PetBuddy Group
- Vendor demonstrations of AI based solutions to understand the real life impact of AI on processes within a health plan,
- Develop an understanding of how this technology can enhance cost containment efforts and lead to a return on investments for consumers.
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- Learn how to evaluate and integrate technology vendors to enhance payment integrity outcomes.
- Understand the role of technology in optimizing payment integrity processes and reducing inefficiencies.
- Discover diverse assessment methods for continuously enhancing payment integrity programs and vendor partnerships.
Track 2: Developing Payment Integrity Function
- Explore the potential of blockchain technology in enhancing security and transparency in payment integrity operations.
- Understand how blockchain can streamline payment processes, reduce fraud, and improve data integrity.
- Listen to a case study of blockchain implementation in general payment integrity efforts outside of healthcare and the benefits reaped.
Track 1: Advanced Payment Integrity Function
- Understand how new healthcare regulations impact payment integrity operations and compliance efforts.
- Learn about key legislative changes, such as the No Surprise Act, and their implications for coding, billing, and claims processing.
- Explore strategies for staying compliant with evolving regulatory requirements and adapting payment integrity programs accordingly.
Track 2: Developing Payment Integrity Function
- Learn the importance of data sharing between payers and providers to improve payment integrity, and general claims processes.
- Listen to both payers and providers voice concerns and issues they have faced around data sharing, and provider education efforts.
- Gain insights into overcoming challenges and building partnerships to bridge the payer-provider gap in data sharing.
Track 1: Advanced Payment Integrity Function
Vladimir-Ducarmel Joseph
CDI Program Manager
Beth Israel Lahey Health Hospital & Medical Center
Vladimir-Ducarmel Joseph is one of the Clinical Documentation Integrity Program Directors at Beth Israel Lahey Health, where he spearheads a dedicated team of CDI professional experts to optimize clinical documentation best practices. With almost a decade in CDI leadership across diverse healthcare environments, Vladimir-Ducarmel holds a Master of Health Administration from George Washington University and his expertise encompasses physician leadership, team dynamics, CDI provider education, and program management. A fervent advocate for healthcare excellence, Vladimir-Ducarmel is adept at bridging the gap between clinical and administrative roles. He is proficient in various healthcare-oriented analytical and business tools, leveraging them to drive impactful CDI outcomes.