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Thu, May 15
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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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