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Kick off call: MA CPE Audit Program

Event Date: 4/10/2020

Event Overview

Friday, 4/10/2020
1:00 PM CT – 2:00 PM CT

This event is hosted on our BigMarker platform

 

MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program. We’ll review the audit tool and outline the program’s timeline and next steps for participating plans.  Each participating plan is asked to send one delegate to the call, or watch the recording when available, so that you’re ready to get started!

About the program:

This reciprocal program allows Alliance member MA plans to meet CMS requirements for an annual external audit of your compliance program effectiveness by partnering with the compliance team of a fellow Alliance member organization.  Each year, participating Alliance members save $50-$75K on consulting fees because you don’t have to hire an external auditor to complete this review.  If your health plan hasn’t yet turned in your commitment form to participate in this reciprocal program, and you’d like to participate, contact us: info@healthplanalliance.org.  Please reply by March 27, 2020 – simply complete the attached form and send it back via email.

How the program works:

  • Our CPE program committee reviews and updates an audit tool based on the CMS Audit Protocol and Self-Assessment Questionnaire, as well as updated compliance program requirements. A special thank you goes to Angela Keenan, Network Health Plan; Tracy Jones, SummaCare; and Vilaida Rivera, Scott & White who again agreed to review the program for 2020!  
  • Interested plans should submit the attached 2020 CPE Program Commitment Form by Friday, March 27. If there are others on your team whom you would like to include in the roll out of the program, please provide me their names and contact information.
  • Each plan is paired with another Alliance member organization to conduct these audits on a mutually agreed-upon timeline in 2020.
  • The Alliance will send all supporting tools, and will host an informational “how-to” call to support all participants in completing the audit by the agreed-upon timeline.
  • After audit completion, each participant completes and submits a feedback form to the Alliance.

 


 

Audience

Executive stakeholders in something really amazing and important, and also people who have responsibility for amazing projects.  In addition, people who coordinate with someone special.


 

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. 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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Documents
4/24/2020

2020 HPA CPE Program Overview
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D1_Record Layouts
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D2_CPE Audit and Data Request
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D3_Tracer Template and Instruction
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D4_Tracer Scoring Tool
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D5_Scoring Matrix
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D6_Organizational Structure and Governance Scoring Tool
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D7_Organizational Structure and Governance Scoring Tool
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D8_CO Questionnaire - Instructions & Feedback Form
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

4/24/2020

HPA CPE_Exhibit D9_Compliance Officer Questionnaire
MA Compliance leaders from Alliance health plans come together to kick off the 2020 MA CPE Audit Program.

Attendees

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

  • Angela Lloyd
  • ALLIANCE GUEST
  • Associate Compliance Officer at Jefferson Health Plans
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Delegation Oversight Auditor at Health Alliance Plan (HAP)
  • Portia Aumua
  • ALLIANCE MEMBER
  • Compliance Consultant at SelectHealth
  • Marty Cerier
  • ALLIANCE MEMBER
  • Director Regulatory Audits and Investigations 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
  • Sharon Dajon
  • ALLIANCE MEMBER
  • Director of Compliance at Sentara Health Plans (Optima)
  • Erin Heckethorn
  • ALLIANCE MEMBER
  • Director of Operations and Program Management at FirstCarolinaCare Insurance Company
  • Tracy Jones
  • ALLIANCE MEMBER
  • Chief Compliance Officer at SummaCare
  • stephani keyser
  • ALLIANCE MEMBER
  • Medicare Sustainment Program Manager at Samaritan Health Plans
  • Tina Korty
  • ALLIANCE MEMBER
  • Vice President, Health Plans Legal, Compliance & Regulatory at IU Health Plans
  • Robert Minnon
  • ALLIANCE MEMBER
  • NCQA Compliance Auditor at Health New England
  • Karen Moncada
  • ALLIANCE MEMBER
  • Regulatory Compliance & Accreditation at AvMed
  • Amy Ocheltree
  • ALLIANCE MEMBER
  • Sr. Manager Medicare Compliance Program at Providence Health Plan
  • Russell Pait
  • ALLIANCE MEMBER
  • Compliance Analyst at FirstCarolinaCare Insurance Company
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Clifton Schmidt
  • ALLIANCE MEMBER
  • Medicare Compliance Officer at SelectHealth
  • Jessica Stanton
  • ALLIANCE MEMBER
  • Compliance Analyst at Quartz Health Solutions
  • Ben Steiner
  • ALLIANCE MEMBER
  • Director of Internal Audit at Community Health Plan of Washington
  • Alicia Zhao
  • ALLIANCE MEMBER
  • Compliance Audit Program Manager at Santa Clara Family Health Plan
Speakers