November 5, 2021

Scottsdale Regional Healthcare Compliance Conference

Scottsdale, AZ, United States

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Handouts

Overall Survey | CEU Application | Conference Brochure

Medicare’s 60-Day Repayment Rule: Intersection of Audits and Investigations

Andrew R. Brenton, Attorney, Husch Blackwell, LLP
Erin E. Burns,Attorney, Husch Blackwell

• Identify provider obligations under the 60-day repayment rule
• Understand the intersection of repayment investigations and Medicare audits
• Recognize importance of audits and appeal outcomes on compliance and repayment investigations

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Evaluation

Communicating with Regulators and Enforcement: Try an Open Dialogue

Jim Rough, President, SunHawk Consulting, LLC
James Schwegel, Special Projects Coordinator, Arizona Attorney General’s Office
Vanessa Templeman, Deputy Inspector General, AHCCCS OIG
Gerry Roy, VP, Chief Compliance & Privacy Officer, Phoenix Children’s Hospital

• Management knows all too well the consequences of receiving regulatory inquiries, or worse, the consequences a subpoena can have on their reputation, bottom line, and their time
• Learn the importance of building a good working relationship with government representatives
• Learn the importance of accurate, timely, and complete disclosure when reporting or selfdisclosing to government representatives

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Evaluation

How to Integrate Your Compliance Culture in Newly Acquired Facilities

Duane Majka, USPI Regional Compliance Officer, Tenet Healthcare
Adam Fielding, USPI Regional Compliance Officer, Tenet Healthcare

• Due diligence phase: Outline key drivers of the due diligence phase
• Project planning phase: Highlight crucial steps and deliverables in the active acquisition phase
• Assessment phase: Assess facilities’ integration into the compliance program through audits and site visits

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Enforcement and Defense: Point and Counterpoint

Frank Sheeder, Partner, Alston & Bird, LLP
Gerry Roy, VP, Chief Compliance & Privacy Officer, Phoenix Children’s Hospital

• Perceptions of law enforcement action and techniques that may or may not be correct
• Common ground in the healthcare fraud arena
• Best practices when law enforcement engages you and your organization

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Board Engagement Panel

Moderator: Martin Biegelman, Managing Director and Investigations Practice Leader, SunHawk Consulting, LLC

Panelists: Barbara Martinson, Compliance Officer, Tenet Health
Paul Watson, Board Chair, Summit Healthcare Regional Medical Center
Peter Hathaway, Chair, Audit and Compliance Committee, HonorHealth
Jim Passey, Vice President and Chief Audit & Compliance Officer, HonorHealth

• Recognize the challenges that boards currently have, and will continue to have, with governance and compliance
• Understand board decision-making when faced with issues ripped from the headlines
• Share leading practices for engagement between board members, senior management, and the chief compliance officer

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Stark Law and Physician Compensation: Impact of Final Rules (2021) and Emerging Trends

Robert Wade, Partner, Barnes & Thornburg, LLP

• Fair market value/commercial reasonableness standards and how the final rules have changed the analysis
• Application of benchmark data and use postfinal rules
• Migration of compensation from volume to value
• Recent emerging trends (structure of compensation terms, loss, downstream tracking, NPP supervision/credit)

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