Chairperson Welcome Remarks
Jun 22, 2020 8:00am ‐ Jun 22, 2020 8:10am
Identification: MON01
Speaker(s):
- Ana Handshuh, CHC, Principal, CAT5 Strategies
Chairperson Welcome Remarks & Pre-Conference Workshop
Jun 22, 2020 8:00am ‐ Jun 22, 2020 9:45am
Identification: 001-MON01-MON02
Speaker(s):
- Ana Handshuh, CHC, Principal, CAT5 Strategies
- Deborah Marine, JD, CHC, Former Compliance Officer, Summa Care
- Tracy Jones, Interim Chief Compliance Officer, SummaCare
Pre-Conference Workshop: Creating a Watertight Tracer
Jun 22, 2020 8:10am ‐ Jun 22, 2020 9:45am
Identification: MON02
Learning Objectives:- Overview of the tracer requirements to avoid missing critical components
- Testing your tracer to locate errors and avoid costly mistakes
- Strategies to create business owner accountability to improve efficiency
Speaker(s):
- Deborah Marine, JD, CHC, Former Compliance Officer, Summa Care
- Tracy Jones, Interim Chief Compliance Officer, SummaCare
Chairperson Welcome Remarks
Jun 22, 2020 9:55am ‐ Jun 22, 2020 10:05am
Identification: MON03
Speaker(s):
- Ana Handshuh, CHC, Principal, CAT5 Strategies
Deep Dive- CMS Audit Protocols 2021 Impacting ODAG and CDAG
Jun 22, 2020 10:05am ‐ Jun 22, 2020 10:50am
Identification: MON04
Learning Objectives:- Interpret the changes CMS to audit protocols for 2021 and how they impact how you are currently operating
- Examine which protocol changes will drastically impact the way that you operate and implement strategies to prepare for the 2021 audit cycle
- Prepare and introduce training for your audit team on the new protocols and apply them in a mock audit setting
Speaker(s):
- Deborah Marine, JD, CHC, Former Compliance Officer, Summa Care
CMS Changes to Part C & D Appeals and Grievances
Jun 22, 2020 11:00am ‐ Jun 22, 2020 11:45am
Identification: MON05
Learning Objectives:- Explore the CY20 CMS Part C &D Enrollee Grievances, Determinations and Appeals Guidance update
- Evaluate how changes to the guidance impact plan processes, reporting, and technology
- Examine which important changes still need to be made and create a plan of action to implement changes to existing plan process
- Discuss changes that plans have made to adapt to CMS changes including barriers
Speaker(s):
- Karen A. Iapoce, MS, CAPA, CPHQ, Director of Government Solutions, Senior Analyst, ZeOmega
Know Your Risk! Review your Own Data to Identify and Mitigate Risk
Jun 22, 2020 12:00pm ‐ Jun 22, 2020 12:45pm
Identification: MON06
Learning Objectives:- Conduct a compliance review using the reports you create on a monthly basis to identify trends
- Discover the root cause of the trends to distinguish its origin and educate the team members involved of recurring issue
- Employ preventative measures to reduce trends in A & G that are commonly found in your reports to improve efficiency
Speaker(s):
- JoAnn McDaniel-Chinn, Medicaid Compliance Officer, Simply Healthcare Plans
- Ana Handshuh, CHC, Principal, CAT5 Strategies
The Art of Successful Interactions with External Auditors
Jun 22, 2020 1:15pm ‐ Jun 22, 2020 2:00pm
Identification: MON07
Learning Objectives:- Discover how to build rapport and inspire confidence with external auditors
- Understand behaviors that can negatively affect performance and expose your organizations to risk (and how to avoid them)
- Learn best practices and proven strategies that help ensure your organization is trained and prepared to communicate effectively with auditors
Speaker(s):
- David Reid, Senior Director, Operational Performance & Regulatory Support, Florida Blue
- John Tanner, Chief Compliance Officer, Beacon Healthcare Systems
Categorize the Differences Between an Appeal and a Grievance
Jun 22, 2020 2:15pm ‐ Jun 22, 2020 3:00pm
Identification: MON08
Learning Objectives:- Assess the definitions of an Inquiry, Complaint, Appeal, and Grievance to provide clarity
- Utilize tested compliance tips to improve identification
- Implement delegation to appropriate teams when an appeal or grievance occurs
Speaker(s):
- Deborah Marine, JD, CHC, Former Compliance Officer, Summa Care
- Tracy Jones, Interim Chief Compliance Officer, SummaCare
Chairperson Closing Remarks
Jun 22, 2020 3:00pm ‐ Jun 22, 2020 3:20pm
Identification: MON09
Speaker(s):
- Ana Handshuh, CHC, Principal, CAT5 Strategies