New Video Bundle

Appeals & Grievances Virtual Conference

Recorded August 2020

12 sessions from some of the brightest minds in Appeals & Grievances. Get instant access to the video recordings and presentation slides.

Enhancing Appeals & Grievances and Improving ODAG & CDAG Readiness

Videos Included in the Bundle


An In-Depth Analysis of Common Conditions in ODAG & CDAG, Corrective Actions Taken, and Remediation and Validation Outcomes

Melissa Whitley, Vice President, Client Services
BLUEPEAK ADVISORS

Cheryl Wasserman, Senior Consultant
BLUEPEAK ADVISORS

Greg Miller, Senior Health Plan Services Consultant
BLUEPEAK ADVISORS

Examining Recent CMS Guidance and ODAG & CDAG Updates

Deborah Marine, Compliance Officer
SUMMACARE

Melissa Whitley, Vice President, Client Services
BLUEPEAK ADVISORS

Preparing and Managing Your Team – Readiness to Audit

Bevann Moreland, Senior Vice President of Payer Product Innovation
BEACON HEALTHCARE SYSTEMS

Building and Operationalizing an Effective Monitoring Program

Wade Thornock, MPA, CHC, CHPC, Director of Compliance
BLUE CROSS OF IDAHO

Natalie Cook, Senior Compliance Specialist
BLUE CROSS OF IDAHO

In the Fields of Universe Management, Compliance Favors Only the Prepared Plan

Brenda Wade, Chief Compliance Officer
INOVAARE CORPORATION

Gabe Viola, Senior Vice President, Customer Relations and Implementations
INOVAARE CORPORATION

Appeals & Grievances Scenario-Based Interactive Workshop

Deborah Marine, Compliance Officer
SUMMACARE

Tracy Jones, Senior Medicare Compliance Coordinator
SUMMACARE

Program Audit Lessons Learned and Our Path to Improvements

Tammy Chadd, CHC, CHPC, Compliance Program Manager
IU HEALTH PLANS

Darlene Dulac, MBA, CHC, Senior Consultant
ATTAC CONSULTING GROUP

Avoiding Pitfalls Associated with New Misclassification Requirements from the Combined Part C & D Chapter

Angela Lloyd, MPH, CHC, Director, Medicare Audit & Corrective Action
HEALTH PARTNERS PLANS

Michelle Fogg, Manager of Operational Compliance
HEALTH PARTNERS PLANS

Identifying and Handling Member Dissatisfaction in Light of Recent Changes to Grievance Regulations

Moderator
Jon Swisher, Director, Solution Development
KIRIWORKS

Panelists
Katie Snyder, Manager, Appeals & Grievance
HARVARD PILGRIM HEALTH CARE

Rocio Kirchner, Special Projects Executive
ALLYALIGN HEALTH
Former Medicare Compliance Officer at Cigna-HealthSpring

Universe Production: Combining the Operational and Compliance Perspectives to Optimize Accuracy and Effectiveness

Jennifer Young, MBA, Executive Vice President of Operations
MADENA SOLUTIONS

Sue Dahlkamp, CPA, MBA, Director of Operations & Implementation
MADENA SOLUTIONS

Improving Plan Performance Through Grievance and CTM Analysis

Nicole Henderson, MBA, Manager, Operations Quality & Compliance
BLUE CROSS BLUE SHIELD OF NORTH CAROLINA

Developing Operational Efficiencies with a Compliance Mindset

Jessica Vander Zanden, CHC, Vice President, Compliance & Audit
NETWORK HEALTH

Brian Crocker, Manager of Appeals and Grievances
NETWORK HEALTH

Feedback from Other Organizations


"I loved the insight regarding audits! I loved that you made this virtual and the virtual format was exceptional - very professional!"

Kristen H. with CareSource

"Great presenters and information; I love the different topics covered. I appreciate the opportunity to network and gain insight during the break out sessions. Every session fell within the topics listed in the conference title."

Tammy C. with IU Health

"Very informative and great selection of topics. I enjoyed them all, however, I think Identifying and Handling Member Dissatisfaction in Light of Recent Changes to Grievance Regulations was my favorite. Everyone did a wonderful job--I really cannot choose a favorite! Great job handling the transition to virtual this year!"

Tara M. with Arkansas Superior Select Inc.

"Excellent presentations and slides! All applied to my day to day and super informative. The webinar was excellent. We may not need to travel going forward."

Reugenia S. with Centers Plan for Healthy Living

"The conference had excellent and current topics. The presentations and speakers were very engaging and informative. The virtual conference provides us a safe environment to meet and discuss important topics. The virtual conference technology was easy to use and the quality of the videos and sound was very good. I thought all of the sessions went well."

Darlene D. with ATTAC Consulting Groups

"Great information shared, break out rooms were a nice touch."

Deborah M. with SummaCare

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