Section 6401 of the Affordable Care Act provides that a “provider of medical or other items or services or supplier within a particular industry sector or category” shall establish a compliance program as a condition of enrollment in Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP). And even before the Affordable Care Act was passed, most healthcare organizations implemented compliance programs to help prevent fraud, waste and abuse of federal health care programs. Needless to say, if you provide services to Medicare or Medicaid patients and you either don’t have a compliance program or you need to strengthen your healthcare compliance program, this seminar is for you.
We will perform an in-depth review and application of the 7 elements of an effective compliance program as outlined in the U.S. Sentencing Guidelines as well as explained the U.S. Health and Human Services Office of Inspector General.
The current enforcement environment against hospitals, doctors and other provider types demonstrates financial penalties, fines, settlements and even jail time are on the rise. A compliance program is one way to prevent non-compliance and can also be to your organization’s benefit if something does go wrong and you are investigated by enforcement agencies.
On June 14, 2018 the Acting Associate Attorney General Jesse Panuccio stated, “As we deter fraud by holding individuals accountable, we also want to be sure that we continue to reward companies that invest in strong compliance measures. The challenge of corporate compliance is especially acute in large and diverse organizations. I empathize: every day at DOJ we face the challenges of an organization with 115,000 employees. Things go wrong in every organization. When something does go wrong, however, the greatest consideration should be given to companies that do not just adopt compliance programs on paper, but incorporate them into the corporate culture.”
Attending this seminar will help you learn what you need to learn in order to incorporate compliance into your organization’s culture.Learning Objectives:
- Comprehend the current regulatory enforcement environment in the health care industry
- Review recent settlement cases due to a lack of compliance
- Analyze and apply the 7 elements of an effective compliance program as defined by the U.S. Sentencing Guidelines
- Understand the Role of the U.S. Health and Human Services Office of Inspector General in regards to Compliance Programs
- Review principles of and effective compliance program
- Summarize skills and roles of a Chief Compliance Officer
Areas Covered:
- Published guidance documents from the U.S. Health and Human Services Office of Inspector General
- Enforcement trends and government authority under the U.S. False Claims Act
- Developing Policies and Procedures (Element 1)
- Oversight of the compliance program (Element 2)
- Compliance Training and Education (Element 3)
- Reporting/Communication (Element 4)
- Response/Disciplinary action (Element 5)
- Auditing/Monitoring (Element 6)
- Investigation, remediation (Element 7)
Who will benefit:
The Affordable Care Act made it law for any provider participating in in Federal Healthcare Programs (such as Medicare, Medicaid, etc.) to have a Compliance Program so any of the following leaders in a healthcare provider types such as physician practice, hospital, skilled nursing facility, etc.
- Director
- Manager
- Billing
- Coding
- Auditor
- HIPAA Officers
- Compliance Officers
- Physician practice partner
- 8:30 AM - 8:59 AM: Registration Meet & Greet.
- 9:00 AM - 10:00 AM: Lecture 1
- Seminar objectives review, expectations and scope.
- Healthcare Enforcement Climate and Expectations/Requirements for Having a Compliance Program
- Settlement Examples from Lack of Compliance
- 10:00 AM - 11:00 AM: Lecture 2
- The 7 Elements of An Effective Compliance Program
- Element 1: Written Standards overview
- Element 1: Policies/Procedures/Code of Conduct
- Element 2: Responsible Party overview
- Element 2: Chief Compliance Officer; Compliance Committee, Board of Directors
- 11:00 AM - 12:00 Noon: Lecture 3
- Element 3: Training and Education overview
- Element 3: Tools and best practices for training
- 12:05 PM - 1:00 PM: Lunch
- 1:00 PM - 2:00 PM: Lecture 4
- Element 4: Reporting/Communication overview
- Element 4: Hotline, non-retaliation
- Element 5: Response/Disciplinary action overview
- 2:00 PM - 3:00 PM: Lecture 5
- Element 5: Assessing for self-disclosure
- Element 6: Auditing/Monitoring Overview
- Element 6: Auditing examples: coding and billing, HIPAA, financial relationships with providers
- 3:00 PM - 4:00 PM: Lecture 6
- Element 7: Investigation, remediation
- Element 7: Corrective Action/Sanctioned individuals
- Overview of effectiveness reviews
- 4:00 PM - 4:30 PM: Lecture 7
- Review 7 Elements
- Questions and Answers
- Dismiss and Departure
CJ Wolf,
M.D, CHC, CCEP, CIA, Educator/Compliance Executive
C.J. Wolf, MD, M.Ed. has been involved in healthcare for over 20 years beginning with his years in medical school. Shortly after graduating Dr. Wolf made a career change to healthcare administration, reimbursement and compliance. He has worked in various coding, reimbursement or Chief Compliance Officer roles for Intermountain Healthcare, the University of Texas MD Anderson Cancer Center, the University of Texas System and Merit Medical Systems. He currently is Sr. Compliance Executive at Healthicity.
Dr. Wolf has a passion for teaching and education. He has developed and taught curricula for adult employees seeking national coding certifications, trade workshops and seminars, and has served as adjunct faculty for Salt Lake Community College and currently is Faculty at Brigham Young University-Idaho and adjunct faculty at the University of Illinois at Chicago College of Medicine.
In addition to his medical degree from the University of Illinois at Chicago College of Medicine, Dr. Wolf holds a master of education (M.Ed.) from the University of Texas at Brownsville. He completed his B.S., magna cum laude, from Brigham Young University, Provo, UT.
