2020 Managed Care Compliance Conference

Process Optimization, Organizational Structure, and Best Practices to Boost Appeals & Grievances Outcomes and Compliance

  • Process Optimization, Organizational Structure, and Best Practices to Boost Appeals & Grievances Outcomes and Compliance

    Richard Merino, Senior Managing Director, Ankura. Nancy Waltermire, Senior Director, Ankura.

    January 28, 2020

    • Prevention of common audit finding “pitfalls”, and industry best practices for remediation, including compliance with new regulations and updates

    • OIG Report: How best to identify high overturn rates in your appeals, identifying gaps to increase accuracy and lower overturn rates

    • Tackling an end-to-end ODAG process evaluation, developing process improvements, development of effective organization structure, workflows and monitoring workplan on your appeals and grievances.

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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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