Strategies, Protocols, and Procedures to Optimize Your Compliance Systems
In a world of ever-changing regulations and high-stakes compliance, your appeals & grievances (A&G) program can't afford to fall behind. The 10th Annual Optimizing Appeals and Grievances Summit brings together industry experts to share game-changing insights, proven best practices, and powerful strategies to streamline your processes, ace audits, and enhance member loyalty. Walk away with real-world case studies, actionable tips, and expert training techniques to strengthen your A&G approach.
Join mid- to senior-level professionals from Medicare, Medicaid, and commercial health plans at the number one conference for compliance specialists looking to enhance appeals and grievance management while ensuring compliance with CMS regulations. Gain insights on a diverse range of topics, including process improvement and proactive grievance management through the introduction of innovative tools, preparing for audits, and adopting a member-centric approach.
You don't want to miss the opportunity to hear from the nation’s foremost experts, learn how to leverage new technologies, enhance member experience, and tackle changes to CMS regulation.
The Optimizing Appeals and Grievances Summit is designed for mid- to senior-level professionals from Medicare, Medicaid, and Commercial plans with job functions in the following departments:
Appeals & Grievances Operations
Utilization Management
Compliance
Call Center Operations
Internal & External Audit
Member Experience
Clinical Services & Operations
Customer Service and Member Services
FDR Oversight
Quality Improvement/STARS
Join compliance specialists from across the nation to:
Discover best practices for preparing for internal and external audits
Hear how one health plan reduced appeals and grievances, while improving patient care and increasing efficiency
Learn how to enhance member experience and boost Star ratings through communication improvements
Get an overview of the current regulatory landscape and how to comply with new requirements
Explore strategies to keep vendors accountable for their part in the A&G process
Discover how one health plan used technology to improve the timeliness of addressing cases
Understand how to implement utilization management policies that can help reduce appeals
Upgrade your training program to give your A&G processes a strong foundation
Discuss proactive monitoring and universe scrubbing to ensure data accuracy
Delve into grievance management strategies that will build member loyalty
Manager, Member Services
Associate Vice President of Quality Improvement
