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Tue, May 13
Wed, May 14
Thu, May 15
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Tuesday, May 13, 2025
12:00 PM - 7:00 PM
PT
Information & Registration Desk
12:00 PM - 6:00 PM
PT
Information & Registration Desk
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
1:00 PM - 4:30 PM
PT
(Optional) Training Workshops
1:00 PM - 4:30 PM
PT
(Optional) Training Workshops
Location: Coral Ballrooms
5:00 PM - 6:00 PM
PT
Welcome Reception in the Experience Center
5:00 PM - 6:00 PM
PT
Welcome Reception in the Experience Center
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
6:00 PM - 8:00 PM
PT
Welcome Dinner
6:00 PM - 8:00 PM
PT
Welcome Dinner
Location: Eventide Lawn
Wednesday, May 14, 2025
7:30 AM - 8:20 AM
PT
Breakfast
7:30 AM - 8:20 AM
PT
Breakfast
Location: Eventide Pavilion
7:30 AM - 8:20 AM
PT
Featured Demo: MCG Cite Solutions
7:30 AM - 8:20 AM
PT
Featured Demo: Payer Solutions
Location: Coral 1
7:30 AM - 8:20 AM
PT
Featured Demo: MCG Indicia
7:30 AM - 8:20 AM
PT
Featured Demo: Provider Solutions
Location: Coral 2
7:30 AM - 8:20 AM
PT
Featured Demo: MCG Population Health
7:30 AM - 8:20 AM
PT
Featured Demo: Population Health Solutions
Location: Coral 3
7:30 AM - 8:20 AM
PT
Featured Demos
7:30 AM - 8:20 AM
PT
Featured Demos
7:30 AM - 7:00 PM
PT
Information & Registration Desk
7:30 AM - 7:00 PM
PT
Information & Registration Desk
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
8:30 AM - 9:00 AM
PT
Welcome Keynote
8:30 AM - 9:00 AM
PT
Welcome Keynote
Location: Pacific Jewel
Jon Shreve
– MCG Health
9:00 AM - 9:20 AM
PT
We Grow from Our Roots: Building Trust & the MCG Product Roadmap
9:00 AM - 9:20 AM
PT
We Grow from Our Roots: Building Trust & the MCG Product Roadmap
Location: Pacific Jewel
Young Yim
– MCG Health
9:20 AM - 9:40 AM
PT
Doyle Awards
9:20 AM - 9:40 AM
PT
Doyle Awards
Location: Pacific Jewel
9:40 AM - 10:00 AM
PT
Break in the Experience Center
9:40 AM - 10:00 AM
PT
Break in the Experience Center
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
10:00 AM - 10:50 AM
PT
Improving Financial and Clinical Outcomes Through Standardization and Utilization of MCG Solutions
10:00 AM - 10:50 AM
PT
Improving Financial and Clinical Outcomes Through Standardization and Utilization of MCG Solutions
Location: Pacific Jewel
Joshua Moskovitz, MD, MPH, MBA
– NYC Health + Hospitals
Joy Uzamere-Ogbeide, DNP, RN CCM-BC
– NYC Health+Hospitals
10:00 AM - 10:50 AM
PT
The Technology of Trust: The Journey to Successful Payer-Provider Authorization Automation
10:00 AM - 10:50 AM
PT
The Technology of Trust: The Journey to Successful Payer-Provider Authorization Automation
Location: Silver Pearl 2 & 3
Heidi Kriz, MPH,RD (she/her/hers)
– Regence
10:00 AM - 11:50 AM
PT
Breakout Sessions
10:00 AM - 11:50 AM
PT
Breakout Sessions
11:00 AM - 11:50 AM
PT
Building a Continual Cycle of Success via UR Redesign and AI Support
11:00 AM - 11:50 AM
PT
