August 29, 2016 |
Time: 1:00 PM EST

About Our Speaker

  • Outcome line Kirk Shanks

    Kirk Shanks

    Director, Risk Adjustment Solutions- Indegene Healthcare

    Kirk has 13 years of experience in risk adjustment mechanics, regulatory & actuarial rules, Medicare & compliance. He was last associated with Mount Carmel Health Plan as Director, Revenue Management where he was responsible for planning, organizing & maximizing opportunities related to revenue streams using analytics, ensuring compliance with Centers for Medicaid & Medicaid Services (CMS) & monitoring factors, including risk adjustment factors, and impacting capitation payments from CMS. He also served as the project manager for the annual Medicare Advantage bid process. He also previously worked for Wakely Consulting Group and Milliman as an actuarial analyst.

About this Webinar

We will look at what is new for Medicare Advantage Risk Adjustment and its potential impacts on health plans in 2017. Learn how the new risk model may affect health plans and discover why encounter data may make them vulnerable to a risk adjustment data validation (RADV) audit. Learn more on the below mentioned topics that can significantly affect risk adjustment score and payment transfer:

a.  Overpayments
b.  ICD-10 Transition
c.  Encounter Data (EDPS)
d.  2017 Medicare Advantage Model Updates

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