Below is information about CORPORATE MEDICARE COMPLIANCE OFFICER BCBSM from a variety of sources. Please take a look at the materials that our team has selected for you.
https://www.bcbsm.com/index/about-us/our-company/leadership/officers.html
Jeffrey L. Connolly. Senior Vice President and President, West Michigan and Upper Peninsula.
https://www.bcbsm.com/providers/help/medicare-fraud-training/
Providers and staff serving Blue Cross and BCN Medicare Advantage members must complete fraud, waste and abuse training. T o complete the training, you can: 1. Go to the CMS training modules site and complete: Combating Medicare Parts C and D Fraud, Waste, & Abuse. Medicare Fraud & Abuse: Prevent, Detect, Report.
https://www.bcbsm.com/index/about-us/our-company/leadership.html
Leadership. Blue Cross Blue Shield of Michigan has been a leader of accessible health care for more than 80 years. We’re the leading provider of health care insurance in the state. In fulfilling our mission, we’re a leader in funds donated to support programs that improve the health of everyone in Michigan.
https://www.bcbsm.com/content/dam/public/Common/Documents/code-of-conduct.pdf
[email protected] if you have any questions. Michele Samuels Senior Vice President, Corporate Auditor and Enterprise Compliance Officer Kelly Lange Vice President, Enterprise Compliance, Privacy Official, Medicare and Medicaid Compliance Officer iv Ethical Business Practices Protecting Corporate Assets Conflicts of Interest Gifts and Entertainment
https://www.bcbsm.com/content/microsites/media-resources/en/index/corporate-bios/michele-a-samuels.html
Vice President, General Auditor and Corporate Compliance. Samuels oversees Corporate Compliance, Government Programs Compliance & Audit Coordination, Customer Audit Coordination, Quality Assessment, and Corporate and IT Audit and Advisory Services. Before joining Blue Cross, she worked for the public accounting firm KPMG.
https://www.bcbsm.com/content/dam/microsites/procurement/cms-guidance-new-compliance-training-requirements.pdf
complete annual training related to fraud, waste and abuse and compliance with Medicare requirements. This training is a requirement that BCBSM/BCN must make sure FDRs carry out. This is because BCBSM/BCN is required by the Centers for Medicare & Medicaid Services to ensure that its FDRs complete training as part of its compliance program.
https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/Downloads/compliance.pdf
contractors may want their corporate compliance officer to also serve as the Medicare compliance officer. The corporate compliance officer’s position description should state, with particularity, the Medicare duties and responsibilities. In such a dual role situation, the Contractor should ensure that there is a lower level person delegated to oversee day-to-day Medicare …
https://www.bcbsm.com/index/about-us/our-company.html
Blue Care Network. Formed in 1998, Blue Care Network is a nonprofit health maintenance organization with over 900,000 members and almost 6,000 …
https://www.bcbs.com/about-us/leadership
Quality Care That’s Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Learn more about our Total Care and Blue Distinction® Specialty Care designation programs and find a designated doctor or hospital that meets your …
https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance
Compliance Program Policy and Guidance. Federal regulations at 42 C.F.R. §§422.503 and 423.504 specify the requirements for Medicare Plans to implement an effective Compliance Program. This section contains information related to the CMS' Compliance Program Policy and Guidance and will assist Medicare Plans and the public in understanding ...
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