S. Attorney’s Office Holland, PA Newport Beach, CA Northern District of Texas Dallas, TX David Nelson, CHRC [504] Jim Passey, CHC [P10] Privacy Officer Director, Compliance & Internal Audit Services Ryan D. Meade, CHRC [P11] County of San Diego Huntington Memorial Hospital Meade & Roach, LLP San Diego, CA Pasadena, CA Adjunct Professor/Loyola University Chicago School of Law Catherine Niland, RN, BS, CHC, Vickie Patterson, CHC [207] Chicago, IL CHCQM [607] Associate Director Organizational Integrity Manager Protiviti Diane Meyer, CHC [509, W1] Trinity Health Tampa, FL Chief Compliance & Privacy Officer Farmington Hills, MI Stanford University Medical Center Barbara J. Piascik, CHC [102] Palo Alto, CA Rob Nolan, CHC, CCEP [510] SVP/Chief Compliance Officer Vice President & Chief Compliance Officer St. Vincent Catholic Medical Centers Robb Miller [603] PharMerica Corporation New York, NY Director Louisville, KY Centers for Medicare & Medicaid Services Joan Podleski [W4] Chicago, IL Rachel Nosowsky, CHRC [405] Director of Institutional Ethics & Compliance Senior Counsel Duke University Mitch Mitchelson [706] Miller Canfield Paddock & Stone, PLC Durham, NC Alston & Bird LLP Ann Arbor, MI Atlanta, GA Christopher Puri [403] Carol Novak, RN, CHC [507] Attorney Lew Morris [p8] Compliance Practice Specialist Bradley Arant Boult Cummings LLP Chief Counsel to the Inspector General Kaiser Nashville, TN U.S. Department of Health and Simi Valley, CA Human Services Luanna K. Putney, PhD, CHC, CCEP Office of Counsel and Office of Kelly Nueske [P16] [II4] Inspector General Director Director of Research Compliance Washington, DC Risk Management Services Office of Ethics, Compliance and Audit Services Sinaiko Healthcare Consulting, Inc. University of California Teri Morris, CHC [105] Minneapolis, MN Oakland, CA Medical Compliance Officer Eastern Band of Cherokee Nation Cherokee, NC www.compliance-institute.org 9 Speakers

Greg Radinsky, JD, MBA, CHC, CCEP William F. Rucci, Jr, CPA, MST [708] José A. Tabuena, CHC [112] [112] Rucci, Bardaro & Barrett, PC Sr. VP, Governance and Compliance Vice President & Chief Corporate Compliance Malden, MA PhyServe Physician Services, Inc. Officer Dallas, TX North Shore-Long Island Jewish Health System Mark P. Ruppert, CPA, CIA, CISA, Great Neck, NY CHFP [201] James Taylor, MD, CPC [P5] Director, Internal Audit Medical Director Revenue Cycle Connie A. Raffa [703] Cedars-Sinai Health System Kaiser Permanente Colorado Partner Los Angeles, CA Denver, CO Arent Fox LLP New York, NY Paula Sanders [603, W3] Susan Tedrick [W8] Post & Schell, P.C. Chief Compliance Officer Emilie Rayman [208] Harrisburg, PA Franklin Hospital In-House Counsel Farmington, ME Chief Compliance Officer Mitch Saruwatari [P18] Community Memorial Health System VP Quality and Compliance Kathryn Thibodeau-Dever [709] Ventura, CA LiveProcess Director of Corporate Compliance Verona, NJ Carolinas HealthCare System Charles Reed [206] Charlotte, NC Trial Attorney Kelly Sauders [302] U.S. Department of Justice Partner Christopher Thomason, CHC Washington, DC Deloitte & Touche LLP [305, 409] New York, NY Director Compliance & Corporate Integrity Karie Rego [611] Vanderbilt University Medical Center Principal Alan E. Schabes [203] Nashville, TN Compliant Films Benesch, Friedlander, Coplan & Aronoff LLP Davis, CA Cleveland, OH Robert Tietjen [W9] President/CEO Christopher T. Rehm [107] Frank Sheeder, CCEP [P3, W1] Policy Technologies International, Inc. President Partner Rexburg, ID Pinnacle Physician Resource Group Jones Day Denver, CO Dallas, TX Fred Touchette [204] Senior Security Analyst J. Scott Richardson [403] Jim Sheehan [p17] AppRiver Partner Medicaid Inspector General Gulf Breeze, FL Bradley Arant Boult Cummings LLP Office of the Medicaid Inspector General Nashville, TN Albany, NY Debbie Troklus, CHC‑F, CCEP‑F, CHRC [P1] Dan Roach [110] J. Stuart Showalter, JD, MFS [P10] Assistant Vice President Compliance Vice President Compliance and Audit Atlanta, GA University of Louisville HSC Catholic Healthcare West Louisville, KY San Francisco, CA Jeff Sinaiko [111] Sheryl Vacca CHC‑F, CCEP, CHRC Rick Robinson [P8] President [P1, 707] Partner Sinaiko Healthcare Consulting, Inc. SVP/Chief Compliance and Audit Officer Fulbright & Jaworski Los Angeles, CA University of California Washington, DC Office of the President Timothy R. Smith, CPA/ABV [106] Oakland, CA Donald Romano [703] Manager, HealthCare Appraisers, Inc. Partner Dallas Office Lisa Venn, JD, MA [508] Arent Fox LLP Allen, TX Compliance Manager Washington, DC University Hospitals H. T. Snowday [P18] Shaker Heights, OH Eric Rosow [P18] CTO General Manager, Patient Flow Solutions Versus Lawrence Vernaglia [302, 708] Eclipsys Traverse City, MI Partner Atlanta, GA Foley & Lardner LLP John E. Steiner Jr, Esq., CHC, CCEP Boston, MA Martie Ross [606] [101] Attorney Chief Compliance Officer Matthew D. Vogelien, CHC [401] Lathrop & Gage LLP Cancer Treatment Centers of America Director Overland Park, KS Schaumburg, IL Huron Consulting Group Kannapolis, NC Brad M. Rostolsky [P13] Denny Swenson [GS] Reed Smith LLP Executive Producer Diana Voorhees, MA, CLS, MT, SH, Philadelphia, PA Light On Productions CLCP [II5] Boston, MA Principal/CEO DV & Associates, Inc. Salt Lake City, UT

10 www.compliance-institute.org Speakers

Andrew Wachler [W7] Susan Welsh [307, 605] Jua’nese L. Williams, PhD, MBA, BS, Owner/Principal Compliance Manager CPUR, IQCI, C-CDI, CPC [W5] Wachler & Associates, P.C. Health Management Associates Sr. Consultant and Educator Royal Oak, MI Naples, FL DocuComp LLC Cape Charles, VA Robert Wade [106] Jack Wenik [306] Partner Chair Healthcare Investigations Group Jesse A. Witten [W6] Baker & Daniels Sills Cummis Gross, PC Partner South Bend, IN Newark, NJ Drinker Biddle & Reath LLP Washington, DC Cheryl Wagonhurst, CCEP [II2] Kristin H. West, JD, CHRC [II4] Partner Associate VP for Research & Director, Office Derek Woo [111] Foley & Lardner LLP of Research Compliance Sinaiko Healthcare Consulting, Inc. Los Angeles, CA Emory University Los Angeles, CA Atlanta, GA Susan Lee Walberg, CHC [205] Christopher Young, CHC [II5] Corporate Compliance Officer Sara Kay Wheeler [409] President MedStar Health King & Spalding Laboratory Management Support Columbia, MD Atlanta, GA Services (LMSS) Phoenix, AZ Judy Waltz [W8] D. Ryan Whitehill, CHC [609] Partner Manager, Ethics and Compliance Training Howard Young [406] Foley & Lardner LLP Tenet Healthcare Corporation Partner San Francisco, CA Dallas, TX Morgan Lewis Washington, DC Debi Weatherford [P16] Robin L. Wilcox, CPA, CHC, CCEP Director Internal Audit [104] Ken Zeko [209] Piedmont Healthcare Associate Compliance Officer Director Atlanta, GA University of Louisville KPMG Louisville, KY Dallas, TX

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www.compliance-institute.org 11 Volunteer with HCCA and Dallas Children’s Advocacy Center DATE: Saturday, April 17, 2010 TIME: 7:00 am–Noon

In addition to networking with your peers and listening to expert speakers, attending the HCCA’s Compliance Institute gives you the opportunity to help a Dallas charity. This year, HCCA volunteers will help the Dallas Children’s Advocacy Center (DCAC). Projects include planting flowers, painting, spring cleaning, and organizing their clothes closet. The mission of the Dallas Children’s Advocacy Center (DCAC) is to improve the lives of abused children in Dallas County and provide national leadership on child abuse issues. For more details on this great opportunity, visit the Institute’s website. Transportation will be provided to and from the location. Please dress for working outdoors. Ready to sign up to volunteer or want more information? Contact Jodi Erickson Hernandez at 952-405-7926 or [email protected].

12 www.compliance-institute.org Schedule at a Glance

General Compliance/Hot Topics Long-Term Care Privacy & Security ks

c Physician Compliance Legal & Regulatory Auditing & Monitoring

ra Quality of Care Advanced Discussion Group Industry Immersion T

Saturday, April 17 2:00 – 7:00 pm Conference Registration 7:00 am – 12:00 pm Volunteer Project with HCCA and Dallas Children’s Advocacy Center Sunday, April 18 7:30 am – 5:30 pm Conference Registration 9:00 am – 12:00 pm P1 Compliance 101 – Debbie Troklus, Assistant Vice President Compliance, University of Louisville HSC, Louisville, KY; Sheryl Vacca, SVP/Chief Compliance Pre-Conference and Audit Officer, University of California, Oakland, CA CHC CHRC P2 Developing an Organizational Risk Profile for Measuring Compliance Program Effectiveness – Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP, Chicago, IL; Lynda Hilliard, Deputy Compliance Officer, University of CA, Oakland, CA CHC CHRC P3 Beyond Healthcare Reform – Frank Sheeder, Partner, Jones Day, Dallas, TX; Shawn Y. DeGroot, Vice President of Corporate Responsibility, Regional Health, Rapid City, SD; Jeff Kapp, Partner, Jones Day, Cleveland, OH P4 Privacy & Security 101 – Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Bruce Edwards, Chief Information Security Officer, University of Louisville, Louisville, KY CHC CHRC P5 EMR: Challenges, Risk, and Solutions – James Taylor, Medical Director Revenue Cycle, Kaiser Permanente Colorado, Denver, CO; Robert Freedman, Director of Business Development, MDaudit, Newton Center, MA; Lori Laubach, Partner, Moss Adams LLP, Tacoma, WA P6 False Claims Act Developments – John T. Boese, Of Counsel, Fried, Frank, Harris, Shriver & Jacobson LLP, Washington, DC; Michael D. Granston, Civil Division, U.S. Department of Justice, Washington, DC; Janet Goldstein, Partner, Vogel, Slade & Goldstein, LLP, Washington, DC CHC CHRC P7 Physician Financial Arrangement Work Plan – Nicole Huff, Chief Compliance & Privacy Officer, Edward Hospital and Health Services, Naperville, IL; April Andrews-Singh, Compliance Director, MEDNAX Services, Inc., Sunrise, FL; Monica Frazer, Vice President, Internal Audit, Baylor Health Care System, Dallas, TX P8 How to Find and Address the Real Fraud and Abuse in “Quality of Care” – Rick Robinson, Partner, Fulbright & Jaworski, Washington, DC; David Hoffman, Esq., David Hoffman & Associates, Philadelphia, PA; Lew Morris, Chief Counsel to the Inspector General, U.S. Department of Health and Human Services, Office of Counsel and Office of Inspector General, Washington, DC; Audrey Andrews, Chief Compliance Officer, Tenet Healthcare, Dallas, TX P9 CMS Update – Kimberly Brandt, Director Program Integrity Group, CMS, Baltimore, MD 12:00 – 1:30 pm Lunch (on your own) 1:30 – 4:30 pm P10 PACE Yourself: Improving Compliance With Better Policies, Awareness, Committees and Education – Jim Passey, Director, Compliance & Internal Pre-Conference Audit Services, Huntington Memorial Hospital, Pasadena, CA; Linda Borges, Director of Compliance/Corporate Compliance Officer, MVP Health Care, Inc., Schenectady, NY; J. Stuart Showalter, Atlanta, GA; D. Michelle Burford, Risk Manager/Compliance Officer/Patient Safety Officer, Fort Madison Community Hospital, Fort Madison, IA P11 Research/IRB Stark & Clinical Research: 5 Compliance Scenarios & 5 Practical Safeguards – Ryan D. Meade, Meade & Roach, LLP, Adjunct Professor/Loyola University Chicago School of Law, Chicago, IL; Christopher K. Goforth, Director of Compliance Program Integrity, Stanford University Medical Center, Palo Alto, CA CHRC P12 Compliance Effectiveness: Are There Really “Best Practices” and How Do We Practically Measure That? – Lisa Murtha, Partner, Sonnenschein Nath & Rosenthal LLP, Holland, PA; Steve Ortquist, Managing Director, Aegis Compliance & Ethics Center, LLP, Chicago, IL CHC CHRC P13 Information Security and Privacy: A New World and What This Means to Your Organization – Brad M. Rostolsky, Reed Smith LLP, Philadelphia, PA; Deann Baker, Chief Corporate Compliance Officer, Alaska Native Tribal Health Consortium, Anchorage, AK; Hala Y. Helm, Vice President/Chief Compliance Officer, John Muir Health, Walnut Creek, CA CHC CHRC P14 RAC Reality Check – John C. Falcetano, Chief Audit /Compliance Officer, University Health Systems of Eastern Carolina, Greenville, NC; Marie Moseley, UHS Regulatory Affairs Specialist/Privacy Officer, University Health Systems of Eastern Carolina, Inc., Greenville, NC P15 Anti-kickback and Stark Primer and Current Developments – Craig Holden, Ober Kaler Grimes & Shriver, Baltimore, MD; Kevin G. McAnaney, Attorney, Law Office of Kevin G McAnaney, Washington, DC CHC CHRC P16 How to Do It! Risk Assessment to a Compliance Internal Audit Workplan – Kelly Nueske, Director, Risk Management Services, Sinaiko Healthcare Consulting, Inc., Minneapolis, MN; Debi Weatherford, Director Internal Audit, Piedmont Healthcare, Atlanta, GA CHC CHRC P17 Update on Enforcement Trends Regarding Quality of Care – Jim Sheehan, Medicaid Inspector General, Office of the Medicaid Inspector General P18 Are You Prepared for that Pending Emergency, Disaster or Pandemic? Linking Emergency Management with Business Continuity Planning – Mitch Saruwatari, VP Quality and Compliance, LiveProcess, Verona, NJ; Eric Rosow, General Manager, Patient Flow Solutions, Eclipsys, Atlanta, GA; H.T. Snowday, CTO, Versus, Traverse City, MI 4:30 – 5:30 pm Networking Reception www.compliance-institute.org 13 Schedule at a Glance