Building a Continual Cycle of Success via UR Redesign and AI Support
Location: Silver Pearl 2
William A. Gress, RN, MHA, BSN, CHFP, CRCR (he/him/his)
– Cottage Health
11:00 AM - 11:50 AM
PT
Integrating MCG Behavioral Health Criteria and CPT Code Units for Enhanced ABA Prior Authorization Management
11:00 AM - 11:50 AM
PT
Integrating MCG Behavioral Health Criteria and CPT Code Units for Enhanced ABA Prior Authorization Management
Location: Silver Pearl 3
Ashley Ramirez, BCBA, LBA (she/her/hers)
– BCBS AZ
CE: 1 CE / .8 CME
11:00 AM - 11:50 AM
PT
Leveraging Benchmarks to Control Healthcare Costs: A Strategic Approach
11:00 AM - 11:50 AM
PT
Leveraging Benchmarks to Control Healthcare Costs: A Strategic Approach
Location: Pacific Jewel
Lashana Narayan, ASA, MAAA (she/her/hers)
– MCG Health
11:00 AM - 11:50 AM
PT
Navigating Public Health Verticals: The Importance of Evidence-Based Practice in the Social Safety Net
11:00 AM - 11:50 AM
PT
Navigating Public Health Verticals: The Importance of Evidence-Based Practice in the Social Safety Net
Location: Silver Pearl 1
Marko A. Mijic, former Undersecretary for California HHS
– Sellers Dorsey
Alex Delage, PhD
– Palmetto GBA
William Gary Jessee (he/him/his)
– Sellers Dorsey
CE: 1 CE / .8 CME
12:00 PM - 1:00 PM
PT
Lunch
12:00 PM - 1:00 PM
PT
Lunch
Location: Eventide Lawn
1:00 PM - 1:50 PM
PT
Accelerate Reviews and Reduce Unnecessary Denials: Unlock Your EHR's Potential with Indicia
1:00 PM - 1:50 PM
PT
Accelerate Reviews and Reduce Unnecessary Denials: Unlock Your EHR's Potential with Indicia
Location: Silver Pearl 1
Marive Lanter, BSN, RN (she/her/hers)
– MCG Health
Abigail (Abbey) Armstead (she/her/hers)
– MCG Health
Stacy Vincent
– Enloe Health
Jennifer Suderman, BSN, RN (she/her/hers)
– Enloe Health
Patricia Beatty, MBA, RN, BSN, ACM
– Prisma Health
Sacha Dean Amador, BSN, RN, ACM-RN
– Prisma Health
Janet Bair, BSN, RN
– Prisma Health
Jessica Bulsak
– Allegheny Health Network
Lauren McGill, MSN, RN
– Allegheny Health Network
1:00 PM - 1:50 PM
PT
Empowering Health Through Comprehensive Chronic Condition Management
1:00 PM - 1:50 PM
PT
Empowering Health Through Comprehensive Chronic Condition Management
Location: Silver Pearl 3
Brigham A. Gibson-Oliver, Jr., DrBA (he/him/his)
– Empower Healthcare Solutions
Cynthia Ball, RN, CCM
– Empower Healthcare Solutions
CE: 1 CE / .8 CME
1:00 PM - 1:50 PM
PT
Navigating GenAI in Healthcare: Why Clinical Guidelines Matter More Than Ever
1:00 PM - 1:50 PM
PT
Navigating GenAI in Healthcare: Why Clinical Guidelines Matter More Than Ever
Location: Pacific Jewel
Justin Allred, FSA, MAAA (he/him/his)
– MCG Health
Bill Rifkin, MD, FACP (he/him/his)
– MCG Health
CE: 1 CE / .8 CME
1:00 PM - 1:50 PM
PT
Observation Length of Stay Reduction
1:00 PM - 1:50 PM
PT
Observation Length of Stay Reduction
Location: Silver Pearl 2
Mitsy Harned, DNP, RN, CCM (she/her/hers)
– Baptist Health System
Holly Hall, MD
– Baptist Health
Karla Stephen, MD
– Baptist Health
