Preview Available
Identification: THURS02
• Dive into CY 2022 protocols for Medicare Advantage and Part D program audits to understand what new programming and workflows are needed
• Review an in-depth analysis of the changes from current protocols to better understand what CMS is looking for
Preview Available
Identification: THURS03
• Gain insight from plans that went through the CY 2021 Program Integrity Audit to see where your gaps are and how to fill them
• Better prepare your compliance team and ensure reporting mechanisms measure up
• Ensure you have the right proactive activities as well as the right oversight structure in place to prevent and correct potential FWA
Preview Available
Identification: THURS04
• Learn directly from a health plan which underwent a recent One-Third Financial Audit unlike the previous ones they have experienced
• Discover exactly how CMS financial audits have expanded in scope and better prepare your response
• Understand what CMS is looking for, the areas of interest, and the depth, to plan ahead
Preview Available
Identification: THURS06
• Discuss mitigation efforts for the disjointed guidance for compliance with mental health parity requirements and the need for uniformity between state and federal regulators
• Gain clarity and understand why it is important that Part 2 aligns with HIPAA (Health Insurance Portability & Accountability Act) standards
• Understand why eliminating or relaxing the X-waiver is critical to treating opioid addiction
Preview Available
Identification: THURS07
• Delve into best practices to manage relationships with a growing list of involved regulators to pivot successfully in the Biden Administration era of expanded scrutiny
• Survey how other health plans are managing HIPAA compliance and related concerns as employees migrate back to the office
Preview Available
Identification: THURS08
• Understand the framework to leverage congruent use of Artificial Intelligence (AI) and traditional rules-based approach for best outcomes
• Explore the importance of incorporating subject matter experts into your prevention program
• Survey COVID-19 FWA, EEGs, and other case studies and learn why an integrated solution is the most efficient way to combat FWA
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Identification: FRI001
Preview Available
Identification: FRI03
• Delve into the particulars of Section 508 to ensure compliance to accessibility of government information
• Get clarity on what you truly need to do regarding disabilities, ESL, and your grievance process to comply with Affordable Care Act’s Section 1557
• Shore up the two Star measures linked to Medicare marketing guidelines for interpretation and translation and for the hearing impaired
• Discuss best practices for call center monitoring and for your complaints management system, to provide meaningful access for people with disabilities
Preview Available
Identification: FRI04
• Learn about one plan’s approach in responding to a phishing attack resulting in a breach of over 500 individuals
• Hear about lessons learned during and after the investigation along with creative and effective post-breach training and communication strategies
• Review how they handled member communications, disclosures to the media, and related tasks that challenged compliance
Identification: FRI06
• Identify contractual vulnerabilities and effective FDR risk management strategies before problems arise
• Develop a strategic operational plan and effectively partner with delegates to withstand emergency or pandemic protocols
• Explore best practices and lessons learned for vendor classification and management during the COVID-19 crisis and throughout the audit process
Preview Available
Identification: FRI002