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