Topics
- Beyond the MTM Audit pilot program—what to expect for the future
- CMS audit protocol changes for 2017 and beyond
- Section 504 and 508 compliance—understanding the implications for your plan
- Data Validation Audit spotlight
- Ensuring your compliance program will withstand a CPE Audit
- Optimizing your collaboration with an independent auditor for CMS Validation Audits
- Ensuring provider network adequacy and accurate provider directories
- Case studies of recent audits: CMS Program Audit, FWA, and more
- Ensuring RADV audit readiness
- New insights into effective FDR oversight
Who should Attend
MA Plans, PBMs, and Provider Groups – Officers, Vice Presidents, Directors, and Managers of:
- Internal Auditing
- Medicare/Medicaid Compliance
- Senior Products
- Medicare/Medicaid Programs
- Risk Adjustment
- Government Programs
- Analytics
- Special Investigations
- HCC Coding
- Data Management
- Clinical Documentation Improvement
- Actuarial
- Quality Management
Healthcare Law Firms and Compliance Consultants:
- President
- Head of Medicare
- Business Development
