Speakers

1.25 CEU

TBD

Mon, May 4 at 02:45 PM CDT (07:45 PM UTC)

80 MIN

4D | Coding and CDI Queries: The Good, the Bad, and the Ugly

What makes a good query, or, better yet, what is a bad query? How do you turn a bad query into a good query? This session will cover all you ever wanted to know about the query process. Attendees will leave the session with the knowledge of how to always develop good, strong, compliant queries.

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Inpatient Facility

1.25 CEU

Grapevine D

Wed, May 6 at 01:00 PM CDT (06:00 PM UTC)

75 MIN

8G | NCDs, LCDs and Payer Guidelines - Getting it Right!

This session will cover how to interpret NCDs, LCDs, and payer guidelines to effect proper reimbursement for services. Learn how to understand the nuances in the language they use, so you can remain compliant and ensure your revenue cycle team has the tools it needs for prompt payment and policy development. Learn how to use these guidelines to your advantage during prior authorizations, denials management, and appeals.

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Billing

1.25 CEU

TBD

Wed, May 6 at 01:00 PM CDT (06:00 PM UTC)

80 MIN

8G | NCDs, LCDs and Payer Guidelines - Getting it Right!

This session will cover how to interpret NCDs, LCDs, and payer guidelines to effect proper reimbursement for services. Learn how to understand the nuances in the language they use, so you can remain compliant and ensure your revenue cycle team has the tools it needs for prompt payment and policy development. Learn how to use these guidelines to your advantage during prior authorizations, denials management and appeals.

CDEICDEOCICCOCCPBCPCCPCOCPMACPMSCPPMCRCRCMS

Billing

Medical Director of Coding Education, active family practice physician

1.25 CEU

Texas Ballroom

Wed, May 6 at 08:30 AM CDT (01:30 PM UTC)

75 MIN

GS7 | Value Based Care Panel

Join us for this informative panel presentation around Value Based Care - where we are and where we are going. We will review the impact of value based care from the provider, hospital and payer viewpoint. What is working, what challenges does value based care create for healthcare providers and patients and how can it improve healthcare for all stakeholders. This session will also allow attendees to ask questions so please bring your questions!

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General Session

Colleen Gianatasio

Diane Chandler

Director Coding Operations

RWJBH

1.25 CEU

TBD

Wed, May 6 at 08:30 AM CDT (01:30 PM UTC)

75 MIN

GS7 | Value Base Care Panel

Join us for this informative panel presentation around Value Based Care - where we are and where we are going. We will review the impact of value based care from the provider, hospital and payer viewpoint. What is working, what challenges does value based care create for healthcare providers and patients and how can it improve healthcare for all stakeholders. This session will also allow attendees to ask questions so please bring your questions!

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General Session

Diane Chandler

Medical Director of Coding Education, active family practice physician

Director Coding Operations

RWJBH

1.25 CEU

Grapevine 4-6

Tue, May 5 at 02:45 PM CDT (07:45 PM UTC)

75 MIN

6E | Denial Analytics in Action: Root Cause, Trends, and Solutions

Health insurance denials continue to be a major source of revenue loss and operational strain for healthcare organizations. As payer policies grow more complex and automation increases, organizations must move beyond basic denial reporting to proactive, data-driven strategies. In this session, we will review a practical framework for identifying, categorizing, and trending denials across hospital and professional billing. Attendees will learn how to analyze denial patterns by payer, service line, and root cause to uncover actionable insights that support both prevention and improved appeal outcomes. The presentation will also provide an overview of today’s denial-management technology landscape, including tools for analytics, workflow automation, medical-necessity validation, and payer policy monitoring. Real-world examples will demonstrate how organizations can leverage these solutions to reduce avoidable denials, strengthen cross-functional collaboration, and protect revenue integrity.

This session is ideal for revenue cycle, finance, compliance, and operational leaders.

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Outpatient Facility

1.25 CEU

TBD

Tue, May 5 at 02:45 PM CDT (07:45 PM UTC)

80 MIN

6E | Denial Analytics in Action: Root Cause, Trends, and Solutions

Health insurance denials continue to be a major source of revenue loss and operational strain for healthcare organizations. As payer policies grow more complex and automation increases, organizations must move beyond basic denial reporting to proactive, data-driven strategies. In this session, we will review a practical framework for identifying, categorizing, and trending denials across hospital and professional billing. Attendees will learn how to analyze denial patterns by payer, service line, and root cause to uncover actionable insights that support both prevention and improved appeal outcomes. The presentation will also provide an overview of today’s denial-management technology landscape, including tools for analytics, workflow automation, medical-necessity validation, and payer policy monitoring. Real-world examples will demonstrate how organizations can leverage these solutions to reduce avoidable denials, strengthen cross-functional collaboration, and protect revenue integrity.

This session is ideal for revenue cycle, finance, compliance, and operational leaders.

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Outpatient Facility