Medicare Advantage Audit Survivors: Health Plan Panel
Event Date: 11/19/2019
Event Overview
Tuesday, November 19, 2019
1:30PM CT – 3:00PM CT (90 minutes)
Hosted by: Aspire Health Plan, Sharp Health Plan, Santa Clara Family Health Plan
This event is hosted on our ReadyTalk platform
Don't miss this panel presentation with three health plans that have recently completed a CMS Medicare Advantage Program Audit. These Compliance and Operational experts share the audit experience from top to bottom, and lessons learned along the way. Attend this webinar to learn how these different health plans approached the challenge, with discussion focused on the following:
- How each health plan prepared for their audit: Prepping the team, leaders, and board members
- Best practices learned when it came to preparing data requested by CMS. What to do to make sure the process goes seamlessly.
- Managing the work load presented by the audit, alongside your day jobs: How to make sure the process doesn't burn out your teams.
- Audit results and the follow up work: What these plans took away and advice for other compliance teams.
Audience
Compliance, audit and operations leaders with responsibility for your Medicare Advantage health plan.
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Documents
Recording: Medicare Advantage Audit Survivors: Health Plan Panel
Panel presentation with three health plans that have recently completed a CMS Medicare Advantage Program Audit. These Compliance and Operational experts share the audit experience from top to bottom, and lessons learned along the way.
Medicare Advantage Audit Survivors: Health Plan Panel
A shared presentation from three health plans that have recently completed a CMS Medicare Advantage Program Audit. These Compliance and Operational experts share the audit experience from top to bottom, and lessons learned along the way. The archived presentation details how these different health plans approached the challenge.
MA Audit Staff Playbook and Review Training
Aspire Health Plan shares their CMS MA audit staff playbook and review training materials. This training was delivered to Aspire Health Plan staff for audit readiness.
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)
- Kieley Arakelian
- ALLIANCE MEMBER
- Director - Quality Management at Physicians Health Plan
- Ann Bain
- ALLIANCE MEMBER
- Compliance Coordinator & Privacy Officer at Avera Health Plans
- Nicole Beadle
- ALLIANCE MEMBER
- Manager, Medicare Compliance at Paramount Health Care
- Belinda Bean
- ALLIANCE MEMBER
- Compliance specialist at MediGold
- Stephanie Belue
- ALLIANCE MEMBER
- Director of Quality Assurance & Privacy Officer at Alliant Health Plans
- Carly Bressler-Archambeau
- ALLIANCE MEMBER
- Director, Medicare Stars Program at Sentara Health Plans (Optima)
- Rhonda Carlsen
- ALLIANCE MEMBER
- PHM at Presbyterian Health Plan
- Marty Cerier
- ALLIANCE MEMBER
- Director Regulatory Audits and Investigations at Health Alliance Plan (HAP)
- Tammy Chadd
- ALLIANCE MEMBER
- Compliance Manager at IU Health Plans
- Julie Combs Warner
- ALLIANCE MEMBER
- Consultant, Health Services at SelectHealth
- Jacqueline Crews
- ALLIANCE MEMBER
- Director, Public Policy & Benefit Contracts at AvMed
- Michele Crissman
- ALLIANCE MEMBER
- Attorney at Avera Health Plans
- Linda Cummings
- ALLIANCE MEMBER
- Lead Clinical Quality Examiner at MetroPlusHealth
- Jodi Digmann
- ALLIANCE MEMBER
- Medicare Compliance Analyst at Medical Associates Health Plans
- Enrique Dimacali
- ALLIANCE MEMBER
- Risk Adjustment Specialist at AvMed
- Jay Dodson
- ALLIANCE MEMBER
- Program Manager - IS at IU Health Plans
- Trish Donoghue
- ALLIANCE MEMBER
- CFO at HealthTeam Advantage
- Rebecca Downing
- ALLIANCE MEMBER
- Chief Legal Officer at Western Health Advantage
- Michelle Fitzpatrick
