Chairperson Welcome Remarks

Jun 23, 2020 8:00am ‐ Jun 23, 2020 8:10am

Identification: TUE01


Speaker(s):


Conquer the Skill of Creating an Accurate Universe

Jun 23, 2020 8:10am ‐ Jun 23, 2020 8:55am

Identification: TUE02

Learning Objectives:
  • Comb through your current universes to discover inaccuracies related to CMS requirements for ODAG and CDAG universes and tables
  • Create and implement new approaches to universe construction to avoid pitfalls in the future
  • Monitor universe accuracy on a monthly basis through universe pull and inspection to find errors

Speaker(s):


Strategies for Managing FDR Expectations

Jun 23, 2020 9:10am ‐ Jun 23, 2020 9:55am

Identification: TUE03

Learning Objectives:
  • Incorporate monthly education practices for all FDRs that highlight the expectations of the FDR, communication best practices, and documentation
  • Include FDRs in all mock audits in preparation for the CMS Audit and incorporate feedback into training exercises in areas to improve
  • Generate a strong partnership by understanding what your FDRs are dealing with and how you can help them achieve goals for both entities

Speaker(s):


Preparation for the 2020 Medicare Timeliness Monitoring Project

Jun 23, 2020 10:10am ‐ Jun 23, 2020 10:55am

Identification: TUE04

Learning Objectives:
  • Assess how the CMS TMP will affect your operation and what you need to do in advance to be prepared
  • Formulate a plan to perform reviews of your current systems, evaluate accuracy within your universes, analyze your timeliness standards related to CMS guidelines, to determine current benchmarks
  • Bridge the Gap: Create a plan of action on how you can improve current benchmarks, including evaluating vendor solutions that can guide you through the process

Speaker(s):


Strategies to Improve Quality and Mitigate Risk

Jun 23, 2020 11:30am ‐ Jun 23, 2020 12:15pm

Identification: TUE05

Learning Objectives:
  • Incorporate a grievance approach to patient centered care
  • Enhance quality improvement by utilizing grievances
  • Overview of grievances and risk mitigation to improve your processes

Speaker(s):


Reaching for the STARS: Improving Plan Performance Through CTM Analysis

Jun 23, 2020 12:30pm ‐ Jun 23, 2020 1:15pm

Identification: TUE06

Learning Objectives:
  • Examine how root cause analysis of 1-800-Medicare CTM cases can have impact on member experience
  • Discuss the continuous improvement cycle needed in order to maintain Complaints About the Health plan STAR metrics and beyond
  • Establish and discuss best practices for documentation and casework handling to drive stellar performance

Speaker(s):


Chairperson Closing Remarks

Jun 23, 2020 1:15pm ‐ Jun 23, 2020 1:25pm

Identification: TUE07

Speaker(s):