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Monday, April 19 7:00 am – 5:30 pm Conference Registration 8:30 – 8:40 am Opening Remarks 8:40 – 9:30 am General Session: How Organizations and Individuals Slide Into Crime – Kurt Eichenwald, Author of The Informant, Pulitzer Prize Nominee, Dallas, TX; Denny Swenson, Executive Producer, Light On Productions, Boston, MA 9:30 – 10:15 am General Session: OIG Update – Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, Washington, DC 10:15 – 11:00 am Break 11:00 am – 12:00 pm 101 Compliance Effectiveness from the Inside Out – Julene D. Brown, Director of Corporate Compliance, Innovis Health, Fargo, ND; Jenny O’Brien, Medicare Compliance Officer, UnitedHealth Group-Ovations, Minnetonka MN; John E. Steiner Jr, Esq., Chief Compliance Officer, Cancer Treatment Centers of America, Schaumburg, IL CHC CHRC 102 Analytics for Compliance: A Case Study of Deployment – Barbara J. Piascik, SVP/Chief Compliance Officer, St. Vincent Catholic Medical Centers, New York, NY 103 HITECH Act…HIPAA 2.0: LTC Provider Implications – Gillian Gray Broderick, Vice President of Health Information Privacy, Fundamental Administrative Services, LLC, Baltimore, MD; Donna Maassen, Director of Compliance, Extendicare Health Services, Inc., Milwaukee, WI 104 HIPAA Risk Assessment Tool for Physician Practices – Robin L. Wilcox, Associate Compliance Officer, University of Louisville, Louisville, KY; Marian Hughlett, Deputy Privacy Officer, University of Louisville, Louisville, KY CHC CHRC 105 Compliance in a One‑Person Office – Teri Morris, Medical Compliance Officer, Eastern Band of Cherokee Nation, Cherokee, NC 106 Avoiding Fair Market Value Pitfalls – Robert Wade, Partner, Baker & Daniels, South Bend, IN; Timothy R. Smith, Manager, HealthCare Appraisers, Inc., Dallas Office, Allen, TX 107 Mistakes Happen: The Nuts and Bolts of a Voluntary Medicare Repayment – Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; Christopher T. Rehm, President, Pinnacle Physician Resource Group, Denver, CO 108 PSOs: New Privacy, Security And Confidentiality Rules – Rory Jaffe, Executive Director, CHPSO, Sacramento, CA 109 Integrating Compliance and Risk Management – Steve Lefar, General Manager, MediRegs, Wolters Kluwer Law & Business, Riverwoods, IL CHC CHRC 110 Overcoming Obstacles: Strategies for Enhancing Your Effectiveness as a Compliance & Ethics Officer – Dan Roach, Vice President Compliance and Audit, Catholic Healthcare West, San Francisco, CA 111 The Nexus of Information Technology, Compliance and Revenue Cycle Performance – Jeff Sinaiko, President, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA; Derek Woo, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA 112 Gifts and Conflicts of Interest – Greg Radinsky, Vice President & Chief Corporate Compliance Officer, North Shore-Long Island Jewish Health System, Great Neck, NY; Bret Bissey, Director, Regulatory Compliance, IMA Consulting, Chadds Ford, PA; José Tabuena, Sr VP, Governance & Compliance, PhyServe Physician Services, Inc., Dallas, TX CHC CHRC 113 Risk Assessments…Who, What, Where, When, Why, and How! – Dwight Claustre, CHC, CHRC, Director, Huron Consulting Group, Sun City West, AZ; Leah B. Guidry, Managing Director, Huron Consulting Group, Washington, DC CHC CHRC 12:00 – 1:00 pm Lunch & General Session – Trevor Fetter, President and CEO, Tenet Healthcare Corporation, Dallas, TX 1:00 – 1:30 pm Break

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Monday, April 19 (continued) 1:30 – 2:30 pm 201 Fraud Risk Assessment – Mark P. Ruppert, Director, Internal Audit, Cedars-Sinai Health System, Los Angeles, CA; Paul M. Baran, PriceWaterhouseCoopers, Director, Internal Audit, Philadelphia, PA 202 CMS Audits of Health Plans: How to Avoid the Crisis – Steve Lokensgard, Special Counsel, Faegre & Benson, Minneapolis, MN; David B. Orbuch, Chief Compliance Officer, Public and Senior Markets Group, UnitedHealth Group, Minnetonka, MN 203 Identifying OIG LTC Priorities and Making Necessary Changes – Alan E. Schabes, Benesch, Friedlander, Coplan & Aronoff LLP, Cleveland, OH; Laura Ellis, JD, OIG Senior Counsel, Department of Health & Human Services, Washington, DC 204 Cyber Threats to Health Care Organizations: Tips for the Compliance Professional – James Donaldson, Privacy and Security Officer, Baptist Health Care Corporation, Pensacola, FL; Fred Touchette, Senior Security Analyst, AppRiver, Gulf Breeze, FL 205 Conflicts of Interest: Addressing the Latest Regulations – Susan Lee Walberg, Corporate Compliance Officer, MedStar Health, Columbia MD; Cheryl Golden, Senior Manager, Deloitte & Touche, Tampa, FL CHC CHRC 206 HEAT Initiative: DOJ and OIG Strategies to Combat Health Care Fraud – Kirk Ogrosky, Deputy Chief, U.S. Department of Justice, Washington, DC; Charles Reed, Trial Attorney, U.S. Department of Justice, Washington, DC; Erin Lemire, Senior Policy Advisor, Office of Inspector General, Washington, DC 207 Tackling the Challenge of Auditing Delegated Entities – Vickie Patterson, Associate Director, Protiviti, Tampa, FL; Debra Baverman, Vice President, Regulatory Compliance Medicare Advantage Division of Universal American Corp, Houston, Texas 208 Structuring, Implementing and Monitoring Service Contracts: A Team Sport of Compliance, Quality, Legal, and Human Resources – Thomas Jeffry, Jr, Partner, Arent Fox LLP, Los Angeles, CA; Emilie Rayman, In-House Counsel, Chief Compliance Officer, Community Memorial Health System, Ventura, CA 209 So, You Think You Have an Effective Compliance Program: Think Again! – Ken Zeko, Director, KPMG, Dallas, TX; Dieter Lehnortt, Assistant Vice President/Institutional Compliance Officer, UT Southwestern Medical Center at Dallas, Dallas, TX CHC CHRC 210 How to Better Engage Your Board in Compliance: The Rising Standard of Care – Keith Halleland, Shareholder, Halleland Lewis Nilan & Johnson, PA, Minneapolis, MN 2:30 – 3:00 pm Break 1:30 – 5:30 pm II1 Professional Development: Negotiation/Collaboration – Ben Adkins, Adkins & Associates, Tampa, FL Industry Immersions II2 Large Hospitals and Health Systems – Cheryl Wagonhurst, Partner, Foley & Lardner LLP, Los Angeles, CA; Chris Bangerter, Corporate Compliance Officer, LifePoint Hospitals, Brentwood, TN; Michelle Cooper, Vice President and Corporate Responsibility Officer, Catholic Health Initiatives, Denver, CO; Glen Mueller, Vice President Audit, Compliance, & Information Security, Scripps Health, San Diego, CA II3 Payor/Managed Care – Moderator: Anne Doyle, Executive Vice President, Chief Compliance Officer, Fallon Community Health Plan, Worcester, MA; Panel: Linda Borges, Director of Compliance/Corporate Compliance Officer, MVP Health Care, Schenectady, NY; Regina Gurvich, Director, Health Plus, Brooklyn, NY; Alissa Beattie, Compliance Officer, New West Health Services, Helena, MT

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Monday, April 19 (continued)

3:00 – 4:00 pm 301 Whistleblowing: What Are We Hearing, Where Should We Be Listening, and How Should We Be Responding? – David Childers, President & CEO/ EthicsPoint, Inc., Lake Oswego, OR CHC CHRC 302 The Investigative Lights Shine Big and Bright: Perspectives on Best Practices for Internally Initiated Compliance Investigations – Karen Murray, Chief Compliance Officer, Yale New Haven Health System, New Haven, CT; Kelly Sauders, Partner, Deloitte & Touche LLP, New York, NY; Lawrence Vernaglia, Partner, Foley & Lardner LLP, Boston, MA CHC CHRC 303 Smart Document Management in an Evolving World of Information and Legal Exposure – Barbara J. Duffy, Shareholder, Lane Powell, PC, Seattle, WA; Donna Maassen, Director of Compliance, Extendicare Health Services, Inc., Milwaukee, WI 304 Enforcement Efforts – David Holtzman, Health Information Privacy Specialist, U.S. Health and Human Services Office for Civil Rights, Washington, DC 305 I Thought I Was Supposed to Practice Medicine – Robert H. Ossoff, Assistant Vice Chancellor Compliance & Corporate Integrity, Vanderbilt Medical Center, Nashville, TN; Christopher Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN 306 Medicaid Fraud Enforcement – Jack Wenik, Chair Healthcare Investigations Group, Sills Cummis Gross, PC, Newark, NJ; Joanne B. Erde, Partner, Duane Morris LLP, Miami, FL CHC CHRC 307 Help Them, Help Themselves—And You – Susan Welsh, Compliance Manager, Health Management Associates, Naples, FL; Charmin Davis, Compliance Specialist, Health Management Associates, Naples, FL 308 Informed Consent: Form versus Process – Jana Lacera, Director, IRB/Bio-Ethics, Community Hospital, Munster, IN 309 Ethics Expedition: Reaching the Summit of Program Effectiveness with Base Camp Resources – Mary Bennett, Vice President, Ethical Leadership Group, Mundelein, IL; Mary Ann Beil, Corporate Ethics and Compliance Officer, Memorial University Medical Center, Savannah, GA 310 Effective Compliance Program Strategies for Small to Medium-Size Organizations – Pat Connell, Vice President of Behavioral Health/Research/ Compliance/Government Relations, Boys Town National Research Hospital, Omaha, NE 4:00 – 4:30 pm Break 4:30 – 5:30 pm 401 Take a Second Look at Your Physician Relationships: Tips Based on Experience and Changes in the Law – Jana Kolarik Anderson, Attorney, Epstein Becker & Green, P.C., Washington, DC; Matthew D. Vogelien, Director, Huron Consulting Group, Kannapolis, NC 402 OIG-Excluded Parties and Sanctions Screening Compliance – Brad Hunter, Director, AHA Solutions, Inc., Chicago, IL; Stefan Keller, President, Certiphi Screening, Inc., Southampton, PA CHC CHRC 403 Case Studies in Post-Acute Care Arrangements between SNFs, Hospitals, and other Providers – J. Scott Richardson, Partner, Bradley Arant Boult Cummings LLP, Nashville, TN; Christopher Puri, Attorney, Bradley Arant Boult Cummings LLP, Nashville, TN 404 Applying ISO 27000 to Address Federal & State Security Mandates – Ali Pabrai, CEO, ecfirst, Newport Beach, CA 405 Working with Drug and Device Manufacturers – Rachel Nosowsky, Senior Counsel, Miller Canfield Paddock & Stone, PLC, Ann Arbor, MI CHRC 406 Department of Justice Investigations and Role of Compliance Department – Sean McKenna, Assistant U.S. Attorney, U.S. Attorney’s Office Northern District of Texas, Dallas, TX; Howard Young, Partner, Morgan Lewis, Washington, DC 407 Auditing Your Copy Forward or Templated EMR Record – Kathleen Enniss, Compliance Analyst, UW Medicine Compliance, Seattle, WA 408 More than Alphabet Soup: BAA, PSAE, RAC, MIC and ZPICs – Andrea McElroy, Chief Compliance Officer, Platinum Health Care, Skokie, IL; Miriam Murray, Director Corporate Compliance & Privacy Officer, Sava Senior Care Administrative Services, LLC, Atlanta, GA 409 Revenue Integrity and Safeguarding: Comprehensive Strategies for Contractor Combat (RACs, MICs, ZPICs and Others) – Sara Kay Wheeler, King & Spalding, Atlanta, GA; Denise Hall, Shareholder, Pershing Yoakley & Associates, Atlanta, GA; Christopher D. Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN 410 HITECH Implementation: Lessons Learned and the Road Ahead – Carole Ann Klove, UCSF Medical Center, San Francisco, CA 5:30 – 7:00 pm Networking Reception

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Tuesday, April 20

7:00 am – 4:30 pm Conference Registration 8:30 – 8:45 am Membership Meeting 8:45 – 9:30 am General Session: CMS – Peter Budetti, MD, Principal Deputy Administrator, CMS 9:30 – 10:15 am General Session: Moving Forward: Ethical Leadership for the 21st Century – Cynthia Cooper, Author, Extraordinary Circumstances, One of TIME Magazine’s Persons of the Year, CEO, The CooperGroup, LLC, Jacksonville, MS 10:15 – 11:00 am Break 11:00 am – 12:00 pm 501 Data Mining: Compliance and Internal Audit Applications – John Beattie, Partner, Healthcare Consulting Group, ParenteBeard LLC, Mechanicsburg, PA 502 Uncle Sam HIT Me!! Compliance Risks in Implementation of Electronic Health Records – Bobbi Bonnet, Senior Compliance Practice Leader, National Compliance, Ethics and Integrity Office, Kaiser Permanente, Oakland, CA 503 Assessing the Impact of Compliance-Related Legislative and Regulatory Developments on LTC – Jennifer L. Hilliard, Public Policy Attorney, American Association of Homes and Services for the Aging, Washington; Barbara Gay, Director of Advocacy Information, American Association of Homes and Services for the Aging, Washington, DC 504 Physical Security in the Privacy World – David Nelson, Privacy Officer, County of San Diego, San Diego, CA 505 Dental Compliance: Implementing a Medical Compliance Program in a Dental World – Teresa M. Bivens, Deputy Compliance Officer & Education Manager, University of Louisville HSC, Louisville, KY; Kimberly Johnson, Professional Practice Compliance Officer, Corporate Compliance Office, University of Kentucky Healthcare, Lexington, KY; Glena Jarboe, Compliance Program Coordinator, University of Kentucky, Lexington, KY 506 Internal Investigations – William T. Mathias, Principal, Ober, Kaler, Grimes & Shriver, Baltimore, MD; Gabriel Imperato, Managing Partner, Broad & Cassel, Fort Lauderdale, FL CHC CHRC 507 Measurable Metrics for Scope of Practice Monitoring and Auditing – Carol Novak, Compliance Practice Specialist, Kaiser, Simi Valley, CA CHC CHRC 508 Solving Patient Grievances While Avoiding Compliance Snares – Lisa Venn, Compliance Manager, University Hospitals, Shaker Heights, OH 509 Enterprise Risk Assessment and Mitigation: A Practical Approach Leveraging Internal Resources – Diane Meyer, Chief Compliance and Privacy Officer, Stanford University Medical Center, Palo Alto, CA; Rick Moyer, Associate Vice President for Internal Audit and Institutional Compliance, Stanford University, Palo Alto, CA CHC CHRC 510 “Connecting the Dots”: A Compliance and Quality Partnership – Wilma Acosta, Compliance Officer, Sutter Medical Center, Sacramento, CA; Rob Nolan, Vice President & Chief Compliance Officer, PharMerica Corporation, Louisville, KY 511 Quality, Waste and Abuse in the Medicare and Medicaid Programs – Harry M. Feder, Senior Vice President/COO, IPRO, Lake Success, NY 11:00 am – 3:45 pm II4 Academic Medical Centers – Moderator: Lynda Hilliard, Deputy Compliance Officer, University of CA, Oakland, CA; Panel: Kristin H. West, Associate VP Industry Immersions for Research & Director, Office of Research Compliance, Emory University, Atlanta, GA; Luanna K. Putney, Director of Research Compliance, Office of Ethics, Compliance and Audit Services, University of California, Oakland, CA; Hala Y. Helm, Vice President/Chief Compliance Officer, John Muir Health, Walnut Creek, CA II5 Compliance Challenges for the Laboratory Industry: 2010 and Beyond – Moderator: Christopher Young, President, Laboratory Management Support Services (LMSS), Phoenix, AZ; Diana Voorhees, Principal/CEO, DV & Associates, Inc., Salt Lake City, UT; Chris Anusbigian, Senior Manager Health Sciences, Deloitte & Touche LLP, Detroit, MI; Paul Keoppel, Laboratory Compliance Officer, Intermountain Healthcare Central Office, Salt Lake City, UT

