Rise

Welcome Remarks and Day One Takeaways

Chairperson Welcome & Opening Remarks  
  
Rafael Gonzalez, Esq., Partner  
Cattie & Gonzalez, PLLC  

Enhancing Member Engagement: Strategies for Optimizing Communication and Experience in Medicare Advantage Accounting and Reconciliation

• Highlight the importance of member experience in Medicare Advantage plans. 
• Learn about strategies for clear communication to help resolving member billing inquiries 
• Hear top tips on how to ensure a positive member experience throughout the reconciliation process. 

Dr. Shannon I. Decker, Principal  
VBC One  

Lessons Learned in Operational Efficiency

• Provide insights into process improvements, resource allocation  
• Highlight the significance of data integrity in achieving operational efficiency 
• Emphasize the importance of fostering a culture of continuous improvement within Medicare Advantage organizations.  

Cheryl Alford, Associate Director, Risk Adjustment 
VNS Health Plans 

Reconciling Dual Status on Risk payments

• Explore the complexities of reconciling risk payments for Medicare Advantage members with dual eligibility (Medicare and Medicaid.)  
• Present innovative solutions and technologies that facilitate seamless data sharing and integration between Medicare and Medicaid systems 
• Provide insights into strategies for proactive auditing, documentation, and reporting that minimize compliance risks, ensuring accurate payment reconciliation and avoiding potential penalties or disputes. 

Moderator:

Dr. Shannon I. Decker, Principal
VBC One 

Rick Monaco, Principal
Pareto Intelligence

Case Study- Navigating the Maze of COB : How to Eliminate Provider and Payer Pain Points

• Explore why coordination of benefits (COB) processing is so painful  
• Understand why it is important that critical payers use COB tools and work efficiently with COB data  
• Learn how Payers can work together to eliminate pain points    
• Hear how Carelon has successfully minimized pain points 

Sherri Richardson, COB Strategy & Program Director 
Carelon 

Revolutionizing Medicare Advantage Accounting: Leveraging Technology and Automation for Streamlined Member Reconciliation

• Explore how cutting-edge technology can analyze vast amounts of member data, identifying discrepancies and anomalies for efficient reconciliation. 
• Discover strategies to integrate automated processes that accelerate member accounting, reduce errors, and enhance overall efficiency. 
• Implement robust cybersecurity measures to safeguard sensitive Medicare Advantage member information as automation becomes integral to reconciliation processes 

Moderator:
Dr. Ekaette Joseph-Isang, Senior Director of CDI and Quality
Honest Medical Group

Denyse Wise, Chief Administrative Officer
Cody Consulting

Chairperson Closing Remarks

Rafael Gonzalez, Esq., Partner  
Cattie & Gonzalez, PLLC