January 26 - 29, 2020
2020 Managed Care Compliance Conference
Lake Buena Vista, FL, United StatesHandouts
Pre-Conference | Sunday, January 26
P1 Ethics and Compliance Work Plan Essentials that Effectively Mitigate Risk |
P2 Cyber Threats and Compliance Challenges: How to Manage Technology Risk |
P3 The A to Zs of FDR, Delegate, and Subcontractor Oversight |
P4 Compliance 2020: Compliance and Business Roles in Today’s Complex Regulatory Environment |
P5 Effectively Managing Internal Investigations and Regulatory Disclosures |
P6 Compliance Goals in Risk Adjustment Coding |
P7 Special Supplemental Benefits and the FDRs that Provide Them—Unique Monitoring Challenges They Pose |
P8 Establishing a Best-Practice Approach for Your Compliance, Privacy, and Security Programs |
Main Conference | Monday, January 27
GENERAL SESSION CMS Update |
101 The Compliance Officers Guide to a Successful Audit |
102 Exclusions v. Preclusions—Insights, Analytics, and Monitoring Best Practices After 1 Year of Releases |
103 Implementing a GRC Solution to Manage and Enhance Auditing & Monitoring |
201 Dual Products and MMP: Navigating State and Federal Oversight |
202 How Bias and Perception Impact Compliance |
203 Navigating Compliance Challenges for Integrated Payor-Provider Systems |
301 Evolving Landscapes: False Claims Act and Managed Care Fraud |
302 Proactive vs Reactive in Risk Management—“Ring the Bell!” |
303 Rx Data Driven Compliance Monitoring: Opioid Prescribing, Dispensing, and Utilization |
401 Expert Auditing and Monitoring Practices to Measure Quality of Care and Performance Improvement Strategies in Medicaid Managed Care |
402 A Compliance Program Facelift: Sculpting a Program from Good to Great |
403 Adjusting the Risk for Medicare Advantage: Recent Enforcement Trends and Litigation Involving Medicare Advantage Risk Adjustment Practices |
GENERAL SESSION Managed Care Compliance Hot Topic Panel |
Main Conference | Tuesday, January 28
GENERAL SESSION Managed Care Risk Areas: Government Oversight and Enforcement Trends |
GENERAL SESSION Managed Care Plan Network Adequacy and Accuracy Methods of Review—An Industry Comparative Analysis |
501 FWA Oversight for a Small- to Mid-Size Plan |
502 Process Optimization, Organizational Structure, and Best Practices to Boost Appeals & Grievances Outcomes and Compliance |
503 Compliance Effectiveness through Channels of Communication and Investigations |
601 Mental Health Parity: Are You Compliant? |
602 Fraud, Waste, and Abuse Program Audits Are Coming to an SIU Near You— Are You Ready? |
603 How to Identify and Handle a Contracted Over-Prescriber |
701 Making Sense of Risk Adjustment for Compliance and Legal Personnel: Best Practices and Pitfalls |
702 Telehealth—What’s New: Staying On Top of Innovation! |
703 Driving Compliance: How to Manage Compliant Activities Without Authority |
801 Compliance in the New Age of Expanded Supplemental Benefits |
802 Proven Methods to Streamline & Optimize FDR Oversight |
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