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Future Your RA by Optimizing Claims Data - Upfront

Event Date: 4/2/2024

Event Overview

Tuesday, 4/2/2024
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Veradigm

For patients/ members, missed or nonspecific diagnoses can deprive them of the care needed to treat their core condition, to prevent or lessen its progression, and to stave off complications. Join Veradigm for a rewarding discussion on shaping the future of patient care.

Learning Objectives:

  • Understand the benefits of moving claim review to the front.
  • Hear about why you should consider implementing enhanced Electronic Data Interchange (EDI) logic with your clearinghouse vendor.
  •  Discover ways that cross departmental cooperation can help to improve financial outcomes.
  • Learn how a thoughtful EDI strategy combined with risk adjustment analytics enables you to catch and correct errors upstream.
 

 

Notice to Participants:

Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.



 

Thank you to our event sponsors


Bronze

 

Documents
4/3/2024

Recording: Future Your RA by Optimizing Claims Data - Upfront
Missed or nonspecific diagnoses can hinder proper treatment, progression prevention, and complication prevention for patients/members. Explore the benefits of front-end claim review, enhanced Electronic Data Interchange (EDI) logic, cross-departmental cooperation, and effective EDI strategies with risk adjustment analytics. Join Veradigm to shape the future of patient care.

4/2/2024

Presentation: Future Your RA by Optimizing Claims Data - Upfront
Missed or nonspecific diagnoses can hinder proper treatment, progression prevention, and complication prevention for patients/members. Explore the benefits of front-end claim review, enhanced Electronic Data Interchange(EDI) logic, cross-departmental cooperation, and effective EDI strategies with risk adjustment analytics. Join Veradigm to shape the future of patient care.

4/2/2024

Presentation: Future Your RA by Optimizing Claims Data - Upfront
Missed or nonspecific diagnoses can hinder proper treatment, progression prevention, and complication prevention for patients/members. Explore the benefits of front-end claim review, enhanced Electronic Data Interchange(EDI) logic, cross-departmental cooperation, and effective EDI strategies with risk adjustment analytics. Join Veradigm to shape the future of patient care.

Attendees

Below is a list of all delegates registered to date for this event

  • Kwame Appiah-Yeboah
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Sentara Health Plans (Optima)
  • Pamela Banker
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Network Health
  • Tammy Chadd
  • ALLIANCE MEMBER
  • Compliance Manager at IU Health Plans
  • Deborah. Coakley
  • ALLIANCE MEMBER
  • Director of Risk Adjustment Programs - Operations at Baylor Scott & White Health Plan
  • D De Roche
  • ALLIANCE MEMBER
  • Manager, Goverment Programs at Community Health Options
  • Shirley Doyle
  • ALLIANCE MEMBER
  • Sr. Director, Medicare Revenue Mgmt at Sentara Health Plans (Optima)
  • Lisa Garrett
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Sentara Health Plans (Optima)
  • Cha Nesha Griffin
  • ALLIANCE MEMBER
  • Risk Adjustment Senior Analyst at Baylor Scott & White Health Plan
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Minal Patel
  • ALLIANCE MEMBER
  • Quality Analyst at Aspire Health Plan
  • Dean Ratzlaff
  • ALLIANCE MEMBER
  • Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
  • Lisa Reyes
  • ALLIANCE MEMBER
  • Supervisor of HCC Coding at CHRISTUS Health Plan
  • Colleen Schepp
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Network Health
  • Debra Schiffman
  • ALLIANCE MEMBER
  • Vice President, Operations at Quartz Health Solutions
  • Tonya Wiegert
  • ALLIANCE MEMBER
  • Sr. Director, Claim Operations and Provider Enrollment at Quartz Health Solutions
  • LaCole Young
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst 2 at Baylor Scott & White Health Plan
Speakers