Panel Experts Will Provide Crucial Planning & Preparation Roadmap
SEATTLE, July 10 /PRNewswire/ -- Adaptis, a leading single source
provider of Business Process Outsourcing (BPO) solutions for health payors,
today announced that it will facilitate a panel of experts who will provide
health plans with actionable strategies to ensure Medicare Advantage
operational readiness. The one day conference will be held on Tuesday, July
25th in Costa Mesa, California at the Hilton Costa Mesa. The hands-on
agenda is designed to help small- to medium-sized health payors avoid
surprises and effectively ready their operations for expansion into
Medicare Advantage.
(Logo: http://www.newscom.com/cgi-bin/prnh/20050113/SFTH042LOGO)
Adaptis recently delivered a similar educational seminar to more than
50 health plan executives at the Medicaid Health Plan of America's
"Medicare Part D: The First 100 Days." Thomas Johnson, the association's
Executive Director, commented, "The value of the information provides help
to anyone's bottom line in this business."
Teri Mullaney, Vice President of Strategic Solutions for Adaptis, will
facilitate for the expert panel that will address the following critical
topics and provide attendees with a roadmap for planning and preparation
for Medicare Advantage:
-- Reimbursement Challenges -- Key Impacts of CMS' Risk-based Premium
Methodology. This session will cover the likely issues that will exist,
how they will impact a plan's revenue over the long haul, in addition
to providing strategies for working with provider networks to establish
coding and claims resubmission processes. Presented by Adaptis business
partner, Michael Taggart, FSA, CEO, Aperion Healthcare Analytics.
-- Effective Compliance Measurements. This presentation will focus on the
measurement of "effective" compliance and the need to not only assure
internal controls, but ensure partner and provider compliance.
Presented by Adaptis business partner, Derek Jansen, PhD, MPH, CCP,
Principal, Practice Management Alternatives.
-- Delegation -- Contractual Implications and Health Plan
Responsibilities. This session will include a discussion of the general
delegation requirements, Medicare Advantage Oversight and Beneficiary
Protection Guidance, Reporting Requirements and Compliance with other
laws and regulations. Presented by, Cynthia Marcotte Stamer, PC, Glast,
Philips and Murray, P.C.
-- When Is It the Right Time To Outsource? A detailed look at the options
available when plans are assessing bringing on a new business line and
need to consider core claims and administration systems support for
their business. Presented by Mike Comick, Principal and Co-Founder,
HealthCare Technology Advisors
About Adaptis
Adaptis is a single source BPO solution provider for health payor
organizations. Their solutions include claims management, medical
management, health care analytics, credentialing, behavioral health
benefits management, pharmacy benefits management, compliance, fraud and
abuse, health outcomes analysis and reporting and online claims submission
services. The company also offers health payors consulting expertise in
business process re-engineering and Change Management. Adaptis is
headquartered in Seattle, Washington, with a regional operations center in
Yakima, Washington, and an international facility in Pune, India. For more
information, or to register for this event, visit http://www.adaptisinc.com/.
CONTACT:
Cheryl Isen, Isen and Company, for Adaptis
425-222-0779 Cheryl@IsenandCo.com
SOURCE
Adaptis, Inc.
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