Register Now
Online using Credit card
Get the Invitation
Pre-Register yourself and get the official Invite when venue and dates are announced for this seminar.
Call here to register +1-888-717-2436 or email at [email protected]
Other Registration Option
- Download the Order Form
- Fill this form with attendee details & payment details
- Fax it to +1-650-362-2367, or
- Email it to [email protected]
Payment Mode
ComplianceOnline (MetricStream, Inc),
6201 America Center Drive Suite 240
San Jose, CA 95002
USA
Register / Pay by Wire Transfer
Please contact us at +1-888-717-2436 to get details of wire transfer option.Terms & Conditions to Register for the Seminar/Conference/Event
Your registration for the seminar is subject to following terms and conditions. If you need any clarification before registering for this seminar please call us @ +1-888-717-2436 or email us @ [email protected]
Payment:
Payment is required 2 days before the date of the conference. We accept American Express, Visa and MasterCard. Make checks payable to MetricStream Inc. (our parent company).
Cancellations and substitutions:
Written cancellations through fax or email (from the person who has registered for this conference) received at least 10 calendar days prior to the start date of the event will receive a refund - less a $150 administration fee. No cancellations will be accepted - nor refunds issued - within 10 calendar days before the start date of the event.
On request by email or fax (before the seminar) a credit for the amount paid minus administration fees ($150) will be transferred to any future ComplianceOnline event and a credit note will be issued.
Substitutions may be made at any time. No-shows will be charged the full amount.
We discourage onsite registrations, however if you wish to register onsite, payment to happen through credit card immediately or check to be submitted onsite. Conference material will be given on the spot if it is available after distributing to other attendees. In case it is not available, we will send the material after the conference is over.
In the event ComplianceOnline cancels the seminar, ComplianceOnline is not responsible for any airfare, hotel, other costs or losses incurred by registrants. Some topics and speakers may be subject to change without notice.
Attendance confirmation and documents to carry to the seminar venue:
After we receive the payment from the registered attendee, an electronic event pass will be sent to the email address associated with the registrant 5 working days before the seminar date. Please bring the pass to the venue of the event.
Conference photograph / video:
By registering and attending ComplianceOnline conference, you agree to have your photographs or videos taken at the conference venue and you do not have any objections to ComplianceOnline using these photos and videos for marketing, archiving or any other conference related activities. You agree to release ComplianceOnline from any kind of claims arising out of copyright or privacy violations.
Offers:
We are pleased to offer several exhibitor, sponsorship and media partnership options designed to maximize your company's exposure and networking opportunities before, during and after the event.
Benefits of becoming a Sponsor/Exhibitor/Media Partner:
- Logo on website, marketing email, branding materials & the registration booth
- Exhibit Space
- Free event pass
- Speaking opportunity
- Social media campaign
For more details and other sponsorship options at this event, please contact Event Manager: [email protected] or call: +1-650-238-9656
Media Partner:
Local Attractions of Salt Lake City, UT
Temple Square and Related Sites
Temple Square is Salt Lake City's most popular attraction. With its grand six-spired temple, two visitor's centers, lovely flower gardens and fountains - and nearby sites related to the Church of Jesus Christ of Latter-Day Saints. Area attractions include the Assembly Hall, Tabernacle, Museum of Church History and Art, Family Search Center, Beehive House, Lion House, Brigham Young Historic Park, LDS Conference Center and Joseph Smith Memorial Building. Temple Square offers hundreds of free movies, dramatic programs and music events every year.
The Gateway
The Gateway on the west side of downtown Salt Lake is the city's best outdoor shopping center.
City Creek Center
It's designed to be a walkable shopper's paradise, with six acres of green space, the namesake creek, two 18-foot waterfalls, and a massive retractable roof.
Capitol Hill
The Utah State Capitol, at 300 N. State St., sits atop a hill overlooking the Salt Lake Valley. The building was constructed in 1912-1916 and renovated in 2004-2008.
Hogle Zoo
Utah's Hogle Zoo dates from 1931 and is located at the mouth of Emigration Canyon at 2600 E. Sunnyside Avenue. The Zoo is one of the most visited attractions in Utah and the top paid-for tourist attraction in Salt Lake City. It covers 42 acres and includes more than 800 animals.
This is the Place Heritage Park
This is the Place Heritage Park includes a restored pioneer village with live demonstrations of pioneer life and a restored Brigham Young farmhouse.
University of Utah
The University of Utah is not only one of the state's leading educational institutions but also an important cultural and sports center for the city and the state of Utah.
Liberty Park and Tracy Aviary
Liberty Park is Salt Lake City's second largest public park and includes trails, playgrounds, a pond, paddle boat rentals, tennis courts, picnic facilities, amusement rides and a water play area. Liberty Park includes the Chase Home Museum of Folk Arts and the excellent eight-acre Tracy Aviary, one of two free-standing aviaries in the United States.
Library Square
Library Square, at 210 East 400 South, includes not just the award-winning Salt Lake City main library, but also shops, a cafe, a Salt Lake Community College Writing Center and the studios of KCPW, a local NPR affiliate.
Bingham Canyon Copper Mine
The Kennecott Bingham Canyon Copper Mine in the southwest corner of the Salt Lake Valley is the world's largest man-made hole in the ground and has produced more copper than any other mine in history. It is one of two man-made objects seen from space.
Thanksgiving Point
Thanksgiving Point is a huge recreation area near the Point of the Mountain that includes spectacular themed gardens, a farm and agriculture center, movie theaters, an IMAX, shops, restaurants, a golf course, party and reception facilities, and the world's largest indoor dinosaur museum.
