• Monitoring – Investigating – Reporting – Resolution • Reality: Identified Deficiencies and “Best,” or at Least, Better, Practices #InternalControls #HealthCare #Managed #care #Communication
Managed_Care_Immersion_Session.pdf
Payor Litigation: Medicaid Managed Care Emerging Florida Law Payment for Out-of-Network Emergency Services Ingenix-Related Investigation Physician Tiering Programs ERISA Conflict of Interest Arbitration Clauses Pharmacy Benefit Managers: Fiduciary Duties Pharmacy Benefit Managers: Drug Switching Settlements Coverage Issues: Eating Disorders Coverage Issues: Obesity Coverage Issues: Investigational/Experimental False Claims Act: Allison Engine Blue Cross Class Action Settlement #care #law #Managed
Litigation_Trends_Managed_Care.pdf
HCCA, 2003 #Articles #HealthCare #InternalControls #Managed #care
Underutilization_and_Compliance_in_Managed_Care.pdf
Topics: -Key recent developments in federal criminal and civil investigations and enforcement -Key areas of concerns and risk -Impact of these developments on your compliance program #compliance #HealthCare #InternalControls #care #Managed
Managed_Care_Compliance_Challenges.pdf
#Government #partD #Medicare #medicarepartD #HealthCare #managedcare
2012 OIG Work Plan Medicare C and D.pdf
Phone: +1 952.933.4977Toll - Free: 888.277.4977helpteam@corporatecompliance.org
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