Log in/Register

Return to search

Risk Adjustment Round Table: March 2019 -- FirstCare Health Plans

Event Date: 3/14/2019

Event Overview

Thursday, March 14, 2019
1PM CT – 2PM CT (60 minutes)
Hosted by: FirstCare Health Plans and Scott & White Health Plan

This event is hosted on our ReadyTalk platform

 

Join your Alliance risk adjustment peer group for a value call and discussion led by Alliance member FirstCare Health Plans and Scott & White Health Plan.  Our first call of 2019 will feature robust discussion on two tough issues:  First: Challenges with out-of-network providers submitting charts; and Second: Effectively appealing chart coding results with the IVA Auditor.  

This is a value call and so all participants are encouraged to review the topics above and come prepared to share out your plan's approach to these issues.  In addition, come with other questions for your Alliance peers.

 

Audience

This value call is designed for risk adjustment leaders

 

Ask your peers a question or share a resource anytime through the Alliance discussion forum

You can visit the discussion forum and post a question anytime. It's only available to Alliance members, so your question is private and secure. When submitting a question, you can select which topics your question is related to, such as "risk adjustment" or "coding". Individuals who have indicated in their Alliance profile they are interested in those topics and are opted in to discussion forum emails will receive your question. You can also add an attachment to your question or reply, making this tool another great resource for sharing best practices with your peers.

 


 

Other recommended events

Register now for these upcoming events

View the presentation materials from these recent events

 

Documents
3/14/2019

Presentation: Risk Adj Roundtable - FirstCare Health Plans
The risk adjustment peer group discussion, led by Alliance member FirstCare Health Plans and Scott & White, covers two tough issues: First: Challenges with out-of-network providers submitting charts; and Second: Effectively appealing chart coding results with the IVA Auditor.

3/14/2019

Recording: Risk Adjustment Round Table March 2019 -- FirstCare Health Plans
The risk adjustment peer group discussion was led by Alliance member FirstCare Health Plans and Scott & White. The discussion was on two tough issues: First: Challenges with out-of-network providers submitting charts; and Second: Effectively appealing chart coding results with the IVA Auditor.

Attendees

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

  • Lisa Alexander
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Lori Asmus
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Network Health
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Ngoc Bui-Tong
  • ALLIANCE MEMBER
  • Chief Health Equity and Strategy Officer at Santa Clara Family Health Plan
  • Kristin Calkins
  • ALLIANCE MEMBER
  • SIU Investigator at Quartz Health Solutions
  • Heidi Campbell
  • ALLIANCE MEMBER
  • OPCDI Specialist at Henry Ford Health System
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • Charniece Carter
  • ALLIANCE MEMBER
  • Risk Adjustment Operations Supervisor at Health First Health Plans
  • Ashley-Jo Chapin
  • ALLIANCE MEMBER
  • Risk Adjustment Compliance Nurse at Geisinger Health Plan
  • Wynda Clayton
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Providence Health Plan
  • Jennifer Cones
  • ALLIANCE MEMBER
  • Manager, Outpatient CDI at Henry Ford Health System
  • Deb Curry
  • ALLIANCE MEMBER
  • Director Risk Adjustment & Recoveries at Paramount Health Care
  • Janice Curtis
  • ALLIANCE MEMBER
  • Revenue Analyst at Baylor Scott & White Health Plan
  • Crystal Djordjevic
  • ALLIANCE MEMBER
  • Risk Adjustment Education Specialist at Health Alliance Medical Plans
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Jessica Dupont
  • ALLIANCE MEMBER
  • Vice President of Government Programs at Alliant Health Plans
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Deanna Homer
  • ALLIANCE MEMBER
  • Chief Operations Officer at HealthTeam Advantage
  • Jenny Hudson
  • ALLIANCE MEMBER
  • OP CDI SPECIALIST at Henry Ford Health System
  • Danielle Jaber
  • ALLIANCE MEMBER
  • Director, Government Programs at Baylor Scott & White Health Plan
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Kathy Koontz
  • ALLIANCE MEMBER
  • Quality CHA Auditor at Health First Health Plans
  • Nhu LE
  • ALLIANCE MEMBER
  • Risk Adjustment Manager at Presbyterian Health Plan
  • Melanie Lewis
  • ALLIANCE MEMBER
  • Risk Adjustment Coder at Henry Ford Health System
  • Luce Lohier
  • ALLIANCE MEMBER
  • Director, Government Programs Reimbursement at AvMed
  • Maria Menendez
  • ALLIANCE MEMBER
  • RN/CPC/CRC/clinical reviewer at AvMed
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Baylor Scott & White Health Plan
  • Julie Miller
  • ALLIANCE MEMBER
  • coding analyst at Health Alliance Medical Plans
  • Meghan Miller
  • ALLIANCE MEMBER
  • Risk adjustment auditor at Baylor Scott & White Health Plan
  • Jade Moore
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Paramount Health Care
  • Stephne Morgan
  • ALLIANCE MEMBER
  • Risk Adjustment Program Manager at Health New England
  • Le'Audry Moultree
  • ALLIANCE MEMBER
  • Outpatient CDI Specialist at Henry Ford Health System
  • Cathy Nagy
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Senior Risk Adjustment Analyst at Health Alliance Medical Plans
  • Michelle Osborne
  • ALLIANCE MEMBER
  • Outpatient Clinical Documentation Specialist at Henry Ford Health System
  • Kari Pace
  • ALLIANCE MEMBER
  • Clinical Documentation Improvement Nurse-Risk Adjustment/Quality Management at Medical Associates Health Plans
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Lisa Potter
  • ALLIANCE MEMBER
  • Risk Adjustment coder/ Educator/MA Abstract Analyst II at Health Alliance Plan (HAP)
  • Heather Richardson
  • ALLIANCE MEMBER
  • Sr. Medicare Compliance Analyst at Physicians Health Plan
  • Ivis Salgado
  • ALLIANCE MEMBER
  • RN,CPMA,CDEO,CRC,Clinical Reviewer at AvMed
  • Kris Trafton
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Geisinger Health Plan
  • Barbara Tyson
  • ALLIANCE MEMBER
  • OP CDI Specialist at Henry Ford Health System
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Compliance Analyst at Quartz Health Solutions
  • Kayla Walker
  • ALLIANCE MEMBER
  • Manager of Risk Adjustment at Baylor Scott & White Health Plan
  • Susan Waterman
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Baylor Scott & White Health Plan
  • Josh Weisbrod
  • ALLIANCE MEMBER
  • VP Risk Adjustment at Network Health
  • Mandy Whitley
  • ALLIANCE MEMBER
  • Point of Service Coding Analyst at Health Alliance Medical Plans
  • Joan Wilberg
  • ALLIANCE MEMBER
  • Manager, Healthcare Economics at IU Health Plans
  • Noelle Wilds
  • ALLIANCE MEMBER
  • Sr. Data Analyst at Presbyterian Health Plan
Speakers