https://cdn2.hubspot.net/hubfs/139847/BFG_webinar_thumb_CMSAuditEnforcement_0618_052218-1.png

Medicaid Compliance for Health Plans: Best Practices to Manage Your Risks

Presenters: Sonya Henderson, Health Plan Practice Leader; Derek Frye, Audit and Compliance Practice Leader


More health plans are either entering into or expanding their membership in Medicaid markets. But the terrain is fraught with ever-changing state-specific contract requirements and compliance risks. These present significant administrative and oversight challenges for health plans. Failure to adequately address all contract requirements puts plans at risk of state compliance actions and costly fines.

In this webinar, The Burchfield Group’s health plan and compliance experts will guide you through specific areas within Medicaid contracts that pose the biggest compliance risks for health plans – large and small. They will also outline best practices and strategies health plans can use to effectively identify and manage those risks. You will learn:  

  • The current state of Medicaid compliance activities and which specific contract areas state auditors are most focused on.

  • Specific risk areas that tend to trip up health plans the most, including contract requirements related to Medicaid Encounter Data, appeals and grievances, and access to care.

  • The value of conducting an internal Medicaid risk assessment of your organization.

  • How compliance leadership within your plan can best identify, monitor, and mitigate your Medicaid compliance risks now and moving forward.

Presenters: Sonya Henderson, Health Plan Practice Leader; Derek Frye, Audit and Compliance Practice Leader

Date & Time: Thursday, September 13, 2018; 12:00 PM EDT

 

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

Register Now