2021 Managed Care Compliance Conference

Preparing Effective Corrective Action Plans: Get to the Root!

  • Preparing Effective Corrective Action Plans: Get to the Root!

    Thomas Wilson, Vice President Compliance Officer, Health Team Advantage. Tammy Mosely, Senior Compliance Manager, Care N'Care of North Carolina.

    February 2, 2021

    • CMS expects health plans to develop corrective action plans in response to noncompliance or fraud, waste, and abuse issues. Developing effective corrective action plans generally includes root cause and impact analyses. What does this really mean?

    • The presentation will cover CMS expectations - Resolve, Prevent, Monitor. Root Cause Analysis - Why? Impact Analysis - Who? Corrective Action Plan (CAP) - What do we do? *Actions Taken *Testing *Implementation *Monitoring

    • The presentation will explore the end-to-end process with an interactive case study to demonstrate critical steps. Polling questions will be used

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About SCCE

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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