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  • Explore strategies for fostering stronger partnerships and enhancing cooperation between payers and providers to achieve mutual goals.

  • Learn how successful collaboration can lead to better patient outcomes, more accurate reimbursements, and improved financial performance for both payers and providers.

Revenue Cycle Management

Author:

Cynthia Johnson

(former) Senior Director, Referral & Claims Administration
Kaiser Permanente
... read more

Cynthia Johnson

(former) Senior Director, Referral & Claims Administration
Kaiser Permanente

Author:

Catherine Pesek Bird

Physician Advisor
Lakeland Regional Health-Florida
... read more

Catherine Pesek Bird

Physician Advisor
Lakeland Regional Health-Florida

Author:

Dr Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE

VP Payment Integrity
Blue Cross NC

Dr. Priscilla Alfaro is a seasoned healthcare professional with extensive experience in executive medical management, fraud prevention, and healthcare analytics. A certified medical coder, fraud examiner, and auditor, she has a proven track record of improving healthcare efficiency and preventing fraud, waste, and abuse across various roles and affiliations, including the Texas HHS and Anthem.

... read more

Dr Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE

VP Payment Integrity
Blue Cross NC

Dr. Priscilla Alfaro is a seasoned healthcare professional with extensive experience in executive medical management, fraud prevention, and healthcare analytics. A certified medical coder, fraud examiner, and auditor, she has a proven track record of improving healthcare efficiency and preventing fraud, waste, and abuse across various roles and affiliations, including the Texas HHS and Anthem.

Author:

Vanessa Moldovan, CRCR, CPC, CPB, CPMA, CPPM, CPC-I

CEO & Founder
For the Love of Revenue Cycle

Vanessa Moldovan, CEO and founder of For the Love of Revenue Cycle (FTLORC), is a trusted expert in healthcare revenue cycle management with over 20 years of experience. Specializing in denial management, accounts receivable, and strategic optimization, she helps organizations prevent revenue leakage and achieve sustainable growth. Vanessa also advises healthcare SaaS companies, enhancing product-market fit, sales, and operational excellence.


As the creator of the For the Love of Revenue Cycle podcast and leader of a thriving Facebook community, Vanessa is dedicated to transforming the revenue cycle through education and standardization.

... read more

Vanessa Moldovan, CRCR, CPC, CPB, CPMA, CPPM, CPC-I

CEO & Founder
For the Love of Revenue Cycle

Vanessa Moldovan, CEO and founder of For the Love of Revenue Cycle (FTLORC), is a trusted expert in healthcare revenue cycle management with over 20 years of experience. Specializing in denial management, accounts receivable, and strategic optimization, she helps organizations prevent revenue leakage and achieve sustainable growth. Vanessa also advises healthcare SaaS companies, enhancing product-market fit, sales, and operational excellence.


As the creator of the For the Love of Revenue Cycle podcast and leader of a thriving Facebook community, Vanessa is dedicated to transforming the revenue cycle through education and standardization.

Author:

Monique Pierce

Payment Solutions & Operations
Cohere Health

Monique started her Payment Integrity career in COB at Oxford HealthPlans.  After the merger with UnitedHealthcare, she led multiple teams and was responsible for creating innovative programs. Monique joined SCIO Health Analytics in 2014 and was responsible for system and process improvements before being promoted to VP of client engagement and business optimization   In 2020, Monique joined start-up Devoted Health and created a full suite of programs from the ground up.   Based on a passion for metrics and measuring performance, she centralized and standardized all programs reducing implementation time and maximizing savings.   Today, Monique is driving opportunities to improve claim payment by designing and developing new prior auth and claim reconciliation products at Cohere Health.  

... read more

Monique Pierce

Payment Solutions & Operations
Cohere Health

Monique started her Payment Integrity career in COB at Oxford HealthPlans.  After the merger with UnitedHealthcare, she led multiple teams and was responsible for creating innovative programs. Monique joined SCIO Health Analytics in 2014 and was responsible for system and process improvements before being promoted to VP of client engagement and business optimization   In 2020, Monique joined start-up Devoted Health and created a full suite of programs from the ground up.   Based on a passion for metrics and measuring performance, she centralized and standardized all programs reducing implementation time and maximizing savings.   Today, Monique is driving opportunities to improve claim payment by designing and developing new prior auth and claim reconciliation products at Cohere Health.  

 

Lora Black

Director, System Patient Access
Indiana University Health

Lora Black

Director, System Patient Access
Indiana University Health

Lora Black

Director, System Patient Access
Indiana University Health

  • Explore insights and strategies needed to navigate contract negotiations with confidence and expertise, ensuring you secure the best terms for your organization.

  • Recognize resources for the rules governing various types of health plans and contracting entities.

  • Understand different reimbursement models, discuss techniques for preparing for
    and conducting successful contract negotiations, and highlight common
    challenges and how to overcome them.

Specialty Credits for: Core A – CPPM, CPCO

Revenue Cycle Management

Author:

Richelle Marting

Director, Managed Care Contracting
North Kansas City Hospital, Meritas Health Corporation
... read more

Richelle Marting

Director, Managed Care Contracting
North Kansas City Hospital, Meritas Health Corporation
 

Paul Schmitz

Executive Director, Patient Access
AdventHealth

Paul Schmitz

Executive Director, Patient Access
AdventHealth

Paul Schmitz

Executive Director, Patient Access
AdventHealth
Pet Connect USA Sample Attendee List 8.10

  • Discover how a leading Patient Access technology provider implements the latest best practices and strategies to ensure compliance with regulations, protect sensitive health information, streamline workflows, and boost revenue.

  • Gain valuable insights on addressing common vulnerabilities, managing cybersecurity threats, and fostering a culture of privacy in RCM, all while avoiding costly penalties and maintaining patient trust.

  • Discuss how to ensure accuracy during patient registration to avoid claim denials and delayed reimbursements.

  • Explore the role of automation tools (e.g., robotic process automation, AI-driven analytics) in improving data capture, reducing manual errors, and providing actionable insights to optimize patient access workflows.

Revenue Cycle Management
 

Garland Goins Jr

VP, Revenue Cycle Management
Avance Care

Garland Goins Jr

VP, Revenue Cycle Management
Avance Care

Garland Goins Jr

VP, Revenue Cycle Management
Avance Care

  • Listen to quick tips on expediting front-end revenue cycle processes such as registration, insurance verification and pre-authorisation.

  • Deep dive into specific metrics on how an integrated financial clearance process can help your revenue cycle.

  • Learn the challenges and benefits of technology adoption in early patient access.
Revenue Cycle Management

Author:

Ismet Sharich

Patient Access Director
Riverside Healthcare
... read more

Ismet Sharich

Patient Access Director
Riverside Healthcare
  • Discover the four key capacity drivers that enhance patient access.
  • Learn strategies to maximize capacity and access across clinics, groups, and organizations.
  • Understand the metrics for measuring capacity and access and explore their interconnections.

Specialty Credits for: Core A – CPCO, CPMA

Revenue Cycle Management

Author:

Paul Schmitz

Executive Director, Patient Access
AdventHealth
... read more

Paul Schmitz

Executive Director, Patient Access
AdventHealth