MedOPS Best Practices Summit

A bewildered Medicare Advantage industry continues to endure operational challenges, regulatory modifications, critical technological transitions, and a collection of wait-and-see policies/procedures. How can operational executives effectively streamline their interdepartmental operations in the midst of such confusion? It’s a daunting task with many moving parts.

In the Revenue Management track, hear in-depth case studies from your peers about:

Properly streamlining your enrollment process
Practical tips to improve your enrollment reconciliation
Risk adjustment and operational readiness
Accurately coding complex diagnoses codes
Understanding RADV memos

..and so much more!

In the Data Management track, hear directly from numerous health plans about:

Developing a strong infrastructure with cohesive input, output, and validation operations
Effectively transitioning to Encounter Data Processing Systems – an operational nightmare
Improving data exchange across departments
Implementing a cross-departmental data-training program
How to effectively transition to ICD-10 and its effects on operations

..and so much more!

In the Compliance track, our expert speakers will walk you through:

Successfully conducting internal departmental audits
Ensuring timely and accurate responses to external audits
Safeguarding against unexpected internal and external audits
Effectively administering and monitoring your part D plan
Taking immediate and swift action when you suspect problems with third-party vendors

..and so much more!

Speaker and Presenter Information

� Angel R Tirado-Morales, Medicare Operations Director, MetroPlus Health Plan � Ashok Sudarshan, Senior Vice President, Operations, HealthSpring � Carolyn Marley, Systems Director, National Medicare & Medicaid Finance, Kaiser Permanente � Danielle F. Jaber, Director, Medicare Operations, FirstCare Health Plans � David Meyer, HCC Administrator, Aveta Inc. � Deniese M. Scheff MSN, MHA, BSW, RN, Director, ACI and Healthcare Management, Health Texas Medical Group � Drew Williams, MA-ITM, Risk Adjustment Manager, Medicare Advantage, BlueCross BlueShield of SC � Hewitt Moten, Director, Medicare Risk Adjustment, Network Health Plan � Jack McCallum, MD, PhD., Chief Executive Officer and Chairman, CenseoHealth � James Hathaway, Medicare Operations & Reconciliation Analyst, Martin�s Point Health Care � Jennifer Young, Director of Business Recon/Revenue Enhancement, Wellpoint, Inc. � Kathleen M. Harkness, RN, MS, CPHQ, Senior Director of Corporate Quality, Midwest Health Plan � Kim Browning, Executive Vice President, Cognisight, LLC � Lyle Hill, Vice President, Data Quality, HealthSpring � Manuel F. Gaidola HIA, CPC, Generations Advantage, Manager, GA Program Performance, Martin�s Point Health Care � Marc McDonald, Business Intelligence Analyst, Martin�s Point Health Care � Melanie Richey, Senior Product Manager, Verisk Health � Misha Diden, CPC, CMPE, Director, Compliance, FirstCare Health Plans � Patti Earl-Cole, Manager BCN Advantage Oversight, Blue Care Network of Michigan � Robert W. Brown, Executive Vice President & COO, Affinity Health Plan � Ruth M. Arevalo, Director of Operations, Providence Partners for Health, Providence Health & Services California Region � Ryan McKeown, Medicare Program Analyst, Martin�s Point Health Care � Sarah Dixon, Manager of Medicare Revenue & Risk Adjustment, Kelsey Seybold � Sione Ayers, MBA, Encounter Data Manager, Care 1st Health Plan � Stanley A. Glassman FACHE, Chief Operating Officer, Metro Plus Health Plan � Thomas Martin, Director, Recovery, Wellcare