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Dashboard Demo: CPE Monitoring and Auditing

Event Date:3/6/2019

Event Overview

Wednesday, March 6, 2019
12:00 PM CT – 1:00 PM CT (60 minutes)
Hosted by: SummaCare

This event is hosted on our ReadyTalk platform

 

SummaCare will provide a demonstration of their dashboard tool that they developed to capture CPE monitoring and auditing activities, including oversight of FDRs. The dashboard captures all the fields from three of the CPE universes -- FTEAM, IA, and IM. The tool replaces individual tracking by each department on their own spreadsheets (universes), which then have to be combined in the event of an audit.  This demo is being provided in response to interest expressed by many health plans in connection with a recent discussion forum exchange.

 

Audience

Stakeholders, managers  and leaders in compliance, privacy, and fraud, waste and abuse.


Ask your peers a question or share a resource anytime through the Alliance discussion forum

You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so you question is private and secure. When submitting a question, you can select which topics your question is related to, such as "risk adjustment" or "coding". Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.

 


 

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Attendees

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

  • Annie Shieh
  • ALLIANCE GUEST
  • Senior Compliance Counsel at Central Health Plan of California
  • Abiola Aluko
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Analyst at FirstCarolinaCare Insurance Company
  • Susan Armbruster
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Operations Director at Physicians Health Plan
  • Jessica Arrambidez
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager Strategic Projects and Business Process Improvement at CHRISTUS Health Plan
  • Ann Bain
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Coordinator & Privacy Officer at Avera Health Plans (DAKOTACARE)
  • Nicole Beadle
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager, Medicare Compliance at Paramount Health Care
  • Stephanie Belue
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of Quality Assurance, RIsk Management, and Training at Alliant Health Plans
  • Sandra Blair
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Supervisor, SIU at Scott & White Health Plan
  • Julie Boutwell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Audit Analyst at Providence Health Plans
  • Michelle Bruan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Project Coordinator - Compliance at Sharp Health Plan
  • Karen Brunton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Analyst at Medical Associates Health Plans
  • Rick Burguieres
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Senior Compliance Manager, Delegation Oversight at HealthTeam Advantage
  • Tonya Carrigan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Corporate Assurance and Advisory Services at AvMed
  • Jamie Carson
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Compliance at Healthy State
  • Linda Colmenares
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Clinical Internal Compliance at CommunityCare
  • Amy Cornett
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Lead Compliance Auditor at Scott & White Health Plan
  • Anne DeLomba
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Manager of FDR/Delegation Oversight at Neighborhood Health Plan of Rhode Island
  • Sarah Ebben
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Government Programs Compliance at Health Alliance Plan (HAP)
  • Kristy Edens
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Specialist at Providence Health Plans
  • Kelli Fisher
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Risk Adjustment Auditor at Paramount Health Care
  • Marina Genin
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Improvement Lead at MetroPlus Health Plan
  • Julia George
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Manager at Sentara Health Plans (Optima)
  • Melissa Hall
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Compliance Officer at Aspire Health Plan
  • Anthony Hansen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Coordinator at Providence Health Plans
  • Shannon Harris
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Internal Auditor, Compliance II at CommunityCare
  • Tasha Hart
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Financial Integration Manager at Avera Health Plans (DAKOTACARE)
  • Loriann Heinssen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of HFHP Compliance at Health First Health Plans
  • Tracy Jones
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Coordinator at SummaCare
  • Kimberly Jorgensen
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Operational Consultant at SelectHealth
  • Robin Larmer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Chief Compliance and Regulatory Affairs Officer at Santa Clara Family Health Plan
  • Kyle Lieneck
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Associate Compliance Specialist at Health First, Inc.
  • Catherine Lojko
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director, Compliance at AvMed
  • Deborah Marine
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at SummaCare
  • Greta Matus
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • FWA Special Investigator at Health Alliance Medical Plans
  • Lisa McIntire
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Contractor at PreferredOne
  • Briana Merrill-Belval
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Director at Western Health Advantage
  • Amy Ocheltree
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Program Manager at Providence Health Plans
  • Daniel Quan
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Officer at Chinese Community Health Plan
  • Tammy Rice
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • VP, Corporate Assurance & Compliance at AvMed
  • Petrina Russell
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Auditor at FirstCarolinaCare Insurance Company
  • Janice Sawyer
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Internal Auditor - Gov't Enrollment at Health Alliance Plan (HAP)
  • Clifton Schmidt
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Medicare Compliance Officer at SelectHealth
  • Kelly Skifton
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Assistant Vice President, Compliance & Government Regulatory Operations at Quartz Health Solutions
  • Nakia Smith
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Director of Gov't Programs & Compliance at Care N' Care Insurance Company, Inc.
  • Mike Takach
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Director at Community Health Options
  • Candace Toba
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Pharmacy Compliance and Product Management Program Manager at Providence Health Plans
  • Brittany Zelniker
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Project Coordinator - Medicare Compliance at Sharp Health Plan
  • Alicia Zhao
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Specialist at Chinese Community Health Plan
  • Carol Znaniecki
  • ALLIANCE MEMBER HEALTH PLAN/PROVIDER AFFILIATE
  • Compliance Project Manager at Health Alliance Medical Plans
Speakers