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Running a Payment Integrity effort as efficiently as Blue Cross Blue Shield

Event Date: 9/11/2019

Event Overview

Wednesday, September 11, 2019
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Data Saints Auditing

This vendor spotlight is hosted on our ReadyTalk platform

 

Insurance companies of Blue Cross Blue Shield size have brought most payment integrity functions in house.  This presentation is meant as a guide to running at the same effectiveness and cost level of Blue Cross Blue Shield while still leveraging vendors to do the work.  

Attending the webinar, participates will learn:

  • Understanding why Blue Cross Blue Shields’ brought Payment integrity in-house
  • How to duplicate Blue Cross Blue Shields’ successes while still outsourcing Payment Integrity to vendors
  • Correctly valuing and choosing your Payment Integrity vendors
  • Introduction to vendor Data Saints Auditing


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.

Documents
9/11/2019

Presentation: Running a Payment Integrity effort as efficiently as Blue Cross Blue Shield
This presentation is a guide for running at the same effectiveness and cost level of Blue Cross Blue Shield while still leveraging vendors to do the work.

9/11/2019

Recording: Running a Payment Integrity effort as efficiently as Blue Cross Blue Shield
This video recording presentation is meant as a guide to running at the same effectiveness and cost level of Blue Cross Blue Shield while still leveraging vendors to do the work.

Attendees

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

  • Carrie Abenante
  • ALLIANCE MEMBER
  • Manager, Special Investigations Unit at Sentara Health Plans (Optima)
  • Bill Bradish
  • ALLIANCE MEMBER
  • Manager-SIU at Presbyterian Health Plan
  • Pat Bremer
  • ALLIANCE MEMBER
  • Supervisor, Special Investigation Unit at Paramount Health Care
  • Meagan Canney
  • ALLIANCE MEMBER
  • Audit and Recovery Specialist at Community Health Options
  • Jaime Gonzalez
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Health Plan Alliance
  • Jessica Grenier
  • ALLIANCE MEMBER
  • Director, Claim Operations at Community Health Options
  • Jill Henrich
  • ALLIANCE MEMBER
  • Investigator at Geisinger Health Plan
  • Brendan Hodges
  • ALLIANCE MEMBER
  • President/CEO at HealthTeam Advantage
  • Shannon Kast
  • ALLIANCE MEMBER
  • PIU Analyst at Prominence Health Plan
  • Gretchen Lagassee
  • ALLIANCE MEMBER
  • Manager, Claims Operations at Community Health Options
  • Kellie Opp
  • ALLIANCE MEMBER
  • Operations Manager at Avera Health Plans
  • Charles Palermo
  • ALLIANCE MEMBER
  • Vice President, Claim Services at Health Alliance Plan (HAP)
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Vice President Operations at SummaCare
  • Kelly Skifton
  • ALLIANCE MEMBER
  • Assistant Vice President, Compliance & Government Regulatory Operations and Privacy at Quartz Health Solutions
  • Jesse Warner
  • ALLIANCE MEMBER
  • Director of Internal Audit at Network Health
Speakers
  • Michael L. Seavers, Ph.D. Seavers, Ph.D.
    Professor of Healthcare and Information Technology at Harrisburg University at Harrisburg University
    click here for full people profile