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Tuesday, April 20 (continued) 12:00 – 1:00 pm Networking Luncheon 1:00 – 1:15 pm Break 1:15 – 2:15 pm 601 CMS – Kimberly Brandt, Director, Program Integrity Group, CMS, Baltimore, MD 602 Implementing New York State’s Mandatory Compliance Programs a Year Later: OMIG and Provider Perspective – James D. Horwitz, Vice President Corporate Responsibility/General Counsel, Glens Falls, NY; Robert A. Hussar, First Deputy, Medicaid Inspector General, New York State Office of the Medicaid Inspector General, Albany, NY 603 LTC: The MICs Are Here – Robb Miller, Director, Centers for Medicare & Medicaid Services, Chicago, IL; Paula Sanders, Post & Schell, P.C., Harrisburg, PA 604 Research Data: Identifying Institutional Risks with Privacy, Confidentiality, and Data Security – Paula Bistak, Executive Director, Human Subjects Protection Program, University of Medicine and Dentistry of New Jersey, Newark, NJ; Cheryl Forst, Senior Analyst, Human Subjects Protection Program, University of Medicine and Dentistry of New Jersey, Newark, NJ CHRC 605 Working the Numbers – Susan Welsh, Compliance Manager, HMA, Fort Myers, FL 606 The Federal Corrupt Practices Act, the Anti-Kickback Statute, and Healthcare Fraud Enforcement – Martie Ross, Attorney, Lathrop & Gage LLP, Overland Park, KS; Jim Lord, Assistant U.S. Attorney, U.S. Attorney’s Office, Seattle, Washington; Charles Hacker, Partner, PricewaterhouseCoopers LLP, New York, NY CHC CHRC 607 Who’s Policing the Hospital CoPs? – Catherine Niland, Organizational Integrity Manager, Trinity Health, Farmington Hills, MI 608 Steps You Can Take to Integrate “Quality Of Care” Into Your Compliance Program – Margaret Hambleton, Ministry Integrity, Chief Compliance Officer, St. Joseph Health System, Orange, CA 609 Mission Possible: Meeting Compliance Training Obligations Under a CIA – Al Josephs, Senior Director Policies and Training, Tenet Healthcare Corporation, Dallas, TX; D. Ryan Whitehill, Manager, Ethics and Compliance Training, Tenet Healthcare Corporation, Dallas, TX CHC CHRC 610 Compliance from the Independent Monitor’s Perspective – Vincent L. DiCianni, Affiliated Monitors, Inc., Boston, MA 611 Delivering Powerful Compliance Messages in Print, Web & Video – Karie Rego, Principal, Compliant Films, Davis, CA 2:15 – 2:45 pm Break 2:45 – 3:45 pm 701 RAC ATTACK: A Successful Guide for Appeals – Day Egusquiza, President, AR Systems, Hansen, ID 702 Hospital Research Compliance: Where’s the Risk and How to Address – Ruth Krueger, Director of Compliance and Privacy, Sanford USD Medical Center, Sioux Falls, SD; Angelique Dorsey, Research Compliance Director, Medstar Health, Columbia, MD CHRC 703 Hospice and Nursing Home Partnership: How to Get It Right! – Connie A. Raffa, Partner, Arent Fox LLP, New York, NY; Donald Romano, Partner, Arent Fox LLP, Washington, DC CHC CHRC 704 Turning Awareness Into Action: An Academic Medical Center’s Approach to Educating its Workforce of HIPAA Privacy and Information Security Principles and Practices – Bob Gross, Associate Compliance Officer-Privacy, University of Chicago Medical Center, Chicago, IL 705 Avoiding the “HEAT”: Compliance Programs for Small Practices – Sheryl Dacso, Partner, Brown McCarroll, LLP, Houston, TX; Diane T. Carter, Partner, Brown McCarroll, Austin, TX 706 Hospital-Patient Status: Overpayment and False Claims Act Liability – Timothy Blanchard, Partner, Blanchard Manning LLP, Orcas, WA; Mitch Mitchelson, Alston & Bird LLP, Atlanta, GA 707 Compliance Auditing and Monitoring: Demonstrating Effectiveness – Sheryl Vacca, SVP/Chief Compliance and Audit Officer, University of California, Oakland, CA CHC CHRC 708 Quality of Care and Compliance: How to Engage the Board Of Directors – Larry Vernaglia, Partner, Foley & Lardner LLP, Boston, MA; Gilly Hitchcock, Chair, Compliance Committee, Member, Board of Directors, Franklin Community Hospital, Farmington, ME; William F. Rucci, Jr, Rucci, Bardaro & Barrett, PC, Malden, MA 709 Creating and Sustaining a Compliance Program Commensurate with Your Multi-Hospital System’s Size and Complexity – Gene DeLaddy, Senior Vice President/Chief Compliance Officer/Chief Audit Executive/Chief Privacy Officer of Carolinas HealthCare System, Charlotte, NC; Laura Lyon, Director of Corporate Compliance, Carolinas HealthCare System, Charlotte NC; Kathryn Thibodeau-Dever, Director of Corporate Compliance, Carolinas HealthCare System, Charlotte NC 710 Tools for Achieving Compliance in an Era of Health Care Reform – Thomas E. Herrmann, Vice President, Strategic Management Services, LLC, Alexandria, VA; Larry J. Goldberg, Principal Deputy Inspector General, Office of Inspector General, U. S. Department of Health and Human Services, Washington, DC 711 TBD

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Wednesday, April 21

7:00 am – 12:30 pm Conference Registration 8:00 am – 12:00 pm W1 The Road Ahead – Frank Sheeder, Partner, Jones Day, Dallas, TX; Diane Meyer, Chief Compliance & Privacy Officer, Stanford University Medical Center, Palo Alto, CA; Kevin D. Lyles, Health Care Practice Co-Leader, Jones Day, Columbus, OH W2 Riding Herd on Fraud, Waste & Abuse – Judi McCabe, SURS Director, TMF Health Quality Institute, Austin, TX; Dan McCullough, Nurse Analyst, TMF Health Quality Institute, Austin, TX; Juanita Henry, Deputy Inspector General for Compliance, Texas Health and Human Services, Office of Inspector General, Austin, TX; Kimberly M. Hrehor, Project Director, TMF Health Quality Institute, Austin, TX CHC CHRC W3 Understanding the Interactions Between Federal and State Integrity Recovery Programs in the Post-Acute Healthcare Setting – Joan Ferraro, Vice President, Chief Compliance Officer, Complete HealthCare Resources, Inc., Pittsburgh, PA; Paula Sanders, Post & Schell, P.C., Harrisburg, PA; Barbara Duffy, Lane Powell, PC, Seattle, WA W4 Privacy Officer’s Roundtable – Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Joan Podleski, Director of Institutional Ethics & Compliance, Duke University, Durham, NC CHC CHRC W5 Clinical Documentation Improvement & Federal Integrity Activity (RACs, MACs, MICs…): Your Acute and Post‑Acute Hospital’s Compliance in Preventing Inappropriate/Unnecessary Admissions – Betty Bibbins, President & Chief Medical Officer, DocuComp LLC, Cape Charles, VA; Jua’nese L. Williams, Sr. Consultant and Educator, DocuComp LLC, Cape Charles, VA W6 Part 1: Recent Developments in Voluntary Disclosure/Part 2: False Claims Act Developments and Management of Risk/Part 3: The Role of the Compliance Officer, General Counsel, Management, and the Board – (Part 1) David M. Glaser, Attorney, Fredrikson & Byron, P.A., Minneapolis, MN; Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; (Part 2) Hope Foster, Member, Mitz, Levin, Cohn, Ferris, Glovsky & Popeo, P.C., Washington, DC; Jesse A. Witten, Partner, Drinker Biddle & Reath LLP, Washington, DC; (Part 3) Gabriel Imperato, Managing Partner, Broad & Cassel, Fort Lauderdale, FL; Jenny O’Brien, Medicare Compliance Officer, UnitedHealth Group-Ovations, Minnetonka MN ; Michael Hemsley, CHC, General Counsel & Vice President Legal Services, Catholic Health East, Newtown Square, PA; Gary W. Eiland, Partner, King & Spalding LLP, Houston, TX CHC CHRC W7 RAC Preparation & Successful Appeals – Andrew Wachler, Owner/Principal, Wachler & Associates, P.C., Royal Oak, MI; Susan Emanuel, System RAC Coordinator, Catholic Healthcare West, Phoenix, AZ W8 Quality Incentives: Practical Next Steps for Legal, Compliance and Operational Improvements – (Part 1) Jacob Kupiezky, President, HCT Consulting, Chicago, IL; Mary Brady, Senior Nursing Consultant, HCT Consulting, Bluffton, SC; (Part 2) Susan Tedrick, Chief Compliance Officer, Franklin Hospital, Farmington, ME; Judy Waltz, Partner, Foley & Lardner LLP, San Francisco, CA W9 The World According to the (Should-Be) All-Knowing and Omnipresent Compliance Gurus – Robert Tietjen, President/CEO, Policy Technologies International, Inc., Rexburg, ID; Steve Bearak, President/CEO, IdentityForce, Framingham, MA; Steven Greenspan, JD, LLM, Director, Government Appeals and Regulatory Affairs, Executive Health Resources, Newton Square, PA

RECEIVE A $100 DISCOUNT FOR THE COMPLIANCE INSTITUTE when you also attend HCCA’s 2010 Research Compliance Conference or SCCE’s Conference for Effective Compliance Systems in Higher Education, April 21–24, 2010, in Dallas, Texas at the Hyatt Regency NEW THIS YEAR: HCCA and SCCE have combined the Research Compliance Conference and the Conference for Effective Compliance Systems in Higher Education into one conference. Receive two conferences for the price of one. For more information or to register, call 888-580-8373 or visit www.hcca-info.org. www.compliance-institute.org 19 HCCA’s 2010 Educational Opportunities

Plan now to attend HCCA’s upcoming conferences. HCCA offers first-class education, resources, and networking opportunities for everyone in the health care compliance field. Whatever your focus, HCCA has a conference for you.

National Conferences Cop m liance Academies R egional Conferences Managed Care F ebruary 1–4, 2010 S outheast Compliance Conference Scottsdale, AZ January 15, 2010 | Atlanta, GA February 21–23, 2010 | Scottsdale, AZ March 15–18, 2010 S outh Atlantic Boston, MA January 29, 2010 | Orlando, FL 2010 Compliance Institute April 18–21, 2010 | Dallas, TX June 7–10, 2010 S outhwest San Francisco, CA February 19, 2010 | Dallas, TX R esearch Compliance A ugust 16–19, 2010 Alaska Conference Chicago, IL March 4–5, 2010 | Anchorage, AK April 21–24, 2010 | Dallas, TX October 25–28, 2010 Upper North Central A udit & Compliance San Francisco, CA May 7, 2010 | Columbus, OH Committee Conference November 15–18, 2010 Upper North East May 20–21, 2010 | New York, New York Orlando, FL May 21, 2010 | New York, NY AHLA/HCCA Fraud and Pacific Northwest Compliance Forum RESEAR CH ACADEMY June 4, 2010 | Seattle, WA September 26–28, 2010 | Baltimore, MD F ebruary 15–18, 2010 West Coast Orlando, FL June 18, 2010 | Newport Beach, CA Physician Practice Compliance Conference New England Privay c ACADEMY September 13, 2010 | Boston, MA October 17–19, 2010 | Philadelphia, PA October 4–7, 2010 Upper Midwest San Diego, CA September 16, 2010 | Minneapolis, MN Web Conferences Midwest Explore current hot topics for compliance September 24, 2010 | Overland Park, KS professionals. HCCA’s Web Conferences North Central provide instant and up‑to‑date education October 1, 2010 | Indianapolis, IN from the convenience of your own office. New conferences are announced regularly, E ast Central and prior sessions are available for purchase October 8, 2010 | Pittsburgh, PA on CD‑ROM. Visit HCCA’s website at www.hcca-info.org for the latest updates. Hawaii October 15, 2010 | Honolulu, HI Mountain Learn more about October 22, 2010 | Denver, CO HCCA’s educational Mid Central opportunities November 5, 2010 | Louisville, KY and register at S outh Central www.hcca-info.org November 12, 2010 | Nashville, TN D esert Southwest November 19, 2010 | Phoenix, AZ

