OIG UPDATE ON EXCLUSIONS

Speaker: Charles Grant, Office of Inspector General, U.S. Department of Health & Human Services
Moderator: Elizabeth Brooks, Georgia

MEDICARE CROSSOVER RECOUPMENT

Speaker: Robert G. Anderson, Mississippi Division of Medicaid
Moderator: Jacqueline Thomas, Alabama, NAMPI Past President

DATA IN HEALTH CARE INVESTIGATIONS

Panelists: Scott Caspall, Healthcare Fraud Prevention Partnership (HFPP) Trusted Third Party (TTP); Jacob Gray, Healthcare Fraud Prevention Partnership (HFPP) Trusted Third Party (TTP); Barret Wolters, Missouri Medicaid Audit and Compliance Unit
Moderator: Fritz Jenkins, Oregon

INCORPORATING NON-TRADITIONAL DATA INTO YOUR WORKFLOW
WILL EXPAND YOUR DECISION MAKING PROCESSES

Speaker: Justin Hyde, LexisNexis Risk Solutions

CMS MEDICAID PROGRAM INTEGRITY STRATEGY: STATE IMPACTS AND EXPECTATIONS

Speakers:
Bradley Hart, Illinois Department of Healthcare and Family Services
Clint Eisenhower, Mathematica
Jonathan Morse, Mathematica

MAXIMIZE YOUR PROGRAM INTEGRITY EFFECTIVENESS BY APPLYING TECHNOLOGY, EXPERTS AND PROGRAM DESIGN TO DRIVE REAL-WORLD RESULTS

Panelists:
Kelly Bennett , Florida Agency for Health Care Administration
John Oswald, HMS
Kendall Spence, HMS
Heidi Robbins Brown, JD, HMS

WORK REQUIREMENTS AND COMMUNITY ENGAGEMENT

Speaker: John Crouse, MAXIMUS

HUMANS V. ROBOTS: HOW AI AND MACHINE LEARNING HELP MEDICAID INVESTIGATORS FIGHT FRAUD

Speakers:
Gene D’Angelo, Pondera Solutions; Jacob Gray, Healthcare Fraud Prevention Partnership Trusted Third Party; Keri Geiger, Microsoft; Amanda Huston, Pondera Solutions

MEDICAID/MEDICARE NEXUS

Speakers:
Tim Fickle, Qlarant
Santosh Ghumare, Qlarant
Aimee Mason, Qlarant
Ariel Reed, Qlarant

CLUSTERING OF THERAPY SERVICES AT NURSING FACILITIES

Speaker: Steve Sizemore, Texas Health and Human Services Commission, Office of Inspector General

INVESTIGATIVE REVIEW PROCESS

Speakers:
Maureen Barker, Florida Agency for Health Care Administration;
Jessica Zeedyk, Florida Agency for Health Care Administration

CMS MEDICAID PROVIDER SCREENING AND ENROLLMENT UPDATE

Speakers:
Michael Cimmino, CMS, Division of Enrollment Operations;
Brenda Mullens, CMS, Division of Enrollment Operations

EVV – EARLY LESSONS LEARNED

Speakers:
Kelly Bennett, Florida Agency for Health Care Administration;
Kristy Wathan, Ohio Department of Medicaid;
Anne Harvey, Nebraska Medicaid & Long-Term Care
Moderator: Bernadette Parks, Mississippi

WHICH IS A BETTER TOOL FOR COMBATING BENEFICIARY FRAUD:
CIVIL RECOUPMENT OR CRIMINAL CONVICTION?

Speaker:
Kim Harmon, Tennessee Office of Inspector General;
Marcie Stephens, Tennessee Office of Inspector General
Moderator: Joan Senatore, Massachusetts, NAMPI Secretary 

CROSS-TRAINING BETWEEN MFCU AND PI UNITS

Panelists:
Elizabeth Smith, Arkansas Office of the Medicaid Inspector General; Donna Galloway, Arkansas Medicaid Fraud Control Unit; Lisa DeLaVergne, Washington State Health Care Authority; Larissa Payne, Washington Medicaid Fraud Control Unit
Moderator: Brad Hart, Illinois, NAMPI Treasurer

Data to Detect Solicitation

Panelists:
Sylvia Hernandez Kaufman; Inspector General, Texas Health & Human Services Commission
Olga Rodriguez; Chief of Strategy Officer, Texas Health & Human Services Commission, Office of Inspector General

CHANGING THE BREAKING POINT – HOW TO PLAN FOR LTSS GROWTH BY OVERSIGHT

Speaker: Jay Peck, Public Consulting Group

CMS INVESTIGATIONS & AUDITS GROUP (IAG) UPDATES

Panelists:
Laurie Battaglia, CMS, Investigations & Audits Group;
Elizabeth Lindner, CMS, Investigations & Audits Group ;
Kathleen McGinty, CMS, Investigations & Audits Group ;
Joy Sparks, JD , CMS, Investigations & Audits Group
Moderator: Sharon Ormsby, Arizona, NAMPI Vice President

IS IT FRAUD?

Panelists:
Mykel Fry, Medicaid Fraud Control Unit of Oklahoma;
Bruce Lieberman, Medicaid Fraud Control Unit of Alabama ;
Larissa Payne, Medicaid Fraud Control Unit of Washington;
Matt Whitmire, Medicaid Fraud Control Unit of Indiana
Moderator: Fred Becknell, Florida

USING RISK-BASED MODELS TO DRIVE PI EFFORTS

Speaker:
Tim Helms, Florida Agency for Health Care Administration;
Moderator: Kelly Bennett, Florida NAMPI Regional Representatives Chair

A FACETED APPROACH TO PROGRAM INTEGRITY

Speakers:
Anne Dvorak, Texas Health & Human Services Commission, Office of Inspector General;
Steve Johnson, Texas Health & Human Services Commission, Office of Inspector General
Moderator: Fritz Jenkins, Oregon

CMS UPDATE ON THE IMPLEMENTATION OF THE NEW MEQC AND PERM PROGRAM REQUIREMENTS: IMPLICATIONS AND IMPACT ON STATE MEDICAID OPERATIONS

Speakers:
Joel Truman, CMS, CPI, Government Management Group
Moderator: Brad Hart, Illinois, NAMPI Treasurer

PAYMENT SUSPENSIONS PANEL

Panelists:
Mark Collins, Medicaid Fraud Control Unit of Nebraska ;
Renee Gallagher, Indiana Medicaid;
Anne Harvey, Nebraska Medicaid & Long-Term Care;
Matt Whitmire, Medicaid Fraud Control Unit of Indiana
Moderator: Lori Stiles, Idaho, NAMPI President

CLOSING SESSION

Computer Giveaways
2020 Conference Registration Giveaway
Announcement from 2020 Host State