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New CMS Audit and Enforcement Initiatives: How Health Plans Can Prepare Now

Presenters: Derek Frye, Audit and Compliance Practice Leader; Kristin Gray, Strategic Consultant; Yvonne Zachman Fiedler, Senior Consultant


In May, CMS held their annual audit & enforcement conference in Baltimore. Now is the time to learn what specific changes they’ve talked about and how health plans can start to prepare for this year & next year’s audits.

In this webinar, The Burchfield Group’s pharmacy benefits experts will clearly distill and explain the new audit protocols and documentation requirements so your plan won’t be caught off guard. You will also gain critical insights into other important emerging CMS audit and compliance initiatives, including:

  • Key takeaways in the agency’s latest annual CMS compliance enforcement report and how these revelations can inform your plan’s compliance planning this year.

  • CMS’ latest clarifications on grievance & coverage request classifications – and what these mean for your plan.

  • Agency updates on how MA plans should select an independent validation auditor (required for plans that perform poorly on an audit).

  • The agency’s new process for delving into civil monetary penalty (CMP) referrals from program auditors – and the implications for your plan.

Presenters: Derek Frye, Audit and Compliance Practice Leader; Kristin Gray, Strategic Consultant; Yvonne Zachman Fiedler, Senior Consultant

Date & Time: Wednesday, June 6, 2018; 12:00 PM EDT

The webinar recording can be accessed here.
 
The webinar slides can be accessed here.

Register Now