Encounter Data Submission Beyond Testing
12/8/2011
Integrating Stars clinical and risk adjustment prospective provider engagement – A scalable methodol
11/15/2011
Incorrect MSP (Medicare Secondary Payer) Status: An RA Program’s next low-hanging fruit!
10/25/2011
Medicare Data Validation Audits Webinar
7/19/2011
Cms Data Validation Audits: Lessons Learned From 2010 And Planning For The 2011 Audit
Maximizing Opportunities in Creating a Successful Age-in Program
6/21/2011
Star Rating Regulation & CAHPS
5/24/2011
Using Data to Improve Care and Risk Score Accuracy
5/11/2011
Are you appropriately targeting and improving member data?
Designing Health Risk Assessments to Boost Star Ratings
4/28/2011
Encounter Data! Beyond Submission
4/28/2011
Managing the Complexities of CMS’ New Encounter Data Processing Requirements
4/14/2011
How Do you Know if ACOs Are Right for You?
4/14/2011
A Two-Part ACO Webinar Series
4/12/2011
ACO Draft Regulations & Actionable Implementation Considerations
Updates & Expectations on the ACO Draft Regulations
4/12/2011
Part VIII: Other Abstraction and Validation topics
3/17/2011
Part VII: Surgical Care Improvement Project
3/9/2011
Part VI: Pneumonia
3/2/2011
Part V: Heart Failure
2/23/2011
Part IV: Acute Myocardial Infarction
2/16/2011
Part III: Data Elements across the Measure Sets
2/9/2011
Part II: Rules of Abstraction for Core Measures
2/2/2011
Star Rating and Quality Bonuses
1/27/2011
Part I: Outpatient Core Measures
1/26/2011
Core Measures by Primaris
1/26/2011
Using risk adjustment to support care management
1/20/2011
Comprehensive Data Driven Analytics Enable Smart Care
1/19/2011
Making the move to encounter data submissions for risk adjustment
12/7/2010
Demystifying the CMS October 29th announcement
RADV & Mock Audits in the New Era of Healthcare Reform
11/16/2010
The Compliance Conundrum
11/10/2010
Avoiding pitfalls in the publication planning and execution process
OIG Update: Medicare Marketing Non-Compliance Findings For MA Plan Sales Agents
11/9/2010
CMS Audits- Assessing Your Audit Readiness for MA Plans
10/26/2010
Will your next audit be the calm or the storm?
Maximizing Medical Expense Benefits
10/20/2010
Strategies to shift costs from SG&A to medical while enhancing revenue & quality
Integrating CMS Star Ratings into your RA Program: The Nuts and Bolts
10/12/2010
Data Validation Audits: Effective Preparation, Roadblocks and Issues
10/7/2010
How to ensure a pass determination and receive return on your DVA investment
CMS Quality Star Ratings Impact: Projected Revenue for the MA Market Over The Next 5 Years
10/4/2010
What will be the projected revenue streams and bonus opportunities for MA plans?
The New Enforcement Era: What MA and Part D Plans Need to Do Now to Be Ready
9/22/2010
Legal Compliance Implications of the False Claims Act (FCA), Healthcare Reform (PPACA) and and more
Current CMS Issues and Real World Compliance-Proofing
9/20/2010
Determinations, Grievances, Appeals and Audits
Identifying Methods for Managing Part D
9/16/2010
A Prescription for Part D Retroactive Reconciliation
Compliance In-Charge
9/15/2010
Meeting CMS Challenges and Avoiding Pitfalls for MA and Part D Plans
Oversight and Monitoring of PBMs and Other Subcontractors
9/15/2010
Implementing a comprehensive overview program for your PBM
Master Industry-Proven CMS Reconciliation Practices
9/2/2010
An Intensive Online Mini Course for MA Plans
Validating Revenue and Financial Reconciliation
9/2/2010
Best Practices for Reconciling Part C and Part D
CMS Star Ratings Update: Emerging Issues and Concerns for MA plans
9/1/2010
What MA plans must know about the current state of the stars
What to do after completing prospective assessments
7/30/2010
Closing the gap between risk management and medical management
Executing the actual health risk assessment
7/21/2010
Documents, procedures and communications
The Nuts & Bolts of Home Assessments
7/19/2010
Preparing for success in prospective assessments
7/19/2010
Operational requirements, resource allocation and program set up
Increasing Revenue through CMS’ Quality Star Rating System
7/12/2010
Case Study! Bridging the Gap Between Compliance and Risk Adjustment
7/1/2010
Achieving more effective interdepartmental collaboration to meet new requirements from CMS
Official Warning Letters
7/1/2010
Protecting your company in a new era of stronger FDA enforcement
Form FDA-483 Inspectional Observations and Warning Letters
6/29/2010
Crafting effective, timely and appropriate responses in a new era of stronger FDA enforcement
Crafting Appropriate and Effective Responses to FDA Form 483 Notices of Observations
6/29/2010
Crafting effective, timely and appropriate responses in a new era of stronger FDA enforcement
Provider Engagement & Risk Adjustment
6/23/2010
Key considerations in your efforts to engage providers
ACOs: Key Issues Impacting Plans
6/23/2010
Best Practices in Risk Adjustment
6/21/2010
Engaging physicians, maintaining compliance, and balancing quality, revenue, and resources
Optimizing Your Return on Investment in Risk Adjustment
6/21/2010
Balancing quality, revenue and resources
ACOs: Implications and Issues for Medicare Advantage
6/21/2010
ACOs for Providers
6/21/2010
How to Bend the Cost Curve using the Collaborative Payer Model
5/12/2010
Inside an Industry Game-Changer
CMS Pay for Performance--The Future
5/4/2010
What health plans need to know about value-based purchasing
Part B vs. Part D – How to Ensure Appropriate Billing
4/29/2010
The Ultimate Guidance on B/D Coverage Determination
Solving Fiscal Issues Relevant To Part D Plans
4/28/2010
Maximize returns by having a solid plan in place!
