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| When |
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What |
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Who |
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Where |
| Sunday, August 30 |
| 9 a.m.-5 p.m. |
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Exhibits Set Up |
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Casco Bay Ballroom |
| Noon-4 p.m. |
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Registration & Information |
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Registrants |
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Grand Ballroom Foyer |
| 2:30-3 p.m. |
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Opening Ceremonies |
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Heidi Robbins Brown, Washington, NAMPI President
Marc Fecteau, Host State Welcome |
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Salons D & E |
| 3-3:30 p.m. |
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Regions Discussion Meetings
Election of 2009 Regional Chairs |
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Alan White, Wisconsin, Regions Chair |
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Salons A & C |
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Note: We will be divided into two groups to cruise: Group 1 and Group 2
Each Group will sail for an hour and fifteen minutes
- Buses will take Group 1 to the dock at 3:45 p.m., arriving at 4 p.m.
- Buses will take Group 2 to dock at 5 p.m., arriving about 5:15 p.m. for 5:30 p.m. departure
- Buses will bring Group 1 back to the hotel, arriving about 5:45
- Buses will bring Group 2 back to hotel, arriving about 7:15
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| 3:45 p.m.
5 p.m.
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First Group Departs for Casco Bay for Narrated Cruise
Reception with Hors D'oeuvres Aboard the Bay Mist
Second Group Departs
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| 7:30 p.m. |
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Buffet Dinner at Marriott Sable Oaks
Entertainment Amory Raymond Quartet |
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Sponsored by: Connolly Healthcare |
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Salons A B C D E F |
| Monday, August 31 |
| 7:30-8:30 a.m. |
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Registration & Information |
|
Registrants |
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Grand Ballroom Foyer |
| 7:30-8:30 a.m. |
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Full Breakfast |
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All Attendees
Sponsored by Clifton Gunderson and Health Integrity |
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Salons D & E |
| 8 a.m.-5 p.m. |
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Exhibits Open |
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| 8:30-9 a.m. |
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Opening Session
Recognition of States & First Time Attendees
Explanation of People Bingo |
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Heidi Robbins Brown, NAMPI President
Michael Miller, Director of Health Care Crimes Unit, Maine
Marc Fecteau, Maine |
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Salons D & E |
| 9-10 a.m. |
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Understanding the Art and Science of Risk Control |
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Dr. Malcolm Sparrow, Professor of Public Management at Harvard's Kennedy School of Government
Moderator: Heidi Robbins Brown
Sponsored by: Health Information Designs, Inc. |
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Salons D & E |
| 10-10:30 a.m. |
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Break and Networking |
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Sponsored by Goold Health Analytics, LLC |
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Casco Bay Room |
| 10:30-11:30 a.m. |
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The Pathology of Fraud, and of Fraud Control: An Update |
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Professor Malcolm Sparrow
Sponsored by: Health Information Designs, Inc.
Moderator: Bruce Truitt, Texas |
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Salons D & E |
| 11:30 a.m.-12:30 p.m. |
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Meeting of the Regional Chairs |
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Alan White - Chair |
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Cape Elizabeth Room |
| 11:30 a.m.-12:30 p.m. |
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Automated Tools for Sampling, Testing and Extrapolating Medicaid Recoupments |
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Bruce Truitt, Texas
Moderator: Lydia Kosinski, New York |
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Salon A |
| 11:30 a.m.-12:30 p.m. |
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Drug Diversion in Nursing Homes and Hospitals |
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Speaker: Red Therrien, Detective of HealthCare Crimes Unit.
