The 2016 Mastering the CMS Program Audits Summit covers topics such as:
- Preparing for the 2016 CMS Program Audit
- 2017 Protocol changes and fdr oversight policy updates
- 2016 Compliance Program Effectiveness (CPE) Audit Stepwise Deep Dive
- Internal Mock Audit Best Practices Deep Dive
- Part C Organization Determinations, Appeals, and Grievances (ODAG) for Internal and Delegated Vendors
- Monitoring and Data Integrity Notwithstanding Limited Resources: a Small Plan Perspective
- How to Turn Eight Immediate Corrective Actions (ICARs) into Three, and Other Audit Survival Lessons
- Part D Coverage Determinations, Appeals, and Grievances (CDAG) and Formulary and Benefit Administration (FA)
- Optimizing Success in Independent Validation Audit
- 2016 Audit Case Study III: Special Needs Plans Model of Care (SNP MOC) Audit Best Practices
- Enforcement Lessons Learned
- 2016 Pilots:Medication Management Therapy (MTM) Program and Provider Network Accuracy Pilots
The 2016 Mastering the CMS Program Audits Summit brings together senior attendees from Prescription Drug Plans and Medicare Advantage Plans and at-risk providers and health systems with responsibilities in:
- Operations
- Compliance
- Program Integrity
- Internal Audits
- Performance Improvement
- Finance
- Audit services
- Quality Improvement
- Regulatory Affairs
- Government Programs
- FDR Oversight
