OIG Update: Key Issues in Compliance and Oversight

Karen Glassman Senior Counsel Office of Counsel to the IG, DHHS
Ruth Ann Dorrill Regional Inspector General, Office of Evaluation and Inspections, DHHS OIG

• Holistic review of OIG’s current priorities • Summary of anticipated OIG evaluation, audit, and enforcement work
• Deeper dive into four topic areas:
- COVID-19
- Opioid misuse
- Nursing home quality and enforcement

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Evaluation

Virtually Back to Normal: Telemedicine to the Rescue During COVID-19 and After

Rachel B. Goodman Senior Counsel Foley & Lardner LLP

• Understanding state and federal regulation of telehealth and other digital healthcare technologies during and after the COVID-19 pandemic
• Identifying potential compliance issues associated with telehealth during and after the pandemic that may need to be addressed within compliance
• Understanding steps that may need to be taken if your organization wishes to continue to use telehealth after the pandemic is over

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Evaluation

Operational Adjustments for the New Stark and AKS Rules

Jordan Muhlestein Compliance and Ethics Director, Corporate Compliance Office Intermountain Healthcare
Monte O. Crockett Counsel II, Legal Department Intermountain Healthcare

• High-level overview of revised Stark and AKS rules
• Discussion of monitoring processes in key risk areas
• Identification of enforcement unknowns

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Evaluation

Managing a Compliance Department Virtually During the Pandemic

Ron Skillens, CPA, CHC, CHPC Senior Vice President, Enterprise Risk Management and Chief Compliance Officer JPS Health Network

• Evaluate how you can accelerate your productivity through professional development
• Discuss practical methods to build and maintain effective business relationships in the age of the pandemic
• Discuss how to build your 90 day success plan to put all of the concepts in action immediately

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Evaluation

Transitioning to Virtual: Privacy & Security Risks in Telehealth and Work from Home

Joan Podleski Chief Privacy Officer, Children’s Health
Chris Akeroyd Senior VP, Chief Information Officer Children’s Health

• Applying controls when starting or expanding telehealth services
• Review available technical controls supporting work from home
• Recognize the risks that can’t be controlled by technology

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Evaluation

The New Physician Fee Schedule and the Impact on Physician Practices

Anna K. Brewer, CVA Partner - Consulting Services JTaylor

• Outline the key changes of the 2021 Medicare Physician Fee Schedule
• Quantify WRVU changes and related Revenue impact for major specialties
• Highlight FMV and Commercial Reasonability concerns related to physician employment that exist from this shift in practice economics
• Share best practices for adjusting compensation plan drivers or structures to reduce compliance risk
• Identify other health system departments that may need to adjust their policies, procedures, and estimates based on this change

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Handout
Evaluation