The 2016 Mastering the CMS Program Audits Summit

Key Topics

• 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

Who should Attend

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