CE: 1 CE / .8 CME
1:00 PM - 2:50 PM
PT
Breakout Sessions
1:00 PM - 2:50 PM
PT
Breakout Sessions
2:00 PM - 2:50 PM
PT
Elevating Denials Management with Independent Review Organizations and MCG
2:00 PM - 2:50 PM
PT
Elevating Denials Management with Independent Review Organizations and MCG
Location: Silver Pearl 1
Suzanne Hawn, RN, MSN (she/her/hers)
– Phoenix Children's Hospital
Ambrey Thiebaut, RN, MSN-Ed (she/her/hers)
– Phoenix Children's Hospital
Karen Hester, RN, CCM (she/her/hers)
– Phoenix Children's Hospital
2:00 PM - 2:50 PM
PT
Harnessing Utilization Benchmarks: Driving Payer-Provider Education and Reducing Unnecessary Variations
2:00 PM - 2:50 PM
PT
Harnessing Utilization Benchmarks: Driving Payer-Provider Education and Reducing Unnecessary Variations
Location: Silver Pearl 3
Lashana Narayan, ASA, MAAA (she/her/hers)
– MCG Health
Isaac Martinez, MD
– Cigna
Justin Krawitt, MD
– Dartmouth
Stacey Popko, MD, MBA (she/her/hers)
– MCG Health
Suzanne Doran, RN, BSN, FAACM
– MCG Health
2:00 PM - 2:50 PM
PT
Medicare Mental Health Coverage
2:00 PM - 2:50 PM
PT
Navigating Medicare: Mental Health Coverage Insights
Location: Pacific Jewel
Leigh Elwood, MSN, RN (she/her/hers)
– MCG Health
Michael Parrozzo, RN, BSN
– MCG Health
CE: 1 CE / .8 CME
2:00 PM - 2:50 PM
PT
Streamlining the Medicare Short Stay Process: Case Management’s Impact on Outcomes
2:00 PM - 2:50 PM
PT
Streamlining the Medicare Short Stay Process: Case Management’s Impact on Outcomes
Location: Silver Pearl 2
Christian Albert Alcantara, MSN, RN, ACM-RN
– MD Anderson Cancer Center
Nerissa Arce, MD,MBA,BSN,RN,ONN-CG,ACM
– MD Anderson Cancer Center
Karin Ewer
– MD Anderson Cancer Center
CE: 1 CE / .8 CME
2:50 PM - 3:10 PM
PT
Break in the Experience Center
2:50 PM - 3:10 PM
PT
Break in the Experience Center
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
3:10 PM - 4:00 PM
PT
Integration of MCG Medicare Compliance
3:10 PM - 4:00 PM
PT
Integration of MCG Medicare Compliance
Location: Silver Pearl 1
Tina Waldron, RN
– BCBST
JoLynn Bortle, MBA, BSN, RN, CCM
– BCBST
3:10 PM - 4:00 PM
PT
Interoperability, AI, and the Hidden Variable
3:10 PM - 4:00 PM
PT
Interoperability, AI, and the Hidden Variable
Location: Pacific Jewel
Brandy O'Diam, LPN
– MCG Health
Daniel Cawood
– MCG Health
3:10 PM - 4:00 PM
PT
Leveraging MCG at Every Step in Utilization Management
3:10 PM - 4:00 PM
PT
Leveraging MCG at Every Step in Utilization Management
Location: Silver Pearl 2
Anjani Mahabashya, MD
– Geisinger
CE: 1 CE / .8 CME
3:10 PM - 4:00 PM
PT
Navigating Treatment-Resistant Depression: Innovative Therapies and MCG Care Guidelines
3:10 PM - 4:00 PM
PT
Navigating Treatment-Resistant Depression: Innovative Therapies and MCG Care Guidelines
Location: Silver Pearl 3
Kyle Jasper, MD, QME
– Allmed
CE: 1 CE / .8 CME
3:10 PM - 5:00 PM
PT
Breakout Sessions
3:10 PM - 5:00 PM
PT
Breakout Sessions
4:10 PM - 5:00 PM
PT
Observation Care: Who, Why, When, and How Long?
