May 7, 2021

New York Regional Healthcare Compliance Conference

Virtual , Eastern Daylight Time (EDT)

Registration closed
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Handouts

Overall Survey | CEU Application | Conference Brochure

COVID-19 and the Evolving Compliance Landscape

Kelly J. Sauders, Partner, Deloitte Risk & Financial Advisory

• The Provider Relief Fund (PRF): Where are we with reporting and what are the implications/ areas for compliance to be aware of?
• Coding and billing: Inpatient coding risks and the implications of add-on payments, MAC/RAC, and other auditing, coding, and billing risk areas
• CMS waivers: What should compliance plan to do once the public health emergency period ends and the associated waivers end?

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Evaluation

OMIG Audits and the COVID Pandemic

Jay Speers, Deputy Medicaid Inspector General for Audit, NYS Office of the Medicaid Inspector General

• Audit activities and approach
• Audit oversight in a remote environment
• Coordination and collaboration in the new normal

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Evaluation

Performing a Forensic/Fraud Investigation

Timothy W. Ball, CFE, Executive Vice President, The Bonadio Group
June M. Crawford, RN, BSOM, CHC, CHPC, RAC-CT, Principal, The Bonadio Group
Paul F. Mayer, MBA, MPA, CHC, CHPC, Executive Vice President, The Bonadio Group

• Understanding the organizational risks and culture
• Creating an investigation plan
• Handling the aftermath of an investigation

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Evaluation

Managing Antitrust Risks with an Effective Compliance Program

Jennifer Dixton, Assistant Chief, Antitrust Division, New York Office
Carrie A. Syme, Assistant Chief, Antitrust Division, New York Office

• Understand the Antitrust Division’s approach to evaluating corporate compliance programs
• Understand recent criminal antitrust enforcement in healthcare
• Understand new reporting and whistleblower protections for employees
• Apply this knowledge to manage the risks of non-compliance with criminal antitrust laws

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Evaluation

HIPAA Hot Topics: Right to Access, Third Party Authorizations, and Navigating Difficult Denials

Ashley Algazi, Associate, Rivkin Radler, LLP
Eric D. Fader, Partner, Rivkin Radler, LLP

• Overview of HIPAA and NYS law regarding third-party requests for disclosure of PHI
• Practical tips in reviewing HIPAA authorizations signed by parties other than the patient
• How to best navigate difficult families, lawyers, and other third parties when denying access to records in accordance with HIPAA and NYS law
• Key tips to help prepare for an OCR investigation that may arise from a complaint

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Evaluation

Artificial Intelligence (AI) in Healthcare: Compliance and Legal Considerations

Brett Barlag, Senior Managing Director, Forensic & Litigation Consulting
Matthew Schwartz, Senior Director, Health Solutions, FTI Consulting

• Examples of AI use cases in healthcare
• Unique risks and compliance considerations specific to AI
• Regulatory and industry guidance on the use of AI in healthcare (e.g. the DoD’s Five Ethical Principles for the use of Artificial Intelligence)
• Use of advanced data analytics and datadriven, quantitative techniques for testing and monitoring AI

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Evaluation