Edifecs to Speak at AHIP’s National Conference on Medicare

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Attendees will Learn Strategies for Solving the Risk Adjustment Puzzle

Edifecs Inc., a global healthcare partnerships enablement company, will host a session at America’s Health Insurance Plans’ (AHIP) National Conference on Medicare to provide conference attendees with actionable strategies for improving risk adjustment accuracy and reducing revenue leakage. As healthcare reform moves full speed ahead, successful risk adjustment can drive revenue assurance in low-margin, high-risk markets.

Edifecs experts will cover the keys to a successful risk adjustment program, whether it is for Medicare Advantage, managed Medicaid, the Marketplaces or for Duals, including an effective data quality management program and comparative analytics. Session attendees will learn real world capabilities for maximizing the quality of data submissions for the purposes of risk adjustment.

Who: Dawn Carter, director, product analysis and financial management
Carter is a noted industry speaker and subject matter expert in claims and EDI management.

What: “Healthcare Jenga: Solving the Risk Adjustment Puzzle for Medicare Advantage, Medicaid Managed Care, Insurance Marketplace and Dual Eligibles.” Session attendees will learn actionable strategies to maximize the quality of data submissions for the purposes of risk adjustment.

Where: AHIP’s National Conference on Medicare, Washington D.C.

When: Monday, September 29, 2014, from 8:00-8:45 a.m. EDT

About Edifecs, Inc.
Edifecs is a leader in developing innovative, cost-cutting solutions to transform the global healthcare marketplace. Since 1996, Edifecs has provided technology that automates many administrative functions in order to trim waste and reduce costs as well as increase revenues, collaboration and operational performance. Customers who have benefited include healthcare providers, insurers, pharmacy benefit management companies, and other trading partners. More than 350 healthcare customers today use Edifecs solutions to simplify and unify financial, clinical and administrative transactions. They also use Edifecs technology to automate manual business processes (e.g., enrollment, claims and payment management) and to support compliance for HIPAA, Operating Rules and ICD-10 mandates. In addition, Edifecs develops supply chain management solutions to support worldwide customers in non-healthcare industry segments. Edifecs is based in Bellevue, WA, with operations internationally. Learn more about us at edifecs.com.

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