Healthcare Payment & Revenue Integrity Congress West 2023

Healthcare Payment and Revenue Integrity

Delivering scalable and flexible solutions which ensure accuracy and integrity of claims, nurture payer-provider relationships and support the transition to value-based payments

REGISTER YOUR PLACE
Sheraton Grand Los Angeles
29-30 November, 2023

Strength payer-provider relationships and outline strategies for reducing provider abrasion whilst optimizing workflows and encouraging cross functional collaboration between claims, audit, FWA, SIU, and PI teams at HPRI West.

JOIN US IN NOVEMBER

The Healthcare Payment and Revenue Integrity Congress connects leading figures in PI and RI/RCM to encourage information sharing, discuss the latest solutions being leveraged to ensure the integrity of claims, nurture payer-providers relationships and support the transition to value-based payments.

Health plans use this forum to strengthen, redefine, or establish their own payment integrity strategies by analyzing case studies from industry peers and joining interactive discussions that span the entire claims continuum. 

It also empowers providers to make revenue cycle decisions with confidence by leveraging intelligent automation, optimizing RCM based on value, and effectively communicating concerns around emerging payment initiatives.

Topics to be covered include:

  • Strengthening payer-provider relationships and outlining strategies for reducing provider abrasion
  • Optimizing workflows and encouraging cross functional collaboration between claims, audit, FWA, SIU, and PI teams
  • Leveraging advanced tech, such as GenerativeAI, to increase efficiencies across the healthcare value chain
  • Preventing revenue leakage by deploying intelligent automation and building proactive denial management systems
  • Discussing best practices for building payment integrity programs from the ground up at smaller health plans

REGISTER YOUR PLACE HERE

OUR COMMUNITY OF PAYERS

How To Get Involved

Partner With Us

Partner with us to elevate your brand, and make valuable new connections. Subject to availability, we offer opportunities for thought leadership, branding, and facilitated networking. 

Please contact our Partnerships Director, Harry Ludbrook, for more information. [email protected].

Payers And Providers Attend For Free

Step into interactive discussions and engaging presentations on the key challenges and opportunities presented by payment companies.

To deliver maximum value for our community, all payers and providers are eligible for complimentary passes.

REGISTER YOUR FREE PASS

AGENDA HIGHLIGHTS


Panel: Strengthening Payer and Provider Relationships

  • A discussion focused on strengthening ties and reducing provider abrasion
  • Case studies of successful payer-provider initiatives and effective provider engagement strategies
  • Progressing mutually beneficial initiatives in a collaborative manner

Author:

Janell Zuckerman

Director, Provider Network Development
Select Health

Janell Zuckerman has been at Select Health since 2021 as the Provider Network Development Director for Idaho. She leads the strategy and operations for network development including provider relations, contracting, and performance.  Her focus is on building partnerships with regional clinically integrated networks and hospitals, and improving interaction models between payers and providers. She has successfully developed a direct Select Health network in Idaho and new clinically integrated network agreement, with new product launches across Southern Idaho for commercial and Medicare lines of business.

 

Janell has 15 years of experience in areas of acute care and ambulatory operations, clinically integrated networks, value-based care, and public health and policy, with time at St. Luke’s Health System and the YMCA. In 2023 she was an Idaho Business Review’s Women of the Year honoree. She is a board member and vocal artist with Opera Idaho and association member with HFMA and ACHE. She is a purpose-driven leader and serves as a connector across the health care ecosystem.

 

Janell is an Idaho native and lives with her husband and two children in Boise, Idaho.  She holds a B.A. in English from Tufts University and Masters in Health Administration from Ohio University.

Janell Zuckerman

Director, Provider Network Development
Select Health

Janell Zuckerman has been at Select Health since 2021 as the Provider Network Development Director for Idaho. She leads the strategy and operations for network development including provider relations, contracting, and performance.  Her focus is on building partnerships with regional clinically integrated networks and hospitals, and improving interaction models between payers and providers. She has successfully developed a direct Select Health network in Idaho and new clinically integrated network agreement, with new product launches across Southern Idaho for commercial and Medicare lines of business.

 

Janell has 15 years of experience in areas of acute care and ambulatory operations, clinically integrated networks, value-based care, and public health and policy, with time at St. Luke’s Health System and the YMCA. In 2023 she was an Idaho Business Review’s Women of the Year honoree. She is a board member and vocal artist with Opera Idaho and association member with HFMA and ACHE. She is a purpose-driven leader and serves as a connector across the health care ecosystem.

 

Janell is an Idaho native and lives with her husband and two children in Boise, Idaho.  She holds a B.A. in English from Tufts University and Masters in Health Administration from Ohio University.

Author:

Stina Redford

Director of Payment Innovation
Blue Cross of Idaho

Stina Redford

Director of Payment Innovation
Blue Cross of Idaho

Payment Integrity Protecting Your Healthcare Dollar, Recent Schemes and Trends

  • Payment Integrity Begins at the Top
  • The SIU’s Greatest Need-Data
  • Recent Schemes & Trends
    • Internet Based Providers
    • Behavioral Health Providers
    • Telehealth Providers

Author:

Carl Reinhardt

Director of Special Investigations Unit – West
Anthem Blue Cross

Carl Reinhardt

Director of Special Investigations Unit – West
Anthem Blue Cross

Revenue and Value Analysis Teams Collaborating to Achieve Decrease Cost

  • In healthcare to optimize skills, understanding, and expertise used to improve the value of products, it is essential to remove clinical and financial silos. Collaborating and aligning revenue teams with value analysis teams provide a platform to tell the entire business story in healthcare, decrease cost, and increase revenue. 
  • Relationships in this arena generate opportunities to find billing and charging errors, and implement best practices into workflow, procedures, and buying trends. Collaboration benefits the teams by offering vital evidence that helps providers make judicious choices about the products they may want to bring into facilities.  A revenue cycle analyst can aid in the discovery of problems with processes or old ways of how and where procedures are performed. Using dashboards, reports, and charging and reimbursement data can be seamlessly be integrated into existing value analysis processes making it easy to collaborate on the best ways to achieve your revenue targets.

Author:

Lori Jensen

Director of Value Analysis
University of Utah Health

Lori Jensen

Director of Value Analysis
University of Utah Health

MEDIA KIT

For more information on webinarsroundtablescontent marketing packagesinterviews and marketing solutions opportunities, download the Media Kit.

DOWNLOAD THE MEDIA KIT

If you have any questions, please contact Harry Ludbrook, Sales Director, [email protected].

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