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Are You Keeping your Medicare Managed Care Contract Promises? Understanding Federal “FDR” Compliance Obligations

Thursday, February 9, 2017
12:00 pm1:15 pm
Webinar

As the federal government looks to enhance its enforcement efforts related to oversight failures by Medicare managed care plans of “first tier” and “downstream” and “related” (FDR) entities, providers are well-advised to consider how and whether their compliance efforts “measure up” to applicable standards. Most hospitals do not even realize they are an “FDR” under the Medicare Part C and D program, or that they are obligated to meet detailed federal compliance program obligations that meet or exceed what many view as current best practices for the provider industry. Because these requirements are not well understood by those who negotiate managed care agreements, many providers are not in compliance with the terms and conditions of their Medicare Advantage contracts or may be attesting to standards they do not meet. This webinar will focus on explaining the Medicare managed care program compliance program requirements for “first tier” and “downstream” and “related” entities; will share practical strategies for addressing compliance; and discuss strategies for effectively negotiating compliance program provisions in managed care agreements.