8:00 Registration Opens
8:30 Holding Insurers Accountable: A Deep Dive into Payer Audits - Wayzen Lin
Healthcare providers are under increasing financial pressure. While payers routinely audit providers to ensure compliance and accuracy, providers can also proactively audit payers to recover lost revenue. This talk will use real-world examples to equip attendees with the knowledge and tools to successfully audit payer behavior, ensuring accurate reimbursement and maximizing revenue.
9:30 Networking with Payers
10:00 The Silent Battle: The Importance of Payer Surveillance - Wayzen Lin
Payer relations are more complex and challenging than ever. Insurers are adopting increasingly aggressive and unpredictable tactics, making it imperative for providers to implement robust payer surveillance strategies. This presentation will explore the use of data and AI to monitor insurer behaviors to rapidly adapt and counter new and emerging non-payment tactics.
11:00 Networking Break
11:15 Documentation: The “Writes” and The Wrongs - Judy Cleveland, BSN, RN
12:15 Networking Lunch
1:00 - 2:30 Payer Presentations
- Gainwell
- Cigna
- Molina
- Magnolia
- Devoted
