Preventing Revenue Leakage in Medicare Advantage Plans 2016

Topics

• Best practices for COB cleanup to defend against revenue loss
• Minimizing ICD-10’s impact on risk adjustment scores
• Successfully managing Part D revenue, reconciliation and risk adjustment
• Optimizing revenue by recognizing leakage indicators on your MMR
• Minimizing revenue leakage amid the shift from RAPS to EDPS
• Mastering claims data analysis & validation
• Key indicators of provider and member fraud currently impacting your revenue

Who should Attend

Medicare Advantage health plan executives and personnel from the following fields::

• Revenue, Reconciliation & Recovery
• Finance & Accounting
• Risk Adjustment, Coding & HCC
• Financial Performance
• Enrollment & Coordination of Benefits
• Risk Management
• Third-Party Liability
• Medicare Secondary Payer
• Special Investigations Unit/Fraud, Waste & Abuse