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Handouts

P1 Ethics and Compliance Work Plan Essentials that Effectively Mitigate Risk

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P2 Cyber Threats and Compliance Challenges: How to Manage Technology Risk

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P3 The A to Zs of FDR, Delegate, and Subcontractor Oversight

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P4 Compliance 2020: Compliance and Business Roles in Today’s Complex Regulatory Environment

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P5 Effectively Managing Internal Investigations and Regulatory Disclosures

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P6 Compliance Goals in Risk Adjustment Coding

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P7 Special Supplemental Benefits and the FDRs that Provide Them—Unique Monitoring Challenges They Pose

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P8 Establishing a Best-Practice Approach for Your Compliance, Privacy, and Security Programs

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GENERAL SESSION CMS Update

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101 The Compliance Officers Guide to a Successful Audit

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102 Exclusions v. Preclusions—Insights, Analytics, and Monitoring Best Practices After 1 Year of Releases

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103 Implementing a GRC Solution to Manage and Enhance Auditing & Monitoring

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201 Dual Products and MMP: Navigating State and Federal Oversight

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202 How Bias and Perception Impact Compliance

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203 Navigating Compliance Challenges for Integrated Payor-Provider Systems

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301 Evolving Landscapes: False Claims Act and Managed Care Fraud

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302 Proactive vs Reactive in Risk Management—“Ring the Bell!”

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303 Rx Data Driven Compliance Monitoring: Opioid Prescribing, Dispensing, and Utilization

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401 Expert Auditing and Monitoring Practices to Measure Quality of Care and Performance Improvement Strategies in Medicaid Managed Care

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402 A Compliance Program Facelift: Sculpting a Program from Good to Great

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403 Adjusting the Risk for Medicare Advantage: Recent Enforcement Trends and Litigation Involving Medicare Advantage Risk Adjustment Practices

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GENERAL SESSION Managed Care Compliance Hot Topic Panel

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GENERAL SESSION Managed Care Risk Areas: Government Oversight and Enforcement Trends

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GENERAL SESSION Managed Care Plan Network Adequacy and Accuracy Methods of Review—An Industry Comparative Analysis

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501 FWA Oversight for a Small- to Mid-Size Plan

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502 Process Optimization, Organizational Structure, and Best Practices to Boost Appeals & Grievances Outcomes and Compliance

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503 Compliance Effectiveness through Channels of Communication and Investigations

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601 Mental Health Parity: Are You Compliant?

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602 Fraud, Waste, and Abuse Program Audits Are Coming to an SIU Near You— Are You Ready?

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603 How to Identify and Handle a Contracted Over-Prescriber

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701 Making Sense of Risk Adjustment for Compliance and Legal Personnel: Best Practices and Pitfalls

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702 Telehealth—What’s New: Staying On Top of Innovation!

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703 Driving Compliance: How to Manage Compliant Activities Without Authority

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801 Compliance in the New Age of Expanded Supplemental Benefits

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802 Proven Methods to Streamline & Optimize FDR Oversight

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