Agenda

Below you will find the NAMPI 2013 Annual Conference agenda. Session titles that are underlined have presentations linked to them. To view the presentation, please click on the corresponding session title. Presentations have been published with permission of the session’s speaker.

Sunday, August 18, 2013
9:00 – 11:00 AM	Exhibit Hall Set Up Grand Ballroom 5 and Foyer
12:00 – 5:00 PM	Registration and Information Grand Ballroom Foyer
4:00 – 4:30 PM	Opening Session/Welcome by NAMPI Board Joan Senatore, MA, NAMPI President John McCormick, CT, NAMPI Vice-President Lori Stiles, ID, NAMPI Treasurer Jacqueline Thomas, AL, NAMPI Secretary Alan S. White, WI, NAMPI Chair, Regional Representatives Grand Ballroom 6
4:30 – 6:30 PM	Exhibit Hall Opening Reception Sponsored by Optum Grand Ballroom 5 and Foyer
Monday, August 19, 2013
7:15 AM – 5:00 PM	Registration and Information Grand Ballroom Foyer
7:15 – 8:00 AM	Breakfast Harborside A & B
7:15 AM – 4:30 PM	Exhibit Hall Grand Ballroom 5 and Foyer
8:00 – 8:30 AM	Opening Remarks/Welcome Address Joan Senatore, MA, NAMPI President Thomas V. Russell, Inspector General, MD Grand Ballroom 6
8:30 – 9:30 AM	Keynote Address Sponsored by LexisNexis Speaker: Frank W. Abagnale Moderator: Clint Fuhrman, LexisNexis Grand Ballroom 6
9:30 – 9:50 AM	Networking Break Exhibit Hall
Track 1: Focus – State Presentations – Grand Ballroom 1 & 2
Track 2: Focus – Federal Presentations – Grand Ballroom 3 & 4
Track 3: Exhibitor Presentations 1 – Grand Ballroom 7 & 8
Track 4: Exhibitor Presentations 2 – Grand Ballroom 9 & 10
9:50 – 10:50 AM	Under the Radar, a Clinician’s Perspective on Dental Upcoding, Overutilization and Fraud Speaker: Robert Dwyer, DDS, WI Moderator: Ron Clark, VT Grand Ballroom 1 & 2
9:50 – 10:50 AM	Program Integrity in a Managed Care System Panelists: Robert H. Davidson, AZ; Dennis J. Garvey, JD, TN; Dong Siegel, PhD, TN Moderator: Dawn Mock, ND Grand Ballroom 3 & 4
9:50 – 10:50 AM	Developing FWA Analytics for Home and Community Based Services Speakers: Michael Hostetler, HMS; Kathy Lippman, HMS Grand Ballroom 7 & 8
9:50 – 10:50 AM	Data Analytics for FWA – Practical Benefits and Considerations Speakers: Sriram Krishnan, Deloitte Financial Advisory Services LLP; Michael Little, Deloitte Financial Advisory Services LLP Grand Ballroom 9 & 10
10:50 – 11:00 AM	Break
11:00 AM – 12:00 PM	Fraud Trends Speaker: Jason Weinstock, US Dept. of HHS, Office of Inspector General, Moderator: Robin Raveendran, AR Grand Ballroom 6
12:00 – 1:00 PM	Lunch Harborside Ballroom A & B
1:00 – 2:00 PM	You Knew the Day Would Come – Preparing for the Challenges and Opportunities in the Dawn of MFCU Data Mining Speaker: Jason Weinstock, US Dept. of HHS, Office of Inspector General Moderator: Christine Bates, WY Grand Ballroom 1 & 2
1:00 – 2:00 PM	Medicaid Compliance for Dental Providers Speaker: Lynn D. Mouden, DDS, MPH, Centers for Medicare & Medicaid Services, US Dept. of HHS Moderator: Quint O’Connor, LA Grand Ballroom 3 & 4
1:00 – 2:00 PM	esMD: Leverage the Power of Electronic Standards and Interoperability to Reduce Costs and Increase Efficiencies in Program Integrity Reviews Speaker: Chrissy Fowler, Office of Financial Management, CMS Panelists: LT. Joyce A. Davis, Office of Financial Management, CMS; Chrissy Fowler, Office of Financial Management, CMS Moderator: Rob Rolf, CGI Grand Ballroom 7 & 8
1:00 – 2:00 PM	New Innovations to Identify and Combat Fraud, Waste and Abuse Speakers: Mark Gillespie, Truven Health Analytics; David Nelson, Truven Health Analytics Grand Ballroom 9 & 10
