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Creating and Leveraging an Effective FWA Committee: Org Structure, Staffing and More

Event Date: 2/17/2021

Event Overview

Wednesday, 2/17/2021
1:00 PM CT – 2:00 PM CT (60 minutes)
Hosted by: Health Alliance Plan

This webinar is designed to inform those responsible for - or participating in - FWA and SIU activities. The FWA Committee can serve to enable the organization to identify, evaluate, set policies and procedures and resolve fraud and abuse cases. IN this call, Health Alliance Plan will share their best practices and lessons learned as they implement the FWA committee at their organization. Also in this session, time permitting, we will delve more deeply into the organizational structures, roles and responsibilities of FWA and SIU departments within the health plan.


Audience

Stakeholders in the areas of FWA, SIUs and compliance oversight. Those involved in provider relationships and management and legal aspects for the plan would also benefit from this webinar.


 

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Documents
2/17/2021

Presentation: Creating and Leveraging an Effective FWA Committee: Org Structure, Staffing and More
Health Alliance Plan shares their FWA committee structure and how it works to ensure effective fraud, waste, and abuse prevention.

2/17/2021

Recording: Creating and Leveraging an Effective FWA Committee: Org Structure, Staffing and More
Health Alliance Plan shares their FWA committee structure and how it works to ensure effective fraud, waste, and abuse prevention, as well as detection and management. Discussion around organizational structures, roles, and staffing are also covered.

Attendees

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

  • Hassan Abdallah
  • ALLIANCE MEMBER
  • Director of Compliance, Regulatory Audits & Investigations at Health Alliance Plan (HAP)
  • Trisha Adams
  • ALLIANCE MEMBER
  • Manager of Compliance, Appeals & Grievances at Physicians Health Plan
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Compliance Analyst at Health Alliance Plan (HAP)
  • Michael Baumann
  • ALLIANCE MEMBER
  • Manager of Compliance, SIU at Scott & White Health Plan
  • Maria Bellusci
  • ALLIANCE MEMBER
  • Director Corporate Compliance and Privacy at MetroPlusHealth
  • Pamela Binns
  • ALLIANCE MEMBER
  • Senior Director, Compliance Operations at MetroPlusHealth
  • Janet Bylow
  • ALLIANCE MEMBER
  • Senior FWA Investigator at Paramount Health Care
  • Tonya Carrigan
  • ALLIANCE MEMBER
  • Director of Corporate Assurance and Advisory Services at AvMed
  • Karla Colasacco
  • ALLIANCE MEMBER
  • CPhT at FirstCarolinaCare Insurance Company
  • Amy Cornett
  • ALLIANCE MEMBER
  • Director, Compliance at Scott & White Health Plan
  • Kathy Coslett
  • ALLIANCE MEMBER
  • SIU Investigator at Geisinger Health Plan
  • Michele Crissman
  • ALLIANCE MEMBER
  • Director - Compliance and Privacy/Attorney at Avera Health Plans (DAKOTACARE)
  • Nicholas D'Isa
  • ALLIANCE MEMBER
  • Compliance Officer at Physicians Health Plan
  • Corinna Daunt
  • ALLIANCE MEMBER
  • Compliance Coordinator at Health Alliance Plan (HAP)
  • Philip David
  • ALLIANCE MEMBER
  • Clinical Investigator at AvMed
  • Paula Davis
  • ALLIANCE MEMBER
  • Director, Claims Quality & Fraud, Waste & Abuse at IU Health Plans
  • Netra Desai
  • ALLIANCE MEMBER
  • IT Applications Director at CCHP
  • Rebecca Downing
  • ALLIANCE MEMBER
  • Chief Legal Officer at Western Health Advantage
  • Mary Glasgow
  • ALLIANCE MEMBER
  • Senior Corporate Compliance Analyst at Physicians Health Plan
  • Kristin Griego
  • ALLIANCE MEMBER
  • SIU Supervisor at Prominence Health Plan
  • Nicholas Grimaldi
  • ALLIANCE MEMBER
  • Contract Manager at Sentara Health Plans (Optima)
  • Holli Hansen
  • ALLIANCE MEMBER
  • Contracting Analyst at Avera Health Plans (DAKOTACARE)
  • Jill Henrich
  • ALLIANCE MEMBER
  • Investigator at Geisinger Health Plan
  • Elizabeth Heying
  • ALLIANCE MEMBER
  • Manager of Contracts and Compliance at Medical Associates Health Plans
  • Andrew Hill
  • ALLIANCE MEMBER
  • Vice President, Chief Compliance & Risk Officer at CommunityCare
  • Josh Holte
  • ALLIANCE MEMBER
  • Consultant at Denver Health Medical Plan
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President of Legal, Compliance & Regulatory at IU Health Plans
  • Elizabeth Lewallen
  • ALLIANCE MEMBER
  • Medicare Compliance Analyst at Western Health Advantage
  • Flora Lewis
  • ALLIANCE MEMBER
  • Sr. Investigative Analyst at MediGold
  • Tawanda Lindo
  • ALLIANCE MEMBER
  • Sr. Director, Program and Payment Integrity at Johns Hopkins HealthCare
  • Shawn Mullen
  • ALLIANCE MEMBER
  • Director, Special Investigations Unit at MetroPlusHealth
  • Mai-Phuong Nguyen
  • ALLIANCE MEMBER
  • Oversight Manager at Santa Clara Family Health Plan
  • Carol Pawlosky
  • ALLIANCE MEMBER
  • RN, BSN, SIU Program Manager at MediGold
  • Leslie Pels-Beck
  • ALLIANCE MEMBER
  • Chief Operations Officer at Sharp Health Plan
  • Teresa Powers
  • ALLIANCE MEMBER
  • Special Investigations Coordinator at Samaritan Health Plans
  • Daniel Quan
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Santa Clara Family Health Plan
  • Philip Ramirez
  • ALLIANCE MEMBER
  • Chief Compliance Officer at Prominence Health Plan
  • Dana Renicker
  • ALLIANCE MEMBER
  • Medicare Education Specialist at SummaCare
  • Elizabeth Rich
  • ALLIANCE MEMBER
  • FWA Program Manager at IU Health Plans
  • Heather Richardson
  • ALLIANCE MEMBER
  • Sr. Medicare Compliance Analyst at Physicians Health Plan
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Director, Claims and BPO Operations at SummaCare
  • Lauren Russell
  • ALLIANCE MEMBER
  • Attorney at Scott & White Health Plan
  • Kelly Skifton
  • ALLIANCE MEMBER
  • Assistant Vice President, Compliance & Government Regulatory Operations at Quartz Health Solutions
  • Jeanne Skinner
  • ALLIANCE MEMBER
  • Manager, Payment Integrity & Recovery at Network Health
  • Lynn Thayer
  • ALLIANCE MEMBER
  • Director, Claims Ops & System Configuration at MediGold
  • Hao Tian
  • ALLIANCE MEMBER
  • Senior HeathCare Financial Analyst at Santa Clara Family Health Plan
  • Teodor Todhe
  • ALLIANCE MEMBER
  • Clinical Quality of Care Manager at MetroPlusHealth
  • Cheryl Zingaro
  • ALLIANCE MEMBER
  • Manager, AS&I and Subrogation at AvMed
Speakers