Compliance Effectiveness (Audio Conference)

Compliance Effectiveness

AUDIOCONFERENCE ON TAPE OR CD
Sponsored by
The Compliance Program Effectiveness Handbook

presented on April 26, 2007

You have a compliance program … but is it effective? Does it measure up against standards set by the OIG?

It’s not enough to have a compliance program in place—you need to verify that it will detect all levels of noncompliance. This evaluation is worth the effort: Prosecutors are more willing to forgive billing and coding errors if hospitals demonstrate a good-faith effort to create a comprehensive compliance program.

According to the OIG’s Compliance Program Guidance for Hospitals, "(t)he existence of benchmarks that demonstrate implementation and achievements are essential to any effective compliance program."

You need a straightforward way to demonstrate your hospital measures up to the government’s expectations. Let our compliance-savvy professionals free up the countless hours it would take you to figure out what risks to track and how to track them.

Listen to this 90-minute program Compliance Effectiveness: Strategies for Evaluation and Program Improvement. Our expert speakers James Kopf, former federal law enforcement officer with the OIG and Lena Robins, senior counsel at Foley & Lardner LLP,share clear strategies to evaluate how well your compliance program operates and how to benchmark your efforts to improve compliance effectiveness.

*Note: Participants should have a basic understanding of compliance program requirements and experience operating a compliance program.

PROGRAM AGENDA

1. Initiatives to measure effectiveness
   1. OIG Supplemental Compliance Program Guidance for Hospitals and the increased focus on effectiveness
   2. Government and association initiatives
      1. CMS compliance program effectiveness pilot
      2. The Deficit Reduction Act’s focus on state programs
      3. Association initiatives
2. Strategies for evaluating compliance program effectiveness
   1. Auditing
   2. Policies/procedures
      1. Education and training
      2. Conflicts of interest
      3. Code of conduct
   3. Effective communication
   4. Enforcing standards
   5. Responding to detected offenses and developing corrective action initiatives
3. Case scenarios of how to handle compliance-related situations more effectively
   1. Simpler errors
   2. Whistle blower/informant
   3. Hotline complaints
   4. Coding with wrong CPT code
4. Q & A
   
   

LEARNING OBJECTIVES

1. Identify how to measure compliance program effectiveness through benchmarking
2. Recognize compliance program deficiencies and identify departmental risk areas
3. Explain key areas from OIG Supplemental Hospital Compliance Program Guidance

FEATURED SPEAKERS

James Kopf is the president of Healthcare Oversight, Inc., in New Canaan, CT. Healthcare Oversight is a solution-driven company concentrating on healthcare issues and problems confronting both the public and private sector of the healthcare community. His prior experience includes 26 years as a federal law enforcement officer with the Office of Inspector General (OIG), U.S. Department of Health and Human Services, and Federal Bureau of Investigation. He was director of the Program Investigations Branch for the OIG's Office of Investigations. His responsibilities included oversight of national investigations and initiatives; tracking and projection of healthcare fraud trends; and serving as a liaison with Congress, the Center for Medicare & Medicaid Services (CMS), the Department of Justice, and other law enforcement agencies. He coauthored and was the director of Operation Restore Trust, a presidential initiative that set the current standard for healthcare fraud investigations.

Lena Robins is senior counsel at Foley & Lardner LLP in Washington, DC and a member of the Healthcare Industry Team. Ms. Robins specializes in regulatory matters arising under Medicare, Medicaid, and other third-party payment programs. Ms. Robins assists healthcare providers, including hospitals, medical transportation providers, and pharmaceutical and medical device manufacturers, with a variety of reimbursement matters relating to coverage and payment. She also regularly counsels providers on federal and state fraud issues, including false claims, anti-kickback, false billings, and self-referral matters. Ms. Robins previously served as an attorney with the CMS Office of General Counsel.

BONUS MATERIAL INCLUDED IN YOUR MATERIAL PACKET!

The materials are provided with PDF links. In addition to the expertise and advice presented during this audioconference, you'll also receive this free bonus tool:

• Checklist of items in the OIG’s Compliance Program Guidance for Hospitals

WHO SHOULD LISTEN?

Compliance officers, compliance staff, in-house counsel, attorneys, and consultants.

Purchase a tape or CD of the program and listen when you can. It's also a perfect training tool for new staff or as a refresher for veteran staff.

Publisher :  HCPro, Inc
 
Product Types :

• Audio Conferences

Departments :

• Other Corporate Compliance Products

ORDER CLASS: P_04-26-2007
SOURCE CODE: EHCM