Webinar: New Methods for New Rules – CMS 6028 and You
Join Us for a complimentary Live Session in a new HMS Medicaid Compliance Webinar Series.
Tuesday, August 9, 2011, 1:00 pm-2:00 pm EDT
A key element of CMS Rule 6028—new prescriber enrollment requirements —is causing concern for Medicaid directors and program managers. Simply put, physicians and other professionals that prescribe or refer patients for Medicaid services must be enrolled as a Medicaid provider in order to process and pay their claims.
While the reason for the rule offers a seemingly easy way to prevent fraud, waste and abuse, what it really poses for Medicaid directors are difficult data logistics – collecting, validating and maintaining prescriber information to ensure proper payment.
If done right, this process involves validation checks against professional license files, sanctions databases, and DEA listings. It often means manual checks against multiple sources or attempts to harvest and corral these key data points into one location. To further complicate the effort, reliable sources of licensing, credentials and restrictions are not always readily found and frequently change.
The good news is that there are automated tools available to cost-effectively facilitate prescriber validation, enrollment and ongoing maintenance. It starts with access to a robust database of all licensed prescribers nationwide and ends with accurate, current and complete prescriber information. With solutions that ease the burden of accurate provider data acquisition, it’s a new day for Medicaid agencies faced with CMS rule 6028.
Attendees will gain practical business strategies regarding:
- Cost-effective prescriber enrollment outsourcing opportunities
- Rapid and easy access to current prescriber data to enhance compliance programs
- Best practices for data integration and operational excellence
Join Mike Sharp, pharmacy consultant and former pharmacy director for the State of Indiana’s Office of Medicaid Policy and Planning, and Brad Bauer, executive director, HMS Government Solutions, as they share insights about Medicaid prescriber enrollment requirements and options for complying with CMS Rule 6028 to achieve true compliance.
Who Should Attend?
- Medicaid Compliance Officers
- Pharmacy Directors
- MMIS/PBM Managers
- Provider Enrollment staff
- Database Administrators