SLIDE 2 Schedule
Ma r r i ot t P i t t s b u r g h N o r th | Pittsburgh, PA | Friday, October 12, 2007
7:30 AM – 8:30 AM
Registration and Continental Breakfast
8:30 AM – 8:45 AM
Welcome & Introductions
8:45 AM – 10:00 AM
Compliance Officer Panel Discussion
Moderator
John N. Joseph, Esq.
Partner, Post & Schell, P.C. Former criminal prosecutor and Deputy Chief
- f the Civil Division, U.S. Attorney’s Office
Eastern District of Pennsylvania Panel
Heather N. Caldwell, MBA, CHC
Corporate Compliance Officer
- St. Mary’s Medical Center
Huntington, WV
Dana L. Jenkins, MHA, RHIA, CHC
Corporate Compliance & Privacy Officer Davis Health System Elkins, WV
Cari S. Reed, CHC
Chief Compliance Officer Abington Memorial Hospital Abington, PA
Adam K. Weinstein, FACHE
Associate Vice President Regulatory Affairs New York Hospital Queens Flushing NY This session will cover experiences, accomplishments and best practices in the areas of:
- Conducting compliance program
effectiveness reviews
- Complying with the Deficit Reduction Act
- Performing risk assessments
- Reporting compliance program activity to
the board of directors
10:00 AM – 11:00 AM
E-Discovery, Document Retention, and Identity Theft
Jeremy A. Mercer, Esq.
Kirkpatrick & Lockhart Preston Gates Ellis LLP Pittsburgh, PA
11:00 AM – 11:15 AM
Break
11:15 AM – 12:15 PM
Recovery Audit Contractors: What Providers Need to Know
Connie L. Leonard
Recovery Audit Contractor (RAC) Project Officer Centers for Medicare and Medicaid Services (CMS)
Christine A. Castelli
Principal Healthcare Division Connolly Consulting (RAC for NY)
- The Recovery Audit Contractor (RAC)
demonstration program has identified over $300 million in improper payments for CMS in California, Florida, and New York in just 18 months. Based on this success, CMS will expand the program to cover Medicare claims in all 50 states by 2010
- Discuss the history and future of the RAC
program, procedure for RAC reviews, significant findings from RAC initiatives, and what providers can do right now in preparation for a RAC review
12:15 PM – 1:15 PM
Lunch (provided)
1:15 PM – 2:15 PM
Upholding the Company's Ethics and Compliance Program
Mary Beth Buchanan
U.S. Attorney Western District of PA
- The value of health care compliance
programs from the perspective of the U.S. Attorney
- What factors are considered when
determining to pursue an organization for compliance issues and any penalties that may result?
- Discussion of health care cases previously
addressed as an indication of similar things to avoid or adopt as preventive measures
- Future areas of review that we should
address prospectively now
- What are the expectations if we are
contacted by the U.S. Attorney?
2:15 PM – 2:30 PM
Break
2:30 PM – 3:30 PM
PA’s Status with the Deficit Reduction Act and the False Claims Act
Norris E. Benns, Jr., Esq.
Director Bureau of Program Integrity Office of Medical Assistance Pennsylvania Department of Public Welfare
- Current and future Medical Assistance
auditing activities (e.g. DRG Validations, RAC audits, and other projects and priorities)
3:30 PM – 4:30 PM
Results from the 9th Annual Survey—2007 Profile of Health Care Compliance Officers: What’s Next for the Compliance Profession?
Steve Ortquist,
HCCA President Partner Meade & Roach Chicago, IL
- How is the role of the compliance
professional changing?
- What do the numbers tell us about the
growth of the profession?
- What can compliance professionals do to
prepare themselves?
4:30 PM
Adjourn
PURPOSE: HCCA Local Conferences provide a forum to 1) interact with other health care compliance professionals, 2) share information about our health care compliance successes and challenges, and 3) create educational
- pportunities for health care compliance
professionals to strengthen the industry. WHO SHOULD ATTEND? Compliance Offi cers / In-House and Outside General Counsels / Privacy and Security Offi cers / Regulatory Affairs VPs and Directors / Billing/Coding Professionals / Health Care Professionals / Government Agency Staff LEARNING OBJECTIVE: Attendees learn about current health care regulatory requirements, government enforcement initiatives, and the management of effective compliance programs.