Opal Events - HCC BEST PRACTICES FOR PROACTIVE MEDICAL MANAGEMENT 2010

We are pleased to announce our latest Medicare Advantage educational event - an HCC medical coding 2-day conference. While coding is the basis of HCC reimbursement, very few conferences actually address coding issues, which is precisely what will make this event so unique.

What makes this hcc coding conference note-worthy is the practicality of the content. Very few Medicare coding conferences actually address coding issues, while even fewer draw the parallels between sound coding and medical management. This conference is designed with the CFO/COO in mind, and will arm you with the right questions to ask your provider relations team.

You'll find the speaking faculty comprised of your medical management peers from Aetna, BCBS, Physician United Plan, Continucare Corporation, Health Alliance Medical Plans, Talbert Medical Group, Sharp Community Medical Group, and many more.

And since CMS stopped offering their HCC training, this is valuable information you won’t find anywhere else!

If you are interested in sponsorship, exhibiting, or speaking opportunities, please contact astearns@opalevents.org

Keynotes:
	John K. Gorman, CEO, GORMAN HEALTH GROUP To read John K. Gorman's full bio, click here.	Nelly Leon-Chisen, RHIA, Director, Coding & Classification, AMERICAN HOSPITAL ASSOCIATION
	Richard H. Rasmussen, Vice President for Membership Relations FLORIDA HOSPITAL ASSOCIATION

	Some of the Key Topics to be Covered:
	• Payers and Providers Panel: Best Practices in System Organization & Workflow to Capture Revenue-Enhancing HCCs • Practical Strategies: Practitioner Case Studies • Risk Adjustment Chart Reviews: Moving Beyond Simply Finding Additional HCCs • ICD-10 3-Part Focus, Including CIO Roundtable Discussion • CFO / COO Panel Discussion: Getting Back to Medical Management: What to Ask Your Provider Relations Team • Driving the MA Business Through the Leverage of Care Coordination • RADV Audit Focus: Protecting Yourself From a Bad Review: Tips for Minimizing Bad Coding • And more!
	Plus Keynote Sessions On:
	• Creating a Nationwide HIT Infrastructure • The View From Washington on Decisions Made About Medicare Advantage • Medical Management that Matters: Implementing an Evidence-Based Utilization Management Playbook Our speakers will provide real-world examples of how you can find and take advantage of revenue-making opportunities, how you can keep the money in an RADV audit, and how all of this will improve medical management / reduce the MLR. Are you thinking about these questions? • What do we really know about the current health status and what is really going on with our members? • Who is falling through the cracks? • Where is the “business as usual” episodic care model actually failing our members? • What interventions need to be designed and deployed to put resources in place to effect beneficial changes? • Where are the high-value leverage points to impact the health status of segments of our total membership? • Prospective programs: Where is their overall place within a member engagement strategy? The economic meltdown is taking its toll across the country, so we are providing you with an event packed with insights and solutions at a cost that will not prevent you from attending – if you sign up now, it’s FREE!
	Our Distinguished Symposium Advisory Board Includes:
	• Dan O’Brien, COO / CFO, Touchstone Health • Donna Kober, WellCare Health Plans, Inc. • Andrew J. Walsh, President, CDA Associates LLC • Lee Haakenson, Veracity Data Systems, Inc. • Melania Ward, Precision Healthcare Delivery • Donna Page, MMC 20 / 20 Systems • Phillip A Kading, Ingenix Clinical Assessment Solutions • Stephen Jackson, President, Plan Data Management • Laurence Bishoff, President, Medicare Advantage Review Associates, Inc. • Scott Filiault, Matrix Medical Network
	Our Distinguished Speaking Faculty to Date:
	• Keynote Speaker: CEO, Gorman Health Group • Keynote Speaker: President, Florida Hospital Association • Keynote Speaker: RHIA, Director, Coding & Classification, American Hospital Association • CPC, Medical Coding Supervisor, Health Data Essentials • Chief Executive Officer, ecfirst • VP Sales & Marketing, Clear Vision Information Systems • President, DCA • MD, Bond & Steele Clinic, Pennsylvania • CPC, Physicians United Plan • Product Manager, Risk Adjustment, Dynamic Healthcare Systems • CPC, Physicians United Plan • RN, Director of Medical Management, Health Alliance Medical Plans • VP Support Services, Continucare Corporation, Florida • MD, Associate UM Medical Director, Family Physicians Group, Florida • Head of Risk Adjustment, Aetna Medicare • MD, Senior Vice President, Clinical Innovations, Gorman Health Group • Director Network Management, Physicians United Plan • VP, Medicare Products, Capital District Physicians Health Plan • Senior Financial Analyst, Sharp Community Medical Group, California • Veracity Data Systems, Inc. • Operations Team Leader, Government Programs Reconciliation, Blue Cross Blue Shield of Rhode Island • MD, PhD, Associate Medical Director, Talbert Medical Group, California • Director, Business Development, Primaris • PhD, SVP, Business Development, Medicare Advantage Review Associates (MARA) • CEO, Matrix Medical Network • VP, Medicare Revenue Management, Freedom Health and Optimum Health • CFO, Vantage Health Plan • CEO, Health Data Essentials • RN, Medical Management Supervisor, Marian Polk Community Health Plan Advantage • SVP and CFO, Visiting Nurse Service of NY • COO, Freedom Health • Chief Medical Officer, VNS Choice • VP of Clinical Services, PERFORMED, AmeriHealth Mercy
	Who Will Attend:		The symposium will also appeal to:
	Executives from Medicare Advantage health plans, specifically: Chief Executive Officers Chief Marketing Officers Chief Operating Officers Chief Compliance Officers Vice Presidents, Directors, Managers, and Analysts of: • Risk Adjustment • Enrollment • Revenue Management and Analysis • Reconciliation • Finance • Accounting • Medicare • Quality • Compliance • Senior Products • Government Programs • Product Development • Special Needs Plans • Medicare Part D Plans HCC Specialists HCC Risk Management		• Third-party administrators • Pharmacy Benefits Managers (PBMs) • Disease Management Companies • Government representatives • Public policy experts
	Hotel Info:
	Hyatt Regency Jacksonville Riverfront 225 East Coastline Drive Jacksonville, Florida 32202 Tel: +1 904 588 1234 Fax: +1 904 634 4554		We are pleased to announce that the Opal room block is open and we are accepting reservations. Please click on the ONLINE HOTEL RESERVATION link below to book your room. The hotel will not accept individual call-ins.
	ONLINE HOTEL RESERVATION • Rooms are available only to those participants who are registered attendees of the hcc conference. • Rooms will not be guaranteed without a credit card. • Rooms are allocated on a first come first serve basis. Room types/rates are subject to availability. • The name on the form will be the name of the guest room.

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