20 www.compliance-institute.org Agenda sunday, april 18 Saturday, April 17 General Compliance/Hot Topics Physician Compliance P2 Developing an Organizational P5 EMR: Challenges, Risk, and Risk Profile for Measuring Solutions 7:00 am – 12:00 pm Compliance Program Effectiveness Volunteer Project Sunday 9:00 am – 12:00 pm CHC CHRC • Identify where risk is associated with specific Sunday 9:00 am – 12:00 pm functions in an electronic medical record 2:00 – 7:00 pm • Identify at least 5 effective measures for compli- • Transitioning coders to a new paradigm: Conference Registration ance auditing and monitoring Educator/Auditor v. Rescue Recovery Coders • Develop and apply effectiveness measures to • Present methods to audit or monitor the con- tools developed during this session trols of the electronic record Sunday, April 18 • Identify at least 3 ways to “add value” in report- James Taylor, Medical Director Revenue Cycle, Kaiser ing your audit results Permanente Colorado, Denver, CO; Robert Freedman, Director of Business Development, MDaudit, Newton Sunday 7:30 am – 5:30 pm Steve Ortquist, Managing Director, Aegis Compliance Center, MA; Lori Laubach, Partner, Moss Adams LLP, Conference Registration & Ethics Center, LLP, Chicago, IL; Lynda Hilliard, Tacoma, WA Deputy Compliance Officer, University of CA, Oakland, CA Legal & Regulatory Sunday 9:00 am – 12:00 pm Pre-Conference General Compliance/Hot Topics P6 False Claims Act Developments P3 Beyond Healthcare Reform CHC CHRC am pm General Compliance/Hot Topics Sunday 9:00 am – 12:00 pm Sunday 9:00 – 12:00 • Historical, political, and economic background • Review the recent amendments and case law P1 Compliance 101 CHC CHRC developments interpreting the False Claims Act • The most important developments from a com- Sunday 9:00 am – 12:00 pm pliance perspective • Review the latest False Claims Act settle- • Understand the complex regulatory framework and ments and the implications for organizational • The implications of these developments significant issues currently facing organizations compliance regarding physician arrangements compliance • What health care organizations should do • Discuss the government, whistleblower and • Be prepared to conduct a physician arrangements Frank Sheeder, Partner, Jones Day, Dallas, TX; defense perspectives in False Claims Act matters diagnostic assessment starting with the contract Shawn Y. DeGroot, Vice President of Corporate John T. Boese, Of Counsel, Fried, Frank, Harris, management system Responsibility, Regional Health, Rapid City, SD; Jeff Shriver & Jacobson LLP, Washington, DC; Michael Kapp, Partner, Jones Day, Cleveland, OH • Understand lessons learned from industry audits D. Granston, Civil Division, U.S. Department of as well as potential consequences of government Justice, Washington, DC; Janet Goldstein, Partner, Privacy & Security Vogel, Slade & Goldstein, LLP, Washington, DC disclosure matters Debbie Troklus, Assistant Vice President P4 Privacy & Security 101 CHC CHRC Auditing & Monitoring Compliance, University of Louisville HSC, Louisville, Sunday 9:00 am – 12:00 pm KY; Sheryl Vacca, SVP/Chief Compliance and Audit P7 Physician Financial Arrangement Officer, University of California, Oakland, CA • An overview of the HIPAA Security Rule Work Plan • An overview of the standard transactions and code sets Sunday 9:00 am – 12:00 pm • Discuss purpose of a physician financial • An overview of the HIPAA Privacy Rule arrangement work plan Marti Arvin, Privacy Officer, University of Louisville, Louisville, KY; Bruce Edwards, Chief • Develop compliance steps to ensure compliance Information Security Officer, University of Louisville, with Stark, Anti-Kickback and False Claims Act Louisville, KY • Auditing and monitoring techniques to enhance process improvements to meet legal requirements Nicole Huff, Chief Compliance & Privacy Officer, Edward Hospital and Health Services, Naperville, IL; April Andrews-Singh, Compliance Director, MEDNAX Services, Inc., Sunrise, FL; Monica Frazer, Vice President, Internal Audit, Baylor Health Care System, Dallas, TX www.compliance-institute.org 21 Agenda sunday, april 18

Quality of Care Sunday 1:30 – 4:30 pm General Compliance/Hot Topics P8 How to Find and Address the Pre-Conference P12 Compliance Effectiveness: Are Real Fraud and Abuse in “Quality There Really “Best Practices” and of Care” General Compliance/Hot Topics How Do We Practically Measure That? CHC Sunday 9:00 am – 12:00 pm P10 PACE Yourself: Improving • A practical discussion of the current state of the Compliance With Better Policies, Sunday 1:30 – 4:30 pm enforcement environment regarding quality of Awareness, Committees and • Recent OIG Guidance and settlement agreement care requirements that list the expectations for an • In-depth look at where the “real” quality of care Education effective compliance program fraud and abuse is found among healthcare Sunday 1:30 – 4:30 pm • Metrics and an audit tool to utilize in testing providers • How to write POLICIES that have clear, under- compliance program objectives • What providers can and should be doing now standable standards • Insight into the criteria CMS, OIG and the DOJ Rick Robinson, Partner, Fulbright & Jaworski, • How to improve your compliance use when assessing the effectiveness of a compli- Washington, DC; David Hoffman, Esq., David AWARENESS and recognition program ance program Hoffman & Associates, Philadelphia, PA; Lew Lisa Murtha, Partner, Sonnenschein Nath & Morris, Chief Counsel to the Inspector General, • How to reinvigorate compliance Rosenthal LLP, Holland, PA; Steve Ortquist, U.S. Department of Health and Human Services, COMMITTEES and improve auditing of the Managing Director, Aegis Compliance & Ethics Office of Counsel and Office of Inspector General, EDUCATION component Center, LLP, Chicago, IL Washington, DC; Audrey Andrews, Chief Jim Passey, Director, Compliance & Internal Audit Compliance Officer, Tenet Healthcare, Dallas, TX Services, Huntington Memorial Hospital, Pasadena, Privacy & Security CA; Linda Borges, Director of Compliance/Corporate General Compliance/Hot Topics Compliance Officer, MVP Health Care, Inc., Schenectady, NY; J. Stuart Showalter, Atlanta, GA; P13 Information Security and P9 CMS Update D. Michelle Burford, Risk Manager/Compliance Privacy: A New World and What Officer/Patient Safety Officer, Fort Madison This Means to Your Organization Sunday 9:00 am – 12:00 pm Community Hospital, Fort Madison, IA CHC CHRC Kimberly Brandt, Director Program Integrity Group, CMS, Baltimore, MD General Compliance/Hot Topics Sunday 1:30 – 4:30 pm • Discussion of Legal, Risk Management & Sunday 12:00 – 1:30 pm P11 Research/IRB Stark & Clinical Compliance domains, their unique issues, and Lunch (on your own) Research: 5 Compliance Scenarios how they interface & 5 Practical Safeguards CHRC • Discussion of regulatory collaboration, such as Sunday 1:30 – 4:30 pm HIPAA, the HITECH Act and Red Flags Rule • Explore how Stark is relevant to clinical • Discussion with the audience of a risk assess- research/ Propose 5 safeguards that hospitals ment and investigation case study can adopt to manage Stark compliance risks Brad M. Rostolsky, Reed Smith LLP, Philadelphia, during clinical research PA; Deann Baker, Chief Corporate Compliance • Describes the differing Stark risks in clinical Officer, Alaska Native Tribal Health Consortium, research between academic medical centers and Anchorage, AK; Hala Y. Helm, Vice President/Chief community hospitals Compliance Officer, John Muir Health, Walnut Creek, CA • Analyzes from a Stark perspective 5 common relationships between hospitals and physician-investigators Ryan D. Meade, Meade & Roach, LLP, Adjunct Professor/Loyola University Chicago School of Law, Chicago, IL; Christopher K. Goforth, Director of Compliance Program Integrity, Stanford University Medical Center, Palo Alto, CA

22 www.compliance-institute.org Agenda sunday, april 18

Physician Compliance Quality of Care Web 2.0 is about the P14 RAC Reality Check P17 Lessons from Mandatory Sunday 1:30 – 4:30 pm Compliance new, faster, everyone • Part A v. Part B audits; impact of RAC audits on Sunday 1:30 – 4:30 pm connected Internet. physician practices New York Medicaid requires every hospital to • Debunking the myths; getting it right the have an 8 element compliance program, and to HCCA is embracing this approach and first time; what do I need to be doing now to certify that it is “effective.” This session will dis- offers you a number of ways to build out prepare? cuss predictable issues and lessons learned from the implementation of mandatory compliance your network, connect with compliance • What should I do when the auditors come programs, which are included in all new national professionals, and leverage this new knocking? health care plan proposals. Some issues: technology. Take advantage of these John C. Falcetano, Chief Audit /Compliance Officer, • Measuring “effective”; dealing with vendors, online resources, keep abreast of the University Health Systems of Eastern Carolina, contract staff, contracted departments; vendor, Greenville, NC; Marie Moseley, UHS Regulatory latest in compliance news, and stay board member, and employee screening for Affairs Specialist/Privacy Officer, University Health ahead of the curve. Systems of Eastern Carolina, Inc., Greenville, NC exclusion, debarment, and affiliates • Central compliance structures in organizations Legal & Regulatory with multiple facilities, business lines; hot issues identified through compliance and disclosure P15 Anti-kickback and Stark Primer Dozens of discussion groups and Jim Sheehan, Medicaid Inspector General, Office of more than 3,000 participants CHC CHRC and Current Developments the Medicaid Inspector General http://community.hcca-info.org Sunday 1:30 – 4:30 pm General Compliance/Hot Topics • Primer on Stark and anti-kickback statutes and regulations P18 Are You Prepared for that • Significant case law and regulatory Pending Emergency, Disaster or Profiles of over 1,300 compliance and developments Pandemic? Linking Emergency ethics professionals eager to connect • Changes and issues from health care reform Management with Business http://www.linkedin.com/groups?gid=83345 legislation

Continuity Planning TM Craig Holden, Ober Kaler Grimes & Shriver, Baltimore, MD; Kevin G. McAnaney, Attorney, Law Sunday 1:30 – 4:30 pm Office of Kevin G McAnaney, Washington, DC • Increase your understanding of planning and Over 11,000 people already follow us on response efforts for handling incidents such as Twitter to get breaking compliance news Auditing & Monitoring the H1N1 Pandemic http://twitter.com/HCCA_News • Provide case studies describing how organiza- P16 How to Do It! Risk Assessment tions maintained operations during these events to a Compliance Internal Audit Mitch Saruwatari, VP Quality and Compliance, Workplan CHC CHRC LiveProcess, Verona, NJ; Eric Rosow, General Connect with compliance and ethics Sunday 1:30 – 4:30 pm Manager, Patient Flow Solutions, Eclipsys, Atlanta, professionals on Facebook GA; H.T. Snowday, CTO, Versus, Traverse City, MI • Knowledge on the 6 key risk domains and how http://www.hcca-info.org/Facebook to use the principles of the internal control http://www.hcca-info.org/Fan_Page framework or enterprise risk management Sunday 4:30 – 5:30 pm framework to identify risks within each domain Networking Reception Each resource is 100% dedicated to • Ideas for cost effective strategies to assess and compliance and ethics management. monitor risks based on your organization’s risk So sign up for whichever one works appetite, tolerance and available resources best for you, or for all four if you’re • A good understanding of risk assessment and already living the Web 2.0 life. monitoring tools, how to develop them and a risk universe Kelly Nueske, Director, Risk Management Services, Sinaiko Healthcare Consulting, Inc., Minneapolis, MN; Debi Weatherford, Director Internal Audit, Piedmont Healthcare, Atlanta, GA www.compliance-institute.org 23 ASSOCIATION OF HEALTHCARE INTERNAL AUDITORS 2010 ANNUAL CONFERENCE September 13-15, 2010 Hyatt Regency Baltimore, MD www.ahia.org

One Vision, Many Perspectives: Today’s Healthcare Audit Community

24 www.compliance-institute.org Agenda monday, april 19 Monday, April 19 General Compliance/Hot Topics Physician Compliance 102 Analytics for Compliance: 105 Compliance in a One‑Person A Case Study of Deployment Office Monday 7:00 am – 5:30 pm Conference Registration Monday 11:00 am – 12:00 pm Monday 11:00 am – 12:00 pm • Gather lessons learned for implementing perfor- • This session will provide information on how mance analytics solutions for compliance to prioritize and manage compliance issues in a am one person office Monday 8:30 – 8:40 • Identify strategies for assessing compliance risk, Opening Remarks tracking audits, and measuring success • Creative ideas will be discussed on how to maintain an effective compliance program • Learn what data to measure and how to develop Monday 8:40 – 9:30 am workflows and proactive analyses • Tools, templates and audit processes will be shared to assist the one person compliance Barbara J. Piascik, SVP/Chief Compliance Officer, St. General Session: program How Organizations and Vincent Catholic Medical Centers, New York, NY Teri Morris, Medical Compliance Officer, Eastern Individuals Slide Into Crime Long-Term Care Band of Cherokee Nation, Cherokee, NC Kurt Eichenwald, Author of The Informant, Pulitzer Prize Nominee, Dallas, TX; Denny Swenson, 103 HITECH Act…HIPAA 2.0: LTC Legal & Regulatory Executive Producer, Light On Productions, Boston, Provider Implications MA 106 Avoiding Fair Market Value Monday 11:00 am – 12:00 pm Pitfalls Monday 9:30 – 10:15 am • New Federal Breach Requirements—things to consider Monday 11:00 am – 12:00 pm General Session: OIG Update • Identify & avoid common pitfalls when • How HITECH changes HIPAA establishing the FMV and commercial rea- Daniel R. Levinson, Inspector General, Office of • Enhanced Enforcement—what you need to sonableness of physician compensation Inspector General, U.S. Department of Health and know Human Services, Washington, DC arrangements Gillian Gray Broderick, Vice President of Health • Structure physician arrangements to avoid 10:15 – 11:00 am Information Privacy, Fundamental Administrative ambiguity & unintended outcomes Monday Services, LLC, Baltimore, MD; Donna Maassen, Break Director of Compliance, Extendicare Health Services, • Analysis of recent case law dealing with FMV Inc., Milwaukee, WI and commercial reasonableness issues am pm Robert Wade, Partner, Baker & Daniels, South Monday 11:00 – 12:00 Privacy & Security Bend, IN; Timothy R. Smith, Manager, HealthCare Appraisers, Inc., Dallas Office, Allen, TX General Compliance/Hot Topics 104 HIPAA Risk Assessment Tool for Auditing & Monitoring 101 Compliance Effectiveness from Physician Practices CHC CHRC the Inside Out CHC CHRC Monday 11:00 am – 12:00 pm 107 Mistakes Happen: The Nuts • Provides a comprehensive HIPAA Risk Monday 11:00 am – 12:00 pm and Bolts of a Voluntary Medicare Assessment tool (Excel format) for physician • Proof of delegated accountability practices Repayment • Awareness of the legal ‘ground rules’ associated • Discusses example audit survey responses and Monday 11:00 am – 12:00 pm with risk areas explores methods for assigning values to each • Strategies for making repayments in a manner • Cultural ‘buy-in’ including how to engage response that minimizes the risks of a hostile government reaction executive management (business and legal • Explains how to use the Risk Assessment results predicates) in developing a HIPAA audit plan • How to structure a retrospective claims review including review standards, sampling and Julene D. Brown, Director of Corporate Compliance, Robin L. Wilcox, Associate Compliance Officer, extrapolation and reporting findings Innovis Health, Fargo, ND; Jenny O’Brien, Medicare University of Louisville, Louisville, KY; Marian Compliance Officer, UnitedHealth Group-Ovations, Hughlett, Deputy Privacy Officer, University of • Case study based upon real examples with Minnetonka MN; John E. Steiner Jr, Esq., Chief Louisville, Louisville, KY practical suggestions for making repayments Compliance Officer, Cancer Treatment Centers of without drawing a target on your (or someone America, Schaumburg, IL else’s) back Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; Christopher T. Rehm, President, Pinnacle Physician Resource Group, Denver, CO

