Pulse8 Presenting at the Upcoming RISE Risk Adjustment Forum on Compliance Monitoring Best Practices to Avoid Triggering Red Flags

Share Article

Actuarial Analyst and Audit Expert to Present at RISE's Risk Adjustment Forum in Del Mar, CA

News Image
“I am privileged to be speaking alongside David Meyer of SCAN Health Plan on critical strategies that should be practiced today by health plans to efficiently identify and preemptively manage the many issues that can arise pending an audit,” stated Shane Keith, Pulse8’s Actuarial Analyst.

In its 11th year, the annual RISE Risk Adjustment Forum features content-driven topics and convenes top industry experts with years of experience and proven results in risk adjustment.

This year’s forum will include Pulse8’s Shane Keith, ASA, MAAA, Actuarial Analyst and David Meyer, Vice President, Risk Adjustment, Encounters, Coding, and Audit at SCAN Health Plan. Together, they will present best practices to avoid triggering red flags on Monday May 21, 2018 at 3:15pm PT at the Fairmont Grand Del Mar in San Diego, California.

During this joint presentation, attendees will get a better understanding of the following:

  • Visibility: Practical strategies for enhancing transparency throughout the risk adjustment process
  • Prophylactic Measures: What mock audit and monitoring practices should you be incorporating to correct issues before the audit?
  • Sample Data: How do you structure data pulls, how often do you do them, and how do you address any issues that arise?
  • Teamwork: Tips and methods for seamlessly incorporating vendors and third-parties into your monitoring program

“I am privileged to be speaking alongside David Meyer of SCAN Health Plan on critical strategies that should be practiced today by health plans to efficiently identify and preemptively manage the many issues that can arise pending an audit,” stated Shane Keith, Pulse8’s Actuarial Analyst. “David is an icon in the industry and a staple at RISE conferences. It will be an honor to share the stage with him.”

Attendees will also have the opportunity to visit Pulse8’s booth to speak with Shane and other key members of the Pulse8 team. To schedule a meeting or demo, please email Scott Filiault at Scott.Filiault@Pulse8.com.

About Pulse8
Pulse8 is the ONLY Healthcare Analytics and Technology Company delivering complete visibility into the efficacy of your Risk Adjustment and Quality Management programs. We enable health plans and providers to achieve the greatest financial impact in the Medicare Advantage, Medicaid, and ACA Commercial markets as well as with Value-Based Payment models for Medicare. Pulse8 has developed a suite of uniquely pragmatic solutions that are revolutionizing Risk Adjustment, Quality Management, and Pharmacy Program Management. Our advanced analytic methodologies and flexible business intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s products are powered by our patent-pending Dynamic Intervention Planning to deliver the most cost-effective and appropriate interventions for closing gaps in documentation, coding, and quality. For more company information or to schedule a demo, please contact Scott Filiault at (732) 570-9095 or scott.filiault(at)pulse8(dot)com.

About RISE (Resource Initiative and Society for Education)
RISE is the first national association totally dedicated to enabling healthcare professionals working in organizations and aspiring to meet the challenges of the emerging landscape of accountable care and health care reform. We strive to serve our members on four fronts: Education, Industry Intelligence, Networking and Career Development.

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Stephanie Daly, Director of Marketing
Pulse8, Inc.
+1 410-928-4218
Email >

John Criswell, CEO
Visit website