Rise

Welcome Remarks and Day One Takeaways

Ana Handshuh, Principal

CAT5 Strategies

Special Presentation: Health Care Regulatory Scrutiny and Enforcement Risk

• Evaluate how the recent increase in government enforcement of risk adjustment coding issues by the Office of the Inspector General (OIG) and the Department of Justice (DOJ) would affect your compliance program
• Hear latest updates regarding DOJ steps to battle Medicare Advantage fraud through the False Claims Act (FCA) following whistleblower cases
• Understand how upcoming CMS regulation implementing extrapolation methodology would affect future audits

Jesse A. Witten, Partner
Faegre Drinker Biddle & Reath LLP

Too Easy to Risk it: Have You Reviewed your Provider Directory?

• Evaluate how the sanction screening process has speed up provider directories accuracy  
• Understand the important balance of online monitoring protection and providing director accuracy for members 
• Compare best practices and success strategies that health plans are using for provider directory accuracy 
• Evaluate including telehealth providers  

Deborah Marine, Former Compliance Officer
Summa Care

Beth Socoski, Medicare Compliance Director
Longevity Health Plan

CMS New Marketing Guidelines: A summarized version?

• Gain a better understanding of the latest changes in the Medicare Communications and Marketing Guidelines 
• Prepare a toolkit with do’s and don’ts that educate your organization and vendors to ensure all your communications are compliant 
• Learn best practices while working with providers to promote your health plan 

Deborah Marine, Former Compliance Officer
Summa Care

Ana Handshuh, Principal
CAT5 Strategies

Panel Discussion: Women in Compliance: The Unseen Barriers

• Discuss key strategies to move up in the compliance industry 
• Hear what actions are needed to bridge the gender pay gap  
• Identify common experiences where women's willingness to talk openly and take risks helps them to gain visibility at the to

Moderator:
Ana Handshuh, Principal
CAT5 Strategies

Panelists:
Nichole Hageman, Compliance Director
Mutual of Omaha

JoAnn McDaniel-Chinn, Medicaid Compliance Officer
Simply Healthcare Plans 

Deborah Marine, Former Compliance Officer
Summa Care

Compliance Programs in a Hybrid Work Environment

• Learn best practices to protect PHI (Protected Health Information) when your team switches from work from office to remote work 
• Create and implement new approaches to ensure an efficient transfer of knowledge and education in a hybrid work environment 
• Conceptualize the roles and responsibilities between your compliance, your product, and your teams, and how you can navigate the continuously changing landscape 

Angela Keenan, Compliance Officer
Network Health

Jordan Muhlestein, Compliance & Ethics Director
Intermountain Healthcare

Case Studies: Compliance Programs Best Practices

• Examine how a thumb drive missing triggered a full review and change of a compliance program 
• Evaluate how an engaged relationship with top management was strategic to implement new changes in a health plan 
• Assess how your response to non-compliant incidents could mitigate regulators response 
• Hear how a Compliance Championship involving all functional areas brings visibility and builds a compliance culture in the organization 

Brian Colonna, Director of Compliance Program
Renown Health

Sarah Simmerson, Consultant, Business Support
Florida Blue

Perfect Score Program Audit Results: Audit Experiences from an Employer Group Waiver Plan (EGWP)

• Hear the journey from a health plan that scored a perfect result after a program audit and take away lessons to apply in your organization 
• Understand the need of an audit playbook that guides your team during a CMS audit process 
• Evaluate the key factors you can control before, during and after and audit that ensures you a perfect outcome 

Michelle Juhanson, Vice President, Chief of Staff II
Magellan Rx

Todd Boyer, Director, Clinical Pharmacy Operations, Medicare Part D
Magellan Rx

Closing Remarks

Ana Handshuh, Principal
CAT5 Strategies