Identification: TUES01
Identification: TUES001
Identification: TUES04
• Discuss restrictions related to the pandemic that have impacted operations and coverage decisions and how to manage appeals and grievances with copay waiver flexibilities
• Explore the complexity of telehealth appeals and how payers will manage the influx of these appeals and denials
• Manage internal processes to effectively address and communicate changes to members
Identification: TUES06
• Hear from recently audited health plans on best practices and lessons learned for remote audit preparation and which tools have been most effective
• Understand the data validation auditor perspective to ensure you are appropriately prepared for CMS
• Evaluate various approaches for mock audits to determine the best approach for successful audit preparation
Identification: TUES07
• Discuss proven direct partnership strategies between customer service and complaint teams to improve member satisfaction and exceed expectations
• Learn innovative approaches to complaint prevention to drive STAR Ratings and promote excellence in your organization
• Assess CTM and Customer Service strategies to provide World Class Service
Identification: TUES11
Identification: TUES002
Identification: WED01
Identification: WED001
Identification: WED03