Now offering
8.5 AAPC CEU
Credits

Now offering
8.5 AAPC CEU
Credits

3^rd Annual Risk Adjustment Innovations Forum

V28 Changes, OIG Enforcement, Submission Accuracy, Leveraging Data, and So Much More

February 12-13, 2025

Dallas/Fort Worth, Texas.

About The Event

The 3rd Annual Risk Adjustment Innovations Forum will showcase optimal solutions to meet the unprecedented changes affecting Risk Adjustment across all business lines, including Medicare Advantage, Medicaid, ACA, and the exchanges. While the industry is experiencing a plethora of regulatory changes, mounting litigation, new and complex coding changes, it is vital that health plans and providers alike are prepared and adjusting to their new reality. Hear your peers discuss real world solutions and practical options to optimize your comprehensive risk adjustment strategies. No fluff, no distractions, just comprehensive risk adjustment strategies. With a top-notch faculty of industry-leading Health Plans, providers, and innovative solutions providers, this event delivers specific solutions and strategies to transform your Risk Adjustment initiatives and survive in our new reality. Join us February 12-13, 2025, in Dallas/Fort Worth, Texas. You won’t want to miss this event.

Speakers

Speaker 6

Brett J. Goff

Director of Risk Adjustment

Jennifer Hawkes CPC, CRC

Risk Adjustment, Manager, Member Engagement

Speaker 3

Christopher G. Bresette

Director of Medicare Part C Audits

Michael Bagel

Government Affairs Executive, Health Care Policy and Politics

Sarah J. Hartley, MHA, RHIA, CDEO, CRC

System Director, Ambulatory Risk Adjustment and Clinical Documentation Integrity

Speaker 3

Susan L. Waterman

Director of Risk Adjustment

The 2025 Advisory Board

Speaker 6

Abhishek Mandal, PhD

Senior Manager Business Consultant, Revenue Integrity

Speaker 6

Adele L. Towers, MD MPH FACP CRC

Professor of Medicine, Division of Geriatric Medicine

Director, Risk Adjustment

Speaker 6

Brett J. Goff

Director of Risk Adjustment

Speaker 3

Dean Ratzlaff

Director – Actuary/Revenue Management

Speaker 6

Deb Curry, MBA, RHIA, CCS-P, CRC

Risk Adjustment Programs Director

Speaker 6

Jennifer Hayes, DNP, CPC, CRC, CDEO, AAPC Fellow

Lead Director, Quality Management

Speaker 3

Dr. Julio Perez, AHCCA

Director, Medicare Risk Adjustment

Michael Bagel

Associate Vice President of Public Policy

Speaker 6

Michelle Mitchell, MHA, CRC

Director of Risk Adjustment, Corporate

Speaker 3

Rebecca Welling

Vice President Risk Adjustment

Speaker 6

Sunita E. Varghees, MD, PhD, CHCQM,

VP System Clinical Documentation Improvement,

Speaker 3

Susan L. Waterman

Director of Risk Adjustment

WHO SHOULD ATTEND

The 3rd Annual Risk Adjustment Innovations Forum is designed for CSuite, Vice Presidents, Directors, and Managers from Medicare Advantage, Medicaid, ACA, Dual Eligible Health Plans, DSNPs, and Commercial Plans with responsibility for:

Risk Adjustment
Risk Management
Revenue Management
Financial Management
Actuarial Management
Coding/HCC Coding
Encounter Data
Quality Improvement/Assurance
Star Ratings
Data Management and Data Analytics
Physician/Member Engagement
Provider/Member Engagement
Compliance/Regulation

Also, consultants and service providers

WHAT YOU WILL LEARN

Get the latest OIG enforcement activities straight from the OIG
V28 impact and pending strategies to implement
Learn how to build a high functioning risk adjustment department
Navigate the Part D RxHCCs initiatives
Improve bi-directional data and interoperability between payer and provider
Implement the latest in AI, NLP, and technology to improve your risk adjustment strategies
Seamlessly combine quality/Stars and coding into one workflow
Use Home Health Risk Assessments for a comprehensive diagnosis
Ensure provider engagement and education with seamless and minimal requirements
Create a robust CDI improvement program
Network with the top risk adjustment experts at the only conference in the industry that delivers solid take-aways and no distractions in an environment primed for actual peer networking

Testimonials from
Our 2024 Program:

“Hearing that the OIG used information shared and discussed at the 2023 conference to develop the OIG toolkit that was deployed in Dec 2023”,

-Jennifer Hayes, Aetna

“Excellent content! LOVED OIG being here”,

Susan Waterman, BSW Health Plan

“Candid advice from experienced professionals and emphasis on compliance. I greatly appreciated the presentation by the OIG and insight on how I can better prepare my organization for audits and implement programs to ensure accuracy”,

Michelle Mitchell, Moda Health

“I loved two things, dialogue – whether in a session or outside a session and good information”,

Dean Ratzlaff, Sentra Health Plan

“The content of the presentations were extremely useful”,

Matt Ringler, Christus Health

“Content was rich and on point & relevant…the presentations were practical – no fluff!”,

Laura Sheriff, SWHR

“Very impactful speakers/robust data drive and coding focused content”,

Brett Goff, Peach State Health Plan

“Hearing OIG updates, ‘real life’ experiences. I greatly enjoyed the kindness of the people in general. Willingness to talk and share their knowledge. Great overall experience!”,

Sara Draper, OSF Healthcare

“All of the speakers! This was fabulous! I want my entire RA team and our quality team here next year!”,

Jennifer Ockey, Mountain Health Co-Op

“The thing I liked the most is the intimacy of the smaller group. Not being over inundated by vendors and the real collaboration among presenters/participants”,

Donna Page, CareOne Consulting

“Networking abilities, breadth of topics covered in a short time. Great speakers and agenda”,

Jonas Foit, CareOne Consulting

“The engagement of the speakers and audience and vice versa. Excellent Information shared from all the sessions”,

Radha Rai, Elevance Health

“Size of the conference is great. Can meet with people and not feel overwhelmed. Great topics with experts! Appreciate the OIG here. So very informative. Length of second day was great”,

Jenna Jansen

“Session content – focused largely on actual issues and concerns for providers and payers”,

Betty Stump, Edifecs

“Comprehensive & in-depth overview of today’s most pressing topics in risk adjustment and beyond”,

Sarah Popelka, Bayer

“Great discussions”,

David Meyer, Beacon Healthcare Systems

“Great discussions”,

David Meyer, Beacon Healthcare Systems

“Another great conference. Love the candid discussions and open dialogue. Topics are always relevant and meaningful. This is my second year and I look forward to next year”,

Jessie Vinson, Upstream

“The material was awesome and very beneficial plus relevant! Thank you for having OIG here – loved hearing from them”,

Deb Curry, Paramount

SPONSORED BY

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