4:10 PM - 5:00 PM
PT
Observation Care: Who, Why, When, and How Long?
Location: Pacific Jewel
Bill Rifkin, MD, FACP (he/him/his)
– MCG Health
CE: 1 CE / .8 CME
4:10 PM - 5:00 PM
PT
Provider Knowledge Nexus
4:10 PM - 5:00 PM
PT
Addressing Physician Advisor Medical Necessity Documentation
Location: Silver Pearl 2
Nick G. Ulmer, Jr., MD, CPC, FAAFP
– Spartanburg Regional Healthcare System
Sharalyn O. Thornton, RN, BSN, ACM-RN
– Spartanburg Regional Healthcare System
CE: 1 CE / .8 CME
4:10 PM - 5:00 PM
PT
Provider Knowledge Nexus B
4:10 PM - 5:00 PM
PT
Integration of a Physician Advisor into a Rural Hospital
Location: Silver Pearl 1
Cynthia Whetstone, BSN, RN
– Fisher Titus Medical Center
Liberty Ware, RN
– Fisher Titus Medical Center
Laura Lay, BSTM, CRCR, CHFP
– Fisher Titus Medical Center
CE: 1 CE / .8 CME
4:10 PM - 5:00 PM
PT
Simplifying the Process: Adoption of MCG Care Guidelines
4:10 PM - 5:00 PM
PT
Simplifying the Process: Adoption of MCG Care Guidelines
Location: Silver Pearl 3
Chelsea L. Mehalic, MSN, RN (she/her/hers)
– Highmark
Lauren Kurtz (she/her/hers)
– Highmark
5:00 PM - 7:00 PM
PT
Complimentary Professional Headshots
5:00 PM - 7:00 PM
PT
Complimentary Professional Headshots
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
6:00 PM - 7:00 PM
PT
Networking Reception in the Experience Center
6:00 PM - 7:00 PM
PT
Networking Reception in the Experience Center
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
7:00 PM - 9:00 PM
PT
Dinner
7:00 PM - 9:00 PM
PT
Dinner
Location: Eventide Lawn
Thursday, May 15, 2025
7:30 AM - 8:20 AM
PT
Breakfast
7:30 AM - 8:20 AM
PT
Breakfast
Location: Eventide Pavilion
7:30 AM - 4:00 PM
PT
Information & Registration Desk
7:30 AM - 4:00 PM
PT
Information & Registration Desk
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
8:30 AM - 9:20 AM
PT
Hospital at Home: Present State and the Road Ahead
8:30 AM - 9:20 AM
PT
Hospital at Home: Present State and the Road Ahead
Location: Pacific Jewel
Bill Rifkin, MD, FACP (he/him/his)
– MCG Health
CE: 1 CE / .8 CME
8:30 AM - 9:20 AM
PT
Payer-Provider Collaboration with Observation Care
8:30 AM - 9:20 AM
PT
Payer-Provider Collaboration with Observation Care
Location: Silver Pearl 3
David Granger, MD, MPH, MBA
– CareFirst
Janet Tiesi
– CareFirst
CE: 1 CE / .8 CME
8:30 AM - 9:20 AM
PT
Pediatric Admissions & Inpatient Prior Authorization: Leveraging Physician Advisors, Utilization Management Nurses, and MCG Care Guidelines
8:30 AM - 9:20 AM
PT
Pediatric Admissions & Inpatient Prior Authorization: Leveraging Physician Advisors, Utilization Management Nurses, and MCG Care Guidelines
Location: Silver Pearl 2
Katherine Johnson, MD (she/her/hers)
– Children's Health System of Texas
Bianca Barraza, MHA, BSN, RN (she/her/hers)
– Children's Health System of Texas
CE: 1 CE / .8 CME
8:30 AM - 9:20 AM
PT
Unleashing AI for UM: The Critical Role of Change Management
8:30 AM - 9:20 AM
PT
Unleashing AI for UM: The Critical Role of Change Management
Location: Silver Pearl 1
Zachary Lenert, MSN, RN, NEA-BC, AMC
– Sharp
Tonya Soroosh, MSJ, RN, CCM
– Sharp
8:30 AM - 10:20 AM
PT
Breakout Sessions
