Essential Strategies for Ensuring Audit Success: Program Audit, RADV, FWA
Date: September 24-25, 2015
Location: Baltimore, MD
The Annual Medicare Compliance Summit is designed for healthcare payers, providers, consultants and related companies involved in Medicare and Medicaid, seeking to optimize their compliance operations and eliminate violations at every level.
If you’re planning to attend the 2015 Medicare Compliance Summit, please stop by our table to learn more about the Discovery Payment Integrity™ suite, including our MSP validation and eligibility management solutions.
The National Other Party Liability Group (NOPLG) conference features seminars, workshops, discussions, and networking opportunities for Blue Cross and Blue Shield (BCBS) employees, subsidiaries and their other party liability (OPL) contractors. Key topics covered during the conference include coordination of benefits (COB), subrogation, workers’ compensation, Medicare Secondary Payer (MSP), OPL management, overpayment identification, and overpayment recovery.
If you’re planning on attending 2015 NOPLG conference, please stop by our table to learn more about our next-generation subrogation services and technology. And don’t forget to catch Elizabeth Longo, our subrogation expert and vice president of legal services, for her special presentation.
The processing of Medicare Advantage (MA) reimbursements is complex and can be frustrating for many plans, not the least because many trends and concepts are still developing. This conference features industry experts, including Discovery Health Partners’ Laura Cohen, providing their insights into best practices for MA reconciliation, recovery, and revenue management, as well as the evolving regulatory landscape.
America’s Health Insurance Plans (AHIP) is the national trade association representing the health insurance industry. AHIP’s members provide health and supplemental benefits to more than 200 million Americans through employer-sponsored coverage, the individual insurance market, and public programs such as Medicare and Medicaid. AHIP advocates for public policies that expand access to affordable health care coverage to all Americans through a competitive marketplace that fosters choice, quality and innovation.
This dual conference will cover important topics and issues regarding Medicare and Medicaid.
On the Medicare side, the conference will cover issues including the following:
Review of CMS’ priorities for Medicare Advantage and Part D
Analysis of 2014 midterm elections and public programs
Discussion of the future of Medicare delivery system reform and public partnerships
In the Medicaid conference, topics covered will include:
Review of the 2014 medical landscape
Discussion of the future of sustainable drug pricing
Analysis of state perspectives on Medicaid expansion and other priorities
If you will be attending this exciting event, please let us know. We’d love to reconnect with old friends and colleagues, as well as meet new ones.
Rey VillarAHIP National Conferences on Medicare and Medicaid
The Information Management “IM” Symposium is an annual event started in 2000, presented and hosted by various Blue Cross and Blue Shield Plan Information Professionals. The purpose is to provide Plan business and technical representatives an opportunity to network and exchange best practices and innovations in the field of information management, information architecture, data warehousing, business intelligence, informatics and analytics with the end result of delivering actionable business value to the Plans through the power of information assets.
If you’ll be attending, please make sure to catch our IM expert, Bill Whittemore, for his exciting presentation. And we invite you to drop by our table and learn about our industry-leading expertise and experience working with Blue Cross and Blue Shield plans.
As a proud member of the Association for Community Affiliated Plans (ACAP), our team will be attending the ACAP conference in Washington DC. If you’re planning on also attending, please drop by and say hello.
ACAP is a national trade association representing 58 nonprofit safety net health plans in 24 states. ACAP’s mission is to represent and strengthen not-for-profit, safety net health plans as they work with providers and caregivers in their communities to improve the health and well-being of vulnerable populations in a cost-effective manner. Collectively, ACAP plans serve more than ten million enrollees, representing more than 50 percent of individuals enrolled in Medicaid-focused health plans.
Rey VillarAssociation for Community Affiliated Plans (ACAP)
The Discovery Health Partners team is heading to Savannah, GA, next week to attend the 2014 National Other Party Liability Group (NOPLG) annual conference. As part of the festivities, we’ll be hosting a cooking class for conference attendees, featuring “low country cooking.”
Location: The Ritz-Carlton Phoenix Hotel, Phoenix, AZ
The Discovery Health Partners team will be attending the Best Practices in Financial Management for Medicare Plans conference next week, in Phoenix, Arizona. If you’ll be attending the conference or will be in the area, please don’t hesitate to drop by and speak with one of our team members.
The conference is hosted by Healthcare Education Associates and will cover important Medicare-related topics, including the following:
Best practices for estimating claim costs and understanding payment patterns
Optimizing medical cost drivers
Managing medical loss ratios
Understanding risk scores and Star ratings and their impact on MA revenue
Methods for accurately predicting mid-year and final-year payment adjustments
Using predictive modeling and analysis to lower costs
Lessons learned for the MA bidding process
Understanding RADV audit methodology and mitigating RADV audit risk
Understanding CMS payments and fees reflected in your monthly report
The financial impacts of accelerated plan growth and attrition
Utilizing data and technology to reduce costs, improve quality and optimize the clinical outcomes process
Rey VillarBest Practices in Financial Management for Medicare Plans Conference