| Page 913 | Kisaco Research
 

Angie Fedderson

AVP of Payment Integrity
SelectHealth

Angie Fedderson

AVP of Payment Integrity
SelectHealth

Angie Fedderson

AVP of Payment Integrity
SelectHealth
Speaker Spotlight: An Interview with Phiogen
 

Sean Ryder

Value Based Program Manager
Blue Cross Blue Shield of Arizona

Sean Ryder

Value Based Program Manager
Blue Cross Blue Shield of Arizona

Sean Ryder

Value Based Program Manager
Blue Cross Blue Shield of Arizona

101 for modernization of each step of the claims continuum. 8 separate discussion across:

  • Itemized Bill Reviews
  • DRG Validations
  • Claim Receipts
  • Clinical Review
  • Provider Reviews
  • Resolutions
  • Formal Appeal
  • The Changing World Of Payment Integrity As It Relates To VBC
  • Implementing various strategies to encourage appropriate utilization of emergency outpatient facilities, such as: network management, preauthorization and utilization reviews, promoting alternative care settings, and investing in care coordination programs to prevent unnecessary readmissions.
  • A look to how data analytics can be leveraged to identify patterns of overbilling or potential fraud within emergency outpatient facilities
Track 1: Payment Integrity