Join me November 17, 2014 at the RISE Risk Adjustment Academy - Risk Adjustment 101 Workshop!
The Risk Adjustment Forum is leading the way in risk adjustment education with a comprehensive main event covering some of today’s thorniest risk adjustment challenges and two concurrent, day-long pre-conference workshops – Risk Adjustment 101 & Risk Adjustment Master Class.Find out everything you need to know about risk adjustment and how it applies to your plan at this one-of-a-kind event!
Register for the All-Access Pass to attend your choice of pre-conference workshop AND the main event!
The Risk Adjustment Forum is designed to help your plan meet all of today’s risk adjustment challenges and maintain financial solvency in an uncertain marketplace. Examine RA from Medicare Advantage, Exchange/Non-exchange Commercial Plans, Medicaid & Duals perspectives. This essential conference is a must–attend for plans who are ready to take their risk adjustment game to the next level!
Highlighted sessions include:
- Risk Adjustment Schemes across All Lines of Business
- Connecting the Dots – Applying an Organization-Wide Risk Adjustment Strategy
- Medicaid Risk Adjustment – A Bird’s Eye View
- The New CMS-HCC Model - Moving from Blended Scores to Full Integration
- Best Practices for Risk Adjustment Data Validation Audits
- ACA Risk Mitigation Programs and for Exchange and Non-Exchange Commercial Plans
- Leveraging Data from New Exchange Enrollees
The RISE Risk Adjustment Academy Pre-Conference Workshops With two separate all-day workshops with expert faculty, this is your opportunity to train your newly hired staff at the same time as your expert coding and documentation crew. Be prepared for jam-packed and intensive learning. These workshops are held the day prior to our Risk Adjustment Forum—attend one or the other to gain a solid foundation for the main conference to follow!
Highlights Include:
Highlights Include:
- Learn the CMS payment model and risk adjustment methodology
- Understand the purpose of risk adjustment and intended applications
- Learn about RADV audits – what they are about, the perils and the work involved
- Appreciate the linkage to HEDIS, Medicare Stars and care management
- Understand the differences in FFS versus Risk-Adjusted payment from the provider perspective
- Learn about the legal and compliance risks – documentation is the crucial skill set
- Understand what the changes are in documentation using ICD-9 and -10 code sets
- Learn lessons from the experts - Common mistakes and pitfalls in documentation
This program is eligible for up to 18 CPE credits in the Specialized Knowledge and Applications field of study for the workshop plus main conference.
- Which fees are LPs especially sensitive to and how should transaction fees and expense allocations be handled?
- What are some innovative tax-planning strategies that we should be mindful of?
- What are some effective approaches to the increasing demand for LP co-investments?
- Can the use of management fee waivers help promote better tax efficiency?
- How different is the SEC’s routine exam versus the presence exam and how can we be ready for when they pay their visit?
- What should we be doing to ensure a stellar, cost-efficient compliance culture?
- What are the biggest issues on the SEC’s radar and are there any proposed new regulations that we should be aware of?
- How should we be handling our valuation policies in light of increasing SEC and LP demands?
- What types of waterfall models are successful funds using and are there any innovative new trends?
- What are some useful strategies when managing maturing and liquidating funds?
November 17 - 19, 2014
The Westin Colonnade Coral Gables
180 Aragon Avenue
Coral Gables, FL 33134
305-441-2600
The Westin Colonnade Coral Gables
180 Aragon Avenue
Coral Gables, FL 33134
305-441-2600
We have a block of rooms reserved at a special rate of $199/night. This rate expires on October 27, 2014. Book early - we expect the block to sell out prior to this date. Mention the “Risk Adjustment Forum” when placing your room reservation to receive the negotiated rate. Upon sell out of the block room rate and availability will be at the hotel’s discretion. Please call 305-441-2600 to book your room.
- Get comprehensive and up to date information on risk adjustment
- Define the difference between prospective and retrospective/concurrent assessments and how they apply to your risk adjustment program
- Get tips to help you avoid transfer payments
- Learn the about the differences and similarities between MA, Medicaid, and commercial risk adjustment models
- Discover best practices for CMS RADV audits
- Acquire a business-based context on how risk adjustment contributes to the viability of the organization, including RADV and legal risk management
- Discover how diagnostic coding for FFS differs from risk-based programs, including how E&M procedures are treated
- Learn how optimal documentation is the most bullet-proof strategy for minimizing RADV audit risks
This conference is designed for: Medicare Advantage, Medicaid managed care, and exchange and non-exchange commercial plan executives and providers operating at-risk from the following areas:
- Risk Adjustment
- HCC
- Actuarial staff
- Pricing & valuation
- Compliance & audit personnel
- Plan design
- Provider engagement & education
- Finance/Revenue
- Medicare/Government Programs
As well as:
- Provider groups
- State/Government Agencies
- Risk Adjustment & Predictive Modeling vendors
- Actuarial and consulting firms
Register Now: Space is Limited!
For more information and to register, contact Whitney Betts at 704-341-2445 or wbetts@healthcare-conferences.com. Group Discounts Available!
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