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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 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.

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)
  • John Baker
  • ALLIANCE MEMBER
  • Director of Regulatory Operations & Program Integrity Department at Presbyterian Health Plan
  • Bill Bradish
  • ALLIANCE MEMBER
  • Senior Investigator 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
  • Sarah Engle
  • ALLIANCE MEMBER
  • Risk Adjustment and Claims Analytics Supervisor at Western Health Advantage
  • Jaime Gonzalez
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Health Plan Alliance
  • Jessica Grenier
  • ALLIANCE MEMBER
  • Manager, Quality Audit & Recovery at Community Health Options
  • Kristin Griego
  • ALLIANCE MEMBER
  • SIU Investigator at Prominence Health Plan
  • Jill Henrich
  • ALLIANCE MEMBER
  • Investigator at Geisinger Health Plan
  • Marjorie Henriksen
  • ALLIANCE MEMBER
  • Director of Operations, Prominence Heatlh Plan/CDS Group Health at Prominence Health Plan
  • Shannon Kast
  • ALLIANCE MEMBER
  • SIU Analyst at Prominence Health Plan
  • Renee Kimm
  • ALLIANCE MEMBER
  • Compliance at Central Health Plan of California
  • Gretchen Lagassee
  • ALLIANCE MEMBER
  • Assistant Manager, Quality, Audit, and Recovery at Community Health Options
  • Greta Matus
  • ALLIANCE MEMBER
  • FWA Special Investigator at Health Alliance Medical Plans
  • Kellie Opp
  • ALLIANCE MEMBER
  • Operations Manager at Avera Health Plans (DAKOTACARE)
  • Tenille Perring
  • ALLIANCE MEMBER
  • Coding Compliance Auditor at Health Alliance Medical Plans
  • Jean Rao
  • ALLIANCE MEMBER
  • Pharmacy Manager at Chinese Community Health Plan
  • Kurt Rentmeester
  • ALLIANCE MEMBER
  • Medicare Operations Manager at FirstCarolinaCare Insurance Company
  • Melissa Rusk
  • ALLIANCE MEMBER
  • Director, Claims and BPO Operations at SummaCare
  • Kelly Skifton
  • ALLIANCE MEMBER
  • Assistant Vice President, Compliance & Government Regulatory Operations at Quartz Health Solutions
  • Jesse Warner
  • ALLIANCE MEMBER
  • Director of Internal Audit at Network Health
  • Anders Knox
  • SPEAKER
  • President at Data Saints Auditing
  • Mark Starinsky
  • SPEAKER
  • Director of FWA Products at Cotiviti (formerly Verscend Technologies)
  • Lars Knox
  • SPONSOR
  • Founder at Data Saints Auditing
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