This Forum takes a deeper dive into the most relevant Risk Adjustment innovations across all business lines, including Medicare Advantage, Medicaid, ACA, and the exchanges. With an unmatched faculty of industry-leading Health Plan speakers and innovative solutions providers, this event delivers specific solutions and strategies to transform your Risk Adjustment performance in 2023. Specific areas addressed will include: ...
    COMMUNICATION and OUTREACH:

  • Strengthening Member/Provider Communication 
  • Creative Member Communications – Rewards and Incentives that Work
  • Provider Engagement & Education—Ensuring Compliant HCC Reporting
  • Looking at the Projected Impact of ACO REACH
  • How Are You Affecting Care and Equity in Your Community?
  • VBC quality and cost
  • At-Home Assessment Scrutiny 
  • Collecting and Extracting Data Science for SDoH and Health Equity

    • MEDICAL RECORD RETRIEVAL:

  • Accurate Charting and Coding
  • Submission Reconciliation for Interdepartmental Alignment 
  • Minimizing Confusion for Encounter Data &  Outpatient CDI
  • Concurrent vs. Prospective/Retrospective Coding

    • TECHNOLOGY INNOVATIONS:

  • Achieving Interoperability & Bi-Directionality 
  • Differentiating Yourself from your Competitors
  • Drive Your Financial Models 
  • Populations Data Management
  • Data Cleanse, Data Review, and Data Curation - Selecting and Using the Right Technologies
  • Extract Specific Data from Structured and Unstructured Data
  • AI and NLP Advancements

    • POLICY, REGULATION, AUDITS, and LAWSUITS:

  • Policy and CMS, OIG, and DOJ Regulatory Updates
  • Lawsuits and Preventative Measures 
    •  
  • RADV Audits

Our carefully recruited faculty will walk you through their detailed analyses of accomplishments in Risk Adjustment along with the pitfalls they faced along the way. You will walk away with actionable strategies to improve your Risk Adjustment gameplan in 2023. Vendor events have a valuable place in the industry, but this is not it, this Risk Adjustment event will dig deep and deliver the topics plans and providers are desperate to receive to improve their Risk Adjustment initiatives.

Advisory Board

A special thanks to the Risk Adjustment Innovations Advisory Board Members for their thoughtful contribution to the program and agenda development.

UPMC Health Plan

Adele L. Towers, MD, MPH, FACP

Associate Professor of Medicine and Psychiatry, Director, Risk Adjustment
Florida Blue

Aldiana Krizanovic, MPH, CPH

Senior Health Policy Consultant, Federal Government Relations
Moda Health

Brianne Eckenrodt, CPC, CRC

Risk Adjustment Process Manager
CDPHP

Colleen Gianatasio, MHS, CPC, CPC-P, CPMA,CRC, CPCO, CDEO,CPPM, CCDS-0, CCS, and AAPC Approved Instructor

Director, Clinical Documentation Integrity and Coding Compliance
Martin’s Point Health Care

Dawn Peterson

Director of Risk Adjustment
Paramount Health

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

Director, Risk Adjustment & Recoveries Actuarial Services
Cigna

Donna Page, CRC

Senior Director Risk Adjustment Operations
GRANITE GRC

Khush Singh, MD, MHA, CRC, CPMA, CPCO, CDIP

Director, Risk Adjustment & Value-based Care, Program Operations & Compliance
,
Blue Cross of Idaho

Leah Hannum

Director, Government Funding Operations
Intermountain Healthcare

Rebecca Welling

Vice President Risk Adjustment
Granite GRC Consulting

Sheri Bernard Poe, CPC, CRC, CDEO

CCS-P
2023 ALL-STAR SPEAKERS
CareMore Health

Abhishek Mandal, PhD

Senior Consultant Risk Adjustment
UPMC Health Plan

Adele L. Towers, MD, MPH, FACP

Associate Professor of Medicine and Psychiatry, Director, Risk Adjustment
innoviHealth

Alan Crop

Vice President, Sales
Health Mine

Ben Poehling

Senior Advisor
InnovaCare Health

Dr. Carlos Rodriguez, AHCCA

Medical Doctor, Director of Risk Adjustment
Healthmine

Cherié K Shortridge

Senior Advisor
Office of Inspector General

Christopher G. Bresette, CPA

Director, Medicare Part C Audits
CDPHP

Colleen Gianatasio, MHS, CPC, CPC-P, CPMA,CRC, CPCO, CDEO,CPPM, CCDS-0, CCS, and AAPC Approved Instructor

Director, Clinical Documentation Integrity and Coding Compliance
University of Maryland Medical Systems

Corinne A. Cerminaro MSHA, CCS, CRC, RAP

AHIMA Approved Revenue Cycle Trainer, AHIMA Approved ICD-10-CM Trainer, Senior Manager Risk Adjustment
Martin’s Point Health Care

Dawn Peterson

Director of Risk Adjustment
CareMore

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

Director, Risk Adjustment Programs
Benelynk

Keslie Crichton

Chief Sales Officer
GRANITE GRC

Khush Singh, MD, MHA, CRC, CPMA, CPCO, CDIP

Director, Risk Adjustment & Value-based Care, Program Operations & Compliance
UPMC Health Plan

Kimberly Geidel, AVP

Government Revenue
Southwestern Health Resources (SWHR)

Laura Sheriff, RN, MSN, CPC, CRC

Vice President, Risk Adjustment
Blue Cross of Idaho

Leah Hannum

Director, Government Funding Operations
Community Health Plan of Washington

Mark Dabney, PMP

Director, Risk Adjustment
Constantine Cannon

Mary A. Inman

Partner
Blue Cross Blue Shield of Massachusetts

Mia Bell-Grant

Senior Manager of Medicare & Commercial Risk Adjustment Operations
Intermountain Healthcare

Rebecca Welling

Vice President Risk Adjustment
New Vision Healthcare Solutions

Ryan C. Dodson, CRC

Chief Operating Office/Co-Founder
Sentara Healthcare

Scott Weiner

Director, Government Programs
K&L Gates, LLP

Stephen Bittinger

Partner
Gessler Clinic PA

Shannon Bennett, CPMA, CPCO, CRC, CPC-I, CPC, CCS

Auditor & Risk Adjustment Coding Educator
VBC One

Dr. Shannon I. Decker, MBA, MBA, MEd., MEd, PhD

Principal
Who Should Attend:

This program is designed to appeal to Medicare Advantage, Medicaid, Commercial plans, and the exchanges —Vice Presidents, Directors, Managers, Supervisors and Specialists of:

● Risk Adjustment ● Risk Management ● Risk Revenue ● Revenue Management ● Financial Management ● Actuarial Management  ● HCC Coding  ● Coding ● Encounter Data ● Managed Care ● Performance Improvement ● Quality Improvement (Stars, HEDIS, CAHPs, etc) ● Accountable Care ● Data Management ● Physician/Member Engagement ● Provider/Member Education
2023 Partners
Educational Underwriter
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Supporting Organization
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Association Partner
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
Exhibitor
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
  • Strategic Solutions Network (SSN), based in Boca Raton, FL, is the parent company of the Medicare Risk Adjustment & Revenue Management Management, Plus Quality and Star Ratings and a series of related conferences.
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