Agenda
8:30 AM 9:30 AM
7:30 AM 8:30 AM
6:30 AM 7:30 AM
5:30 AM 6:30 AM
8:30 AM 4:00 PM
7:30 AM 3:00 PM
6:30 AM 2:00 PM
5:30 AM 1:00 PM
9:00 AM 5:00 PM
8:00 AM 4:00 PM
7:00 AM 3:00 PM
6:00 AM 2:00 PM
This Audit simulation workshop is designed for audit professionals from managed care health plans to successfully manage the various types of audits, but with a particular focus on RADV Audits. 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. Please note: Attendees are encouraged to bring questions to pose to our expert workshop facilitators. You will not need coding manuals, but most people bring a laptop or a tablet, for notetaking. Benefit from a closed-door, confidential exchange of ideas, where peers can freely discuss strategies, insights, and experiences to drive innovation and improvement.
Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Risk Capture, Population Health Management
Mass General Brigham
Susan L Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS Trainer
Director, Risk Adjustment
Baylor Scott and White Healthcare
Laura Sheriff, RN, MSN, CPC, CRC, Risk Adjustment Industry Expert
9:00 AM 1:00 PM
8:00 AM 12:00 PM
7:00 AM 11:00 AM
6:00 AM 10:00 AM
Ava Johnson, Associate Director, Ambulatory CDQI
Mount Sinai Hospital, NYC
Colleen Gianatasio, Clinical Documentation Integrity and Coding Compliance Specialist
1:00 PM 5:00 PM
12:00 PM 4:00 PM
11:00 AM 3:00 PM
10:00 AM 2:00 PM
This interactive workshop will provide a comprehensive understanding of ACA risk adjustment, its financial implications, and best practices for accurate data submission and compliance. Attendees will gain actionable insights into risk score optimization, audit preparedness, and regulatory updates to ensure their organizations effectively navigate ACA risk adjustment requirements.
Wynda Clayton
Specialist, Risk Adjustment
5:00 PM 6:00 PM
4:00 PM 5:00 PM
3:00 PM 4:00 PM
2:00 PM 3:00 PM
Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.
8:00 AM 8:50 AM
7:00 AM 7:50 AM
6:00 AM 6:50 AM
5:00 AM 5:50 AM
8:00 AM 4:00 AM
7:00 AM 3:00 AM
6:00 AM 2:00 AM
5:00 AM 1:00 AM
7:50 AM 6:15 PM
6:50 AM 5:15 PM
5:50 AM 4:15 PM
4:50 AM 3:15 PM
9:00 AM 9:05 AM
8:00 AM 8:05 AM
7:00 AM 7:05 AM
6:00 AM 6:05 AM
9:05 AM 10:10 AM
8:05 AM 9:10 AM
7:05 AM 8:10 AM
6:05 AM 7:10 AM
Meridith Elliott Powell
Acclaimed Motivational Speaker, Author, and Business Growth Expert
10:10 AM 11:10 AM
9:10 AM 10:10 AM
8:10 AM 9:10 AM
7:10 AM 8:10 AM
11:10 AM 11:40 AM
10:10 AM 10:40 AM
9:10 AM 9:40 AM
8:10 AM 8:40 AM
Track A: Audit Readiness
Track B: Risk Adjustment Safeguards
11:40 AM 12:25 PM
10:40 AM 11:25 AM
9:40 AM 10:25 AM
8:40 AM 9:25 AM
Deb Curry, MBA, RHIA, CCS-P, CRC, RAP, AHCCA,
Risk Adjustment Programs Director
Medical Mutual
11:40 AM 12:25 PM
10:40 AM 11:25 AM
9:40 AM 10:25 AM
8:40 AM 9:25 AM
Gabrielena (Gaby) Alcalá, Founder and CEO
MAPA Healthcare
Prince Baawuah, DrPH, MPH, CSM, Founder / Chief Tutor,
The HEALS Academy
Former Health Insurance Specialist, CMS
12:25 PM 12:40 PM
11:25 AM 11:40 AM
10:25 AM 10:40 AM
9:25 AM 9:40 AM
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
12:25 PM 12:40 PM
11:25 AM 11:40 AM
10:25 AM 10:40 AM
9:25 AM 9:40 AM
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
12:40 PM 1:35 PM
11:40 AM 12:35 PM
10:40 AM 11:35 AM
9:40 AM 10:35 AM
1:35 PM 2:20 PM
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Risk Capture, Population Health Management
Mass General Brigham
1:35 PM 2:20 PM
12:35 PM 1:20 PM
11:35 AM 12:20 PM
10:35 AM 11:20 AM
2:20 PM 2:25 PM
1:20 PM 1:25 PM
12:20 PM 12:25 PM
11:20 AM 11:25 AM
2:25 PM 3:10 PM
1:25 PM 2:10 PM
12:25 PM 1:10 PM
11:25 AM 12:10 PM
Ava Johnson, Associate Director, Ambulatory CDQI
Mount Sinai Hospital, NYC
2:25 PM 3:10 PM
1:25 PM 2:10 PM
12:25 PM 1:10 PM
11:25 AM 12:10 PM
3:10 PM 3:35 PM
2:10 PM 2:35 PM
1:10 PM 1:35 PM
12:10 PM 12:35 PM
3:35 PM 4:20 PM
2:35 PM 3:20 PM
1:35 PM 2:20 PM
12:35 PM 1:20 PM
3:35 PM 4:20 PM
2:35 PM 3:20 PM
1:35 PM 2:20 PM
12:35 PM 1:20 PM
Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, Chief Operating Officer
First Class Solutions, Inc.
