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  1. Vendor demonstrations of AI based solutions to understand the real life impact of AI on processes within a health plan,
  2. Develop an understanding of how this technology can enhance cost containment efforts and lead to a return on investments for consumers.
  1. Learn how to evaluate and integrate technology vendors to enhance payment integrity outcomes.
  2. Understand the role of technology in optimizing payment integrity processes and reducing inefficiencies.
  3. Discover diverse assessment methods for continuously enhancing payment integrity programs and vendor partnerships.
Track 2: Developing Payment Integrity Function
  1. Explore the potential of blockchain technology in enhancing security and transparency in payment integrity operations.
  2. Understand how blockchain can streamline payment processes, reduce fraud, and improve data integrity.
  3. Listen to a case study of blockchain implementation in general payment integrity efforts outside of healthcare and the benefits reaped.
Track 1: Advanced Payment Integrity Function
Miles Light Speaker Spotlight
  1. Understand how new healthcare regulations impact payment integrity operations and compliance efforts.
  2. Learn about key legislative changes, such as the No Surprise Act, and their implications for coding, billing, and claims processing.
  3. Explore strategies for staying compliant with evolving regulatory requirements and adapting payment integrity programs accordingly.
Track 2: Developing Payment Integrity Function