For the first time, RISE’s 4th annual CompliancePalooza will be a virtual event! The October event will feature two days of high-quality content, timely updates, lively discussion, and networking.
CompliancePalooza 2020 will return this fall as a live-streaming virtual event October 29-30. The event, intended for mid- to senior- level professionals from all functions of compliance and delegate oversight, will feature 16 key sessions and 20 expert speakers. Here’s an inside look at just a few of the sessions RISE has planned:
Day one highlights
The conference will kick-off with a keynote panel discussion on the evolution of compliance during the pandemic and the future implications. Speakers will review the impact of COVID-19 on compliance and how it will change the future, examine compliance essentials to proactively build a bullet proof pandemic plan, and explore best practices and lessons learned from navigating compliance amid the global pandemic. Panelists will include Michelle O’Neill, vice president, corporate compliance & privacy, Summit Medical Group; Patricia A. Suffern, R.N., MPM, JD, director Medicare development and performance, Sentara Healthcare; and Angela M. Lloyd, MPH, CHC, director, Medicare audit & corrective action, Health Partners Plans.
Next, Deborah Marine, compliance officer, SummaCare, will review the implications of the 2020 CMS revised protocols. Marine will assess the CMS changes and revised protocols from COVID-19 and how compliance programs have been affected; analyze new trends and potential changes for audits, including the ODAG/CDAG guidance; and evaluate lessons learned and best practices by health plans post COVID-19.
O’Neill will return later in the afternoon for a panel discussion on the impact of lifted telehealth restrictions and the future of telehealth. Panelists will explore the impact of the restrictions on privacy and data security and what implementation changes could limit or increase fraud, waste, and abuse; discuss the new telehealth accountability and standards post COVID-19 and the impact of a digital divide on vulnerable populations; and share lessons learned from the telehealth restriction changes and how it impacts the future of health care delivery. O’Neill will be joined by Joseph A. Piccolo, vice president, corporate compliance & ethics, corporate compliance and privacy officer, Inspira Health Network, and Jessica Vander Zanden, CHC, vice president, compliance and audit, Network Health Insurance Corporation.
The day will wrap-up with a close look at how to improve your appeals and grievances operations in a time of uncertainty. Amber Duenas, appeals and grievances specialist, and Krystol Sanders, MSL, grievance coordinator, quality improvement, both from Brown & Toland Physicians, will discuss best practices from A&G operations post COVID-19, explore why health plans continue to struggle with the process and develop a game plan to successfully manage the increase in expedited appeals, and analyze the best method to identify misclassified appeals and best approaches for billing COVID-19 services.
Day two highlights
The second day will begin with an exclusive and intimate session with compliance professionals. Attendees will engage in interactive discussion with compliance experts and talk about issues that keep them up at night. The collaborative session requires a separate registration at no additional cost!
Deepti Loharikar, J.D., director, regulatory affairs, Association for Behavior Health and Wellness, will explain the fundamentals of the evolving 42 CFR Part 2 rule and the impact on compliance. Loharikar will provide clarity on why it’s important that Part 2 aligns with HIPAA standards and the implications and impact of 42 CFR Part 2 post COVID-19.
Later in the day, attendees will learn how to build an effective compliance took kit. JoAnn McDaniel-Chinn, Medicaid compliance officer, Simply Healthcare Plans, and Julie Moses, senior ethics & compliance specialist, BlueCross BlueShield of Tennessee, will provide the audit tools most effective to ensure compliance success, share new “must have” tools that emerged during the COVID-19 crisis, and offer tips and strategies for success.
The conference will finish with an insightful session on best practices for efficient data utilization led by Jordan B. Muhlestein, compliance & ethics director, Intermountain Healthcare, and Melissa Rusk, director claims & BPO operations, SummaCare. Muhlestein and Rusk will explore best practices to evaluate and validate data and improve accuracy, share lessons learned from data collection and management amid COVID-19, and offer effective compliance metrics and effective implementation strategies.
Although attendees won’t gather in person, RISE will offer ample opportunities to network virtually. with colleagues and peers throughout the two days of the conference. Participants will also be able to submit questions to presenters throughout the live presentations for real-time answers.
Attendees will have access to conference presentations for 90 days after the live event, making it easy to re-watch sessions or catch any presentations that may have been missed.