Agenda

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