Best Practices for Part D Plans in Processing Retro-LIS Determinations
4/28/2010
Practical Guidance on How to Effectively Receive LICS Payments
ACOs: Implications and Issues for Medicare Advantage
3/16/2010
Accountable Care Organizations – potential roles for Plans that serve the Medicare population
3/11/2010
ACOs Defined: Assessing the value and impact for Medicare Advantage
3/11/2010
Medicare Advantage Planning and Bidding Part 2
2/25/2010
The tactical framework of bidding
Medicare Advantage Planning for 2011 and Beyond
2/23/2010
Key Components for Bidding Success
Medicare Advantage Planning and Bidding Part 1
2/23/2010
The strategic framework
Complying with Medicare Advantage & Part D
1/21/2010
Reporting, Compliance, Program, and Policy Requirements
Managing the Conversion to 5010 HIPAA
11/30/2009
Planning & Executing the Conversion, Going Live and Overcoming Post-Implementation Set-backs
Preparing for Success on RADV
11/11/2009
How to allocate resources, test for readiness and conduct on-going reviews
Retrospective Review and Compliance
10/21/2009
SERIES: Coding, Compliance and Chart Reviews
10/20/2009
Crucial Updates for MA Plans
2010 ICD-9-CM Diagnosis Code Changes
10/20/2009
Researching & Writing Meta-analysis
10/6/2009
What publication planners need to know
Accounting for FDAAA, clinicaltrials.gov and ICMJE
10/5/2009
Critical concerns for drugs, biologics and devices
SERIES: Evolving Issues in Publication Planning: Smart Strategies for Success
10/5/2009
4 events to Help You Streamline your Publication Plan without Sacrificing Oversight
Clinical Data 102
9/1/2009
SERIES: Statistical Concepts For Non-Statisticians
9/1/2009
4 Events on Statistical Principles for the Design and Analysis of Clinical Trials
Clinical Data 101
8/19/2009
Disclosing Negative Results
8/18/2009
Practical & proactive strategies to effectively negotiate this tough process
Basic Statistics 102
7/29/2009
Model of Care for Special Needs Plans
7/28/2009
Go beyond meeting CMS requirements—Increase value and quality to your unique target populations
Medicare Advantage Operational Metrics and Reporting for Maximization of Efficiency and Compliance
7/24/2009
Metrics and strategies to boost ensure health plan’s high performance
Effective Targeting for Chart Reviews
7/23/2009
Learn to prioritize and master a huge workload!
Preparing for and Surviving a CMS Coding Intensity Audit
7/22/2009
Being prepared will save you time and money!
Series: Best Practices in Medicare HCC Management
7/21/2009
3 webinars to help you prevent revenue loss, survive an audit and target your chart reviews
HCC Coding Red Flags: Strategies to Avoid Common Errors Losing Revenue
7/21/2009
Follow some simple steps and maximize your profits!
Preparing for and surviving a CMS Risk Adjustment Data Validation Audit
7/16/2009
Get ready for an audit we will see more of in the months ahead
Basic Statistics 101
7/15/2009
Gap Analysis 101
7/14/2009
A step-by-step breakdown of performing a gap analysis
Medicare Industry Hot-Button Issues: Federal Legislation, MIPPA 2008 and CMS Regulations
3/24/2009
Preparing for and surviving a CMS Risk Adjustment Data Validation Audit
3/19/2009
VEBAs and Pre-Funding Retiree Health Benefits
3/18/2009
Practical Guidance for Employers, Plan Administrators, Investors and their Advisors
Best Practices for Reconciling Part D Membership and PDE Data
9/10/2008
The Risk Adjustment Revolution: Next Generation Prospective HCC Management
9/8/2008
How plans are implementing/ interpreting CMS’ new Medicare Marketing Guidelines
9/4/2008
Series: Medicare Revenue Management
8/28/2008
Optimize your Medicare product offerings with this 4-Part series!
Medicare Advantage Execution Risks for Year 4 and Beyond
8/28/2008
Medicare Member Retention Strategies for Enhancing the Bottom Line
8/20/2008
How Drug Plans Can Survive a CMS Medicare Part D Audit
8/14/2008
Be prepared and audit ready!
Medicare Risk Adjustment for Your SNP: Getting the Scores You Deserve
8/13/2008
Combining Your Market Strategy and Analysis with Your Bid Process
8/6/2008
Medicare Call Center Compliance – Strategies to Stay in Compliance While Boosting Enrollments
7/31/2008
Preparing for Success: The CMS Application and Bidding Process
7/30/2008
Righting the Wrong: Appeals, Grievances and Corrective Action Plans
7/24/2008
Preparing and Surviving a CMS Audit
7/17/2008
Series: Medicare Compliance
7/10/2008
Practical compliance strategies and tactics in 5 sessions
Ensuring Compliance of Your External Partners
7/10/2008
Preparing for and Surviving a CMS Audit
5/6/2008
Effective strategies to meet CMS expectations and pass your next audit
Medicare Call Center Marketing Communications and Compliance
3/18/2008
Effective strategies to stay in compliance while boosting enrollments
Revenue Optimization Strategies for the 100% Risk-Adjusted Payment System
2/21/2008
Tactics for Optimizing Product Offerings to Maximize Revenue
Legal and Regulatory Update for Publication Planners
1/24/2008
Maintain compliance to minimize risk of criminal prosecutions and civil litigations.
Medicare Marketing Broker & Agent Compliance
1/22/2008