8:30 AM - 10:20 AM
PT
Breakout Sessions
9:30 AM - 10:20 AM
PT
Combining AI and Data Analysis on the Road to Revenue Cycle Improvements
9:30 AM - 10:20 AM
PT
Combining AI and Data Analysis on the Road to Revenue Cycle Improvements
Location: Silver Pearl 1
Jeannine Mages, MS, RHIA (she/her/hers)
– Kaleida Health
9:30 AM - 10:20 AM
PT
Enhance Outcomes for Patients Across the Risk Spectrum with MCG's Population Health Solutions
9:30 AM - 10:20 AM
PT
Enhance Outcomes for Patients Across the Risk Spectrum with MCG's Population Health Solutions
Location: Pacific Jewel
Mike Mao (he/him/his)
– MCG Health
Rebecca R. Miller, BSN, MHA, CCM (she/her/hers)
– St. Luke's University Health Network
Rebecca A. Jordan, RN, BSN, CTT+
– MCG Health
Kelly Meyers, MSN, RN, CCM
– Sharp Healthcare/Sharp Rees-Stealy Medical Group
Carlynne Marin, MSN, RN, CCM (she/her/hers)
– Sharp Healthcare/Sharp Rees-Stealy Medical Group
Lindsey G. Pierce, MSN, RN, CCM
– UC San Diego Health
CE: 1 CE / .8 CME
9:30 AM - 10:20 AM
PT
Enhancing Transitions of Care to Improve Clinical Outcomes and Address Social Determinants of Health
9:30 AM - 10:20 AM
PT
Enhancing Transitions of Care to Improve Clinical Outcomes and Address Social Determinants of Health
Location: Silver Pearl 3
Cynthia Ball, RN, CCM
– Empower Healthcare Solutions
Brigham A. Gibson-Oliver, Jr., DrBA (he/him/his)
– Empower Healthcare Solutions
CE: 1 CE / .8 CME
9:30 AM - 10:20 AM
PT
Optimizing Post-Acute Transitions with Evidence-Based Pathways
9:30 AM - 10:20 AM
PT
Optimizing Post-Acute Transitions with Evidence-Based Pathways
Location: Silver Pearl 2
Kristina Weaver, EMT-P, RPSGT
– Parrish Healthcare
Emily Ferguson, DNP, RN, CCM
– MCG Health
CE: 1 CE / .8 CME
10:20 AM - 10:40 AM
PT
Break in the Experience Center
10:20 AM - 10:40 AM
PT
Break in the Experience Center
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
10:40 AM - 11:30 AM
PT
Improving Patient Engagement: Targeting High Risk Identification
10:40 AM - 11:30 AM
PT
Improving Patient Engagement: Targeting High Risk Identification
Location: Silver Pearl 2
Kelly Meyers, MSN, RN, CCM
– Sharp Healthcare/Sharp Rees-Stealy Medical Group
Carlynne Marin, MSN, RN, CCM (she/her/hers)
– Sharp Healthcare/Sharp Rees-Stealy Medical Group
CE: 1 CE / .8 CME
10:40 AM - 11:30 AM
PT
Payer Perspectives on AI: Optimizing Care Management with Ethical & Compliant Approaches
10:40 AM - 11:30 AM
PT
Payer Perspectives on AI: Optimizing Care Management with Ethical & Compliant Approaches
Location: Pacific Jewel
Daniel Cawood
– MCG Health
John Gregory
– CareSource
Isaac Martinez, MD
– Cigna
David Granger, MD, MPH, MBA
– CareFirst
10:40 AM - 11:30 AM
PT
Utilizing Natural Language Processing and Automation to Streamline Utilization Review: Stormont Vail Health’s Success Story With MCG Indicia
10:40 AM - 11:30 AM
PT
Utilizing Natural Language Processing and Automation to Streamline Utilization Review: Stormont Vail Health’s Success Story With MCG Indicia
Location: Silver Pearl 1
Chad Yeager, RN, MSN
– Stormont Vail Health
Sri V. Suravarapu, MD, MPH, CPE
– Stormont Vail Health
10:40 AM - 11:30 AM
PT
Who is MCG Consulting?
