Past Presentations

2018 Presentations

View or Download the 2018 Agenda here*

Sunday, August 26, 2018

Jolene Guignet - Beneficiary Fraud: Strategies for Ensuring Program Integrity

Tim Helms, Andrew Linn - Using Risk Models and Data Visualizations in Investigations

Max Garner, Jarrod Webb - Highlighting Tennessee's MCO Oversight and Program Integrity Tools and Relationships

Kathy Haley, Michael Johnson - Don't Set It and Forget It: 5 Tips to Maintaining Oversight of Your MCO

Robert Finlayson, Jason Helmandollar, Mallika Thanky - New Tools for Your Greatest FWA Hits: Inpatient Overlap, Ambulance Phantom Runs and Impossible Days

 

Monday, August 27, 2018

Joanne Chiedi - HHS Office of the Inspector General - Observations on Program Integrity

Pamela Mailey - Managed Care Network Provider Reviews 

Cherie Couts, Kristi Erlewine - Examining Behavioral Health Services – A Medicaid Perspective 

Katherine M Leff, Nicholas Messuri, Rick Munson - Medicaid Managed Care: Challenges and Opportunities of Investigating Medicaid Fraud

Tim Hill - The Opioid Crisis:  Medicaid Steps Up 

Joseph Cassano, Anthony Monaco, Michael Pappas - A Deeper Dive into MCO Oversight Analytics and Compliance: National Insights on a Comprehensive Program Integrity Approach

Jay Peck, Jon Riley - Casting Light on Appeals: Is Your Appeals Process Costing You Big Money?

Amanda Huston, Richard B Knight, Dwight Osteen - “If I Did It”: Medical Professionals Speak Frankly About the Vulnerabilities in the Medicaid System

George Mathew, Brian Steele - Opioid Crisis and Analytics

 

Tuesday, August 28, 2018

Quinton Arnold, Lisa Pietrzyk, Deborah Wray, Robin Zennon, - Electronic Visit Verification (EVV)  Community Attendant Services (CAS) inspection results

Dale Carr, Greg Lakin, Pamela Mailey - State Responses to the Opioid Crisis 

Brett Hayes,  Elizabeth Thomas Smith - Attacking Vulnerabilities in Personal Care Services 

Charles Grant - Medicare and Medicaid Exclusions 

Fernando Alvarez, Michael Hall, Matt Harris, Dan Olson - Maturing Pre- and Post-Pay Intervention Strategies Using Advanced Analytics

Drew Gattine, Maureen Lindberg - Cost Avoidance Strategies to Drive Value from Data Analytics

Scott Weinberg - Forensic Accounting in Managed Care 

Carl Ishmael - Auditing and Recovering Managed Care Encounters

Danielle Foley - A Framework for Setting up a Program Integrity Return on Investment Project 

Asad Salahuddin - First Data authenticare® - Electronic Visit Verification for State Agencies and Managed Care Organizations

Justin Hyde - Eligibility Alone Can’t Prevent Healthcare Fraud; Why Identity Assessment Should be the First Step for Success

 

Wednesday, August 29, 2018

Alec Alexander - CMS Center for Program Integrity: Initiatives and Priorities

Michael Cimmino, Brenda Mullens - Updates from the Center for Program Integrity, Provider Enrollment & Oversight Group

Laurie Battaglia, Elizabeth Lindner, Joy Sparks - Updates from the Center for Program Integrity Investigations and Audits Group

 

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Continuing Education

Continuing Education Information
 
All NAMPI 2019 Conference attendees are able to apply for continuing education credits.  The conference agenda is not approved by any official accreditation organization but we are more than happy to process a certificate for you to submit to your professional organization for approval. 
 
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