Medicare Advantage Member Accounting and Reconciliation Summit 2021

Jun 16, 2021 ‐ May 17, 2021



Sessions

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

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

Identification: 001 - WED01 - WED02


Chairperson Welcome & Opening Remarks

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

Identification: WED01

Speaker(s):

Overlooked (and Changing) Basics of Medicare Secondary Payer Compliance

Jun 16, 2021 11:10am ‐ Jun 16, 2021 12:00pm

Identification: WED02

•    Learn steps plans should be taking to protect revenue and prepare for audits
•    Explore how litigation is changing the Medicare Secondary Payer environment
•    Understand how changing rules for primary payers will impact Part C and Part D MSP efforts

Speaker(s):
  • Brian Bargender, CSRP, Management Consultant, Subrogation and Other Payer Liability, Humana

Capitalize on Opportunity as the Medicare Advantage Market Share Skyrockets

Jun 16, 2021 12:15pm ‐ Jun 16, 2021 1:00pm

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

Speaker(s):

Lunch & Virtual Networking Lobby

Jun 16, 2021 1:00pm ‐ Jun 16, 2021 2:00pm

Identification: VNL1

Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors has never been easier - click on an open seat, say hello to familiar faces, and take part in discussions on industry hot topics. We’ll see you in the lobby!


Understand CMS Revenue Processes

Jun 16, 2021 2:00pm ‐ Jun 16, 2021 2:45pm

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

Speaker(s):
  • Prateek Arora, Director of Product Systems Innovation, Visiting Nurse Service of New York

Key Strategies to Ensure Data Accuracy & Chairperson Closing Remarks

Jun 16, 2021 3:00pm ‐ Jun 16, 2021 3:55pm

Identification: 002 - WED05 - WED06


Key Strategies to Ensure Data Accuracy

Jun 16, 2021 3:00pm ‐ Jun 16, 2021 3:45pm

Identification: WED05

•    Learn best practices and lessons learned to prepare and collect accurate data for CMS
•    Understand how CMS acquires the data and the risks of inaccuracy
•    Identify errors and uncover fraud prior to CMS submission

Speaker(s):
  • Kwame Appiah-Yeboah, Ph.D., CRC, Director, Risk Adjustment and Revenue Management, Sentara Health Plans – Virginia Premier

Chairperson Closing RemarksChairperson Closing Remarks

Preview Available

Chairperson Closing Remarks

Jun 16, 2021 3:45pm ‐ Jun 16, 2021 3:55pm

Identification: WED06

Speaker(s):

Virtual Networking LobbyVirtual Networking Lobby

Preview Available

Virtual Networking Lobby

Jun 16, 2021 3:55pm ‐ Jun 16, 2021 4:55pm

Identification: VNL2

Turn on your camera and join us in the Virtual Lobby for that face-to-face networking experience we’ve all been missing. Connecting with your peers and vendors has never been easier - click on an open seat, say hello to familiar faces, and take part in discussions on industry hot topics. We’ll see you in the lobby!

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