2021 Managed Care Compliance Conference

CMS Universes: Using Regulatory Data Sets to Provide Monitoring and Oversight to Inform Decision Making

  • CMS Universes: Using Regulatory Data Sets to Provide Monitoring and Oversight to Inform Decision Making

    Melissa Hecht, AVP, Operational Resiliency, Healthfirst. Adam Zeldin, Manager, PricewaterhouseeCoopers.

    February 3, 2021

    • Implement a universe monitoring program to identify key risks related to operational inefficiencies (e.g. lack of provider outreach) and adjust staffing and processes to meet compliance and operational needs

    • Proactively improve operational and compliance performance to save cost

    • Leverage data quality monitoring program to identify third-party vendors with quality and process gaps needing remedial actions

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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