New CMS Informal Operational Reviews: Why Audit Readiness is Critical

 

In response to OIG’s call for greater CMS oversight of MA plans, CMS has begun testing their “Informal Operational Reviews”. Learn why audit readiness is critical for successful reviews in this webinar recording, originally presented December 13th, 2019.

Darlene Black, Compliance Officer with SCAN Health Plan will share her team’s experience with the new CMS Informal Operational Reviews and how to best prepare for potential informal reviews in the future.

Learn:

  • What was the notification timeline, required processes and procedures?
  • Which operational areas outside the program audit scope did CMS review?
  • What other areas are likely to be scrutinized in these reviews moving forward?

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