2:00 – 2:10 PM	Break
2:10 – 3:10 PM	Update on the Medicaid Integrity Institute (MII) Speaker: Cam Towers Jones, Centers for Medicare & Medicaid Services, US Dept. of Justice Moderator: Alan S. White, WI, NAMPI Chair, Regional Representatives Grand Ballroom 6
3:10 – 3:30 PM	Networking Break Exhibit Hall
3:30 – 4:30 PM	RAC Panel Panelists: Bradley K. Hart, IL; Margaret O’Connell, AR; Marta Stagliano, NV Moderator: Laurie Rock, PA Grand Ballroom 1 & 2
3:30 – 4:30 PM	What To Expect From a CMS PI Review Speakers: Lyn Killman, Medicaid Integrity Group, Center for Program Integrity, Centers for Medicare & Medicaid Services, US Dept. of HHS; Peter Leonis, Medicaid Integrity Group, Center for Program Integrity, Centers for Medicare & Medicaid Services, US Dept. of HHS Moderator: Mindy Chavanelle, NH Grand Ballroom 3 & 4
3:30 – 4:30 PM	Returning Lost Dollars with Real-Time Fraud Analytics Speaker: Sara Fitzsimmons, Xerox Grand Ballroom 7 & 8
3:30 – 4:30 PM	Powering Program Integrity with Actionable Information Speaker: Jennifer Salvucci, Health Market Science Grand Ballroom 9 & 10
6:00 – 9:00 PM	NAMPI Gala Reception at the USS Constellation Sponsored by HMS Water taxis and vans will begin departing at 5:30 PM from the main entrance of the Marriott Waterfront. Vans will offer return service to the Marriott Waterfront throughout the evening. Water taxis will begin returning to the Marriott Waterfront at 8:15 PM.
Tuesday, August 20, 2013
7:15 AM – 5:00 PM	Registration and Information Grand Ballroom Foyer
7:15 – 8:00 AM	Breakfast Harborside A & B
7:15 AM – 4:30 PM	Exhibit Hall Grand Ballroom 5 and Foyer
8:00 – 8:30 AM	Business Meeting, Election of Officers Joan Senatore, MA, NAMPI President Grand Ballroom 6
8:30 – 9:30 AM	Graph Pattern Analysis Speakers: Douglas C. Wilson, TX; Hon. Jack Stick, TX Moderator: Lori Stiles, ID, NAMPI Treasurer Grand Ballroom 6
9:30 – 9:50 AM	Networking Break Exhibit Hall
9:50 – 10:50 AM	Pharmacy Lock In Program Speaker: Toni L. Prine, RPh, GA Moderator: Pam Ford, RPh, AR Grand Ballroom 1 & 2
9:50 – 10:50 AM	Maryland’s Inter-Agency Task Force Speakers: Ilene Nathan, Esq., MD; Tricia Tomsko Nay, MD, CMD, CHCQM, MD; Susan Panek, MD; Thomas V. Russell, MD; Susan Steinberg, Esq., MD Moderator: Jane Oliver-Vaeth, MD Grand Ballroom 3 & 4
9:50 – 10:50 AM	Medicaid Program Integrity Will Never be the Same: How Prepay Predictive Analytics Transforms the Cycle of Program Integrity Speakers: Jeremy Hill, Optum; Bo Nowell, Optum Grand Ballroom 7 & 8
9:50 – 10:50 AM	The Power of Data and Intelligence Gathering in the Investigation Process Speaker: Tim Byrnes, NCI AdvanceMed Grand Ballroom 9 & 10
10:50 – 11:00 AM	Break
11:00 AM – 12:00 PM	CMS Center for Program Integrity Update Speaker: Peter Buddetti, MD, JD, Center for Program Integrity, Centers for Medicare and Medicaid Services Moderator: John McCormick, CT, NAMPI Vice President Grand Ballroom 6
12:00 – 1:00 PM	Lunch/ Announcement of Officers Harborside Ballroom A & B
1:00 – 2:00 PM	Overview of Medicaid Rates at NY State Operated Developmental Centers Speaker: Kevin Smith, US Dept. of HHS, Office of Inspector General Moderator: Otis Washington, MS Grand Ballroom 1 & 2
1:00 – 2:00 PM	Suspended Payments Panel Panelists: BJ Church, SC; Douglas C. Wilson, TX; Hon. Jack Stick, TX Moderator: John McCormick, CT, NAMPI Vice President Grand Ballroom 3 & 4
1:00 – 2:00 PM	Transforming Program Integrity with Identity and Fraud Analytics Speaker: Clint Fuhrman, LexisNexis Grand Ballroom 7 & 8
