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, Martins 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, Martins Point Health Care Marc McDonald, Business Intelligence Analyst, Martins 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, Martins 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, WellcareExpected Number of Attendees
150Relevant Government Agencies
Dept of State, County Government, City Government
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When
Thu-Fri, May 30-31, 2013, 8:00am - 5:00pm
PT
Cost
Health Plan rate: | $1495.00 |
Standard Rate for all other attendees: | $1795.00 |
Where
JW Marriott Las Vegas Resort & Spa, Las Vegas
221 N Rampart Blvd
Las Vegas, NV
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Website
Click here to visit event website
Organizer
Healthcare Education Associates