Strategies, Protocols, and Procedures to Optimize Your Compliance Systems
Featuring two days of immersive insight and instruction, the Optimizing Appeals and Grievances Summit is a can’t-miss opportunity for all compliance specialists looking to improve ODAG & CDAG outcomes.
Join us to gain insight on protocols and procedures to ensure your health plan is prepared to adapt to new CMS requirements and expectations. Get tips from industry leaders on identifying key strategies for audit readiness, maximizing resources for your compliance program, and boosting Star ratings. With access to the nation’s foremost experts, you’ll come away with actionable audit experience and readiness techniques to tackle changes to CMS regulation.
Key Themes on Last Year's Agenda Included:
Adopting New Compliance Directives
Working With Providers to Improve Patient Outcomes
Audit Readiness Techniques
The Optimizing Appeals and Grievances Summit is designed for mid- to senior-level professionals from Medicare, Medicaid, and Commercial plans with job functions in the following departments:
Appeals & Grievances Operations
Utilization Management
Compliance
Call Center Operations
Internal & External Audit
Member Experience
Clinical Services & Operations
Customer Service and Member Services
FDR Oversight
Quality Improvement/STARS
Check out a few reasons your colleagues attended our last event:
Review the operational implications of CMS’ proposed rules
Learn how to perform a mock audit and measure the results
Gain insight on mitigating negative member experiences
Outline strategies for addressing challenges related to scalability as your health plan grows
Discuss policies and procedures for adopting an effective line of communication
Review best practices for managing reconsideration processes
Learn how to implement creative staffing models
Get tips for streamlining processes that affect patient loyalty
Optimize strategies for addressing quality-of-care grievances
Explore the challenges related to balancing member satisfaction with accurate and timely classifications
Manager, Member Services
Associate Vice President of Quality Improvement