1:00 – 2:00 PM	Recent Developments in Predictive Analytics for Payment Integrity Speaker: Andrea Allmon, PhD, FICO Grand Ballroom 9 & 10
2:00 – 3:00 PM	CMS – Issues & Updates Speakers: Timothy Hill, Medicaid Integrity Group, Center for Program Integrity, Centers for Medicare and Medicaid Services, US Dept. of HHS; Lyn Killman, Medicaid Integrity Group, Center for Program Integrity, Centers for Medicare and Medicaid Services, US Dept. of HHS Moderator: Kelly Shropshire, OK Grand Ballroom 6
3:00 – 3:30 PM	Networking Break / Exhibit Booth Giveaways Exhibit Hall
3:30 – 4:30 PM	An Overview of Drug Diversion Issues Speakers: Maureen Barker, FL; Kelly Bennett, FL Moderator: Jacqueline Thomas, AL, NAMPI Secretary Grand Ballroom 1 & 2
3:30 – 4:30 PM	CMS/State Partnerships Speaker: Lyn Killman, Medicaid Integrity Group, Center for Program Integrity, Centers for Medicare and Medicaid Services, US Dept. of HHS State Panelists: Athos Alexandrou, MD; Horace Dozier, FL; Albert Zachik, MD, MD Moderator: Carl Ishmael, KY Grand Ballroom 3 & 4
3:30 – 4:30 PM	Big Data and FWA – Life After Detection Speakers: Ted Doyle, MA, AHFI, CFE, PI, Performant Financial Corporation; Bill Mahon, The MAHON Consulting Group LLC Grand Ballroom 7 & 8
3:30 – 4:30 PM	Medicaid Managed Care: Helpful Hints for Effective Monitoring and Ensuring Compliance Speakers: Jared Duzan, CFE, Myers and Stauffer LC; Ryan Farrell, CFE, Myers and Stauffer LC; Michael Johnson, CPA, CFE, Myers and Stauffer LC; Beverly Kelly, CPA/CFF, CFE, Myers and Stauffer LC Grand Ballroom 9 & 10
4:30 – 5:30 PM	Predictive Analytics in Provider Screening and Fraud Detection Speaker: Rohit Agarwal, Digital Harbor Grand Ballroom 1 & 2
4:30 – 5:30 PM	Visualizing the Power of Enhanced Provider Data Speakers: Jack Bloise, JD, Salient Corporation; Craigan Gray, MD, MBA, JD, CPE, Salient Corporation; Fahad Rahman, Salient Corporation Grand Ballroom 7 & 8
4:30 – 5:30 PM	Use the Power of Real-Time Predictive Modeling and other Essentials to Re-shape Your Anti-Fraud Strategy Speakers: Jaysen Eisengrein, Health Integrity, LLC; Holly Pu, Health Integrity, LLC Grand Ballroom 9 & 10
5:30 – 7:30 PM	Happy Hour Sponsored by Deloitte Wit & Wisdom 200 International Dr.
Wednesday, August 21, 2013
7:45 AM – 2:00 PM	Registration and Information Grand Ballroom Foyer
7:45 – 8:30 AM	Breakfast Harborside Ballroom A & B
8:30 – 8:45 AM	Daily Remarks Joan Senatore, MA, NAMPI President Grand Ballroom 6
8:45 – 9:45 AM	Medicaid PI: Today, Tomorrow and Beyond Speaker: Andrea Maresca, National Association of Medicaid Directors Moderator: Heidi Robbins-Brown, NAMPI Past President Grand Ballroom 6
9:45 – 10:45 AM	National Association of Medicaid Fraud Control Units (NAMFCU) Update Speaker: Loren F. Snell, Jr., National Association of Medicaid Fraud Control Units Moderator: Joan Senatore, MA, NAMPI President Grand Ballroom 6
10:45 – 11:00 AM	Break
11:00 AM – 12:30 PM	State Only Roundtable Panelists: National Fraud and Abuse Technical Advisory Group (TAG) Christine Bates, WY; Ron Clark, VT; Marta Stagliano, NV; Alan S. White, WI, NAMPI Chair, Regional Representatives Grand Ballroom 6
12:30 – 1:00 PM	Closing Session / Boxed Lunch Computer Give Away Free Registration for 2014 Welcome from 2014 Host State Grand Ballroom 6

Sunday, August 18, 2013

Monday, August 19, 2013

Tuesday, August 20, 2013

Wednesday, August 21, 2013

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