Elizabeth Lippincott will Co-Chair and speak at American Conference Institute’s (ACI) Legal, Regulatory and Compliance Summit on Medicare Advantage
October 12- 13, 2022
Nashville, Tennessee
Elizabeth Lippincott will co-chair and speak at ACI’s Legal, Regulatory and Compliance Summit on Medicare Advantage from October 12-13, 2022, in Nashville, Tennessee. Elizabeth’s co-chair is Karen Lam of Kaiser Permanente. Elizabeth will be presenting alongside Teresa A. Mason of Epstein Becker Green and Julie Nielsen of Berkeley Research Group discussing Risk Adjustment: Forecasting the Future of Enforcement and the Implications for the Compliance and Legal Landscape.
The presentation will cover:
- Why CMS is not a plan’s biggest worry
- Analysis of oversight channels
- CMS RADV audits
- OIG Targeted and RADV-like audits
- Whistleblower FCA litigation
- DOJ perspective on risk adjustment as revealed in FCA litigation
- Insights on the relevance of actuarial equivalence and current applications in law
- Overpayment rule
- Examining how plans calculate bid rates and risk score projections
- Forecasting potential outcomes for the CMS’ proposed rule and the implications for MAOs
- Identifying calculation modifications and how to align internal processes to ensure compliance
- how does it ultimately impact plans who are selected for RADV audit
- Developing compliance oversight of risk adjustment in the absence of cohesive guidance
- Determining what immediate corrective actions can be taken when FWA is detected
To learn more about Elizabeth Lippincott, please view her bio.