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Three Days of Risk Adjustment Insights and Knowledge Sharing

Presentation:

 The Risk Adjustment Platform: Advanced Technologies to Improve Patient Outcomes & Plan Performance

Tuesday, March 8 | 3:10 – 3:55 PM CT / 1:10 – 1:55 PM PT

Presentation Overview: 

As the industry rapidly moves towards value-based care, healthcare organizations recognize the need to modernize and transform their operations with tools and technologies that streamline fragmented services and data. However, many still rely on multiple risk adjustment vendors, which can inadvertently lead to the duplication of efforts to capture risk data, as well as patient and provider abrasion. With advanced analytics at the core, new platform solutions provide deeper transparency into data from encounters through submissions, unlocking lost revenue, and improving patient outcomes in the process. 

  • Understand how streamlining workflows with a platform approach leads to more accurate risk scores, reduced provider abrasion, and improved patient care.
  • Learn how better data insights can help prioritize the most impactful interventions and make your organization more efficient and effective. 
  • Identify the three key factors to look for in a risk adjustment platform and vendor partner. 

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Meet Our Presenters

Vinitha Ramnathan

Senior Vice President, Product, Episource

Vinitha Ramnathan

Senior Vice President, Product, Episource

Vinitha is responsible for leading Episource’s product strategy, design and innovation. Her experience of over 20 years has spanned the healthcare ecosystem where she has defined, built and managed product portfolios in the consumer, provider, payer, pharma, media, content, healthcare informatics and analytics space. Her passion and strength lies in understanding the customer needs, aligning them to the organization's vision and relentlessly executing against it to drive value for all stakeholders. Vinitha has a Masters Degree from University of Minnesota and an undergrad in Electronics and Communications Engineering from India.

Amber Harris

Director of Risk Adjustment, MediGold

Amber Harris

Director of Risk Adjustment, MediGold

MediGold is an MA only plan serving members in Ohio, Idaho, Iowa and New York. The Risk Adjustment team is responsible for accurate coding and complete submissions to CMS. Our department includes prospective and retrospective initiatives, auditing, analytics, and EDPS submissions.

Mike Sloan

Manager of Risk Adjustment Submissions and Analytics, MediGold

Mike Sloan

Manager of Risk Adjustment Submissions and Analytics, MediGold

MediGold is an MA only plan serving members in Ohio, Idaho, Iowa and New York. The Risk Adjustment team is responsible for accurate coding and complete submissions to CMS. Our department includes prospective and retrospective initiatives, auditing, analytics, and EDPS submissions.

Additional Ways to Connect with Episource at RISE National 2022

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COFFEE AND CONVERSATION Gourmet Espresso Beverages and Snacks to Fuel Your Conversations

Open Hours

Tuesday, March 8 | 7:30 AM - 5 PM Wednesday, March 9 | 7:30 AM - 2 PM

Boardroom: Lincoln A

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Connect With Us Your Questions — Our Answers

Stop by and visit our knowledgeable risk adjustment professionals. Grab some swag and enter our drawing for special give-a-way prizes.

Exhibition floor: Booth 801

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Resources

Check out our additional resources, including white papers, on-demand webinars, toolkits, and blogs such as:

Report Medicare Advantage Enrollment Update: December 2021

Learn about the top organizations, biggest enrollment changes, and year-over-year growth.

Read More
Presentation Is 95% Coding Accuracy Good Enough? The Power of Targeted Second Level Review

When it comes to coding accuracy, 95% has become industry standard—but it doesn’t have to be.

Read More
Blog Using Technology to Reduce the Risk of RADV Audit

With increased audits and crackdowns on inaccurate risk scores, it’s more important than ever to have a comprehensive coding review process in place.

Read More

*Episource will be adhering to the health and safety guidelines as determined by the CDC and RISE which includes presenting proof of vaccination and wearing a mask.