The 6th Annual Meeting of RISE

The 6th Annual Meeting of RISE
Effective, Actionable Strategies for Integrating Risk, Revenue and Quality Management*

March 19-21, 2012 • The Hilton Nashville Downtown • Nashville, TN

*Formerly the HCC Management Summit

Join us for our 6th Annual RISE (Risk Adjustment Initiative and Society for Education) Summit*
March 19, 2012 – Optional First Day Tutorial: RISK ADJUSTMENT 101
March 20-21, 2012 – The 6th Annual RISE Summit – THE Must-Attend Event for Medicare Advantage Plans and Medicare Providers!

Located just one block from the RISE conference hotel, the Renaissance Nashville is a distinctive property perfectly positioned in the hard of the business district. To view the hotel’s website, Click: http://www.marriott.com/hotels/travel/bnash?groupCode=frafraa&app=resvlink&fromDate=3/18/12&toDate=3/21/12

*This program has the prior approval of AAPC for 17 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

The 6th Annual RISE Summit: Strategies for Integrating Risk, Revenue and Quality Management for MA Plans and Providers has been approved for 17 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA).

A few subjects to be discussed in this year’s program:

Real-life tales about the parallel submission of RAPS and encounter data
The latest on the RADV extrapolation and its effects
Star ratings: What are plans doing to monitor them year-round?
How is the industry handling the EMR transition and automation of the HCC system?
The very latest innovations in prospective assessments
NEW! A one-day Risk Adjustment Boot Camp tutorial
Strategic perspectives: where should your plan allocate its resources?
Best practices in linking prospective assessments and clinical management
Optimizing your provider interactions
How much of your chart review and prospective assessments should you do in-house?
Nuances of the ICD-10 transition
...and so much more!

People are Talkin’ ‘bout the 2011 RISE Nashville Event

"Great topics, friendly vendors, lots of networking. I met a lot of new people whom I will keep in contact with for a long time. I met vendors that I can utilize their services in my current health plan.” Deborah Attvater, Healthspring

“Overall, I think it was very helpful and informative. I learned a lot during the two days here. I enjoyed meeting new people and making new friends. I’m looking forward to returning next year.”

“Great networking and sharing of success stories.”

Who Was There?

