FEATURED SPEAKERS

Rave Reviews From Past Risk Revenue, Quality & Star Ratings Delegates

WHO SHOULD ATTEND

Executives, senior management, directors, managers and administrators of Medicare:

• Risk Adjustment
• Revenue Management
• Finance
• Operations
• Government Programs
• Quality
• Network Contracting/Provider Relations
• Claims
• STAR ratings
• Quality
• Member Services
• 
Enrollment
• Medical/Case Management
• Utilization Review
• Data Management
• Benefits
• Auditing
• Care management
• Member outreach
• Compliance
• Reconciliation
• Medical Directors

For the first time, this cutting edge event brings together Medicare Finance & Operations with Quality & Clinical Management in a format that mirrors the integration that is taking place today between these disparate but increasingly inter-related functions - from both a hands-on perspective and strategic. You're sure to get all relevant information to help you with your day-to-day challenges - from Risk Revenue Management to Integrating Clinical/Quality and Financial Management.

Nowhere else can you get the cutting edge inter-department solutions presented at this forum. Get in-depth practical and strategic coverage for:

Medicare Risk Revenue Management

Hear best practice operational strategies to streamline Medicare Risk Revenue Management:

  • Data Mining – Merging Clinical Data with Other Sources including Big Data
  • Best Practices RADV – New Rules Post Election
  • Encounter Data Submission – Navigating the Ever Changing Landscape
  • Prospective Health Best Practices: Boosting Quality Care, HCC Accuracy & Stars
  • Enhancing Revenue through Retrospective Chart Audits – A New Technology for the New World of Risk Adjustment

Integration Strategies for Medicare Risk Revenue Management & Quality & Star Ratings

Build effective partnerships and collaborations between risk revenue management executives and quality/star ratings executives:


  • Lessons Learned From 5-Star Plans: How to Apply Best Practices on a Daily Basis
  • Aligning Incentives with Providers: Costs, Quality, Stars, and Revenue
  • Tearing Down the Silos: Integrating 5 Star & Other Performance Measures
  • Aligning Financial & Clinical Initiatives to Minimize Cost and Maximize Quality

Boost Quality & Star Ratings

Tackle core challenges you face in ensuring quality and hitting your Star ratings goals:


  • Readmissions:  Care Management Programs for Complex Frequent Fliers
  • Best Practices for Stratifying the Population and Data Mining
  • NCQA Measures – STAR related HEDIS metrics
  • Managing Star Metrics You Have No Direct Control Over

 

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