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Tuesday, December 3, 2024
1:00 pm - 2:00 pm ET
(Noon - 1:00 pm CT/11:00 am - Noon MT/10:00 am - 11:00 am PT)
Webinar: Health Insurance Audits and Insights for Health Systems
To register, click the "Registration" button above. After you click the button, you'll need to log-in. If you are new to AHIA, you'll need to create an account after clicking "Registration"
Please Note: Registration will close one day prior to the live event. NO REGISTRATIONS FOR THIS EVENT WILL BE ACCEPTED AFTER December 2 at 12:00 PM Eastern Time.
Speakers
Nicole Fultz, Director, Customer Experience & Communications, Health Plan Alliance
Nicole Fultz is a seasoned facilitator and key leader at the Health Plan Alliance (HPA), committed to fostering meaningful connections that add value for Alliance members and partners alike. With deep expertise in the unique challenges faced by regional and provider-sponsored health plans, Nicole’s focus is on aligning resources and connecting healthcare professionals with top subject matter experts to meet their specific health insurance learning needs.
Tyler Haskell, Vice President, Government Relations and Compliance, Santa Clara Family Health Plan
Tyler Haskell is Vice President, Government Relations and Compliance at Santa Clara Family Health Plan (SCFHP). Mr. Haskell directs SCFHP’s government advocacy efforts and oversees execution of its compliance program. With over 10 years of experience in government policy leadership roles, Mr. Haskell joined SCFHP in 2019. Mr. Haskell’s previous experience includes working as chief of staff and health policy advisor to California State Senator and Santa Clara County Supervisor Joe Simitian. He also worked on the staff of the U.S. Senate Budget Committee. In 2021, the Santa Clara County Board of Supervisors appointed Mr. Haskell to serve on the county’s Race and Health Disparities Community Board.
Webinar Description:
Join us for a dynamic session exploring the essentials of internal audit within health plans, offering foundational insights into the strategies behind audit planning, payment integrity, and risk management in healthcare. This session begins with a concise overview of Health Plan Internal Audit 101, covering critical concepts like annual risk assessment processes, compliance criteria, and audit timelines essential for sound financial oversight.
Following the overview, attendees will participate in an open dialogue, providing an opportunity to shape AHIA’s health plan-specific webinar topics for 2025. Whether you’re seeking clarity on audit terminology or insights on enhancing audit alignment with regulatory needs, this session fosters knowledge sharing and supports cohesive financial integrity across the health sector.
Learning Objectives:
- Understand foundational principles of internal auditing in health plans, including key processes for developing and implementing an effective audit work plan based on annual risk assessments.
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Identify critical compliance criteria and industry standards that guide health plan audits, enhancing participants' ability to manage regulatory expectations.
- Gain insights into payment integrity strategies within health plans to strengthen financial oversight and maintain audit alignment with healthcare regulatory requirements.
- Engage in collaborative discussions to influence future webinar topics relevant to health plan auditing, focusing on areas that address emerging challenges and best practices for 2025.
Cost:
Members - COMPLIMENTARY (You MUST be a current member to take advantage of this benefit.)
Program Level: All
Field of Study: Auditing
Prerequisites: None
Delivery Method: Group Internet Based
CPE Credits: 1.0 CPE credit
Please Note: If you wish to receive continuing professional education credits for participating in the discussion, you are required to register and pay the registration fees (if applicable). You will also be required to answer 4 of the 5 questions asked online during the discussion to qualify for CPE credit.
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