Moderator: Marc Fecteau, Maine |
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Salon B |
| 11:30 a.m.-12:30 p.m. |
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Federal Exclusion Program |
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Bill Hughes, OIG-HHS
Moderator: Lisa Weaver, Maine |
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Salon C |
| 11:30 a.m.-12:30 p.m. |
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Health Information Designs presents Surveil: Discover It, Track It, Recover It |
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Dan Olson, Health Information Designs |
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Portland Room |
| 11:30 a.m.-12:30 p.m. |
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Enterprise Case Management: Next Generation of Program Integrity Automation |
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Rohit Agarwal, President, Digital Harbor |
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South Portland Room |
| Noon-1:30 p.m. |
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Lunch |
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Attendees |
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Salons D & E |
| 1:30-2:30 p.m. |
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Pharmacy Fraud Best Practices |
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Presenters: Colleen Jones, Wyoming; Ann Slade, North Carolina, Pamela Ford, Arkansas
Moderator: Joe Kopsa |
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Salon A |
| 1:30-2:30 p.m. |
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Medicaid Integrity Institute |
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Robb Miller, CMS
Cam Jones Assistant Director, US Dept. of Justice
Moderator: Alex Yei, Utah |
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Salons B & C |
| 1:30-2:30 p.m. |
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Slamming the Door on Provider Enrollment Fraud: A Simple Automated Answer |
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Andi Gillentine, VP Operations, S-3 Company |
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Portland Room |
| 1:30-2:30 p.m. |
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Complete Case Management For Medicaid Fraud and Abuse |
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Rob Welsh , Executive VP, Case Management Solutions
Aithent Innovating Evolution |
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South Portland Room |
| 2:30-3:30 p.m. |
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Medicaid Integrity Group (MIG) Update |
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Paul Miner, CMS
Moderator: Alan White, Wisconsin, NAMPI Immediate Past Chair |
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Salons D & E |
| 3:30-4 p.m. |
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Break |
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Sponsored by: MedProtect |
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Casco Bay Room |
| 4-4:45 p.m. |
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Provider Enrollment, Education and Self Audit |
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Presenter: Michael Garbarino, Director, Chief Counsel, Office of Inspector General, Texas
Moderator: Alex Yei, Utah, NAMPI President-Elect |
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Salons A& B |
| 4-4:45 p.m. |
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System and Functionality Specifications For FADS |
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Paige Wall, Washington
Moderator: Patsy Crook, Tennessee |
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Salon C |
| 4-4:45 p.m. |
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Specific Overpayment Opportunities Case Studies |
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Connolly Health Care |
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Portland Room |
| 4-4:45 p.m. |
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Essentials in Audit Preparation |
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AMG-SIU |
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South Portland Room |
| 4:45-5:45 p.m. |
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Ingenix FADS Users Meeting |
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Cape Elizabeth Room |
| 4:45 p.m. |
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Monday Evening On Your Own |
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| Tuesday, September 1 |
| 7:30-8:30 a.m. |
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Full Breakfast |
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All Attendees |
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Salons D & E |
| 8 a.m.-4 p.m. |
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Registration and Information |
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Ballroom Foyer |
| 8 a.m.-5 p.m. |
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Exhibits Open |
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|
| 9-9:15 a.m. |
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Business Meeting,
Election Process of NAMPI Officers |
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Alan White, Immediate Past President & Chair of Regional Representatives |
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Salons D & E |
| 9:15-10:30 a.m. |
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Work Plans, Annual Audit Plans and Follow Up on Accomplishments |
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Panelists: Jim Sheehan, New York; Bruce Truitt, Texas
Moderator: Joan Senatore, Massachusetts, NAMPI Treasurer |
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Salons D & E |
| 10:30-11 a.m. |
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Break and Networking |
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Sponsored by: Bloodhound, Inc. |
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Casco Bay Room |
| 11-11:45 a.m. |
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Unified Provider Enrollment Project |
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Speaker: Jim Gorman, CMS
States Represented: Texas, Colorado, Missouri, Tennessee
Moderator: Ron Nail |
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Salons D & E |
| 11:45 a.m.-12:30 p.m. |
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Using Extrapolation in Program Integrity Cases |
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John McCormick, Connecticut; Cindy Roberts, Oklahoma; Marcia Brown, New York
Moderator: Joe Kopsa, Louisiana |
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Salons A & B |
| 11:45 a.m.-12:30 p.m. |
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CMS Systems Certification: Kentucky's Recent Experience |
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Carl Ishmael, Kentucky
Moderator: Margie Summers, Alaska |
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Salon C |
| 11:45 a.m.-12:30 p.m. |
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Winning Against Recipient Fraud and Abuse |
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Presenter: Patsy Crook, Tennessee
Moderator: Marc Fecteau, Maine |
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Portland Room |
| 11:45 a.m.-12:30 p.m. |
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Successes in Medi-Medi in ZPIC Zone 4 |
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David Duhaime, Health Integrity; Clifton Gunderson |
