Chairperson Welcome & Opening Remarks & Overlooked (and Changing) Basics of Medicare Secondary Payer Compliance

Jun 16, 2021 10:00am ‐ Jun 16, 2021 11:00am

Identification: 001 - WED01 - WED02


Capitalize on Opportunity as the Medicare Advantage Market Share Skyrockets

Jun 16, 2021 11:15am ‐ Jun 16, 2021 12:00pm

Identification: WED03

•    Discuss the current revenue reconciliation climate and develop a success strategy to maximize revenue and close gaps
•    Capitalize on the significant increase of MA membership with an effective reconciliation strategy
•    Learn effective implementation strategies to prepare for the PAID Act

Understand CMS Revenue Processes

Jun 16, 2021 1:00pm ‐ Jun 16, 2021 1:45pm

Identification: WED04

•    Dissect the end-to-end flow chart to understand how CMS processes revenue
•    Explore the factors that determine member payment, eligibility and risk scores
•    Discuss the impact of Mid Year Sweep & Final Year Sweep

Key Strategies to Ensure Data Accuracy & Chairperson Closing Remarks

Jun 16, 2021 2:00pm ‐ Jun 16, 2021 2:55pm

Identification: 002 - WED05 - WED06


Chairperson Welcome & Day One Takeaways & Master Medicare MMR Reconciliation

Jun 17, 2021 8:00am ‐ Jun 17, 2021 9:00am

Identification: 001- THUR01 - THUR02


Navigate ESRD Membership Changes to Significantly Reduce Costs

Jun 17, 2021 9:15am ‐ Jun 17, 2021 10:00am

Identification: THUR03

•    Understand and capitalize on CMS changes to allow beneficiaries to enroll in MA plans
•    Learn strategies to quickly shift members into the new product code to reduce costs for the patient and payer
•    Master specifics on how to submit ESRD forms correctly for full reimbursement to prevent lag time on the MMR

Innovative Tools for Data Management and Reconciliation Processes

Jun 17, 2021 10:15am ‐ Jun 17, 2021 11:00am

Identification: THUR04

• Discuss pros and cons for outsourcing to determine your best approach to reconciliation
• Gain best practices to organizing complex data and streamline your reconciliation processes
• Learn technology recommendations and new approaches for automation no matter what size your plan is
• Best practices for evaluating and selecting vendors


Grow Your Medicare Advantage Market Share and Automate CMS PBP Submissions & Document Generation (ANOC, EOC, and SB)

Jun 17, 2021 12:00pm ‐ Jun 17, 2021 12:45pm

Identification: THURSADDON01

  • Leverage a single source of truth for plan and benefit information to achieve improved accuracy, consistency, and efficiency
  • Achieve faster speed-to-market with up to 75% reduction in time and effort required to build Medicare/Medicare Advantage products
  • Reduce benefit and compliance errors, benefit inquiry call time, and administrative costs
  • Enable collaboration across all stakeholders through efficient workflows

Strengthen Senior Coordination of Benefit Processes

Jun 17, 2021 1:00pm ‐ Jun 17, 2021 1:45pm

Identification: THUR05

  • Gain key takeaways to improve Senior COB results at your plan
  • Understand the impact of a Solid COG Senior Program on your bottom line
  • Learn strategies to streamline and achieve full CMS Compliance and maximize your plans financials: income, membership, risk assessment and CMS premium earnings

Best Practices for Hospice Claims & Chairperson Closing Remarks

Jun 17, 2021 2:00pm ‐ Jun 17, 2021 2:55pm

Identification: 002 - THUR06 - THUR07