The Encounter Management Best Practices Playbook

Sponsored by

September 12, 2017

What You'll Hear

A professor of mathematics at Temple University has been quoted as saying, “Uncertainty is the only certainty there is and knowing how to live with insecurity is the only security”. In many respects, this quote sums up the state of affairs for health plans operating in Medicare Advantage and the Marketplace. Oftentimes, these plans face challenges in keeping systems and encounter operations up to date due to the speed of change and the complexity of the markets they operate in resulting in increased costs and lost revenue. Especially if those plans are operating more than one encounter submission system!

So, what encounter best practices can managed care plans put into place, today, to help them manage the pace of change in formats, rules and regulations? What do managed care plans have to stop doing, today, if they want to ensure business continuity with their encounter operations in the face of change and bleeding revenue? What can you do, today, to make sure your plan isn’t one of the ones that figured these things out too late?

Learning these best practices and deploying them inside your plan begins by joining Edifecs for this impactful webinar, The Encounter Management Best Practice Playbook, where attendees will learn the following:

  • The challenges causing you encounter submission stress and losing your plan revenue
  • The process and policy changes from the past six months impacting you plan and what’s coming up on the horizon
  • The system and communication components necessary for your health plan to succeed in constantly evolving managed care markets

Hitesh Kurani
Director, Solution Consulting

Aaron Fulner
Senior Director, Product Marketing

Top Reasons To Attend

  • Learn how to consolidate encounter operations across LOBs
  • Learn how to enhance encounter submission accuracy, completeness and timeliness
  • Learn how to mitigate the impacts of policy change on your encounter management and risk adjustment operations
  • Gain insightful understanding of the policy/regulatory changes impacting your plan
  • Better understand the underlying challenges plaguing your encounter management operations and how they impact revenue
  • How Medicare Advantage and Marketplace revenue integrity can be enhanced via encounter accuracy, completeness and timeliness
  • Learn encounter management best practices that can be implemented quickly
  • Learn how to improve encounter operations communications as a tactic to mitigating the impacts of policy/format/rules changes on your health plan
  • Learn how to improve RAPS/EDPS submission accuracy now and for the future
  • Learn how to ensure Edge Server reporting accuracy regardless of CMS changes

RISE Members: Register for FREE!*

Who Should Attend

  • Managed care
  • Medicare Advantage
  • Reform
  • Strategy
  • Finance
  • Revenue
  • Encounters / Encounter management
  • Risk Adjustment
  • Government programs
  • Medicaid
  • Actuarial
  • IT
  • EDI

Get Answers to These Important Questions

  • How can my plan ensure RAPS/EDPS submission accuracy when there are constant CMS updates?
  • How can my plan ensure Medicare Advantage revenue integrity when there are constant CMS updates?
  • With all the policy changes, both recent and upcoming, how is my health plan affected?
  • What are encounter management best practices that I can use at my health plan?
  • With all the turmoil surround the Marketplace, what Edge Server reporting steps can I take to improve revenue integrity?
  • How can my health plan consolidate its many encounter systems into a single system that can work across programs and lines of business?
  • How can I ensure encounter management business continuity given the constant pace of change?
  • Is it possible to establish encounter lifecycle management best practices that can be used across both Medicare Advantage and the Marketplace?

*To receive a complimentary seat in this webinar, RISE MEMBERS must register by Tuesday, September 5, 2017.

When & Where

Tuesday, September 12, 2017

1:30pm Eastern Time
1 hour

Register Now: Space is Limited!

For more information and to register, contact Kelly Sniatecki at 704-341-2383 or ksniatecki@risehealth.orgGroup Discounts Available!

[+] Register Now


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