Baltimore, MD | November 8 & 9, 2010

Monday, November 8

8:00 – 9:00 am | Continental Breakfast

9:00 – 10:00 am

Overview of Healthcare Reform

Tiana L. Korley, Esq., Senior Advisor, Center for Program Integrity, CMS, Baltimore, MD

Presentation, Evaluation

10:00 – 11:00 am

Economics of Health Care Reform

Frank Sheeder, CCEP, Partner, Jones Day, Dallas, TX

Presentation, Evaluation

• Increased coverage
  
• Reimbursement impact
  
• Economic trends

11:00 – 11:30 am | Break

11:30 am – 12:30 pm

Dealing with the Future

Shawn Y. DeGroot, CHC-F, CCEP, CHRC,Vice President of Corporate Responsibility, Regional Health, Rapid City, SD

Presentation, Evaluation

• Compliance Implementation strategy
• Understanding risk areas
• Auditing and monitoring considerations

12:30 – 1:30 pm | Lunch

1:30 – 2:30 pm

New and Expanded Fraud and Abuse Provisions

Frank Sheeder, CCEP, Partner, Jones Day, Dallas, TX

Presentation, Evaluation

• The False Claims Act
  
• The Anti-Kickback Statute
  
• Voluntary disclosures
  
• New arrangements lead to new concerns

2:30 – 2:45 pm | Break

2:45 – 3:45 pm

Implications of Quality

Rory Jaffe, Executive Director, CHPSO, Sacramento, CA

Presentation, Evaluation

• Novel compliance challenges
• Focusing compliance activities in areas that benefit quality
• Culture, quality, and compliance

3:45 – 4:45 pm

Transparency, Reporting, and Data Mining

Kimberly Brandt, Former Director, Medicare Program Integrity, CMS, Baltimore, MD
Shawn Y. DeGroot, CHC-F, CCEP, CHRC, Vice President of Corporate Responsibility, Regional Health, Rapid City, SD

Presentation, Evaluation

• Provider challenges and barriers
• Complexity of data repositories
• Tax exempt status issues

4:45 – 5:45 pm

Networking Reception

Tuesday, November 9

7:00 – 8:00 am | Continental Breakfast

8:00 – 9:00 am

OIG Perspectives on Health Care Reform

Vicki L. Robinson, Health Care Reform Senior Advisor, Office of Inspector General, Wasington, DC

Presentation, Evaluation

9:00 – 10:00 am

What to Expect from Payors

Jenny O'Brien, JD, CHC, Medicare Compliance Officer, UnitedHealth Group/PSMG, Minneapolis, MN

Presentation, Evaluation

• Understanding payor challenges
• Quality measures and impact on reimbursement
• Compliance implications of new service lines

10:00 – 10:30 am | Break

10:30 – 11:30 am

Communicating Health Care Reform Issues

Shawn Y. DeGroot, CHC-F, CCEP, CHRC, Vice President of Corporate Responsibility, Regional Health, Rapid City, SD
Jenny O'Brien, JD, CHC, Medicare Compliance Officer, UnitedHealth Group/PSMG, Minneapolis, MN

Presentation, Evaluation

• Understanding fiduciary role with compliance
• Presentation for Board of Directors/Executive Team
• Providing effective outcome measures

11:30 am – 12:30 pm

Mandatory Compliance Programs

Vernisha L. Robinson, Health Insurance Specialist, Program Compliance and Oversight Group, Center for Medicare & Medicaid Services, Baltimore, MD
Brenda J. Tranchida, Director, Program Compliance and Oversight Group, Center for Medicare & Medicaid Services, Baltimore, MD

Presentation, Evaluation

• Medicare drug & health plan sponsor compliance plans
• Effectiveness evaluations and audits
• Lessons for other regulated entities