#P03

P3 - Applying the Seven Elements of an Effective Compliance Program for Best Practices in Regulatory Audits Kenneth Nuez, Chief Compliance Officer, Provider Partners Health Plans Annie Shieh, Sr Compliance Counsel, Central Health Plan of California Robert Alfano, Compliance Director, Prime Therapeutics View Description

• Apply the seven elements into regulatory audit planning to manage toward successful results
• Discuss key regulatory audit prep best practices using the seven elements to guide successful planning, ensure cohesiveness, and organization in audit prep
• This presentation will present best practices from a plan, PBM, and TPA oversight perspective and discuss how this effective planning can help better organize your regulatory audits

Intermediate

#P04

P4 - CMS Program Audit: What to Do Before and After Your Organization Receives an Audit Notice Laurena Lockner, Director Monitoring & Compliance, HealthPartners Stephanie Moscetti, Senior Manager, HealthPartners Steve Bunde, VP Integrity & Compliance & Internal Audit, HealthPartners View Description

• Learn about steps to take before you get the announcement letter
• Understand how to prepare CPE questionnaires, universes, and tracers
• Identify ways to be successful in CDAG, ODAG, and FA

Intermediate

#P05

P5 - Creativity in Compliance: A Case Study in Developing Impactful and Action-Oriented Compliance Activities and Trainings Jessica VanderZanden, VP, Compliance and Culture, Network Health Angela Keenan, Director, Compliance & Privacy, Network Health View Description

• Learn effective methods to develop trainings and activities utilizing internal partnerships and resources, leading to greater success of your compliance program without adding significant budget
• Acquire techniques for getting your organization excited about compliance trainings and collaboration
• Spend time discussing successful training metrics and collaborative efforts

Basic

#P06

P6 - Back to the Future: Leveraging Knowledge and Experiences to Accommodate 2022 CMS Program Audit Protocols Philip Masser, Medicare Compliance Officer, Geisinger Health Plan Anne Crawford, Director, ATTAC Consulting Group LLC Annie Shieh, Sr Compliance Counsel, Central Health Plan of California View Description

• Hear how recent audit experiences combined with revised CMS program audit protocols can be leveraged
• Key considerations when determining if 2022 protocols require modifications to monitoring activities
• Applying best practices to ensure audit readiness

Intermediate