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Contract and Policy Changes and General Future Expectations.

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Presentation on theme: "Contract and Policy Changes and General Future Expectations."— Presentation transcript:

1 Contract and Policy Changes and General Future Expectations

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4 Investigations vs reviews Audits vs Investigations Data Mining Activities Recoupments Dependency vs Interdependency Task Force Oversight - Metrics

5 OIG PI Audits Data Analytics Recoupments MCOs PI Audits Data Analytics Track, Trend, Report Periodic Data Mining-Outliers OIG and MCOs Track, Trend, Analyze

6 Correct issues in policy Findings to feed system Detect, Investigate provider fraud Consistency in guidance to MCOs MCOs correct issues internally Prevent future occurrences

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