- ALLIANCE MEMBER
- Compliance and Regulatory Specialist at Sharp Health Plan
- Julia George
- ALLIANCE MEMBER
- Compliance Manager at Sentara Health Plans (Optima)
- Melissa Hall
- ALLIANCE MEMBER
- Chief Operating Officer at Aspire Health Plan
- Brooke Haycraft
- ALLIANCE MEMBER
- SIU Analyst at Quartz Health Solutions
- Lori Heinssen
- ALLIANCE MEMBER
- Director Appeals and Grievances at Health First Health Plans
- Elizabeth Heying
- ALLIANCE MEMBER
- Counsel & Compliance Manager at Medical Associates Health Plans
- Karen Hoffmann
- ALLIANCE MEMBER
- Director of Operations at Medical Associates Health Plans
- David Jordan
- ALLIANCE MEMBER
- Compliance Specialist at MediGold
- Charles Joujoute
- ALLIANCE MEMBER
- Manager at Health Alliance Medical Plans
- Erin Kavanagh
- ALLIANCE MEMBER
- Risk Adjustment Analyst at Samaritan Health Plans
- Barb Koerperich
- ALLIANCE MEMBER
- Director of Health Care Services at Medical Associates Health Plans
- Tina Korty
- ALLIANCE MEMBER
- Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
- Kate Kurt
- ALLIANCE MEMBER
- Clinical Pharmacist at Medical Associates Health Plans
- Joan Lambright
- ALLIANCE MEMBER
- Compliance & Audit Specialist at MediGold
- Jennifer Morris
- ALLIANCE MEMBER
- Provider Data Management and Credentialing Manager at Health New England
- Cathy Nagy
- ALLIANCE MEMBER
- Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
- Kathryne Ostrowski
- ALLIANCE MEMBER
- Associate Healthcare Informatics Analyst at Quartz Health Solutions
- Kari Pace
- ALLIANCE MEMBER
- Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
- Leslie Pels-Beck
- ALLIANCE MEMBER
- Chief Operations Officer at Sharp Health Plan
- Jana Pennington
- ALLIANCE MEMBER
- Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
- Lisa Potter
- ALLIANCE MEMBER
- Risk Adjustment coder/ Educator/MA Abstract Analyst II at Health Alliance Plan (HAP)
- Wendi Regal
- ALLIANCE MEMBER
- Member Relations (Appeals) Manager at Health Alliance Medical Plans
- Rachel Reimann
- ALLIANCE MEMBER
- AVP Regulatory Compliance at SelectHealth
- Melissa Rusk
- ALLIANCE MEMBER
- Vice President Operations at SummaCare
- Janice Sawyer
- ALLIANCE MEMBER
- Senior Regulatory Auditor at Health Alliance Plan (HAP)
- Ellis Seligman
- ALLIANCE MEMBER
- Manager, Clinical Reporting Analyst at AvMed
- Anthony Serrano
- ALLIANCE MEMBER
- Compliance Officer at Aspire Health Plan
- Paul Shaw
- ALLIANCE MEMBER
- Associate Compliance Specialist at Health First Health Plans
- Annie Shieh
- ALLIANCE MEMBER
- Sr. Director of Compliance, CA Compliance Officer at Central Health Plan of California
- Liz Shubitowski
- ALLIANCE MEMBER
- Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
- Denisa Simmons
- ALLIANCE MEMBER
- Executive Director, Vendor Management at CommunityCare
- Kelly Skifton
- ALLIANCE MEMBER
- Assistant Vice President, Compliance & Government Regulatory Operations and Privacy at Quartz Health Solutions
- Nakia Smith
- ALLIANCE MEMBER
- Chief Compliance & Ethics Officer at Parkland Community Health Plan
- Kristen Tarrell
- ALLIANCE MEMBER
- Program Manager Accreditation and Health Equity at Western Health Advantage
- Lucille Vinent Vinceslio
- ALLIANCE MEMBER
- Director - Network Strategy and Contracting at Samaritan Health Plans
- Desiree Walke
- ALLIANCE MEMBER
- Risk Adjustment Compliance Analyst at Quartz Health Solutions
- Leslie Wilbanks
- ALLIANCE MEMBER
- Senior Compliance Consultant at Health Alliance Plan (HAP)
- Lynn Williams
- ALLIANCE MEMBER
- Director, Medical Management at AvMed
- Jenna Zimmerman
- ALLIANCE MEMBER
- Coding Program Trainer at Geisinger Health Plan
Speakers
- Melissa Hall
Chief Operating Officer at Aspire Health Plan
click here for full people profile
- Leslie Pels-Beck
Chief Operations Officer at Sharp Health Plan
click here for full people profile