Medicare Advantage Member Accounting & Reconciliation

Attend this conference to make certain your plan knows how to successfully approach and resolve reconciliation disparities. Hear from top health plans and vendors to gain valuable insight on how to best ensure accurate reconciliation payment. 

Topics at a glance include:

• MMR and MOR Fundamentals: The Blueprint of Your Plan’s Reconciliation Process
• Taking it to the Bank: Calculating Member Revenue
• Resolving Discrepancies with the Retroactive Reconciliation Process
• The Three R’s of MSP Status: Review, Recovery and Reconciliation
• Increasing the Accuracy of the Reconciliation Process of Special Status Cases—ESRD, Hospice and other Circumstances
• Best Practices to Avoid Data Problems
• Risk Adjustment Reconciliation
• Intricacies of Part D Drug Claims, Reconciliation and PBM Oversight
• Best Practices in Enrollment Reconciliation-NEW!
•  MARx and ECRS—CMS Web Tools for MA Plans-NEW!
• Enrollment Data Validation-NEW!
• Reconciliation and Revenue Management for Dual Eligibles-NEW!
• Putting it All Together: Connecting the Dots to Effectively Estimate Your Overall Financial Status-NEW!