Strategies, Protocols, and Procedures to Optimize Your Compliance Systems
Featuring two days of immersive insight and instruction, The 9th Annual Optimizing Appeals and Grievances Summit is a can’t-miss opportunity for all compliance specialists looking for actionable audit experience and readiness techniques to tackle changes to CMS regulation.
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 to:
Review strategies for educating members about their rights and the steps involved in the appeals process
Discuss the value of integrating patient advocacy into clinical decision-making for appeals and grievances
Review strategies for streamlining operations to handle appeals more efficiently
Learn how to leverage clinical insights to improve the overall member experience
Outline the role of cross-functional teams in managing workload and reducing backlog
Review how to continuously improve your processes to keep up with regulatory changes
Explore how effective management of appeals and grievances can positively impact quality measures
Discuss how to maintain compliance while adapting to new CMS guidelines
Highlight methods for optimizing call center performance and member satisfaction
Analyze the value of empathy training for call center staff in handling sensitive cases
Manager, Member Services
Associate Vice President of Quality Improvement
