Return to search

Maximize Accuracy & Revenue of Your Encounter Submissions

Event Date: 3/10/2020

Event Overview

Tuesday, March 10, 2020
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Babel Health

This vendor spotlight is hosted on our BigMarker platform

During this interactive discussion and demo, you’ll learn about the major issues related to complex risk adjustment and encounter submissions, and how to remove these obstacles to improve data accuracy and maximize revenue. Babel Health will introduce you to a new and improved workflow for managing RAPS, EDPS, EDGE and Medicaid LOBs … made possible via powerful, all-in-one technology that pre-validates 100% of your encounter data, alerting you to errors prior to submission — before they turn into revenue loss. 

The Maximize Accuracy & Revenue of Your Encounter Submissions session is an opportunity to understand — and overcome — the many pitfalls health plans face regarding complex risk adjustment and encounter submissions. How accurate is your data? How complete is your process? Do you have multiple vendors and/or staff members duplicating efforts across disparate systems? Are you losing money? Are you leaving money on the table?

The discussion — led by Teig Boyle, VP of Sales & Marketing and Deb Kircher, VP of Operations at Babel Health — will outline these important topics and explain how the Babel Health platform ensures accurate, complete and compliant submissions, gleans critical business insights and enables smarter decision-making — all while maximizing your revenue. 

During the demo, you get to witness this single, easy-to-use tool that streamlines processes and pre-validates 100% of the submission data. By the end of the webinar you will have learned:

  • How having full control of your data via powerful analytics and reporting can help dramatically improve your encounter submission acceptance rates
  • The importance of submitting 100% of the encounter data (and how for some vendors 100% doesn’t really mean that)
  • Ways to uncover suspected problems and solve them before they happen
  • How to gain data visibility for 360-degree insight into all encounter data that should be reported vs. what is reported
  • How to eliminate errors, compliance headaches and lost revenue

 

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
3/10/2020

Recording: Maximize Accuracy & Revenue of Your Encounter Submissions
During this interactive discussion and demo, you’ll learn about the major issues related to complex risk adjustment and encounter submissions, and how to remove these obstacles to improve data accuracy and maximize revenue. Babel Health will introduce you to a new and improved workflow for managing RAPS, EDPS, EDGE and Medicaid LOBs … made possible via powerful, all-in-one technology that pre-validates 100% of your encounter data, alerting you to errors prior to submission — before they turn into revenue loss.

3/9/2020

Presentation: Maximize Accuracy & Revenue of Your Encounter Submissions
Babel Health hosts a discussion and demo about the major issues related to complex risk adjustment and encounter submissions, and how to remove these obstacles to improve data accuracy and maximize revenue.

2/13/2020

Brochure: Prioritize claims to optimize your revenue payments
With Babel Health, you control your plan's revenue cycle. Babel solutions give you deep insight into your plan's underlying data, as well as the power to drill down to the details. You are able to make timely business decisions based on the available data, refocus your resources accordingly and retain complete control over your revenue cycle.

2/13/2020

Brochure: Babel Health Overview
Transform your risk adjustment outcomes with unparalleled insight, transparency and control. Transform your risk adjustment outcomes with unparalleled insight, transparency and control.Babel Health is a unique risk adjustment software and services company, offering the only fully integrated, cloud-based suite of risk adjustment submission solutions designed for Government-sponsored programs.

2/13/2020

Brochure: Top 10 Reasons To Choose The Babel Platform
Babel Health will give you 10 reasons to choose The Babel Platform.

2/13/2020

Brochure: Comprehensive Medicaid Data Management: From Data Import to State-Specific Submissions
From data import to state-specific submissions, Babel Health is your comprehensive Medicaid data management center. Reduce the time and expense associated with encounter data submissions, solve the issues that are hurting your bottom line and optimize your revenue opportunities.

2/13/2020

Case Study: 5-star Texas health plan gains visibility into their risk submission process
KelseyCare Advantage has been one of the highest rated Medicare plans in the greater Houston area, and is currently rated 5 out of 5 stars by the Centers for Medicare and Medicaid Services (CMS) for the 2019 plan year.

2/13/2020

Case Study: Community-based health plan improves submission rates and recaptures lost revenue
Our client is a non-pro t community-based health plan based in New England with more than 25,000 dual-eligible (Medicare and Medicaid) members with complex medical, behavioral health and social needs, including members with disabilities.

Attendees

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

  • Rick Alexsonshk
  • ALLIANCE MEMBER
  • Director ACA Risk Adjustment at SummaCare
  • Jessica Althouse
  • ALLIANCE MEMBER
  • Director, Risk Adjustment at Presbyterian Health Plan
  • Steve Ayotte
  • ALLIANCE MEMBER
  • Manager of Risk Adjustment Analysis at Neighborhood Health Plan of Rhode Island
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Starlyn Crook
  • ALLIANCE MEMBER
  • Project Manager at HealthTeam Advantage
  • 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
  • Jaime Gonzalez
  • ALLIANCE MEMBER
  • Chief Business Development Officer at Health Plan Alliance
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Brendan Hodges
  • ALLIANCE MEMBER
  • President/CEO at HealthTeam Advantage
  • Donna Ives
  • ALLIANCE MEMBER
  • EDI&Encounter Data Specialist at Health Alliance Medical Plans
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Stephen Muldoon
  • ALLIANCE MEMBER
  • Manager, Actuary at Sentara Health Plans (Optima)
  • Kathryne Ostrowski
  • ALLIANCE MEMBER
  • Associate Healthcare Informatics Analyst at Quartz Health Solutions
  • Minal Patel
  • ALLIANCE MEMBER
  • Quality Analyst at Aspire Health Plan
  • Wade Penner
  • ALLIANCE MEMBER
  • Manager Revenue-Risk at Samaritan Health Plans
  • Jana Pennington
  • ALLIANCE MEMBER
  • Risk Adjustment Analytics Manager-Coding at Saint Luke's Health System
  • Dean Ratzlaff
  • ALLIANCE MEMBER
  • Director, Actuary/Revenue Management at Sentara Health Plans (Optima)
  • Kelly Skifton
  • ALLIANCE MEMBER
  • Assistant Vice President, Compliance & Government Regulatory Operations and Privacy at Quartz Health Solutions
  • Mike Sloan
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Submissions & Analytics at MediGold
  • Pam Walsh
  • ALLIANCE MEMBER
  • Director of System Configuration & Technical Services at Health Alliance Medical Plans
  • Traci Borsch
  • SPONSOR
  • Director of Marketing at Babel Health
Speakers