10:40 AM - 11:30 AM
PT
Who is MCG Consulting?
Location: Silver Pearl 3
Cindy Young, BSN, MBA, RN, CMPC (she/her/hers)
– MCG Health
Leah Sheveland
– MCG Health
10:40 AM - 12:30 PM
PT
Breakout Sessions
10:40 AM - 11:30 AM
PT
Breakout Sessions
11:40 AM - 12:30 PM
PT
Featured Demo: MCG Cite Solutions
11:40 AM - 12:30 PM
PT
Featured Demo: Payer Solutions
Location: Silver Pearl 1
11:40 AM - 12:30 PM
PT
Featured Demo: MCG Population Health
11:40 AM - 12:30 PM
PT
Featured Demo: Population Health Solutions
Location: Silver Pearl 3
11:40 AM - 12:30 PM
PT
Featured Demo: Provider Solutions
11:40 AM - 12:30 PM
PT
Featured Demo: Provider Solutions
Location: Silver Pearl 2
12:30 PM - 1:30 PM
PT
Complimentary Professional Headshots
12:30 PM - 1:30 PM
PT
Complimentary Professional Headshots
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
12:30 PM - 1:30 PM
PT
Lunch
12:30 PM - 1:30 PM
PT
Lunch
Location: Eventide Lawn
1:30 PM - 1:50 PM
PT
Hearst Keynote
1:30 PM - 1:50 PM
PT
Hearst Keynote
Location: Pacific Jewel
Gregory Dorn, MD, MPH
– Hearst Health
1:50 PM - 2:10 PM
PT
Building On Your Trust
1:50 PM - 2:10 PM
PT
Building On Your Trust
Location: Pacific Jewel
Anthony F. Oliva, DO, MMM, FACPE
– MCG Health
2:10 PM - 3:10 PM
PT
Guest Keynote: Everyday Ways to Ignite Innovation & Growth in the Galaxy of Change
2:10 PM - 3:10 PM
PT
Guest Keynote: Everyday Ways to Ignite Innovation & Growth in the Galaxy of Change
Location: Pacific Jewel
Jason Kotecki
2:10 PM - 3:10 PM
PT
Guest Keynote
2:10 PM - 3:10 PM
PT
Guest Keynote
Location: Pacific Jewel
3:10 PM - 3:20 PM
PT
Closing Remarks
3:10 PM - 3:20 PM
PT
Closing Remarks
Location: Pacific Jewel
3:20 PM - 3:40 PM
PT
Break in the Experience Center
3:20 PM - 3:40 PM
PT
Break in the Experience Center
Location: Experience Center - Pacific Jewel & Silver Pearl Foyers
3:40 PM - 4:05 PM
PT
Provider Knowledge Nexus
3:40 PM - 4:05 PM
PT
Success in Denials Management: The Benefits of a Collaborative Enterprise Physician Advisor Program
Location: Silver Pearl 2
Jacqueline E. Hall
– Cleveland Clinic
Melanie Bender, BSN, RN, CCM
– Cleveland Clinic
CE: .5 CME
3:40 PM - 4:30 PM
PT
Efficiency in Action: Reducing Inpatient Stays Through Utilization Review
3:40 PM - 4:30 PM
PT
Efficiency in Action: Reducing Inpatient Stays Through Utilization Review
Location: Silver Pearl 1
Richard M. Basaly, MD
– Orlando Health
Navin Deonarine, MD
– Orlando Health
CE: 1 CE / .8 CME
3:40 PM - 4:30 PM
PT
