Skip navigation

Strategies for Compliance in an Evolving Healthcare Landscape

November 20-21, 2019
  • Scottsdale, AZ

CBI’s 8th Annual Pharmacy Benefit Management Compliance Congress delivers key insights into the latest compliance developments impacting pharmacy benefit management. You won’t find a better platform for health plans, PBMs and pharmacies to discuss the challenges and successes regarding Part D customer service, guidance on new CMS audit protocols and state legislation of PBMs.

EXPLORE STRATEGIC AREAS OF FOCUS TO IMPROVE COMPLIANCE PROGRAMS:

  • Deep-dive analyses into the final Parts C and D appeals and
    grievances guidance
  • CMS priorities ahead for 2020
  • Latest round of state legislation attempting to regulate PBMs Network adequacy requirements —
    What you need to file, how to get the network certified
    Licensure/registration of PBMs Transparency/disclosure reports
  • Lessons learned on how to handle CMS PBM related
    audits and sanctions
  • Updated guidance on new audit protocols for 2020
  • Data validation best practices and techniques to ensure
    accurate reporting to maintain “safe harbor” status
  • New script format standards for prescription transmissions
    and the latest NCPDP standards
  • Electronic prescribing of controlled substances and
    how to leverage new prescription point-of-sale
    safety edits to prevent opioid abuse

8th Annual Pharmacy Benefit Management Compliance Congress

Strategies for Compliance in an Evolving Healthcare Landscape

CBI’s 8th Annual Pharmacy Benefit Management Compliance Congress delivers key insights into the latest compliance developments impacting pharmacy benefit management. You won’t find a better platform for health plans, PBMs and pharmacies to discuss the challenges and successes regarding Part D customer service, guidance on new CMS audit protocols and state legislation of PBMs.

EXPLORE STRATEGIC AREAS OF FOCUS TO IMPROVE COMPLIANCE PROGRAMS:

  • Deep-dive analyses into the final Parts C and D appeals and
    grievances guidance
  • CMS priorities ahead for 2020
  • Latest round of state legislation attempting to regulate PBMs Network adequacy requirements —
    What you need to file, how to get the network certified
    Licensure/registration of PBMs Transparency/disclosure reports
  • Lessons learned on how to handle CMS PBM related
    audits and sanctions
  • Updated guidance on new audit protocols for 2020
  • Data validation best practices and techniques to ensure
    accurate reporting to maintain “safe harbor” status
  • New script format standards for prescription transmissions
    and the latest NCPDP standards
  • Electronic prescribing of controlled substances and
    how to leverage new prescription point-of-sale
    safety edits to prevent opioid abuse