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Track 1: Payment Integrity

Author:

Dr. Michael Menen

Chief Medical Officer
MedReview
•Former Chief Medical Officer at Optum
•Bachelor of Science degree in theoretical mathematics from the University of California, Riverside
•Doctor of Medicine degree from the Medical College of Wisconsin
•Board-certified invasive cardiologist and a fellow of the American College of Cardiology
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Dr. Michael Menen

Chief Medical Officer
MedReview
•Former Chief Medical Officer at Optum
•Bachelor of Science degree in theoretical mathematics from the University of California, Riverside
•Doctor of Medicine degree from the Medical College of Wisconsin
•Board-certified invasive cardiologist and a fellow of the American College of Cardiology

The session uses a case study to demonstrate the value of tracking audit, appeal, and overturn success rates. Lessons learned from audit response methods will be reviewed to highlight successful strategies in the early stages of the review process. Actionable and practical steps will be incorporated to illustrate how various stages of the audit and appeal process can be managed.

Track 2

Author:

Richelle Marting

Director, Managed Care Contracting
North Kansas City Hospital, Meritas Health Corporation
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Richelle Marting

Director, Managed Care Contracting
North Kansas City Hospital, Meritas Health Corporation

Progressing Value-Based Care Partnerships – sharing different strategies to help payers engage providers when moving to a value-based payment method and achieve a partnership.

 The transition to Value Based care is a challenging one.  Strong partnerships between payers and providers is crucial for success.  Join us as we discuss how to meet your provider partners where they are at and help them transition into value based care.  Participants will

  • Recognize the importance of assessing where providers are on their path to VBC
  • Understand what support systems should be considered for their provider networks
  • Learn best practices for removing barriers to success.

 

Track 1

Author:

Colleen Gianatasio

Director, Clinical Documentation Integrity and Coding Compliance
CDPHP

Colleen is a strategic clinical documentation, coding and compliance, and risk adjustment expert with 10+ years of experience driving increases in provider engagement. She has thoughtfully built clinical documentation improvement programs from scratch to target accurate risk scores, increases in provider satisfaction, and cost-savings.

Beyond her role at CDPHP, Colleen is also currently the president of the AAPC National Advisory Board.

... read more

Colleen Gianatasio

Director, Clinical Documentation Integrity and Coding Compliance
CDPHP

Colleen is a strategic clinical documentation, coding and compliance, and risk adjustment expert with 10+ years of experience driving increases in provider engagement. She has thoughtfully built clinical documentation improvement programs from scratch to target accurate risk scores, increases in provider satisfaction, and cost-savings.

Beyond her role at CDPHP, Colleen is also currently the president of the AAPC National Advisory Board.