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Audit Readiness: Accurate Universes

Event Date: 4/18/2023

Event Overview

Thursday, 4/18/2023
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Beacon Healthcare Systems

Successfully passing a CMS Program Audit starts with submitting accurate and timely universes, which are due within 15 business days of the date of the audit engagement letter. Health plans only have three attempts to provide complete and accurate universes during an audit. Therefore, it is imperative universes are thoroughly quality checked before submission to CMS.

Is your organization reliant on a manual, time consuming processes to quality check your universes? Discover how automating your universe review process can help your organization avoid the time-consuming, error-prone process of manual universe reviews, perform universe quality checks on a regular basis, and stay audit ready.

* Importance of submitting accurate universes during a CMS Program Audit
* How monthly and quarterly universe reviews keep your organization audit ready
* How to use universe data to identify and resolve systemic issues
* How to address problem cases with auditors

 

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.


 

Thank you to our event sponsors


Sponsor

 

Registration
ALLIANCE MEMBER
Fee End Date Description Amount
4/18/2023 Exclusive to Alliance Partner or Shareholder organizations FREE
ALLIANCE GUEST
Fee End Date Description Amount
4/18/2023 Only for invited guests of the Alliance GUEST PASS
SPONSOR
Fee End Date Description Amount
4/18/2023 For confirmed event sponsors SPONSOR PASS
Attendees

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

  • Nicole Beadle
  • ALLIANCE MEMBER
  • Manager, Medicare Compliance at Paramount Health Care
  • Tiaura Bliss
  • ALLIANCE MEMBER
  • Compliance Analyst at Care N' Care Insurance Company, Inc.
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Kristin Cline
  • ALLIANCE MEMBER
  • Shared Services Director of Quality at Sentara Health Plans (Optima)
  • Shannon Coleman
  • ALLIANCE MEMBER
  • Compliance Integrity Analyst I at Samaritan Health Plans
  • Nina Cornelius
  • ALLIANCE MEMBER
  • Manager _ External Audits at Sentara Health Plans (Optima)
  • Jodi Digmann
  • ALLIANCE MEMBER
  • Medicare Compliance Specialist at Medical Associates Health Plans
  • Nancy Drapalski
  • ALLIANCE MEMBER
  • Delegation Oversight Auditor at Health Alliance Plan (HAP)
  • Stefani Geter
  • ALLIANCE MEMBER
  • AVP, Compliance and Privacy at Ochsner Health Plan
  • Ashley Harris
  • ALLIANCE MEMBER
  • Quality Consultant at SelectHealth
  • Bonnie Hill
  • ALLIANCE MEMBER
  • Integrity Analyst at Health First Health Plans
  • Evelyn KELLY EL
  • ALLIANCE MEMBER
  • Team Coordinator at Sentara Health Plans (Optima)
  • Susan Kerrigan
  • ALLIANCE MEMBER
  • Manager Integrity Auditing and Monitoring at Health First Health Plans
  • Joan Lambright
  • ALLIANCE MEMBER
  • Compliance & Audit Specialist at MediGold
  • Tammy Little
  • ALLIANCE MEMBER
  • Risk Adjustment Team Coordinator at Sentara Health Plans (Optima)
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Leah Mouacdie
  • ALLIANCE MEMBER
  • Prepayment Audit Investigator at Providence Health Plan
  • Chris Norman
  • ALLIANCE MEMBER
  • AVP-SHP Compliance Officer at Samaritan Health Plans
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Tracie Pettitt
  • ALLIANCE MEMBER
  • Operations Analyst at FirstCarolinaCare Insurance Company
  • Tammy Rice
  • ALLIANCE MEMBER
  • VP, Compliance & Chief Audit Executive at AvMed
  • Janna Russell
  • ALLIANCE MEMBER
  • Performance Measurement Specialist at Sentara Health Plans (Optima)
  • Tina Shuda
  • ALLIANCE MEMBER
  • Sr. Compliance Analyst at Quartz Health Solutions
  • seth sorkin
  • ALLIANCE MEMBER
  • Regulatory Filings Coordinator at Paramount Health Care
  • Jessica Stanton
  • ALLIANCE MEMBER
  • Compliance Analyst at Quartz Health Solutions
  • Vera Tolbert
  • ALLIANCE MEMBER
  • Compliance Auditor at Health Partners Plans
  • D'Sean Washington
  • ALLIANCE MEMBER
  • Director, Vendor Management/Operations at Ochsner Health Plan
  • Tonya Wiegert
  • ALLIANCE MEMBER
  • Sr. Director, Claim Operations and Provider Enrollment at Quartz Health Solutions
  • Stacey Woods
  • ALLIANCE MEMBER
  • Associate Project Manager at SelectHealth
Speakers