The Healthcare Payment And Revenue Integrity Congress (HPRI West) is dedicated to the integrity of claims, payer-providers relationships and the transition to value-based payments>.
The Healthcare Payment And Revenue Integrity Congress (HPRI West) covers topics such as:
- Developing A Payment Integrity Program From The Ground Up
- Opportunities and the challenges of building and effectively managing PI programs that prevent, avoid, or recover billing errors, payment errors and other party liability errors
- Developing a Payment Integrity Program from the ground up for a brand new Medicare Advantage Health Plan
- Suggestions/ advice from our success, and lessons learned
- CMS Center for Program Integrity (CPI) Updates
- The use of the Government Accountability Office Fraud Risk Management Framework to develop anti-fraud strategies and react to emerging threats, updates on our Marketplace fraud work, and opportunities for private-public collaboration
- Insider`s view of CPI and CPI`s priorities
- Claims Audit - Payment Integrity
- Archaeology amongst savings drivers? High $ treasures?
- How does Claim Audit fit into the overall savings goals from PI?
- Do underpayments matter?
- Claim Audit Digs & Research - driving process improvement, not just savings
- Partnering with other departments as a true "Partner" not an "Auditor."
- How to keep finding treasure:
- It will all be in a museum (creating reference materials)
The Healthcare Payment And Revenue Integrity Congress (HPRI West) might be held in California, United States in 11-12 Sep 2024.