HCCA’s Managed Care Compliance Conference provides essential information for individuals involved with the management of compliance at health plans. Plan to attend if you are a compliance professional from a health plan (all levels from officers to consultants); in-house and external counsel for a health plan; internal auditor from a health plan; regulatory compliance personnel; or managed care lawyer. Topics to be covered may include: compliance risk monitoring and auditing; application of Sarbanes Oxley requirements to nonprofit health plans; ethics and building an ethical culture; board involvement in compliance; Medicare Prescription Drug Plan compliance and audit experience; New York's Medicaid compliance guidance for managed care plans; and HIPAA privacy and security challenges at health plans.
 

Agenda

Sunday, February 21, 2010

Pre-Conference

8:00 – 10:00 am
P1 – Building a Successful Compliance Program for Health Plans

10:15 am – 12:15 pm
P2 – Tackling Health Care Fraud, Waste, and Abuse - Where Do You Start?

12:15 – 1:15 pm
Lunch (on your own)

1:15 – 3:15 pm
P3 – Medicare Managed Care: Compliance in an Era of Health Care Reform

3:30 – 5:30 pm
P4 – Medicaid Managed Care and State Compliance

Monday, February 22, 2010

8:15 – 9:00 am
General Session – CMS

9:00 am – 9:45 am
General Session –Data Mining

9:45 - 10:15 break

10:15 – 11:15 am Breakouts

101 – The Interrelationship Among the Compliance Officer, Legal Counsel and the Board of Directors

102 – Vendor Oversight

11:15 – 12:00 pm Lunch

12:15 – 1:15 pm Breakouts

201 – Part D: Compliance Consideration – 4 Years Later!

202 – Current Antitrust Issues for Managed Care Plans

1:15 - 1:45 break

1:45 – 2:45 pm Breakouts

301 –The 8th Element of an Effective Compliance Program

302 –Guidelines for Reporting Compliance Risks: “Who Ya Gonna Call?”

2:45 - 3:00 break

3:00 – 4:00 pm Breakouts

401 – CMS

402 – Innovative Strategies to Measure, Report and Improve the Efficiency of a Compliance Program

4:00 - 4:30 break

4:30 – 5:30 pm Breakouts

501 – Medicare Audit Experiences

502 – Doing More with Less: Taking a Small Health Plan's Compliance Program to the Next Level

5:30 - 6:30 – Networking Reception

Tuesday, February 23, 2010

8:15 – 9:15 am
General Session – Fraud from the Trenches

9:15 am – 10:30 am
General Session – ARRA and High-Tech Panel

10:30 - 11:00 am break

11:00 am – 12:00 pm Breakouts

601 – CMS Compliance Plan Audit: How Ready Are You? Get Ready, Get Set, Go For a Perfect Score!

602 – A Tale of Training in the 21st Century

12:00 – 12:45 pm Lunch

1:00 – 2:00 pm Breakouts

701 – Special Investigation Units

702 –Office of Inspector General Work on Managed Care

2:00 – 2:15 pm Break

2:15 – 3:15 pm Breakouts

801 – RAT-STATS and Sampling –Strategies for Auditing and Government Enforcement Activity

802 – Medicare Advantage and Prescription Drug Plans Assessing Your Plan's Risks and Prioritizing Compliance Resources