Agenda

Agenda 2017

Agenda

All conference presentations that were approved for posting will be found below.  If a session is not linked we do not yet have the presentation from the session presenter(s).

Sunday, August 6, 2017

Best Practices for Collaboration Between Health Plans, Federal, State and Local Law Enforcement
Combatting Fraud, Waste and Abuse in Behavioral Health Billing Practices Update
PARIS and Veterans Benefit Enhancement
First Data - Authenticare & the 21st Century Cures Act
Myers & Stauffer - The Perils of Program Integrity in Long Term Care
LexisNexis - Using an Identity-Focused Approach to Understand the "Who" in Medicaid Fraud

 

Monday, August 7, 2017

National Health Care Fraud Trends
Managed Care Network Provider Reviews
NHCAA Presentation: Fraud Referral Challenges for Managed Care Plans  - no slides
Provider Enrollment & Screening
What Does Medicaid Reform Mean for Medicaid Integrity? - no slides
Alivia - The Future of Predictive & Optimization Analytics for PI
KPMG - The Need forr Effective MCO Partnerships
SAS - Using Analytics to Drive Patment Integrity & Reduce Fraud
PCG - 21st Century Cures Act
Digital Harbor - Artificial Intelligence Meets Predictive Analytics
Pondera - The Dark Web and the Dirty Business of Buying and Selling Data

 

Tuesday, August 8, 2017

Medicaid Program Integrity Overview
Beneficiary Fraud
Kentucky's Automation of Provider Enrolment
Texas Fraud Prevention Partnership
Deloitte - A Deeper Dive into Cognitive Analytics
Truven - Ensuring Program Integrity in a Managed Care Environment: Insights from Iowa and Indiana
HMS - Medicaid Recovery Audit Programs: Methodology, Relationships, and Change
MII Emerging Trends in HCBS and PCS Recap and White Paper Update  - no slides
CMS State Liaison Staff Update  - no slides
Electronic Health Record Incentive Payment Vulnerabilities
Using Publicly Available Resources in PI Activities

 

Wednesday, August 9, 2017

PI – MFCU Relations  - no slides
Best Practices in Provider Self-Audit
Calculating ROI from Program Integrity
Opioid Epidemic and Lock-In
CMS Investigations and Audit Group Updates