101 for modernization of each step of the claims continuum. 8 separate discussion across:

• Itemized Bill Reviews
• DRG Validations
• Claim Receipts
• Clinical Review
• Provider Reviews
• Resolutions
• Formal Appeal
• The Changing World Of Payment Integrity As It Relates To VBC

• Implementing various strategies to encourage appropriate utilization of emergency outpatient facilities, such as: network management, preauthorization and utilization reviews, promoting alternative care settings, and investing in care coordination programs to prevent unnecessary readmissions.
• A look to how data analytics can be leveraged to identify patterns of overbilling or potential fraud within emergency outpatient facilities

• Taking payment integrity solutions to the next level with clinical validation

• Unveiling the audit landscape and understanding the importance of timely responses
• Expediting audit responses through the establishment of a dedicated audit response team, implementing standardized documentation and track systems, and utilizing advanced technologies
• Discussing the value of analyzing audit findings and leveraging them as opportunities for continuous improvement in revenue cycle management

• Investing in strategies that promote effective care transitions, care coordination, patient education, and data analysis
• Working with providers to identify patients at higher risk of readmission
• Reducing avoidable readmissions to achieve better overall quality of care and support cost savings

• Providing an overview of the No Surprises Act, an explanation of key provisions, and the impact it has had on provider billing practices
• Highlighting how the No Surprises Act has influenced provider-payer interactions and insights into new payment methodologies introduced by the act to resolve billing disputes
• Examples of how providers have adapted their practices to comply with the act

• Highlighting key pain points that health systems face in PI operations and how it impacts their operations
• Talking about “what if” scenarios or successful use cases of AI and data management to help in AI operations
• Painting a picture of outlook of PI with emphasis on pre-pay
• Picture vendor landscape and talk about Everest Group findings in the market