Last Year's Agenda
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Donna Malone, Director Coding & Provider Education,
Tufts Health Plan
Tara Russo, VP, Medicare Risk Adjustment, HEDIS and Navigate Directorate
Island Doctors
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The HCC Coding for Accuracy workshop is not just for those directly involved in HCC coding work. It is designed for other disciplines, as well, including finance and analytics professionals. Join us for an introduction to best practices, the opportunity to work through case examples, and to share experiences with your peers. This workshop will zero-in on regulatory compliance while teaching you how to optimize the accuracy of the information gathered and submitted at the practice level. What you will also learn about the way charting is often done, how to overcome “disconnect” with the clinicians and how their typical charting practices and EMRs can create significant problems, and how RADV views documentation in contrast with the way clinicians were taught and EMRs were built initially. Please note: Attendees are encouraged to bring questions to pose to our expert workshop facilitators and to table for the group. We provide your workbook which includes copies of the slide deck. You will not need your coding manuals, but most people bring a laptop or a tablet, as well, for note-taking.
Dialogue, interact and work in small facilitated groups with peers and colleagues
Susan Wyatt CPC, CPMA, CPC-I, CHCCS
Healthcare Consulting LLC
Colleen Gianatasio, Director, Ambulatory CDQI
Mount Sinai
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Deborah Curry, , MBA, RHIA, CCS-P, CRC, RAP, AHCCA, Manager, Risk Adjustment,
ProMedica
Jennifer Monfils, CPC, CRC, Risk Adjustment Compliance Coding Manager
UCare
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Join the Networking Lounge and engage in conversation with other conference attendees face-to-face.
Key ways to network:
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Join the Networking Lounge and engage in conversation with other conference attendees face-to-face.
Key ways to network:
Please visit the Networking Lounge and join in the conversation.
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Lou Steinberg, Senior Vice President, Payer Market Sales
Apixio
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Dave Meyer, Vice President, Risk Adjustment and Quality,
Cigna
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Ashby Wolfe, MD, MPP, MPH, Regional Chief Medical Officer
Centers for Medicare & Medicaid Services
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Hear from tools and technology experts on how their solutions can improve efficiencies in your organization.
Bryan Lee, Vice President of Solutions,
Apixio
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Mix and mingle with solution providers and peers to learn the latest and greatest advancements in improving your Risk Adjustment & Quality programs.
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Eleesa Marnagh, MPH, Director, Data Strategy,
Pulse8
John Barkley, Vice President, Enterprise Risk Adjustment & Data Integrity,
EmblemHealth/ ConnectiCare
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Hear from tools and technology experts on how their solutions can improve efficiencies in your organization.
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Utilize Z codes to predict and prevent negative health outcomes and improve quality of care
Moderator:
Wynda Clayton, MS, RHIT, Risk Adjustment Manager
Providence Health Plan
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Moderator:
Bill Jonakin, MD, Medical Director, Medicare Advantage and Risk Adjustment,
St. Luke's Health Partners
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Experience the benefits of the RISE HCC user group facilitated by RISE faculty members as they tackle problems and challenges faced in coding and documentation related issues.
Moderator:
Deborah Curry, MBA, RHIA, CCS-P, CRC, RAP, AHCCA, Manager, Risk Adjustment,
ProMedica
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Evaluate new techniques to increase members desire to attend appointments to capture necessary codes
Moderator:
Jessica Savage, Vice President, Risk Adjustment
Optum California, formerly Healthcare Partners
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Bahar Sedarati MD, CPE, FCUCM, Lead Medical Director, Clinical Operation, Desert Pacific Region
Humana
Bryan Lee, Vice President of Solutions,
Apixio
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Wynda Clayton, MS, RHIT, Risk Adjustment Manager
Providence Health Plan
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Kevin Wang, Chief Medical Officer,
Vera Whole Health
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Adele Towers, MD MPH FACP, CRC, Associate Professor of Medicine and Psychiatry, Director, Risk Adjustment
UPMC Enterprises
Susan Wyatt CPC, CPMA, CPC-I, CHCCS
Healthcare Consulting LLC
If you’re interested in speaking, please contact Tim Hart at thart@risehealth.org
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Deborah Curry, MBA, RHIA, CCS-P, CRC, RAP, AHCCA, Manager, Risk Adjustment
ProMedica
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Colleen Gianatasio, Director, Ambulatory CDQI
Mount Sinai
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Ryan C Dodson CRC, Regional Manager, Risk Adjustment
Mississippi, New Mexico, and Texas,
Molina Health Care
Laura Sheriff, RN, MSN, CPC, CRC| National Director, Risk Adjustment
Molina Healthcare, Inc.
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Lou Steinberg, Senior Vice President, Payer Market Sales
Apixio
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Join the Networking Lounge and engage in conversation with other conference attendees face-to-face.
Key ways to network:
Please visit the Networking Lounge and join in the conversation.
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Join the Networking Lounge and engage in conversation with other conference attendees face-to-face.
Key ways to network:
Please visit the Networking Lounge and join in the conversation.
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Jay Scholes, Regional Director, Sales
Pulse8
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Shannon Decker, VP of Clinical Performance
Brown & Toland
Fahad Ahmed
Independent Consultant
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Moderator:
Will Dukes, Director of Business Development
iCare Intelligence, Inc.
Panelists:
Ryan C Dodson CRC, Regional Manager, Risk Adjustment
Mississippi, New Mexico, and Texas,
Molina Health Care
Rachel Musacchio, Director of Revenue Operations
Health First Health Plans
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Hear from tools and technology experts on how their solutions can improve efficiencies in your organization.
Will Dukes, Director of Business Development,
ICare Intelligence
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Remove the silos in plain sight from your organization by creating a value proposition from all three teams to identify a universal goal
Reduce conflicting messages from the same organization and establish one streamlined communication approach
Capture all vital information for all three teams in one visit including CPT II codes, reducing the member burden of multiple visits whilst creating efficiency within your workflow
Moderator
Bill Jonakin, MD, Medical Director, Medicare Advantage and Risk Adjustment,
St. Luke's Health Partners
Panel
Jatin Dave, Chief Medical Officer and Director of Clinical Affairs
MassHealth
Shannon Decker, VP of Clinical Performance
Brown & Toland
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Join the Networking Lounge and engage in conversation with other conference attendees face-to-face.
Key ways to network:
Please visit the Networking Lounge and join in the conversation.
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J. Gabriel McGlamery J.D., Sr. Health Policy Consultant, Government Relations,
Florida Blue
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Randi Escobedo, West Region Director of Strategic Programs
United HealthCare
Kevin Wang, Chief Medical Officer
Vera Whole Health
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Wynda Clayton, MS, RHIT, Risk Adjustment Manager
Providence Health Plan
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Moderator
Bill Jonakin, MD, Medical Director, Medicare Advantage and Risk Adjustment,
St. Luke's Health Partners
Panelists
Eric Harman, MD,
Mountain Region Family Medicine
Steven Graessle, Compliance Review Specialist
St. Elizabeth Physicians
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Hear how your peers have not only survived CMS audits, but thrived through them by:
Deborah Curry, MBA, RHIA, CCS-P, CRC, RAP, AHCCA,
ProMedica
Jennifer Monfils, CPC, CRC, Risk Adjustment Compliance Coding Manager
UCare
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Jennifer Ross, Director Risk Adjustment and Compliance Programs,
Aegis Medical Group
Ryan C Dodson CRC, Regional Manager, Risk Adjustment
Mississippi, New Mexico, and Texas
Molina Health Care
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Jay Scholes, Regional Director, Sales
Pulse8