4:20 PM 4:25 PM
3:20 PM 3:25 PM
2:20 PM 2:25 PM
1:20 PM 1:25 PM
4:25 PM 5:10 PM
3:25 PM 4:10 PM
2:25 PM 3:10 PM
1:25 PM 2:10 PM
Dr. Shannon Decker, PhD, MBA, MBA, M.Ed., M.Ed, Founder & CEO
VBC One
5:10 PM 5:15 PM
4:10 PM 4:15 PM
3:10 PM 3:15 PM
2:10 PM 2:15 PM
5:15 PM 6:15 PM
4:15 PM 5:15 PM
3:15 PM 4:15 PM
2:15 PM 3:15 PM
Join us for drinks, hors d’oeuvres, and face-to-face networking with peers.
8:00 AM 9:00 AM
7:00 AM 8:00 AM
6:00 AM 7:00 AM
5:00 AM 6:00 AM
8:00 AM 11:00 AM
7:00 AM 10:00 AM
6:00 AM 9:00 AM
5:00 AM 8:00 AM
8:00 AM 1:15 PM
7:00 AM 12:15 PM
6:00 AM 11:15 AM
5:00 AM 10:15 AM
9:00 AM 9:10 AM
8:00 AM 8:10 AM
7:00 AM 7:10 AM
6:00 AM 6:10 AM
9:10 AM 10:00 AM
8:10 AM 9:00 AM
7:10 AM 8:00 AM
6:10 AM 7:00 AM
10:10 AM 10:05 AM
9:10 AM 9:05 AM
8:10 AM 8:05 AM
7:10 AM 7:05 AM
Track A: Redesigning Care
Track B: Clinical Alignment
10:05 AM 10:55 AM
9:05 AM 9:55 AM
8:05 AM 8:55 AM
7:05 AM 7:55 AM
Wynda Clayton
Specialist, Risk Adjustment
10:05 AM 10:55 AM
9:05 AM 9:55 AM
8:05 AM 8:55 AM
7:05 AM 7:55 AM
10:55 AM 11:10 AM
9:55 AM 10:10 AM
8:55 AM 9:10 AM
7:55 AM 8:10 AM
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
10:55 AM 11:10 AM
9:55 AM 10:10 AM
8:55 AM 9:10 AM
7:55 AM 8:10 AM
Leading service providers will showcase their offerings in a quick-pitch setting. Evaluate the latest and greatest tech tools to bring back to your organization.
11:10 AM 11:50 AM
10:10 AM 10:50 AM
9:10 AM 9:50 AM
8:10 AM 8:50 AM
11:50 AM 12:40 PM
10:50 AM 11:40 AM
9:50 AM 10:40 AM
8:50 AM 9:40 AM
11:50 AM 12:40 PM
10:50 AM 11:40 AM
9:50 AM 10:40 AM
8:50 AM 9:40 AM
12:40 PM 12:45 PM
11:40 AM 11:45 AM
10:40 AM 10:45 AM
9:40 AM 9:45 AM
12:45 PM 1:25 PM
11:45 AM 12:25 PM
10:45 AM 11:25 AM
9:45 AM 10:25 AM
1:25 PM 1:30 PM
12:25 PM 12:30 PM
11:25 AM 11:30 AM
10:25 AM 10:30 AM