www.compliance-institute.org 25 Agenda monday, april 19

Quality of Care General Compliance/Hot Topics Monday 12:00 – 1:00 pm 108 PSOs: New Privacy, Security 111 The Nexus of Information Lunch & General Session And Confidentiality Rules Technology, Compliance and Trevor Fetter, President and CEO, Tenet Healthcare Corporation, Dallas, TX Monday 11:00 am – 12:00 pm Revenue Cycle Performance • PSO provider confidentiality rules: “HIPAA for Monday 11:00 am – 12:00 pm Monday 1:00 – 1:30 pm provider identities” • Unique perspective on risks/benefits of integra- Break • Patient Safety Work Product privilege tion of IT, operations and compliance • The connection between patient safety and • Specific examples and quantified ROI from Monday 1:30 – 2:30 pm compliance improved compliance/IT integration General Compliance/Hot Topics Rory Jaffe, Executive Director, CHPSO, Sacramento, • Q&A: increasingly important topic for non-IT CA professionals given stimulus $ for EHR 201 Fraud Risk Assessment Jeff Sinaiko, President, Sinaiko Healthcare Monday 1:30 – 2:30 pm General Compliance/Hot Topics Consulting, Inc., Los Angeles, CA; Derek Woo, Sinaiko Healthcare Consulting, Inc., Los Angeles, CA • Understand the nature of fraud risk relative to 109 Integrating Compliance and other risk, and identify steps for completing a fraud risk assessment Risk Management CHC CHRC General Compliance/Hot Topics • Incorporating fraud risk into your annual inter- Monday 11:00 am – 12:00 pm 112 Gifts and Conflicts of Interest nal audit or corporate-wide risk assessments • Using risk assessment to establish controls CHC CHRC • Addressing fraud risk on an ongoing and indi- • Automating controls to measure compliance vidual audit basis Monday 11:00 am – 12:00 pm • Measuring compliance success through risk • How the latest industry codes and policy direc- Mark P. Ruppert, Director, Internal Audit, management tives will impact your gifts and conflicts of Cedars-Sinai Health System, Los Angeles; Paul Steve Lefar, General Manager, MediRegs, Wolters interest policy M. Baran, PriceWaterhouseCoopers, Director, Internal Audit, Philadelphia, PA Kluwer Law & Business, Riverwoods, IL • Hot compliance issues related to industry-provider relationships, including methods to detect General Compliance/Hot Topics Advanced Discussion Group undisclosed conflicts 110 Overcoming Obstacles: • Understand the relationship between potential 202 CMS Audits of Health Plans: Strategies for Enhancing Your conflicts of interests and quality oversight How to Avoid the Crisis Greg Radinsky, Vice President & Chief Corporate Monday 1:30 – 2:30 pm Effectiveness as a Compliance & Compliance Officer, North Shore-Long Island Jewish • Understand the scope of CMS audits of Ethics Officer Health System, Great Neck, NY; Bret Bissey, Director, Regulatory Compliance, IMA Consulting, Chadds Ford, Medicare Advantage plans Monday 11:00 am – 12:00 pm PA; José Tabuena, Sr VP, Governance & Compliance, • Learn how to prepare your organization for a • Recognizing the impediments to success PhyServe Physician Services, Inc., Dallas, TX CMS audit • The authority dilemma • Learn how to devise a corrective action plan in General Compliance/Hot Topics • Strategies for breaking down barriers response to an identified deficiency Steve Lokensgard, Special Counsel, Faegre & (attendance limited to 50 people) 113 Risk Assessments…Who, What, Benson, Minneapolis, MN; David B. Orbuch, Chief Dan Roach, Vice President Compliance and Audit, Where, When, Why, and How! Compliance Officer, Public and Senior Markets Catholic Healthcare West, San Francisco, CA CHC CHRC Group, UnitedHealth Group, Minnetonka, MN Monday 11:00 am – 12:00 pm • Why is the greatest risk not doing risk assessments • What should a risk assessment be and what might it look like • Where do I start and when does it end; Work plan, audit plan, risk assessment the perfect alignment Dwight Claustre, CHC, CHRC, Director, Huron Consulting Group, Sun City West, AZ; Leah B. Guidry, Managing Director, Huron Consulting Group, Washington, DC 26 www.compliance-institute.org Agenda monday, april 19

Long-Term Care Legal & Regulatory Quality of Care 203 Identifying OIG LTC Priorities 206 HEAT Initiative: DOJ and OIG 208 Structuring, Implementing and and Making Necessary Changes Strategies to Combat Health Care Monitoring Service Contracts: Monday 1:30 – 2:30 pm Fraud A Team Sport of Compliance, • Review of OIG Work Plan, Semi-Annual Report Monday 1:30 – 2:30 pm Quality, Legal, and Human and Compendium LTD Focus • Receive an overview of prevalent fraud schemes Resources • Discussion of recent OIG LTC enforcement actions identified by the newly created HEAT and DOJ’s Monday 1:30 – 2:30 pm and OIG’s coordinated law enforcement response • Suggestions for incorporating new processes/ • Utilize and structure service contracts as a tool procedures into corporate compliance programs • Learn about recent criminal prosecutions by the to promote quality Medicare Fraud Strike Forces and recommenda- Alan E. Schabes, Benesch, Friedlander, Coplan & • Identify and avoid compliance risks associated Aronoff LLP, Cleveland, OH; Laura Ellis, JD, OIG tions for preventing future fraud with service contractors Senior Counsel, Department of Health & Human • Find out which states and regions will be impacted Services, Washington, DC by the expanding federal enforcement efforts • Ideas on building a collaborative team to address and improve quality compliance Privacy & Security Kirk Ogrosky, Deputy Chief, U.S. Department requirements of Justice, Washington, DC; Charles Reed, Trial Attorney, U.S. Department of Justice, Thomas Jeffry, Jr, Partner, Arent Fox LLP, Los 204 Cyber Threats to Health Washington, DC; Erin Lemire, Senior Policy Advisor, Angeles, CA; Emilie Rayman, In-House Counsel, Care Organizations: Tips for the Office of Inspector General, Washington, DC Chief Compliance Officer, Community Memorial Compliance Professional Health System, Ventura, CA Auditing & Monitoring Monday 1:30 – 2:30 pm General Compliance/Hot Topics • Why Compliance Officers need to be engaged in 207 Tackling the Challenge of 209 So, You Think You Have an information security and data protection Auditing Delegated Entities • A look at key cyber threats and how they relate Effective Compliance Program: Monday 1:30 – 2:30 pm to your compliance efforts Think Again! CHC CHRC • Conquering the challenging audit requirements • Practical suggestions for detecting and mitigat- Monday 1:30 – 2:30 pm ing digital risks • Tried and true approaches to auditing delegated • Using data analytics to objectively pursue com- entities James Donaldson, Privacy and Security Officer, pliance program effectiveness—where does your Baptist Health Care Corporation, Pensacola, FL; • Lessons learned from wins and disappointments data point? Fred Touchette, Senior Security Analyst, AppRiver, Vickie Patterson, Associate Director, Protiviti, • Training and monitoring—where should you Gulf Breeze, FL Tampa, FL; Debra Baverman, Vice President, focus, and what resources do you need? Regulatory Compliance Medicare Advantage Physician Compliance Division of Universal American Corp, Houston, • Using dashboards to present program effective- Texas ness information to senior management and 205 Conflicts of Interest: Addressing your board the Latest Regulations CHC CHRC Ken Zeko, Director, KPMG, Dallas, TX; Dieter Lehnortt, Assistant Vice President/Institutional Monday 1:30 – 2:30 pm Compliance Officer, UT Southwestern Medical • Understand new regulations related to physician Center at Dallas, Dallas, TX conflicts of interest • Address emerging issues such as self disclosure and False Claims Act revisions • Maintaining physician monitoring through the development of process and controls Susan Lee Walberg, Corporate Compliance Officer, MedStar Health, Columbia MD; Cheryl Golden, Senior Manager, Deloitte & Touche, Tampa, FL

www.compliance-institute.org 27 Agenda monday, april 19

Advanced Discussion Group Industry Immersion Monday 3:00 – 4:00 pm

210 How to Better Engage Your II2 Large Hospitals and Health General Compliance/Hot Topics Board in Compliance: The Rising Systems Standard of Care Monday 1:30 – 5:30 pm 301 Whistleblowing: What Are We Monday 1:30 – 2:30 pm • Managing the new risks areas for large hospitals Hearing, Where Should We Be • Emerging government expectations for business and large health systems. Particular focus will Listening, and How Should We Be be on challenges of 2010: FERA, HEAT, etc. organizations Responding? CHC CHRC • Exploring best practices: structure, training, • The board’s evolving role in compliance Monday 3:00 – 4:00 pm auditing and monitoring. • The increasing value of effective compliance • Best practice guidance for collecting reports of programs • Maximizing the use of your compliance code of conduct violations program resources, and re-evaluating the (attendance limited to 50 people) traditional compliance program structure and • Insight into updated trends and benchmarking data relating to fraud and other misconduct Keith Halleland, Shareholder, Halleland Lewis Nilan support & Johnson, PA, Minneapolis, MN Cheryl Wagonhurst, Partner, Foley & Lardner • Practical advice for incorporating social media LLP, Los Angeles, CA; Chris Bangerter, Corporate into your ethics and compliance programs Monday 2:30 – 3:00 pm Compliance Officer, LifePoint Hospitals, Brentwood, David Childers, President & CEO/ EthicsPoint, Inc., TN; Michelle Cooper, Vice President and Corporate Lake Oswego, OR Break Responsibility Officer, Catholic Health Initiatives, Denver, CO; Glen Mueller, Vice President Audit, General Compliance/Hot Topics Compliance, & Information Security, Scripps Health, Monday 1:30 – 5:30 pm San Diego, CA Industry Immersions 302 The Investigative Lights Shine Industry Immersion Big and Bright: Perspectives on Best Practices for Internally Initiated Industry Immersion II3 Payor/Managed Care Compliance Investigations CHC CHRC Monday 1:30 – 5:30 pm II1 Professional Development: Monday 3:00 – 4:00 pm • From quality of care concerns to fraud: federal Negotiation/Collaboration • Learn about running effective investigations and New York State perspectives Monday 1:30 – 5:30 pm through cases studies from the perspectives of • Hot topics in Medicare Compliance: CMS the consultant, compliance officer and lawyer • Learn a process to address intimidating and Audits, Marketing Surveillance and Oversight, • Best practices for internally initiated inves- disruptive behaviors and Data Validation tigations, and common (and uncommon) • Learn relationship building and collaborative • Does your plan have an effective Compliance investigatory mistakes practices Awareness and Recognition Program? Engaging • Recommendations for triaging problems for dif- employee participation • Learn how to manage workplace conflict ferent levels of investigation Moderator: Anne Doyle, Executive Vice President, Ben Adkins, Adkins & Associates, Tampa, FL Karen Murray, Chief Compliance Officer, Yale Chief Compliance Officer, Fallon Community Health New Haven Health System, New Haven, CT; Kelly Plan, Worcester, MA; Panel: Linda Borges, Director Sauders, Partner, Deloitte & Touche LLP, New York, of Compliance/Corporate Compliance Officer, MVP NY; Lawrence Vernaglia, Partner, Foley & Lardner Health Care, Schenectady, NY; Regina Gurvich, LLP, Boston, MA Director, Health Plus, Brooklyn, NY; Alissa Beattie, Compliance Officer, New West Health Services, Helena, MT

28 www.compliance-institute.org Agenda monday, april 19

Long-Term Care Legal & Regulatory General Compliance/Hot Topics 303 Smart Document Management 306 Medicaid Fraud Enforcement 309 Ethics Expedition: Reaching the in an Evolving World of CHC CHRC Summit of Program Effectiveness Information and Legal Exposure Monday 3:00 – 4:00 pm with Base Camp Resources Monday 3:00 – 4:00 pm • Explain increased investigation and enforce- Monday 3:00 – 4:00 pm • Examine the practical and operational require- ment of Medicaid Fraud and Abuse • Plot Your Ascent: Differentiate between essen- ments of information needs in LTC where • Hightlight New and Ongoing Areas of Concern, tial and non-essential program activities regulatory and legal exposure are looming 2009 OIG Work Plan • Underwrite Your Expedition: Determine how to • What to do with Hybrid documents, electronic • Discuss recent state and federal enforcement continue essential activities for less cost ADL tracking documents and other informa- actions • Effective Climbing Techniques: Incorporate tion that might not fit into the old paradigm of proven methods to enhance effectiveness; view compliance and risk management. Jack Wenik, Chair Healthcare Investigations Group, Sills Cummis Gross, PC, Newark, NJ; Joanne B. Erde, from the peak: What does effectiveness look like • Litigation readiness considerations Partner, Duane Morris LLP, Miami, FL on a budget? Barbara J. Duffy, Shareholder, Lane Powell, Mary Bennett, Vice President, Ethical Leadership PC, Seattle, WA; Donna Maassen, Director of Auditing & Monitoring Group, Mundelein, IL; Mary Ann Beil, Corporate Compliance, Extendicare Health Services, Inc., Ethics and Compliance Officer, Memorial University Milwaukee, WI 307 Help Them, Help Themselves— Medical Center, Savannah, GA And You Privacy & Security Advanced Discussion Group Monday 3:00 – 4:00 pm 304 Enforcement Efforts • Identifying the needs of your compliance plan 310 Effective Compliance Program Monday 3:00 – 4:00 pm • Identifying key supportive information Strategies for Small to Medium- • Updates on OCT’s Privacy Rule enforcement • Giving your mangers the tools they need Size Organizations efforts Susan Welsh, Compliance Manager, Health Monday 3:00 – 4:00 pm • Major new enforcement initiatives Management Associates, Naples, FL; Charmin • Successful monitoring and compliance auditing Davis, Compliance Specialist, Health Management processes • Emerging Issues (Privacy and HIT, Privacy and Associates, Naples, FL GINA, Patient Safety and Quality Improvement • Training tools for employee education to Act of 2005 enforcement) Quality of Care include: e-learning, specialized training David Holtzman, Health Information Privacy courses, and sharing training programs with Specialist, U.S. Health and Human Services Office 308 Informed Consent: Form versus other organizations. for Civil Rights, Washington, DC Process • Challenges and opportunities for incorporating specialty services and clinics into an institute- Physician Compliance Monday 3:00 – 4:00 pm wide compliance program • Review the historical and regulatory back- 305 I Thought I Was Supposed to ground regarding consent and the impact on (attendance limited to 50 people. Practice Medicine the process session is full as of 1/19/10.) Pat Connell, Vice President of Behavioral Health/ Monday 3:00 – 4:00 pm • Understand the importance of separating the consent form and the consent process Research/Compliance/Government Relations, Boys • Where does patient care fit into the world of Town National Research Hospital, Omaha, NE Compliance? • Learn new strategies and tools to improve the organization’s processes that address consent • How do compliance professionals get physician Monday 4:00 – 4:30 pm buy in to the compliance process? Jana Lacera, Director, IRB/Bio-Ethics, Community Hospital, Munster, IN Break • How do regulation changes or conflicts with patient care impact the relationship with physicians Robert H. Ossoff, Assistant Vice Chancellor Compliance & Corporate Integrity, Vanderbilt Medical Center, Nashville, TN; Christopher Thomason, Director Compliance & Corporate Integrity, Vanderbilt University Medical Center, Nashville, TN

