Mastering the CMS Program Audit Process Recap

Tracy Bidot, Conference Producer

Our recent Compliance and Audit Operations summit in Baltimore, Mastering the CMS Program Audit Process, headlined by CMS leadership and featuring Medicare Advantage health plan leaders, received an impressive turn-out and remarkable audience response.  Even esteemed headliner, Tawanda Holmes, CMS Director of Division Audit Operations, remarked that the summit featured some of the most educated, well-versed health plan compliance speakers. 

The event was kicked off by Ginger Morrow of Blue Cross Blue Shield of Tennessee leading a detailed pre-conference workshop on all things necessary for mastering FDR oversight initiatives, from setting-up oversight committees to conducting mock audits of your FDR oversight plan.  Day One started with an informative and engaging keynote address by Tawanda Holmes on CMS compliance audit strategy and policy updates emerging in 2014 and beyond, and also featured tremendous insights from LCDR Lorelei Piantedosi, PharmD, of CMS Division of Analysis, Policy, and Strategy.  

Throughout the day, attendees benefited from essential discussions on maximizing the mock audit, ensuring a compliance-ready culture, and instituting comprehensive compliance training programs.  Day One also included an enlightening examination of the CMS enforcement process presented by Michael DiBella, CMS Director, Division of Compliance Enforcement. 

Sarah Peix of Health New England and Sonya Henderson of Healthfirst set Day Two off to a tremendous start as they shared invaluable insights and lessons learned from their respective CMS Program Audit experiences.  In a second day full of meaningful compliance management sessions, presenters shared tools for conducting an impact analysis, ODAG and CDAG strategies, and how to use data management to support audit preparation. 

A special thank you to our extraordinary speaking faculty, who are clearly unparalleled leaders in MA Compliance and CMS Program Audit preparedness:


Tawanda Holmes, Director, Division of Audit Operations, CENTERS FOR MEDICARE AND MEDICAID SERVICES

Michael DiBella, Director, Division of Compliance Enforcement, CENTERS FOR MEDICARE AND MEDICAID SERVICES

Lorelei Piantedosi, PharmD, LCDR, Medicare Part C and D Oversight and Enforcement Group, Division of Analysis, Policy, and Strategy, CENTERS FOR MEDICARE AND MEDICAID SERVICES

Jennifer Del Villar, CHC, Director of Medicare Compliance/Compliance Officer, REGENCE

Jeff Deneys, Director, Detection & Monitoring - Operations Compliance, UnitedHealthcare Medicare & Retirement

Sonya Henderson, Vice President, Compliance and Audit, Compliance Officer, HEALTHFIRST

Michael Johnson, CIA, Internal Auditor, HEALTHPLUS OF MICHIGANTM

Mike Larkin, Medicare Internal Auditor, CAPITAL BLUE CROSS

Sarah Peix, Medicare Compliance Officer, HEALTH NEW ENGLAND

Gayle Pryde, RN, MBA, CHP, CHC, CCEP, CPHQ, CPHRM, Director, Corrections & Compliance - Operations Compliance, UnitedHealthcare Medicare & Retirement

Erik Schieren, Internal Audit, FLORIDA BLUE

Hillary Simpson, CPA, Internal Audit, FLORIDA BLUE

Patricia A. Suffern, RN, MPM, JD, Director Compliance, VIRGINIA PREMIER HEALTH PLAN, INC.

Steve Arbaugh, Managing Principal and CEO, ATTAC CONSULTING GROUP, LLC

Jody Stern, RPh, Program Manager, ATTAC CONSULTING GROUP, LLC

Laura Gleason, Chief Compliance Officer, BEACON HEALTHCARE SYSTEMS



Categories: Compliance
Tags: Audit

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