2024 Managed Care Compliance Conference

106 Exorcizing Ghost Networks: Tools and Strategies for Compliance Professionals

  • 106 Exorcizing Ghost Networks: Tools and Strategies for Compliance Professionals

    Tricia Beckmann , Principal , Faegre Drinker Biddle & Reath.

    Zach Snyder , Vice President, Government Affairs , Quest Analytics, LLC.

    2024-01-29

    • Understand what is a "ghost network" and the rapidly evolving policy landscape to crack down on this phenomenon

    • Stay up to date on the standards for Medicare Advantage, Medicaid managed care, and commercial plan provider directory standards

    • Develop different tools and strategies across health plan teams to identify "ghost" providers and consider how to mitigate potential consumer and regulator actions

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The Society of Corporate Compliance and Ethics (SCCE) is a non-profit, member-based professional association. SCCE supports our members' work with education, news, and discussion forums. We are a community of leaders, defining and shaping the corporate compliance environment across a wide range of industries and geographic regions. In developing and maintaining effective ethics and compliance programs, our members strengthen and protect their companies.

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About HCCA

The Health Care Compliance Association (HCCA), is a 501(c)6 non-profit, member-based professional association. HCCA was established in 1996 and is headquartered in Minneapolis, MN. We provide training, certification, and other resources to over 10,000 members. Our members include compliance officers and staff from a wide range of organizations, including hospitals, research facilities, clinics and technology service providers.

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