Enhancing Utilization Management: Leveraging MCG Care Guidelines and Cite CareWebQI Variances for Optimal Care
3:40 PM - 4:30 PM
PT
Enhancing Utilization Management: Leveraging MCG Care Guidelines and Cite CareWebQI Variances for Optimal Care
Location: Silver Pearl 3
Sindey James, RN (she/her/hers)
– Blue Cross Blue Shield of AZ
3:40 PM - 4:30 PM
PT
Telehealth’s Post-Pandemic Evolution: Use Cases and Outcomes
3:40 PM - 4:30 PM
PT
Telehealth’s Post-Pandemic Evolution: Use Cases and Outcomes
Location: Pacific Jewel
Jason Gillman, MD, FIDSA
– MCG Health
CE: 1 CE / .8 CME
3:40 PM - 5:30 PM
PT
Breakout Sessions
3:40 PM - 5:30 PM
PT
Breakout Sessions
4:05 PM - 4:30 PM
PT
Provider Knowledge Nexus
4:05 PM - 4:30 PM
PT
Enhancing Disease Management with Digital Health Tools
Location: Silver Pearl 2
Russell Shimada, RN, MSN, CDCES
– UC San Diego Health
CE: .5 CME
4:40 PM - 5:30 PM
PT
Enhancing Utilization Management: How AI is Revolutionizing the UM Process
4:40 PM - 5:30 PM
PT
Enhancing Utilization Management: How AI is Revolutionizing the UM Process
Location: Silver Pearl 2
Laurie Auch, RN-BC
– Avera Health
Gavin Landon
– MCG Health
Debi Halverson, RN
– Avera Health
4:40 PM - 5:30 PM
PT
Provider Knowledge Nexus A
4:40 PM - 5:30 PM
PT
Leveraging Physician Advisors to Optimize Utilization Review and Level of Care Decisions
Location: Silver Pearl 3
Jen L. Helt, MBA, BSN-RN (she/her/hers)
– Adams Memorial Hospital
CE: 1 CE / .8 CME
4:40 PM - 5:30 PM
PT
The Post-Medicare Advantage Final Rule Landscape: Navigating Regulations and Compliance Strategies
4:40 PM - 5:30 PM
PT
The Post-Medicare Advantage Final Rule Landscape: Navigating Regulations and Compliance Strategies
Location: Pacific Jewel
Isabel Salazar
– SCAN Health Plan
Suzanne Heilbron, MSN, BSN, RN, CCM (she/her/hers)
– SCAN Health Plan- Medicare Advantage Plan
Stephanie Van Orden, RN, BSN (she/her/hers)
– Blue Cross Blue Shield of North Carolina
Tina Waldron, RN
– BCBST
JoLynn Bortle, MBA, BSN, RN, CCM
– BCBST
Cheyenne Zychowski, MSN, RN
– MCG Health
4:40 PM - 5:30 PM
PT
Transforming Denials Management: A Hospital's Roadmap to Victory
4:40 PM - 5:30 PM
PT
Transforming Denials Management: A Hospital's Roadmap to Victory
Location: Silver Pearl 1
Rancia Z. Vohito, RN, BSN
– Eskenazi Health
Frank Messina, MD, FACEP, FACP
– Eskenazi Health
6:30 PM - 10:00 PM
PT
Farewell Party
6:30 PM - 10:00 PM
PT
Farewell Party
Location: Eventide Pavilion
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