CompliancePalooza | A RISE Health Conference

Effectively Address Your Top Compliance Challenges

CompliancePalooza helps Medicare Advantage compliance professionals address ever-evolving regulatory updates, mitigate risk, and ensure successful audit outcomes.

Get the tools you need to navigate evolving regulations, reduce risk, and ensure successful audit outcomes. Hear from an industry-leading speaking faculty on lessons learned, best practices, and actionable strategies to effectively address your top compliance challenges, including the 2025 CMS Final Rule, RADV updates, and utilization management. Learn how to successfully navigate CMS audits, prepare for increased OIG scrutiny, and evaluate the impact of the latest regulatory changes.

Stay tuned for details on next year's event.

With a variety of sessions covering CMS regulations, audits, and how to mitigate compliance risks, CompliancePalooza is uniquely positioned to bring together mid- to senior-level professionals from all functions of compliance and delegate oversight including:

COMPANY TYPES:

Medicare and Medicare Advantage Health Plans
Health Care Provider Organizations
Drug Management Solutions Providers
Regulatory Counsel
Consultants
Other Service Providers

JOB FUNCTIONS:

Medicare Compliance
Compliance Operations and Administration
Claims, Data Analytics, and Audits
Appeals and Grievances
Ethics, Privacy, and Risk
Delegation Oversight
Government Programs and Regulatory Affairs
Risk Adjustment and Coding

Compliance specialists joined us virtually in 2024 to:

Analyze and adapt to key regulatory changes stemming from the 2025 CMS Final Rule
Gain comprehensive insights into preparing, executing, and improving CMS program audits
Learn effective strategies to comply with new marketing restrictions and maintain robust outreach efforts
Discover methods to create transparency and address disproportionate impacts in utilization management (UM) policies through annual analysis and reporting
Identify and apply key strategies for overseeing First Tier, Downstream, and Related Entities (FDRs)
Understand and integrate new outpatient behavioral health network adequacy standards to improve service access
Navigate the revised RADV appeals process effectively to manage medical record reviews and payment error appeals
Align your agent and broker contracting and compensation practices with updated CMS guidelines
Equip yourself with strategies to manage and communicate the Medicare Prescription Payment Plan (M3P) effectively
Implement innovative benefits and processes to improve health outcomes and compliance for chronically ill members through SSBCI programs

Rise

Save the Date for September 2025

“Excellent opportunity to network with compliance professionals who manage similar roles as well as learn best practices in a no-judgment zone.”

“Absolutely awesome conference! I learned a ton that I will be able to take back and share with my team. I can’t wait to get started on our improvements.”