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South Portland Room |
| 11:45 a.m.-12:30 p.m. |
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Myers & Stauffer |
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Cape Elizabeth Room |
| 12:30-1:30 p.m. |
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Lunch
Announcement of Officers |
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All Attendees
Alan White |
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Salons D & E |
| 1:30-2:30 p.m. |
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Conducting Forensic Computer Searches and Evidence Recovery |
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Dawn Ego, Criminal Analyst, Maine State Police Computer Crimes Unit
Moderator: Lisa Weaver, Maine |
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Salons A & B |
| 1:30-2:30 p.m. |
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I've Referred My Case to the Feds - What Happened To It? |
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Jennifer Trussell, Director, Investigative Resource Staff
Moderator: Alex Yei, Utah |
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Salon C |
| 1:30-2:30 p.m. |
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A Real-Time Approach to Program Integrity |
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Terri Willits, Director of Finance, Indiana; Russell Dates, General Manager Pharmacy Services, HMS; David Dawson, Vice President of Government Services, HMS |
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Portland Room |
| 1:30-2:30 p.m. |
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MedGuard, A New Software Tool for Utilization Compliance Reviews |
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Gary Miller, Medical Director, Case Review, Georgia Medical Foundation
Alliant Health Solutions |
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South Portland |
| 2:30-3:30 pm |
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MIG Data Analysis and Audit Targeting |
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Presenter and Moderator: Jim Gorman, CMS
States Represented: Mississippi, California, Texas, New York, Florida |
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Salons D & E |
| 3:30-3:45 p.m. |
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Ice Cream Break |
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Sponsored by AdvanceMed |
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Casco Bay Room |
| 3:45-4:30 p.m. |
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Managed Care Practices |
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Panel: David Botsko, Arizona; Patsy Crook, Tennessee
Moderator: Nancy Downes |
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Salon A |
| 3:45-4:30 p.m.. |
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Secrets to a Successful State Exclusion Program |
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Presenters: Marc Fecteau, Mary Hendricks, Lisa Weaver
Moderator: Suzanne Noland, Hawaii |
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Salon B |
| 3:45-4:30 p.m. |
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One Program Integrity (PI) Update |
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Laura Minassian-Kiefel, CMS
Moderator: Ann Slade |
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Salon C |
| 3:45-4:30 p.m. |
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Power Your Case Management System with Advanced Analytics |
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Brian Lane, CGI Federal BPS; Gerald Mann, Software Engineer, SPSS |
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Portland Room |
| 3:45-4:30 p.m. |
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Visual Data Mining For Medicaid Program Integrity |
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Bill Carpenter, COO; Jack Bloise, General Manager; Lisa Dunn, Senior Advisor, Salient Corporation |
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South Portland Room |
| 4:45-5:45 p.m. |
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Leave Hotel for Site of Lobster Bake and Celebration of 25th Anniversary of NAMPI |
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| 5:45-7 p.m. |
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Arrive at Site of Lobster Bake, Nonantum Resort, Kennebunkport, Light Hors d'oeuvres, Refreshments by the Water and Time to Walk Around the Area |
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Sponsored by: HMS |
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| 7-9 p.m. |
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Dinner and Entertainment for Silver Anniversary Celebration
Welcoming Remarks
Entertainer: Jenny Woodman Band |
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Sponsored by: HMS
Sponsored by: NAMPI |
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|
| 9-10 p.m. |
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Buses Returning to Hotels |
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| Wednesday, September 2 |
| 7:30-8:30 a.m. |
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Breakfast |
|
All Attendees |
|
Salons D & E |
| 8:30-9 a.m. |
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State Program Integrity Reviews |
|
Robb Miller, CMS
Moderator: Marc Fecteau, Maine |
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Salons D & E |
| 9-9:30 a.m. |
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MIG Open Forum |
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MIG Senior Staff
Moderator: Marc Fecteau, Maine |
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Salons D & E |
| 9:30-10:15 a.m. |
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Medi-Medi Update |
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Speakers: Lourdes Grindal-Miller, CMS; Laurie Rock, Pennsylvania; Charles Schalm, Safeguard Services
Moderator: Christine Bates, Wyoming |
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Salons D & E |
| 10:15-11 a.m. |
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How Medicaid Data Assists Medicaid Fraud Control Units to Succeed in Global Settlements |
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Daniel Miller, Deputy Attorney General; President, Medicaid Fraud Control Unit
Moderator: Heidi Robbins Brown, Washington |
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Salons D & E |
| 11-11:45 a.m. |
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Organized Crime Trends in Health Care |
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Presenter: Jennifer Trussell, Director, Investigative Resource Staff
Moderator: Robin Raveendran, Arkansas |
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Salons D & E |
| 11:45 a.m.-12:30 p.m. |
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PERM Reform Effort |
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William Gould, CMS; Cynthia D'Annunzio, CMS
Moderator: Alan White, Wisconsin |
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Salons D & E |
| 12:30-12:45 p.m. |
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Presentations from Outgoing and Incoming NAMPI Presidents
Free Registration for Next Year's Conference
Presentation of Computers
Invitation from 2010 Host for New Orleans |
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Marc Fecteau
Host: Joe Kopsa |
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Salons D & E |
| *Note: Boxed lunches will be ready by 10 a.m. |
