NAMPI2022-Logo

NAMPI Annual Conference 2022
August 7-10, 2022

We’re thrilled to be a NAMPI member, sponsor and presenter for the 2022 NAMPI annual conference. The annual conference is the must attend event for anyone involved in ensuring Medicaid program integrity. The conference brings together the Medicaid Program Integrity directors and state staff, to engage, share lessons, gain insight into new trends and technology, and network with colleagues in the federal government and in industry. The 2022 conference will be held in-person in Baltimore, MD.
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How Missouri Leveraged Analytics to Identify Priority Targets, Reduce
Investigation Time and Recover More Dollars

Monday, August 8th 11:35amET

FEATURING:

  • Darla Weekley, Provider Review Manager, Missouri Medicaid Audit and Compliance/DSS
  • Matt Perryman, Lead Data Scientist, Alivia Analytics

About the Session:

The Missouri Medicaid Audit and Compliance Unit (MMAC) within the Missouri Department of Social Services (DSS) recently implemented a new solution to help investigators and auditors identify, recover and prevent inappropriate payments in a more efficient and robust manner. By putting advanced analytics in the hands of the MMAC team, they can now build more accurate, confident and efficient investigative and audit plans.

Darla Weekley and Matt Perryman will share how analytics can inform the investigative plan as well as speak to the performance metrics and some of the tangible benefits.

During this session, you will learn how to:

  • Proactively create a priority target list
  • Determine a review plan for the primary allegation(s)
  • Conduct reviews in a more efficient way
  • Improve the target list and fraud detection scenarios over time
  • Increase Return on Investment (ROI)
MESC2022-Logo

Medicaid Enterprise Systems Conference 2022
August 15-18, 2022

We are looking forward to sponsoring and presenting at MESC 2022. The Medicaid Enterprise Systems Community (MESC) is a national conference and community for state, federal and private sector individuals to exchange ideas related to Medicaid systems and health policy affected by those systems.The 2022 conference will be held in-person in Charlotte, NC.
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How Missouri’s Innovative Analytics Solution Drives Payment Integrity Efficiencies
and Reduces Costs


Wednesday, August 17th 9:00amET

FEATURING:

  • Dale Carr, Director, Missouri Medicaid Audit & Compliance (MMAC)
  • Matt Perryman, Lead Data Scientist, Alivia Analytics

About the Session:

The Missouri Medicaid Audit and Compliance Unit (MMAC) within the Missouri Department of Social Services (DSS) recently completed an implementation of an innovative payment integrity analytics platform in order to help identify, recover and prevent inappropriate payments in a more efficient and robust manner. During this session, Dale Carr, Director at MMAC, and Matt Perryman, Lead Data Scientist, at Alivia Analytics will share key learnings from the implementation, along with performance metrics and tangible benefits the MMAC team has realized by implementing Alivia Analytics FWA Finder™. At the session you will learn how MMAC:

  • Defined specific project goals
  • Prepared for a successful implementation
  • Automated manual payment integrity processes
  • Increased the amount of improperly paid dollars recovered
  • Validated and ranked actionable FWA opportunities
  • Optimized the use of MMAC auditors and investigators
  • Tracked prevented and recovered losses
  • Monitored how providers change their billing behavior due to audits and investigations
NHCAA-Logo

NHCAA Institute for Health Care Fraud Prevention Annual
Training Conference 2022
November 15-18, 2022

We are looking forward to sponsoring and presenting at NHCAA 2022. The NHCAA Institute for Health Care Fraud Prevention’s Annual Training Conference (ATC) is recognized as the single-most important health care anti-fraud event, spotlighting trends and emerging schemes. The 2022 conference will be held in-person in Orlando, FL.
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Leveraging Analytics in Missouri: Prioritizing Targets, Reducing Time, Recovering More Money


November 16th 11:30am-12:30pmET

FEATURING:

  • Darla Weekley, Provider Review Manager, Missouri Medicaid Audit and Compliance/DSS
  • Matt Perryman, Lead Data Scientist, Alivia Analytics

About the Session:

The Missouri Medicaid Audit and Compliance Unit (MMAC) within the Missouri Department of Social Services (DSS) recently implemented a new solution to help investigators and auditors identify, recover and prevent inappropriate payments in a more efficient and robust manner. By putting advanced analytics in the hands of the MMAC team, they can now build more accurate, confident and efficient investigative and audit plans.

Darla Weekley and Matt Perryman will share how analytics can inform the investigative plan as well as speak to the performance metrics and some of the tangible benefits.

During this session, you will learn how to:

  • Proactively create a priority target list
  • Determine a review plan for the primary allegation(s)
  • Conduct reviews in a more efficient way
  • Improve the target list and fraud detection scenarios over time
  • Increase Return on Investment (ROI)