www.compliance-institute.org 29 Agenda monday, april 19

Monday 4:30 – 5:30 pm Long-Term Care Legal & Regulatory

General Compliance/Hot Topics 403 Case Studies in Post-Acute 406 Department of Justice Care Arrangements between SNFs, Investigations and Role of 401 Take a Second Look at Your Hospitals, and Other Providers Compliance Department Physician Relationships: Tips Based Monday 4:30 – 5:30 pm Monday 4:30 – 5:30 pm on Experience and Changes in the • Review relationships b/w SNFs and hospitals, • Compliance professionals play a critical role in Law analyze their compliance aspects resolving fraud investigations Monday 4:30 – 5:30 pm • Discuss what is allowable within these rela- • Learn from an experienced Assistant U.S. tionships and creating compliance friendly Attorney and defense counsel • Contracting tips to avoid issues under the fraud relationships and abuse laws • Hear different perspectives on cooperation by • Propose a checklist for auditing existing or new providers during investigations • Recent Stark Law changes that necessitate action relationships and agreements on your part Sean McKenna, Assistant U.S. Attorney, U.S. Attorney’s Office Northern District of Texas, • Effective operational best practices for relation- J. Scott Richardson, Partner, Bradley Arant Boult Cummings LLP, Nashville, TN; Christopher Puri, Dallas, TX; Howard Young, Partner, Morgan Lewis, ship monitoring and tracking—not just legal’s Attorney, Bradley Arant Boult Cummings LLP, Washington, DC responsibility! Nashville, TN Jana Kolarik Anderson, Attorney, Epstein Becker & Auditing & Monitoring Green, P.C., Washington, DC; Matthew D. Vogelien, Privacy & Security Director, Huron Consulting Group, Kannapolis, NC 407 Auditing Your Copy Forward 404 Applying ISO 27000 to or Templated EMR Record General Compliance/Hot Topics Address Federal & State Security Monday 4:30 – 5:30 pm 402 OIG-Excluded Parties and Mandates • Are you at risk using copy forward and/or cut Sanctions Screening Compliance Monday 4:30 – 5:30 pm and paste in your EMR? CHC CHRC • Examine how to address PCI DSS, HITECH, • Is medical necessity reflected in the exploded HIPAA requirements with ISO 27000 progress note? Monday 4:30 – 5:30 pm • Analyze valued NIST guidance documents to • How to determine if your hospital is doing an • Develop an audit plan for assessing your risk address critical mandates effective job of searching for excluded parties Kathleen Enniss, Compliance Analyst, UW Medicine • Step through how to address incident manage- • Learn about the resources available to avoid Compliance, Seattle, WA ment and IT business continuity with ISO 27002 exposure from excluded parties Ali Pabrai, CEO, ecfirst, Newport Beach, CA Quality of Care • Learn what the OIG is expecting from you regarding compliance and how to comply with Physician Compliance 408 More than Alphabet Soup: the regulations BAA, PSAE, RAC, MIC and ZPICs Brad Hunter, Director, AHA Solutions, Inc., Chicago, 405 Working with Drug and pm IL ; Stefan Keller, President, Certiphi Screening, Inc., Monday 4:30 – 5:30 CHRC Southampton, PA Device Manufacturers • Learn about recent changes to Business Monday 4:30 – 5:30 pm Associate requirements and impact to your organization • Consulting agreements: addressing conflicts of interest and avoiding fraud and abuse exposure • Discuss recent state legislation related to pre- ventable serious adverse events and possible risks • Clinical trials basics: contract issues and regula- • Review of proactive measures to respond to tory compliance RAC, MIC, ZPIC audits • Health information privacy and security: how Andrea McElroy, Chief Compliance Officer, Platinum to respond to data requests Health Care, Skokie, IL; Miriam Murray, Director Rachel Nosowsky, Senior Counsel, Miller Canfield Corporate Compliance & Privacy Officer, Sava Senior Paddock & Stone, PLC, Ann Arbor, MI Care Administrative Services, LLC, Atlanta, GA

30 www.compliance-institute.org Innovative Services. Delivering Solutions.

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www.compliance-institute.org 31 Agenda tuesday, april 20

General Compliance/Hot Topics Tuesday 9:30 – 10:15 am Long-Term Care 409 Revenue Integrity and General Session: Moving 503 Assessing the Impact of Safeguarding: Comprehensive Forward: Ethical Leadership for Compliance-Related Legislative Strategies for Contractor Combat the 21st Century and Regulatory Developments on (RACs, MICs, ZPICs and Others) • The recent financial crises and current scandals: LTC commonalities, root causes and risk indicators Monday 4:30 – 5:30 pm Tuesday 11:00 am – 12:00 pm • Discuss overview of the contractor landscape • Lessons learned and what it means for compli- • Learn about regulatory changes that affect LTC and the procurement timeline ance and ethics professionals providers’ compliance efforts • Explore preparedness techniques and other • Practical tips for building a strong ethical foun- • Look ahead to pending federal legislation strategies for contractor disputes dation that will lead to sustainable success • Come away with information you can use now • Address current developments relevant to each Cynthia Cooper, Author, Extraordinary to be ahead of the curve on changes to the False category of contractor Circumstances, One of TIME Magazine’s Persons of Claims Act, Health care reform, HI-TECH and Sara Kay Wheeler, King & Spalding, Atlanta, GA; the Year, CEO, The CooperGroup, LLC, Jacksonville, HIPAA issues, and more Denise Hall, Shareholder, Pershing Yoakley & MS Associates, Atlanta, GA; Christopher D. Thomason, Jennifer L. Hilliard, Public Policy Attorney, Director Compliance & Corporate Integrity, Tuesday 10:15 – 11:00 am American Association of Homes and Services for Vanderbilt University Medical Center, Nashville, TN the Aging, Washington; Barbara Gay, Director of Break Advocacy Information, American Association of Homes and Services for the Aging, Washington, DC Advanced Discussion Group Tuesday 11:00 am – 12:00 pm 410 HITECH Implementation: Lessons Privacy & Security Learned and the Road Ahead General Compliance/Hot Topics 504 Physical Security in the Privacy Monday 4:30 – 5:30 pm 501 Data Mining: Compliance and World • Implementation challenges and successes Tuesday 11:00 am – 12:00 pm • Breach notification processes—how best to pre- Internal Audit Applications • Identify areas where physical security gaps can pare your organization Tuesday 11:00 am – 12:00 pm occur outside of IT • Thinking ahead—accounting of disclosure, what • Data mining for improved financial • Policy checklist with suggested assignments for changes will be needed for your organization performance responsibilities (attendance limited to 50 people. • How to deter, detect and correct internal control • Provide a non-technical physical security audit session is full as of 1/19/10.) gaps and deficiencies, and increase compliance tool Carole Ann Klove, UCSF Medical Center, San • Examples of queries, algorithms and applicable Francisco, CA statistical analysis David Nelson, Privacy Officer, County of San Diego, San Diego, CA John Beattie, Partner, Healthcare Consulting Group, Monday 5:30 – 7:00 pm ParenteBeard LLC, Mechanicsburg, PA Networking Reception General Compliance/Hot Topics 502 Uncle Sam HIT Me!! Tuesday, April 20 Compliance Risks in Implementation of Electronic Tuesday 7:00 am – 4:30 pm Health Records Conference Registration Tuesday 11:00 am – 12:00 pm • Identify key compliance risks areas in EHR Tuesday 8:30 – 8:45 am implementation Membership Meeting • Learn strategies to reduce EHR compliance risk • How EHR compliance supports “Meaningful Tuesday 8:45 – 9:30 am Use” General Session: CMS Bobbi Bonnet, Senior Compliance Practice Leader, National Compliance, Ethics and Integrity Office, Peter Budetti, MD, Principal Deputy Administrator, Kaiser Permanente, Oakland, CA CMS 32 www.compliance-institute.org Agenda tuesday, april 20

Physician Compliance Quality of Care Advanced Discussion Group 505 Dental Compliance: 508 Solving Patient Grievances 510 “Connecting the Dots”: Implementing a Medical While Avoiding Compliance A Compliance and Quality Compliance Program in a Dental Snares Partnership World Tuesday 11:00 am – 12:00 pm Tuesday 11:00 am – 12:00 pm Tuesday 11:00 am – 12:00 pm • Identify regulatory requirements for handling • Explore WHY “connecting the dots” between • The ups and downs of implementing a medical patient complaints/grievances other regulatory depts and compliance is a necessity to future compliance risk mitigation compliance plan in a dental world • Obtain guidance for resolving patient com- • Understanding the CMS Teaching Physician plaints while identifying potential compliance • Practical recommendations for working Rules as they apply to dental services issues embedded in patient complaints through the complexity of integrating compliance as related to peer review, medical staff, • Discuss strategies for improved coordination • Compliance and dental billing: is there a “fudge credentialing, case management patient status between compliance and patient service efforts factor?” changes, etc. Lisa Venn, Compliance Manager, University Teresa M. Bivens, Deputy Compliance Officer & • Specific scenarios: Peer Review and OPPE, Hospitals, Shaker Heights, OH Education Manager, University of Louisville HSC, clinical documentation, patient rights and Louisville, KY; Kimberly Johnson, Professional grievances, Ethics Committee review, and more Practice Compliance Officer, Corporate Compliance General Compliance/Hot Topics Office, University of Kentucky Healthcare, (attendance limited to 50 people) Lexington, KY; Glena Jarboe, Compliance Program 509 Enterprise Risk Assessment and Wilma Acosta, Compliance Officer, Sutter Coordinator, University of Kentucky, Lexington, KY Mitigation: A Practical Approach Medical Center, Sacramento, CA; Rob Nolan, Vice Leveraging Internal Resources President & Chief Compliance Officer, PharMerica Legal & Regulatory Corporation, Louisville, KY CHC CHRC CHC CHRC 506 Internal Investigations Tuesday 11:00 am – 12:00 pm General Compliance/Hot Topics Tuesday 11:00 am – 12:00 pm • A practical model for conducting annual • Explore strategies for completing internal inves- Enterprise Risk Assessments and ongoing 511 Quality, Waste and Abuse tigations in a timely and cost effective manner Enterprise Risk Management in the Medicare and Medicaid • Discuss attorney-client privilege, including • How to establish risk-based plans to determine Programs priorities and contribute to audit and mitigation challenges for lawyers in compliance functions Tuesday 11:00 am – 12:00 pm activities • Examine when and where to disclose (Medicare • A discussion of the various government contrac- contractor, HHS-OIG, US Attorney’s Office) • Take home tools, forms and steps to implement tors that are auditing providers; understanding an internal Enterprise Risk Assessment and what the definitions of waste and abuse are and William T. Mathias, Principal, Ober, Kaler, Grimes Enterprise Risk Management & Shriver, Baltimore, MD; Gabriel Imperato, how the quality of care provided must meet pro- Managing Partner, Broad & Cassel, Fort Lauderdale, Diane Meyer, Chief Compliance and Privacy Officer, fessionally recognized standards of care FL Stanford University Medical Center, Palo Alto, CA; • Examples of billing for services that are not Rick Moyer, Associate Vice President for Internal medically necessary, inappropriate and/or insuf- Auditing & Monitoring Audit and Institutional Compliance, Stanford ficient documentation to support services billed University, Palo Alto, CA 507 Measurable Metrics for • Quality of care issues that do not meet profes- sionally recognized standards and claiming for Scope of Practice Monitoring and serious adverse advents CHC CHRC Auditing Harry M. Feder, Senior Vice President/COO, IPRO, Tuesday 11:00 am – 12:00 pm Lake Success, NY • How to develop objective, practical and measurable Scope of Practice metrics to monitor compliance • Discussion and illustrations of tools for monitoring and auditing clinical Scope of Practice issues • Tried and tested examples of communication/ reporting tools for dissemination of metrics Carol Novak, Compliance Practice Specialist, Kaiser, Simi Valley, CA

www.compliance-institute.org 33 Agenda tuesday, april 20

Tuesday 11:00 am – 3:45 pm Tuesday 1:00 – 1:15 pm Privacy & Security Industry Immersions Break 604 Research Data: Identifying Institutional Risks with Privacy, Industry Immersion Tuesday 1:15 – 2:15 pm Confidentiality, and Data Security CHRC II4 Academic Medical Centers General Compliance/Hot Topics Tuesday 1:15 – 2:15 pm Tuesday 11:00 am – 3:45 pm 601 CMS • Ethical principles and federal regulations • Regulatory challenges related to clinical trials concerning research subject privacy and Tuesday 1:15 – 2:15 pm billing confidentiality • Physician/Faculty Compensation and Conflicts Kimberly Brandt, Director, Program Integrity Group, CMS, Baltimore, MD • Common audit findings of privacy and confi- of Interest (Grassley) dentiality risks • Access to the Medical Record at an AMC General Compliance/Hot Topics • Providing added data protections through study (Investigator access to PHI research purposes) design, technology, and policies Moderator: Lynda Hilliard, Deputy Compliance 602 Implementing New York State’s Paula Bistak, Executive Director, Human Subjects Officer, University of CA, Oakland, CA; Panel: Mandatory Compliance Programs Protection Program, University of Medicine and Kristin H. West, Associate VP for Research & a Year Later: OMIG and Provider Dentistry of New Jersey, Newark, NJ; Cheryl Forst, Senior Director, Office of Research Compliance, Emory Analyst, Human Subjects Protection Program, University University, Atlanta, GA; Luanna K. Putney, Director Perspective of Medicine and Dentistry of New Jersey, Newark, NJ of Research Compliance, Office of Ethics, Compliance and Audit Services, University of California, Tuesday 1:15 – 2:15 pm Physician Compliance Oakland, CA; Hala Y. Helm, Vice President/Chief • The scope and requirements of the mandatory Compliance Officer, John Muir Health, Walnut compliance program regulations. Creek, CA 605 Working the Numbers • OMIG findings regarding the effectiveness of provider compliance programs Tuesday 1:15 – 2:15 pm Industry Immersion • Getting meaningful numbers from them • The impact of the regulations on providers • Getting meaningful numbers for them II5 Compliance Challenges for the James D. Horwitz, Vice President Corporate Laboratory Industry: 2010 and Responsibility/General Counsel, Glens Falls, NY; • Presenting the information and encouraging Beyond Robert A. Hussar, First Deputy, Medicaid Inspector change General, New York State Office of the Medicaid Tuesday 11:00 am – 3:45 pm Inspector General, Albany, NY Susan Welsh, Compliance Manager, HMA, Fort Myers, FL • Coding the new molecular diagnostic technolo- Long-Term Care gies and billing for laboratory develop test Legal & Regulatory • Preparing the laboratory for new compliance 603 LTC: The MICs Are Here issues resulting from the transition to electronic 606 The Federal Corrupt Practices health records Tuesday 1:15 – 2:15 pm Act, the Anti-Kickback Statute, and • Coping with laboratory compliance issues • Review the current status of the Medicaid Healthcare Fraud Enforcement resulting from health-care reform Integrity Program CHC CHRC Moderator: Christopher Young, President, • Participate in a detailed update and discus- Tuesday 1:15 – 2:15 pm Laboratory Management Support Services (LMSS), sion of findings from the Medicaid Integrity Phoenix, AZ; Diana Voorhees, Principal/CEO, Contractor Audits • Review of the application of the Foreign DV & Associates, Inc., Salt Lake City, UT; Chris • Learn how long term care providers can be Corrupt Practices Act and the compliance Anusbigian, Senior Manager Health Sciences, better prepared for the MIC Audits implications for health care organizations in Deloitte & Touche LLP, Detroit, MI; Paul Keoppel, international business relationships Robb Miller, Director, Centers for Medicare & Laboratory Compliance Officer, Intermountain • A review of recent developments under the Healthcare Central Office, Salt Lake City, UT Medicaid Services, Chicago, IL; Paula Sanders, Post Federal Anti-Kickback Statute related to busi- & Schell, P.C., Harrisburg, PA ness relationships with pharmaceutical and Tuesday 12:00 – 1:00 pm medical device companies Networking Luncheon • A discussion of the practical strategies for addressing compliance concerns in international and domestic business relationships Martie Ross, Attorney, Lathrop & Gage LLP, Overland Park, KS; Jim Lord, Assistant U.S. Attorney, U.S. Attorney’s Office, Seattle, Washington; Charles Hacker, Partner, PricewaterhouseCoopers LLP, New York, NY 34 www.compliance-institute.org Agenda tuesday, april 20

