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Complimentary Webinar: Health Plan Strategies for Effective Management and Oversight of FDRs

Webinar Date/Time: October 11, 2018 at 2:00 PM - 3:00 PM EDT

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Managed care organizations and health insurance plans, and their first tier, downstream and related entities (FDRs), must maintain mandatory compliance programs and comply with countless regulatory requirements. These organizations are subject to audits and increased regulatory and public scrutiny so having an effective strategy for managing the compliance program is critical.

Join SAI Global and the experts from Strategic Management on October 11 at 2 PM EDT as they provide an overview of both Medicare and Medicaid plan requirements for managing your health plan’s first tier, downstream and related entities (FDRs). They will provide strategies on how to properly identify, monitor and maintain oversight for a wide array of FDR types, while also meeting the high expectations of regulators and keeping budgetary restrictions in mind. Additionally, we will discuss tips on how to develop an effective work plan that will outline possible monitoring and auditing activities, as well as ideas for how to engage key stakeholders in the oversight process.

Topics to be discussed include:

  • Regulatory background for FDR related requirements in the Medicare and Medicaid environment • Key compliance related contract requirements to keep in mind for FDRs
  • How to design and implement FDR oversight programs
  • How to employ attestations and conduct audits of FDRs
  • How to design a compliance communication plan that strengthens relationships with FDRs

Be sure to come with questions in mind, as there will be an open Q&A at the end of the session.

“This education activity has been submitted to the Compliance Certification Board (CCB)® and is currently pending their review for continuing education.”

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