P14: Managed Care Organizations and Measuring Compliance Program Effectiveness: Review the Tools Used by Hospitals, Health Plans and Providers to Measure Effectiveness and See How They Work!  


Caron Cullen, President, Positive Compliance Outcomes, Inc. 

Kelsey C. Brodsho, Chief Compliance Officer, North Memorial Health Care

  • Discuss what tools may best fit your organization for measuring compliance effectiveness regardless of whether you are a Hospital, Health Plan, or Provider
  • Review actual examples of these tools from various organizations and see their effectiveness by examining associated results
  • Share ideas regarding the CMS 2017 three new audit elements of Prevention, Detection, and Correction and consider the similarities and differences (if any) from using the seven elements of an Effective Compliance Program

Presentation & handouts

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