Auditing & Monitoring General Compliance/Hot Topics Tuesday 2:45 – 3:45 pm

607 Who’s Policing the Hospital 610 Compliance from the General Compliance/Hot Topics CoPs? Independent Monitor’s Perspective Tuesday 1:15 – 2:15 pm Tuesday 1:15 – 2:15 pm 701 RAC ATTACK: A Successful • Explanation of what the Conditions of • Independent Monitoring is being used with Guide for Appeals Participation do and don’t require greater frequency as part of CIA, Deferred or Tuesday 2:45 – 3:45 pm Non-prosecution Agreements • How to identify top compliance risks, including • Each step of RAC claims review/appeal process, obscure requirements • Independent Monitors oversee compliance critical deadlines & data requirements. activities to ensure improvements, transparency, • Examples of real life experiences and audit tools • Advance preparation. Operational approaches cooperation and effective internal controls Catherine Niland, Organizational Integrity Manager, for conducting your own internal risk • Independent Monitors test the adequacy of Trinity Health, Farmington Hills, MI assessments Compliance Programs including training, report- • Review of Transmittal 141, CR 6183 published ing, quality improvements, Board and company Quality of Care on 9-12-08; “Limitation on recoupment/935” activities, documentation and quality controls Day Egusquiza, President, AR Systems, Hansen, ID 608 Steps You Can Take to Vincent L. DiCianni, Affiliated Monitors, Inc., Boston, MA Integrate “Quality Of Care” Into General Compliance/Hot Topics Your Compliance Program General Compliance/Hot Topics Tuesday 1:15 – 2:15 pm 702 Hospital Research Compliance: • Understand the key compliance risks related to 611 Delivering Powerful Where’s the Risk and How to quality of care Compliance Messages in Print, Address CHRC • Assessing and prioritizing quality risks and Web & Video Tuesday 2:45 – 3:45 pm incorporating these into a compliance plan Tuesday 1:15 – 2:15 pm • The challenges of integrating research compli- • Contrast and discuss the roles of legal counsel, • Identifying and creating concise and powerful ance with hospital compliance—finding the compliance, and quality in addressing risks messages from the most high‑risk Medicare common ground Margaret Hambleton, Ministry Integrity, Chief reimbursement and fraud regulations • Strategies for partnering hospital, clinical and Compliance Officer, St. Joseph Health System, • Packaging your message using print, web, and research teams to meet the challenges Orange, CA video, including tips on consistency, budgets, • Hardwiring processes and auditing tools branding, viral videos and using examples and Ruth Krueger, Director of Compliance and Privacy, General Compliance/Hot Topics appropriate humor Sanford USD Medical Center, Sioux Falls, SD; • Using carrots and sticks to increase education Angelique Dorsey, Research Compliance Director, 609 Mission Possible: Meeting penetration, including pros/cons of mandatory Medstar Health, Columbia, MD Compliance Training Obligations requirements, RVU credit, contests, etc. CHRC Long-Term Care Under a CIA CHC Karie Rego, Principal, Compliant Films, Davis, CA Tuesday 1:15 – 2:15 pm 703 Hospice and Nursing Home 2:15 – 2:45 pm • Setting up and rolling out a comprehensive Tuesday Partnership: How to Get It Right! training plan Break CHC CHRC • Leveraging technology to deliver and track training Tuesday 2:45 – 3:45 pm • Training Content—If your audience isn’t • Examine barriers and collaborative regulatory rockin’, your program isn’t either compliance and quality of care issues between Hospice and SNF Al Josephs, Senior Director Policies and Training, Tenet Healthcare Corporation, Dallas, TX; D. • Compare Hospice/SNF COPs, contract require- Ryan Whitehill, Manager, Ethics and Compliance ments, reimbursement pitfalls, Medical Director Training, Tenet Healthcare Corporation, Dallas, TX responsibilities, patient goals, admission and election criteria • Discuss risk areas identified by OIG Work Plan and Advisory Opinions, Medicaid Integrity Program, CIAs and RACs Connie A. Raffa, Partner, Arent Fox LLP, New York, NY; Donald Romano, Partner, Arent Fox LLP, Washington, DC www.compliance-institute.org 35 Agenda tuesday, april 20

Privacy & Security Legal & Regulatory General Compliance/Hot Topics 704 Turning Awareness Into 706 Hospital-Patient Status: 709 Creating and Sustaining Action: An Academic Medical Overpayment and False Claims a Compliance Program Center’s Approach to Educating its Act Liability Commensurate with Your Multi- Workforce of HIPAA Privacy and Tuesday 2:45 – 3:45 pm Hospital System’s Size and Information Security Principles and • A review of recent enforcement activity and Complexity Practices case developments involving patient admission Tuesday 2:45 – 3:45 pm status in hospitals Tuesday 2:45 – 3:45 pm • Design a compliance infrastructure that • A discussion of case management review • Implement a multi-prong approach to “Turning accommodates the size and complexity of your protocols and compliance for health care Awareness Into Action” organization and encourages consistent and organizations timely compliance education to all employees. • Create an effective and vigilant HIPAA privacy • Auditing and monitoring patient admission compliance program during tough economic • Develop and implement tools and resources to status and False Claims Act liability for health times educate and inform the Board effectively. care organizations • Become a trusted and respected HIPAA • Foster communication between compliance and Timothy Blanchard, Partner, Blanchard Manning resource to your institution and its workforce internal audit to improve efficiency and avoid LLP, Orcas, WA; Mitch Mitchelson, Alston & Bird duplicate work Bob Gross, Associate Compliance Officer-Privacy, LLP, Atlanta, GA University of Chicago Medical Center, Chicago, IL Gene DeLaddy, Senior Vice President/Chief Auditing & Monitoring Compliance Officer/Chief Audit Executive/Chief Privacy Officer of Carolinas HealthCare System, Physician Compliance Charlotte, NC; Laura Lyon, Director of Corporate 707 Compliance Auditing and Compliance, Carolinas HealthCare System, 705 Avoiding the “HEAT”: Monitoring: Demonstrating Charlotte NC; Kathryn Thibodeau-Dever, Director Compliance Programs for Small Effectiveness CHC CHRC of Corporate Compliance, Carolinas HealthCare System, Charlotte NC Practices Tuesday 2:45 – 3:45 pm Tuesday 2:45 – 3:45 pm • Identify at least 5 effective measures for compli- General Compliance/Hot Topics • Learn how to structure a compliance assessment ance auditing and monitoring for the smaller physician practice • Develop and apply effectiveness measures to 710 Tools for Achieving Compliance • Receive tools for assessing and managing the tools developed during this session in an Era of Health Care Reform process and results of the assessment • Identify at least 3 ways to “add value” in report- Tuesday 2:45 – 3:45 pm • Understand the challenges for physicians seek- ing your audit results • Understand OIG’s recent work regarding vul- ing compliant practices Sheryl Vacca, SVP/Chief Compliance and Audit nerabilities in the Medicare/Medicaid programs Sheryl Dacso, Partner, Brown McCarroll, LLP, Officer, University of California, Oakland, CA (enrollment, billing, payment, compliance) Houston, TX; Diane T. Carter, Partner, Brown • Become aware of OIG recommendations and McCarroll, Austin, TX Quality of Care recent legislation promoting compliance with Medicare/Medicaid program requirements 708 Quality of Care and • Develop strategies for assessing compliance Compliance: How to Engage the with existing and new requirements, and taking Board Of Directors remedial steps Tuesday 2:45 – 3:45 pm Thomas E. Herrmann, Vice President, Strategic Management Services, LLC, Alexandria, VA; Larry J. • How to get your board to appreciate quality of Goldberg, Principal Deputy Inspector General, Office care as a compliance issue of Inspector General, U. S. Department of Health and • What boards are currently doing Human Services, Washington, DC • What boards should be doing to ensure compli- General Compliance/Hot Topics ance as part of their fiduciary obligation

Larry Vernaglia, Partner, Foley & Lardner LLP, 711 TBD Boston, MA; Gilly Hitchcock, Chair, Compliance Committee, Member, Board of Directors, Franklin Tuesday 2:45 – 3:45 pm Community Hospital, Farmington, ME; William F. Rucci, Jr, Rucci, Bardaro & Barrett, PC, Malden, MA

36 www.compliance-institute.org What to Do in Dallas

The African American Museum in Did You Know… Dallas’s Fair Park has one of the largest The Dallas metropolitan area is the #1 collections on African‑American folk visitor and leisure destination in Texas. art in the nation and is a Smithsonian affiliate. www.aamdallas.org Dallas has the largest contiguous arts district in the United States. The Nasher Sculpture Center, designed by Renzo Piano, features The City of Dallas has over 300 public more than 300 works of modern and art works in its collection. contemporary sculpture from the Raymond and Patsy Nasher collection. The Dallas area has more than 200 www.nashersculpturecenter.org golf courses. The Dallas’ Farmers Market The Sixth Floor Museum at Dealey is one of the largest working Plaza chronicles the assassination farmer’s markets in the country, and legacy of President John F. with over a million visitors annually. Kennedy, interprets and supports www.dallasfarmersmarket.org the Dealey Plaza National Historical Landmark District and the John F. The Dallas Arboretum holds the Kennedy Memorial Plaza, and presents Southwest’s largest annual outdoor contemporary culture within the context floral festival. www.dallasarboretum.org of presidential history. www.jfk.org The historic McKinney Avenue The Women’s Museum, located Trolley operates a free service daily in historic Fair Park, is a Smithsonian and is one of the largest volunteer-run affiliate and the nation’s only systems in the world. www.mata.org comprehensive women’s history museum. www.thewomensmuseum.org The Dallas World Aquarium is home to a 255,000 gallon freshwater The Meadows Museum, located aquarium tank. www.dwazoo.com on the campus of Southern Methodist University, houses one of the most comprehensive collections of Spanish art outside of Spain. www.smu.edu

FOR ADDITIONAL INFORMATION ABOUT DALLAS ATTRACTIONS, PLEASE VISIT WWW.VISITDALLAS.COM

www.compliance-institute.org 37 Agenda wednesday, april 21 Wednesday, April 21 Long-Term Care Physician Compliance W3 Understanding the Interactions W5 Clinical Documentation Between Federal and State Improvement & Federal Integrity Wednesday 7:00 am – 12:30 pm Integrity Recovery Programs in the Activity (RACs, MACs, MICs…): Conference Registration Post-Acute Healthcare Setting Your Acute and Post‑Acute Wednesday 8:00 am – 12:00 pm Hospital’s Compliance in Wednesday 8:00 am – 12:00 pm • Opportunity for providers to share proactive Preventing Inappropriate/ strategies in managing MICs, RACs, and ZPICs General Compliance/Hot Topics Unnecessary Admissions • Discuss the changing environment of enforce- Wednesday 8:00 am – 12:00 pm ment: False Claims Act, HITECH Act, W1 The Road Ahead • Differentiate the complex criteria levels of medi- Mandatory Compliance Programs? Wednesday 8:00 am – 12:00 pm cal necessity that determine inpatient versus • Discuss the never ending recoupment strategies: outpatient observation status • Compliance and enforcement trends in the next Never Events, Secondary Payors, third‑party year • Demonstrate the impact of documentation and audits, and the list goes on medical necessity upon the communication of • Practical approaches to preventing compliance Joan Ferraro, Vice President, Chief Compliance the severity-of-illness to justify the utilization of exposure Officer, Complete HealthCare Resources, Inc., resources Frank Sheeder, Partner, Jones Day, Dallas, TX; Pittsburgh, PA; Paula Sanders, Post & Schell, P.C., • Explain the important physician documenta- Diane Meyer, Chief Compliance & Privacy Officer, Harrisburg, PA; Barbara Duffy, Lane Powell, PC, Stanford University Medical Center, Palo Alto, CA; Seattle, WA tion responsibilities under the numerous CMS Kevin D. Lyles, Health Care Practice Co-Leader, Integrity Programs Jones Day, Columbus, OH Privacy & Security Betty Bibbins, President & Chief Medical Officer, DocuComp LLC, Cape Charles, VA; Jua’nese L. General Compliance/Hot Topics W4 Privacy Officer’s Roundtable Williams, Sr. Consultant and Educator, DocuComp LLC, Cape Charles, VA CHRC W2 Riding Herd on Fraud, Waste CHC Wednesday 8:00 am – 12:00 pm & Abuse CHC CHRC • A facilitated discussion of current issues in Wednesday 8:00 am – 12:00 pm privacy compliance • Taking stock: surveying the landscape of fraud, • An opportunity to hear colleagues discuss and waste and abuse in healthcare share ideas on how to address hot topics, as well • Shootin’ straight: a case study in identifying as what has and has not worked for them fraud, waste and abuse Marti Arvin, Privacy Officer, University of • The round up: PEPPER and other ideas for Louisville, Louisville, KY; Joan Podleski, Director of decreasing risk and improving compliance Institutional Ethics & Compliance, Duke University, Durham, NC Judi McCabe, SURS Director, TMF Health Quality Institute, Austin, TX; Dan McCullough, Nurse Analyst, TMF Health Quality Institute, Austin, TX; Juanita Henry, Deputy Inspector General for Compliance, Texas Health and Human Services, Office of Inspector General, Austin, TX; Kimberly M. Hrehor, Project Director, TMF Health Quality Institute, Austin, TX

