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Coding Right the First Time

Event Date: 6/22/2021

Event Overview

Tuesday, 6/22/2021
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Talix

This vendor spotlight is hosted on our BigMarker platform you must use Google Chrome or Firefox when participating in the webinar.

 

Join us for a webinar to discuss the transition from Suspecting 1.0 to Suspecting 2.0 and how it not only improves risk capture accuracy and reduces the overhead cost, but more importantly, improves patient care management. The importance of establishing strong payer-provider relationships and creating the right provider incentives is critical to making the transition from Suspecting 1.0 to Suspecting 2.0.

The abundance of patient data within provider organizations cannot be efficiently reviewed through manual, labor-intensive processes. Documenting and coding right the first time is the right path to follow. 

Learning Objectives:

 

  • Learn how payers and providers are collaborating to improve prospective risk adjustment processes
  • See how payer-provider data interoperability is enabling a new frontier in risk adjustment analytics and prospective risk capture
  • Understand the opportunities and challenges in implementing a closed-loop risk capture between payers and providers
  • Discuss how NLP technologies play an increasingly significant role in enabling the transition from Suspecting 1.0 to Suspecting 2.0
  • Learn how data interoperability and electronic data exchange remain to be fundamental aspects of this overall process

 

About Talix

Talix delivers NLP powered, integrated workflow applications to improve the speed and accuracy of risk adjustment coding. Our proven applications serve health plans (first pass, second pass, and claims validation) and healthcare providers and coders (retrospective, concurrent and prospective uses) at the point of care. Talix’s sophisticated reporting and analytics capabilities provide better visibility and increased predictability of risk adjustment operations and financial performance.


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


Sponsor

 

Documents
6/22/2021

Presentation: Coding Right the First Time
During this presentation, Talix discusses how Alliance members can reach the next level of prospective gap closure for enhancing patient care and improving risk score accuracy.

6/22/2021

Recording: Coding Right the First Time
Talix will discuss during this video presentation how Alliance members can reach the next level of prospective gap closure for enhancing patient care and improving risk score accuracy.

Attendees

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

  • Deborah Abbott
  • ALLIANCE MEMBER
  • Risk Adjustment Coordinator at Network Health
  • Lisa Alexander
  • ALLIANCE MEMBER
  • Senior Coding Analyst at Health Alliance Medical Plans
  • Robyn Anderson
  • ALLIANCE MEMBER
  • Compliance Analyst at Health Alliance Plan (HAP)
  • Ashley Andrade
  • ALLIANCE MEMBER
  • Coder Analyst at Avera Health Plans (DAKOTACARE)
  • Gay BALL
  • ALLIANCE MEMBER
  • Risk Adjustment Program Manager, Cone Health at HealthTeam Advantage
  • Steven Barnett
  • ALLIANCE MEMBER
  • Manager of Quality/Comprehensive Health Assessment at Health First Health Plans
  • Julie Bartels
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Geralynn Boone
  • ALLIANCE MEMBER
  • VP Medicare Clinical Programs at Health Partners Plans
  • Sibyl Boyd
  • ALLIANCE MEMBER
  • Medical Department Coordinator/Certified Risk Adjustment Coder at Cox HealthPlans
  • Danielle Brinkley
  • ALLIANCE MEMBER
  • Director, Population Analytics at Community Health Plan of Washington
  • Angela Bruck
  • ALLIANCE MEMBER
  • Outpatient Clinic CDI at Henry Ford Health System
  • Krystal Bussey-Davis
  • ALLIANCE MEMBER
  • Manage Care Contract Consultant at Sentara Health Plans (Optima)
  • Kristin Calkins
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Stefanie Carroll
  • ALLIANCE MEMBER
  • Sr. Claims and Reimbursement Specialist at Community Health Plan of Washington
  • Jolene Carter
  • ALLIANCE MEMBER
  • Certified Medical Review Examiner at CommunityCare
  • Sara Curry
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Compliance Auditor at Geisinger Health Plan
  • Rudy Dominguez
  • ALLIANCE MEMBER
  • Population Health Managment Process Specialist at Community Health Plan of Washington
  • Keimi Dragovich
  • ALLIANCE MEMBER
  • Manager of Compliance at Community Health Plan of Washington
  • Mery Escoto
  • ALLIANCE MEMBER
  • Risk adjustment coding specialist at Neighborhood Health Plan of Rhode Island
  • Doris Ewing
  • ALLIANCE MEMBER
  • Coding Analyst at Health Alliance Medical Plans
  • Kristine Forrest
  • ALLIANCE MEMBER
  • Health Risk Coding and Education Specialist II at Health Alliance Plan (HAP)
  • Amber Harris
  • ALLIANCE MEMBER
  • Director Risk Adjustment at MediGold
  • Karen Jensen
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment and SIU at Quartz Health Solutions
  • Ingrid Jorud
  • ALLIANCE MEMBER
  • Quality Program Manager at Presbyterian Healthcare Services
  • Marcus Julian
  • ALLIANCE MEMBER
  • RAF Optimization Consultant at Quartz Health Solutions
  • Patricia Karam
  • ALLIANCE MEMBER
  • Risk Adjustment Specialist at Community Health Plan of Washington
  • Erin Kavanagh
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Samaritan Health Plans
  • Kaesie Kettinger
  • ALLIANCE MEMBER
  • Risk Adjustment Auditor at Paramount Health Care
  • Roth Khea
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
  • Cassie Lane
  • ALLIANCE MEMBER
  • Associate-Senior Claims Coding at IU Health Plans
  • Tammy Miller
  • ALLIANCE MEMBER
  • Business Analyst at Scott & White Health Plan
  • Cathy Nagy
  • ALLIANCE MEMBER
  • Manager, Risk Adjustment Coding and Education at Health Alliance Plan (HAP)
  • Jaylene Olson
  • ALLIANCE MEMBER
  • Sr. Coding 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
  • Joyce Petermann
  • ALLIANCE MEMBER
  • Coding validator/risk adjustment specialist at Avera Health Plans (DAKOTACARE)
  • Ariana Ricci
  • ALLIANCE MEMBER
  • Data Scientist, Risk Adjustment at Neighborhood Health Plan of Rhode Island
  • christina salm
  • ALLIANCE MEMBER
  • Director of Medical Management at Quartz Health Solutions
  • Elizabeth Shubitowski
  • ALLIANCE MEMBER
  • Health Risk Coding & Education Specialist II at Health Alliance Plan (HAP)
  • Barb Smith
  • ALLIANCE MEMBER
  • Clinical Review Coder at Avera Health Plans (DAKOTACARE)
  • Jill Thomas
  • ALLIANCE MEMBER
  • Clincal Auditor at Geisinger Health Plan
  • Diana Vasquez
  • ALLIANCE MEMBER
  • Risk Adjustment Coding Specialist at Neighborhood Health Plan of Rhode Island
  • Desiree Walke
  • ALLIANCE MEMBER
  • Risk Adjustment Analyst at Quartz Health Solutions
  • Nancy Weber
  • ALLIANCE MEMBER
  • Clinical Integration Program Manager at Network Health
  • Bethanne Wilkie
  • ALLIANCE MEMBER
  • Senior Coding Specialist at Quartz Health Solutions
Speakers