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Kick Off: Alliance Internal Audit Peer Review Program

Event Date: 3/3/2021

Event Overview

Wednesday, 3/3/2021
1:00 PM CT – 2:30 PM CT (90 minutes)
Hosted by: Network Health 


Leaders with responsibility for your health plan’s internal audit function are invited to this round table discussion and kick off call. We’ll be exploring the potential of a peer review program for the internal audit process, similar to the HPA’s MA CPE Audit Program.  We’re actively seeking volunteers willing to join a committee that will develop a draft program plan.  All health plans interested in such a peer-review program are encouraged to send a delegate.

*This call is an interactive round table discussion.  All attendees will be asked to participate in the conversation.*

We want to determine if there is ample interest among the Alliance members to stand up a peer review process for the internal audit process within a health plan.  Over the course of this call we will:

  • Discuss an overview of IIA standards and the vision for applying these to a peer review program
  • Brainstorm on what a peer review program could look like
  • Identify working group willing to develop a draft
  • Develop potential plans of action
  • Solicit volunteers on the call
  • Schedule a kick off call
  • Establish a timeline for developing the peer review outline
  • Schedule follow-up webinar with full peer group
  • Share out discussion document in advance
  • Soliciting feedback and suggestions for improvement
  • Determining appropriate kick off timeline, and ongoing care and feeding

Other elements we’ll explore:

  • Does this peer group desire a more regular meeting schedule for connection and content?
  • Does this peer group desire an easy to access networking center?

 

Audience

Leaders with responsibility for your health plan’s internal audit function are invited to this round table discussion and kick off call.


 

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Documents
3/3/2021

Recording: Kick Off: Alliance Internal Audit Peer Review Program
Network health leads a discussion exploring the potential of a peer review program for the internal audit process, similar to the Alliance MA CPE Audit Program.

3/1/2021

Presentation: Kick Off: Alliance Internal Audit Peer Review Program
Network health leads a discussion exploring the potential of a peer review program for the internal audit process, similar to the Alliance MA CPE Audit Program.

Attendees

Below is a list of all delegates registered to date for this event

  • Robyn Anderson
  • ALLIANCE MEMBER
  • Delegation Oversight Auditor at Health Alliance Plan (HAP)
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Kevin Chi
  • ALLIANCE MEMBER
  • Assistant Compliance Counsel at Central Health Plan of California
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence Health Plan
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
  • Philip Masser
  • ALLIANCE MEMBER
  • Medicare Compliance Officer at Geisinger Health Plan
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Garland Morton
  • ALLIANCE MEMBER
  • Director of Compliance and Privacy at Piedmont Community Health Plan
  • Mai-Phuong Nguyen
  • ALLIANCE MEMBER
  • FWA Program Manager at Santa Clara Family Health Plan
  • Wendy Owen
  • ALLIANCE MEMBER
  • Sr. Fraud & Abuse Investigator at Sentara Health Plans (Optima)
  • Daniel Quan
  • ALLIANCE MEMBER
  • Compliance Officer at Santa Clara Family Health Plan
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Ben Steiner
  • ALLIANCE MEMBER
  • Director of Internal Audit at Community Health Plan of Washington
Speakers