February 1 - 3, 2021
2021 Managed Care Compliance Conference
Virtual , Central Standard Time (CST)Handouts
MONDAY, FEBRUARY 1
P1 Building and Evolving Your Program Integrity Compliance Program |
P2 Covid-19 and Lessons Learned for Flexible Care Management Approaches |
P3 Building a Cybersecurity Auditing and Monitoring Plan |
P4 How to Build a CPE Tracer: Best Practices to Focus on Prevention, Detection, and Correction Using Misclassified Grievances |
P5 Risks and Audit Readiness for Non-Quantitative Treatment Limits (NQTLs) of the Mental Health Parity Addiction Equity Act (MHPAEA) |
P6 Corrective Action Plans & Root Causes: Why It’s Important to Get Both Right |
P7 Another Look at Building a DSNP Compliance Program |
P8 The Ever-Evolving Landscape of Privacy and Security Compliance |
TUESDAY, FEBRUARY 2
GENERAL SESSION Medicaid Fraud Trends & Best Practices for Reporting and Partnering with State Medicaid Regulators |
101 Integrated Appeals and Grievances: A Roadmap for D-SNPs |
102 What You Don’t Know Will Hurt You: Managed Care Enforcement Trends and Key Risk Areas |
103 The Workplace of the Future Is Now (SESSION CANCELLED)*Please note this session has been cancelled |
201 Rewards and Incentives Programs: How to Stay on Top of Innovation and the Regulatory Landscape |
202 Successful Regulatory Relationships Post-COVID-19 with Sponsors and FDRs |
203 Digital Transformation Strategies: Risk & Compliance Considerations |
301 Preparing for the Era of Provider Network Transparency |
302 Preparing Effective Corrective Action Plans: Get to the Root! |
303 Best Practices in Board, Compliance Committee, and CEO Reporting |
401 Not for the Faint of Heart: The Path to Compliance amid Medicaid Expansion |
402 Social Determinants of Health: Minimizing Compliance Challenges While Implementing a Data-Driven and Collaborative Approach to Improve Community Health |
403 Virtual Health Care: Oversight and Opportunities in This New World |
GENERAL SESSION Managed Care Compliance Hot Topics Panel |
WEDNESDAY, FEBRUARY 3
GENERAL SESSION Managed Care: OIG Priorities and Identified Risk Areas |
501 CMS Universes: Using Regulatory Data Sets to Provide Monitoring and Oversight to Inform Decision Making |
502 Compliance Organizational Design |
503 Federal and State-Based Exchanges: Risk Reduction Strategies |
601 Building an Audit-Ready Pharmacy Compliance Program |
602 The Risks of Risk Adjustment Reviews: Enforcement Trends and Litigation Involving Medicare Advantage Risk Adjustment Practices |
603 Implementing Regulatory Changes: A “How-To Guide” for Any Organization of Any Size |
701 The Auditors Are Coming: Is Your Medicaid Managed Care Health Plan Ready? |
702 Compliant Coding Review Project Management: From Project Concept to Analyzing Review Results and Everything In Between! |
703 Cyber Risk = Disruptive Business Risk |
GENERAL SESSION Getting to Effective: What is Your Compliance Value Proposition? |