Head Of Medicare Revenue	Aetna
VP Outreach And Development APS Healthcare	Medical Director-federal Business Division BCBS MI
CMS Operations Mgr 1	Blue Cross Blue Shield Alabama
Manager, Operational Reporting	BlueCross BlueShield of TN
Director Of Peformance Improvement	Brown & Towland Group
Chief Operating Officer	Cardiovascular Consultants
Medical Director	Chinese Community Health Plan
Business Intelligence Analyst	Community Health Plan of Washington
CIO	Easy Choice Health Plan
Vp, Medicare Finance	Excellus BC/BS
Manager, Budgeting And Analysis	Gateway Health Plan
Coding & Compliance Supervisor	Graybill Medical Group
RN, CCM, Dir. Of Network Operations	Access Health Providers
Medicare Risk Adjustment Specialist	Health New England
Director of Curriculum	American Academy of Professional Coders
VP-Medicare Data Quality Operations	Healthspring, Inc
Manager, Patient Business Services	Arch Health Partners
Medical Director	Hometown Health
Director	BCBS of Massachusetts
Director Of Healthcare Analysis	Inland Empire Health Plan
ICD-10 Program	Blue Cross Blue Shield of Massachussetts
Senior Medicare Operations Specialist	L.A. Care Health Plan
President	BlueGreen Healthcare
Principal	Mohawk Health Group
VP Medicare Programs	Capital Blue Cross
Risk Adjustment Manager	MVP/Preferred Care
HCC Risk and Education Manager	CareMore Health Plan
Executive Director-health Management	Network Health Plan
CFO	Citzens Choice Health Plan
Project Consultant/ President	Northwest Physicians Network/ BCH, LLC
Director Information Systems	Complexcare Solutions
RN	Presbyterian Healthcare Services
VP	Enterprise Consulting Solutions
Sr. Auditor	Regence Blue Cross Blue Shield
Chief Operating Officer	Family Choice of New York
MD, MS, Chief Medical Director	Scott & White Health Plan
Director	Geisinger Health Plan
Medical Records Coordinator	Group Health Plan/Coventry
Director of coding and healthcare management	Health Texas Medical Group
CEO	AE & Associates
Team Lead	Healthspring/Bravo
Director Risk Adjustment	Amerigroup Corp.
Data AnalystHorizon	BCBS
Qa/um Director	Atrio Health Plans
Executive Assistant	Inter Valley Health Plan
Medicare Risk Operations Manager	Blue Cross and Blue Shield of Alabama
Director Medicare Risk Adjustment Revenue	Lovelace Health Plan
Director, Medicare Revenue	Blue Shield of California
Manager, Quality & Performance Improvement	Monarch HealthCare
Director of Medical Informatics	Bristol Park Medical Group
Manager Of Risk Adjustment Programs	NAMM
Director, Analytics & Actuarial Services	Capital Health Plan, Inc
Director Of Medicare Risk Adjustment	NHP
Director	Central Florida Inpatient Medicine
Vice President Of Operations	Physicians DataTrust
Director of Finance	Community Health Group
CFO	Prime Care Medical Network Inc
Associate Medical Director	DOHC
Rn Clinical Leader	Riverside Physician Network
CEO	Essence Healthcare
Sr. Provider Relations/Contract Specialist	Scripps
President	Fana Medical Group
Vice President	GHG
VP, Medicare Operations, Government Programs	Health Net
Director HCC Programs	HealthCare Partners Medical Group
CFO	Access Managed Care
VP, Medicare Programs	HMSA/Blue Cross Blue Shield of Hawaii
CIO	American Health Medicare
Project Coordinator, Government Audits	INDEPENDENT HEALTH
Chief Medical Officer	Arizona Integrated Physicians
Sr Financial Analyst	Kelsey-Seybold
Manager	Blue Care Network
MRA Liaison	Metcare of FLorida
Senior Healthcare Analyst	BCBS of Michigan
Revenue Data Management Analyst MVP	Health Plan
Director	Bravo Health
Supervisor, Medicare Risk Adjustment	Network Health Insurance Corporation
Vice President, Medicare Products	Capital District Physicians' Health Plan
Director	North Texas Specialty Physicians
Healthcare Analyst Supervisor	CareOregon
Director of Medicare Revenue Management	Presbyterian Health Plan
Sr. Director Of Quality	Common Wealth Care Alliance
Sr. Consultant	Regence
Director Of Medicare Quality	Coventry Health Care
VP Network Medical Management	SCAN Health Plan
President	Episource
Chief Financial Officer Security	Health Plan of Wisconsin
Administrative Services Manager	FamilyCare, Inc
Senior Medical Director	GEMCare Health Plan
Medical Quality Coordinator	Health First Health Plans, Inc.
HCC Lead Physician	Healthcare Partners
Director, Government Programs	Hill Physicians Medical Group
Corporate Director, Medicare Risk Adjustment	Humana
Senior Manager Medicare Risk And Business Strategy	Kaiser Permanente Colorado
Manager Revenue Management	Martins Point Healthcare
Director Provider Relations	Montefiore
QI Executive Director	NAMM California
VP, Health Services	North American Medical Management
CEO	Precision Healthcare Systems
VP, Performance Programs	Prospect
Manager Hcc Programs	SCAN
Auditor, Educator	Scripps Coastal Medical Center
Data Analyst	Triple S Salud
CFO University	Physicians Health Plans
Risk	VIVA Medicare Plus
Assistant VP, Quality & Clinical Compliance	Windsor/Sterling
Director	Tufts Health Plan
Supervisor Of MRA	Universal Health Care
Director of Risk Adjustment	Viva Health, Inc
Director Of Clinical Data Operations	WellMed Medical Group
Manager, Risk Adjustment Program	The Regence Group
CEO Southern California Physicians	Managed Care Services
Director Of Medicare Risk	Vista Health Plan
Sr. Vice President, Health Delivery Operations	WellMed Medical Management, Inc
AVP, Medicare Revenue Enhancement	Windsor Health Plans, Inc.
Director, Physician Education & Support Services	St. John's Health System
Senior Manager	UPMC Health Plan
VP Healthcare Analytics	Wellcare Health Plans, Inc
Director	Sutter Medical Network