38 www.compliance-institute.org Agenda wednesday, april 21

Legal & Regulatory Quality of Care W6 Part 1: Recent Developments in W8 Quality Incentives: Practical Voluntary Disclosure/Part 2: False Next Steps for Legal, Compliance Claims Act Developments and and Operational Improvements Management of Risk/Part 3: The Wednesday 8:00 am – 12:00 pm Role of the Compliance Officer, This session will be divided into two parts that General Counsel, Management, will focus on specific next steps you can take in your organization to reduce the risk of a quality of and the Board CHC CHRC care failure and achieve better quality within your Wednesday 8:00 am – 12:00 pm organization: • A review of recent developments and strategies • The first session will focus on opportunities to for voluntary disclosure align operational incentives around quality and • A discussion of methods for managing the risk build a “commitment to quality” within your of whistleblowers in health care organizations organization • A panel discussion of the role of the Compliance • The second session will focus on specific steps Officer, General Counsel and upper level you can take to reduce the risk of a government management and the Board of a health care enforcement action involving a quality of care organization in addressing internal and external failure, which will include an in-depth look at compliance matters data mining and how to design your quality of care risk assessment, and will also cover a case (Part 1) David M. Glaser, Attorney, Fredrikson & study of a quality of care legal risk assessment Byron, P.A., Minneapolis, MN; Jeffrey Fitzgerald, Partner, Faegre & Benson LLP, Denver, CO; (Part (Part 1) Jacob Kupiezky, President, HCT Consulting, 2) Hope Foster, Member, Mitz, Levin, Cohn, Chicago, IL; Mary Brady, Senior Nursing Consultant, Ferris, Glovsky & Popeo, P.C., Washington, DC; HCT Consulting, Bluffton, SC; (Part 2) Susan Jesse A. Witten, Partner, Drinker Biddle & Reath Tedrick, Chief Compliance Officer, Franklin LLP, Washington, DC; (Part 3) Gabriel Imperato, Hospital, Farmington, ME; Judy Waltz, Partner, Come to Dallas Managing Partner, Broad & Cassel, Fort Lauderdale, Foley & Lardner LLP, San Francisco, CA FL; Jenny O’Brien, Medicare Compliance Officer, UnitedHealth Group-Ovations, Minnetonka MN; General Compliance/Hot Topics Michael Hemsley, CHC, General Counsel & Vice for 7 days President Legal Services, Catholic Health East, W9 The World According to the Newtown Square, PA; Gary W. Eiland, Partner, King (Should-Be) All-Knowing and & Spalding LLP, Houston, TX of high‑quality Omnipresent Compliance Gurus Auditing & Monitoring Wednesday 8:00 am – 12:00 pm W7 RAC Preparation & Successful • Share and gain a more holistic perspective on compliance other compliance issues by dissecting anony- Appeals mous hospital compliance scenarios Wednesday 8:00 am – 12:00 pm • Discuss different ways to maintain revenue education • Recent developments and emerging issues integrity while better managing and reporting related to RACs and other government audits on hospital incidents • The Medicare appeals process and successful • Understand how to promote a quality initiative AND SAVE appeal strategies and defenses and increase physician and employee satis- faction through the use and practice of your • Operational considerations and proactive com- policies and procedures see page 19 for pliance measures to put providers in the best position to defend an audit Robert Tietjen, President/CEO, Policy Technologies the special offer International, Inc., Rexburg, ID; Steve Bearak, Andrew Wachler, Owner/Principal, Wachler & President/CEO, IdentityForce, Framingham, MA; Associates, P.C., Royal Oak, MI; Susan Emanuel, Steven Greenspan, JD, LLM, Director, Government System RAC Coordinator, Catholic Healthcare West, Appeals and Regulatory Affairs, Executive Health Phoenix, AZ Resources, Newton Square, PA

www.compliance-institute.org 39 Exhibitors Interact with these exhibitors at HCCA’s 2010 Compliance Institute:

3M Health Information Systems Global Compliance MedeAnalytics Accurate Background, Inc. Hayes Mgmt Consulting/MD Audit Medelearn AHA Solutions, Inc. HCCS Medical Learning, Inc. AIS HCPro, Inc. MediTract Association of Healthcare Internal Health Revenue Assurance Associates Medworxx Auditors (AHIA) Health Systems Concepts, Inc. MFR, P.C. Baker Daniels/Captain Integrity Healthcare Appraisers, Inc. Milliman Care Guidelines Besler Consulting Mindleaf Technologies BlickenWolf, LLC Navigant Consulting BNA ParenteBeard LLC Carnahan Group Inc. PCG Software Inc. Certiphi Screening Inc. Policy Medical, Inc. Coding Metrix Inc. PolicyTech Coding Network, LLC (The) PricewaterhouseCoopers Compliance 360 Prospective Payment Specialists Compliance Coach Protiviti Compliance Concepts, Inc. HealthPort Proven Healthcare Solutions CompliantFilms Huron Consulting Group Quorum Health Resources CooperGroup, LLC Identity Force Radiology Coding Certification Board CPR Technologies Inc. (RCCB) IMA Consulting Inc. Craneware, Inc. Reimbursement Mgmt Consultants, Inc. Indidge Systems Cura Software Solutions Rippe & Kingston Systems Integrity First Consulting CynergisTek Inc. Sinaiko Healthcare John Sterling Associates LLC Cyracom International Strategic Management KPMG Deloitte The Pinnacle Group LarsonAllen LLP EHealthcare IT Vendormate, Inc. Loyola University Chicago Health Law Elsevier-MC Strategies Programs Verisys Epstein Becker & Green PC McBee Associates West, a Thomson Reuters business EthicsPoint, Inc. McKesson Wolters Kluwer Law & Business Executive Health Resources MCN Healthcare Zhealth Publishing FTI Consulting MD Ranger, Inc. Zix Corporation George Washington University Meade & Roach 40 www.compliance-institute.org Registration HCCA’s 14th Annual 2010 Compliance Institute

Name: (please type or print) Please fill out the following information. Sharing your demographic information with HCCA will help us create better networking opportunities for you.

STEP 1: Demographic information

What is your functional job title? Please select one. What is your primary health care entity?  Academic/Professor  Consultant  Academic  Long-Term Care  Administration  Controller  Ambulance/Transportation  Managed Care  Asst Compliance Officer  Ethics Officer  Behavioral Health  Medical Device Manufacturer  Attorney (In-House Counsel)  Executive Director  Consulting Firm  Medical/Clinical Research  Attorney (Outside Counsel)  General Counsel  Durable Medical Equipment  Nursing  Audit Analyst  HIM Professional  Government Provider  Other Provider of Services/  Audit Manager/Officer  HIPAA/Privacy Officer  Health System Products to Health Care Entities  Billing Manager/Officer  Human Resources  Health System/Teaching  Payor/Insurance  Charger Master  Medical Director  Home Care/Hospice  Pharmaceutical Manufacturer  Chief Compliance Officer  Nurse  Hospital  Physician Practice  CEO/President  Nurse Manager  Hospital/Teaching  Rehabilitation  Chief Financial Officer  Patient Safety Officer  Integrated Delivery System  Retail Pharmacy  Chief Information Officer  Pharmacy Director  Integrated Health System  Third-Party Billing  Chief Medical Officer  Physician  Laboratory  Other (please list below)  Chief Operating Officer  Quality Assurance/  Law Firm  Clinical Quality of Care  Coder  Regulatory Officer List others not listed here:  Compliance Analyst  Reimbursement Coordinator  Compliance Coordinator  Research Analyst  Compliance Director  Risk Manager  Compliance Fraud Examiner  Trainer/Educator  Compliance Officer  Vice President  Compliance Specialist  Other (please list below) What certifications do you hold? Select all that apply.     List others not listed here: BA CHC FHFMA MSHA  BBA  CHE  JD  MSN  BS  CHP  LLM  MT  BSN  CIA  MA  NHA  CCEP  CPA  MBA  PhD  CEM  CPC  MHA  RHIA  CCS  CPHQ  MPA  RHIT  CCS-P  DDS  MPH  RN Please tell us if you are a first-time attendee of the  CFE  ESQ  MS Compliance Institute: List others not listed here:  This is my first annual Compliance Institute

Registration continues on next page (over) www.compliance-institute.org 41 Registration HCCA’s 14th Annual 2010 Compliance Institute

STEP 2: Please type or print your contact information  Mr.  Mrs.  Ms.  Dr.

Member ID

First MI last

Credentials

Title

Place of Employment

Mailing Address HOW TO REGISTER MAIL Include registration form with check payable to: City State Zip HCCA, 6500 Barrie Road, Suite 250, Minneapolis, MN 55435 ONLINE Visit www.compliance-institute.org Phone FAX to 952-988-0146 (including billing information) QUESTIONS? Call 888-580-8373 or e-mail [email protected] Fax STEP 4: Choose your options prices reflect savings E-mail (required for confirmation notification) Register on or before 4/1/10 after 4/1/10 CI0410  HCCA Members...... $949...... $999  Membership Renewal & Registration...... $1,244...... $1,294 STEP 3: Session selection  Non-Members...... $1,099...... $1,149 Please select sessions to assist HCCA in room planning. Select only ONE session per time  New Membership & Registration*...... $1,149...... $1,199 slot (Industry Immersions overlap with Breakout Sessions). Note: Advanced Discussion  Pre-Conference Registration Morning...... $125...... $125 Groups marked with * are limited to 50 participants.  Pre-Conference Registration Afternoon...... $125...... $125 Saturday, April 17  Post-Conference Registration...... $125...... $125  Register me for the HCCA Volunteer Project (7:00 am–Noon)  Conference Binders (Monday/Tuesday only)†...... $75...... $75 Sunday, April 18  DVD-ROM of Recorded Sessions**† (see p. 36 for details)...... $183...... $183 † Pre-Conference 9:00 am – 12:00 pm  DVD-ROM License Extension (see p. 36 for details)...... $99...... $99  P1  P2  P3  P4  P5  P6  P7  P8  P9  Discount for attending HCCA’s 2010 Research Compliance Conference or SCCE’s Conference Pre-Conference 1:30 – 4:30 pm for Effective Compliance Systems in Higher Education...... ($100)...... ($100)  P10  P11  P12  P13  P14  P15  P16  P17  P18  Discount for 5 or more from the same company...... ($100)...... ($100) Monday, April 19 *new members only. (dues regularly $295 annually.) **price includes shipping cost. am pm Breakout Sessions 11:00 – 12:00 †registered conference attendee pricing only. non-attendees TOTAL:  101  102  103  104  105  106  107  108  109  110*  111 may purchase for additional fees. contact hcca for information.  112  113 Breakout Sessions 1:30 – 2:30 pm  201  202  203  204  205  206  207  208  209  210* STEP 5: Payment Industry Immersions 1:30 – 5:30 pm  ii1  ii2  ii3  Check enclosed (payable to HCCA) Breakout Sessions 3:00 – 4:00 pm  301  302  303  304  305  306  307  308  309  310 (full)*  Invoice me Purchase Order # Breakout Sessions 4:30 – 5:30 pm Charge my: q American Express q Diners Club  401  402  403  404  405  406  407  408  409  410 (full)* q MasterCard q Visa Tuesday, April 20 Breakout Sessions 11:00 am – 12:00 pm  501  502  503  504  505  506  507  508  509  510*  511 Credit Card Account Number Industry Immersions 11:00 am – 4:30 pm  ii4  ii5 Breakout Sessions 1:15 – 2:15 pm  601  602  603  604  605  606  607  608  609  610  611 Credit Card Expiration Date Breakout Sessions 2:45 – 3:45 pm  701  702  703  704  705  706  707  708  709  710  711 Wednesday, April 21 Cardholder’s Name Post-Conference 8:00 am – 12:00 pm  W1  W2  W3  W4  W5  W6  W7  W8  W9 Cardholder’s Signature Details

Conference HotEl Reservations Airline discount: Conference attendees MEALS Continental breakfast and lunch are receive a 5% discount on American Airlines. provided on Monday and Tuesday. Coffee will Hyatt Regency Dallas at Reunion Your Authorization Code for this conference be served on Sunday and Wednesday. 300 Reunion Boulevard is: 5440AD. Go to www.aa.com and after Dallas, TX 75207-4498 you have selected your flight(s), under the Special needs/Concerns Prior to your A dedicated booking website has been created “Enter Passenger Details” tab, go to the arrival, please call HCCA at 888-580-8373 for the Compliance Institute so attendees “AA.com Promotion Code” field and enter your if you have a special need and require can enjoy the convenience of making their Authorization Code. accommodation to participate in the hotel reservations online. Attendees will be Compliance Institute. able to make, modify, and cancel their hotel Registration Payment Terms Checks Dress Code Business casual dress is reservations online, as well as take advantage are payable to HCCA. Credit cards accepted: appropriate for this conference. of any room upgrades, amenities, or other American Express, MasterCard, or Visa. HCCA will charge your credit card the correct services offered by the hotel. Agreements & Acknowledgements amount should your total be miscalculated. To visit the website, please go to: I agree and acknowledge that I am undertaking https://resweb.passkey.com/go/hcca2010 TAX DEDUCTIBILITY All expenses incurred participation in HCCA events and activities as to maintain or improve skills in your my own free and intentional act, and I am fully Phone reservations: Call the hotel directly at profession may be tax deductible; including aware that possible physical injury might occur 888-421-1442. tuition, travel, lodging and meals. Please to me as a result of my participation in these Rate: $207/single or $227/double plus tax. consult your tax advisor (Federal tax ID # events. I give this acknowledgement freely and 23-2882664). knowingly and assert that I am, as a result, able The cutoff date for the group rate is March 26, to participate in HCCA events, and I do hereby 2010, or until the group block is full. CANCELLATIONS/SUBSTITUTIONS No assume responsibility for my own well-being. The Hyatt is currently sold out of sleeping refunds will be given for “no-shows” or I agree and acknowledge that HCCA plans to rooms beginning Tuesday, April 20. There are cancellations. You may send a substitute take photographs at the HCCA Compliance still sleeping rooms available Saturday, April 17 or receive a credit for other conferences Institute and reproduce them in HCCA through Monday, April 19. HCCA has set up an to be used within one year. Please call educational, news, or promotional material, overflow hotel block at the Sheraton Dallas: Patti Hoskin at 888‑580‑8373 or e-mail whether in print, electronic, or other media, [email protected]. including the HCCA website. By participating Sheraton Dallas Hotel in the HCCA Compliance Institute, I grant 400 North Olive Street GROUP DISCOUNTS $100 per person for HCCA the right to use my name, photograph, Dallas, TX 75201 five or more from the same company, based and biography for such purposes. on membership status; only if each attendee To make hotel reservations at the Sheraton completes a registration and they are faxed or Dallas Hotel, please call 1-888-627-8191 or visit mailed in simultaneously. this website: Corporate http://www.starwoodmeeting.com/ HCCA is going green Attendees will Compliance StarGroupsWeb/res?id=1001270159&key=BCE3B receive electronic access to the course materials & Ethics Week prior to the program as well as an electronic Identify yourself as a member of Health Care version of the materials at the program. Compliance Association to receive the special Attendees will not automatically receive the rate. binders. If you would like to purchase the May 2–8, 2010 Rate: $149 per night single/double plus tax. binders for $75, please check “Conference Leading By Example Binders” above. (Please note: there will be two The Sheraton Dallas is located 1.10 miles from 3˝ D-ring binders, and binders contain Monday the Hyatt at Reunion and will require that you and Tuesday conference sessions only.) take a taxi cab to/from the conference hotel. No audio or video The average cab fare is $10–$15 one way. Due Continuing Education Credits recording of HCCA to the location of the conference hotel, it is The Health Care Compliance Association is in Conferences is allowed. impossible to walk there from any other hotel the process of applying for external continuing location. education credits. Please continue to check our If you are having problems making your hotel website, www.compliance-institute.org, for reservations, please contact Jennifer Power at updates on approval totals for the 2010 [email protected] or directly at Compliance Institute. 952-405-7916. Prerequisites/Advanced Preparation None. www.compliance-institute.org 43 Health Care Compliance Assocation 6500 Barrie Road, Suite 250 Minneapolis, MN 55435 www.hcca-info.org 888-580-8373

14th Annual Compliance Institute April 18–21, 2010 ✪ Hyatt Regency ✪ Dallas, TX

Health Care Compliance Association’s 14th Annual Compliance Institute April 18–21, 2010 ✪ Hyatt Regency ✪ Dallas, TX