Before the Subpoena Arrives: Proactive Strategies for Payers and Providers to Get Ahead of Medicare Advantage Compliance Problems

Healthcare attorney Melissa Wong will speak at the 2023 American Health Law Association Annual meeting. Ms. Wong will join a panel discussing the most common payer and provider compliance problems when it comes to Medicare Advantage (MA) plans. The panel will also discuss how you can prevent these problems from escalating. 

Other topics include: 

• the latest government enforcement trends relating to MA Risk Adjustment
• ensuring the accuracy, completeness and truthfulness of diagnosis data submitted to Centers for Medicare & Medicaid Services (CMS)
• pitfalls to avoid when conducting chart reviews and health risk assessments
• safeguards to ensure successful collaboration between MA plans, providers and downstream entities
• compliance issues on the horizon given the latest regulatory developments, such as utilization review and sales and marketing practices