Enhancing Appeals & Grievances

and Improving ODAG & CDAG Readiness

August 25-27, 2020
AC Hotel Downtown | Nashville, TN

This event was rescheduled from the original dates of March 25-27.

Boosting Operational Effectiveness to Optimize Member Satisfaction, Quality Performance and Audit Outcomes

Participate in dynamic, information-rich sessions

Take advantage of a blend of operational and compliance best practices

Get tips and ideas you can implement

Learn about other plans’ compliance oversight tools

Avoid program audit mistakes

Hear up-to-date information from recently audited plans and industry experts

Engage in best-in-class networking opportunities

Join the discussion in our popular topical networking roundtables

Key topics will include

Updated analysis of CMS’ latest program audit updates and protocol changes
Real-world insights and lessons learned from recently audited health plans

Proven strategies for optimizing appeals and grievance handling across lines of business
Practical tips for improving classification accuracy to prevent downstream findings
New and improved in-depth pre-conference workshops

Some Organizations That Attend

Comments from Last Year

“Content was on point. The attendees added incredible perspective to the discussion. The right people were in the room”
Harold H. with CareSource
“Topics covered and breakout sessions were valuable. The venue/location was great as well”
Destiny G. with Blue Cross and Blue Shield of Tennessee

“Extremely informative. Enjoyed the perspectives, lessons learned and best practices from many plans and consulting groups.”
Julie D. with BMCHealthNet Plan
“Learning from industry experts on how to prepare universes, learning about most common findings in audits”
Alla K. with VillageCareMAX
“Excellent presentations, good questions and conversations. All very applicable to my career.”
Tara T. with Capital District Physicians Health Plan

“Interesting speakers who provided great insight and experience from a broad range of companies.”
Kate S. with Quartz
“I loved that there were so many health plans present and that the content was technical. Attendees were very knowledgeable as were presenters.”
Dane S. with Premera Blue Cross


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