RISE National 2025 | Schedule at a Glance

Rise

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2025 Schedule

We are thrilled to announce that RISE National 2025 is being extended by an extra day to accommodate even more essential content, regulatory updates, networking opportunities, and after-hours fun! You’ll have even more time to deep dive into sessions and workshops, connect with industry leaders, exchange ideas with Medicare Advantage peers, and explore innovative solutions in the exhibit hall. Don’t miss out on this expanded opportunity to maximize both your learning and networking experiences to make meaningful change in health care! 

Tuesday - March 11

11:00 AM 12:00 PM

10:00 AM 11:00 AM

9:00 AM 10:00 AM

8:00 AM 9:00 AM

Workshop Registration

12:00 PM 6:00 PM

11:00 AM 5:00 PM

10:00 AM 4:00 PM

9:00 AM 3:00 PM

Pre-Conference Workshop A: Risk Adjustment Practitioner

Please note: This workshop requires additional registration; lunch is included. 

  • The essentials of and differences between Medicare Advantage, Commercial and Medicaid risk adjustment  
  • Understanding how risk scores are calculated  
  • Making sense of varying payment models  
  • An intro into using data and predictive analytics to optimize your risk adjustment practices  
  • Tools for achieving data accuracy  
  • Where do we stand with the transition from RAPS to EDS? The latest in a long journey  
  • Provider engagement strategies that will impact your risk adjustment initiatives  
  • Risk adjustment vendor selection and management  
  • Determining whether you need RA vendors  
  • How do you effectively vet potential vendors and ultimately select them?  
  • Strategies for on-going, thorough vendor management  
  • The future of risk adjustment – what you need to know to stay ahead of possible changes  
  • Initial steps for preparing for a RADV audit  
  • Which staff is essential to overseeing your RADV audit prep?  
  • Staying ahead – key items to monitor well in advance of an actual audit  

Instructors:   

Laura Sheriff, RN, MSN, CPC, CRC 
Healthcare Expert 

Susan Waterman, RHIT, CCS, CPC, CRC, AHIMA ICD-10-CM/PCS, Trainer, Director, Risk Adjustment  
Baylor Scott & White  

12:00 PM 6:00 PM

11:00 AM 5:00 PM

10:00 AM 4:00 PM

9:00 AM 3:00 PM

Pre-Conference Workshop B: Advanced HCC Auditor

Please note: This workshop requires additional registration; lunch is included. 

The HCC Coding for Accuracy workshop is not just for those directly involved in HCC coding work. It is designed for other disciplines, as well, including finance and analytics professionals. Join us for an introduction to best practices, the opportunity to work through case examples, and to share experiences with your peers. This workshop will zero-in on regulatory compliance while teaching you how to optimize the accuracy of the information gathered and submitted at the practice level. What you will also learn about the way charting is often done, how to overcome “disconnect” with the clinicians and how their typical charting practices and EMRs can create significant problems, and how RADV views documentation in contrast with the way clinicians were taught and EMRs were built initially.  

Please note: Attendees are encouraged to bring questions to pose to our expert workshop facilitators and to the table for the group. We provide your workbook which includes copies of the slide deck. You will not need your coding manuals, but most people take notes on their laptop or tablet. 

Dialogue, interact and work in small, facilitated groups with peers and colleagues   

  • Understanding the financial overlay – HCC codes mapping to risk adjustment scores   
  • A single coding and documentation process for  
  • Risk adjustment   
  • Skill development on choosing diagnoses from portions of the encounter – permitted and not permitted   
  • Clinical documentation barriers for risk adjustment purposes (data validation audit risks)   

Instructors:  

Colleen Gianatasio, Director, Clinical Documentation Integrity and Coding Compliance   
CDPHP   

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP    
Director Risk Capture – Population Health 
 
Mass General Brigham   

Wednesday - March 12

9:00 AM 10:00 AM

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

Workshop Registration

10:00 AM 6:00 PM

9:00 AM 5:00 PM

8:00 AM 4:00 PM

7:00 AM 3:00 PM

Main Conference Registration

10:00 AM 1:00 PM

9:00 AM 12:00 PM

8:00 AM 11:00 AM

7:00 AM 10:00 AM

Pre-Conference Workshop C: 2025 Government Program Legal and Compliance Deep Dive – How to Navigate the Wave of Enforcement While Still Trying to Manage a Population and Stay Sane

Please note: This workshop requires additional registration; lunch is included. 

  • Educate attendees on issue spotting key risk areas and takeaways based on developing cases and agency audits; 
  • Discussion of the hard questions related to auditing, monitoring, and overpayments; 
  • The promise and pitfalls of AI as it relates to enforcement risk 
  • Discuss emerging enforcement areas such as prior authorizations, network (in) adequacy and UM 
  • Discuss impacts to value-based contracting, risk adjustment operations (both at the health plan and medical group level), and incentive programs/pay for performance 
  • Weighing enforcement and oversight risks as they relate to:  
  • Physician organizations, VS. Health plans, who does what in 2025 and beyond? 
  • Insourcing versus outsourcing key revenue and EDI functions 

Jason E. Christ, Member of the Firm 
Epstein Becker Green  

10:00 AM 1:00 PM

9:00 AM 12:00 PM

8:00 AM 11:00 AM

7:00 AM 10:00 AM

Pre-Conference Workshop D: Value Based Care Operational Excellence Workshop

Please note: This workshop requires additional registration; lunch is included. 

Designed for both health plan operations and risk bearing provider groups--both MA and ACO. During this workshop, we will discuss these key areas:  

Risk 

  • Basics 
  • Programmatics (e.g., prospective, concurrent, retrospective reviews; internal coding team management; home assessment programs) 
  • Oversight 

Quality 

  • Basics 
  • Programmatics (E.g., member communication programs/incentives, health fairs) 
  • Oversight 

Total Cost of Care 

  • Basics 
  • Programmatics (e.g., hospital contracting--inpatient vs observation, ASC procedures, partnering with specialists, ER UC Campaigns, Hospital at Home)  
  • Oversight  

Analytics & Reporting 

  • Operational monitoring for management 
  • Interdepartmental Collaboration--who to work with, how often to communicate 
  • Community Partnerships--how to evaluate, who to select, implementation guidance 

Contract Evaluation 

  • What's in it, how to prioritize, etc. 
  • Financial implication of the components above and how to monitor throughout the year 

Dr. Shannon Decker, Principal    
VBC One   

Gaby Alcalá , Founder and CEO  
MAPA HealthCare  

1:00 PM 2:00 PM

12:00 PM 1:00 PM

11:00 AM 12:00 PM

10:00 AM 11:00 AM

Networking Lunch for Workshop C & D Attendees Only

2:00 PM 2:10 PM

1:00 PM 1:10 PM

12:00 PM 12:10 PM

11:00 AM 11:10 AM

Main Conference Kicks Off with Opening Remarks

Ellen Wofford, Founder & CEO 
RISE 

Conference Chairs: 

Liz Haynes MSN, RN, CCM, DVP, Risk Adjustment & Stars Government Programs 
Blue Cross and Blue Shield of Kansas City 

2:10 PM 3:00 PM

1:10 PM 2:00 PM

12:10 PM 1:00 PM

11:10 AM 12:00 PM

General Session

3:00 PM 3:30 PM

2:00 PM 2:30 PM

1:00 PM 1:30 PM

12:00 PM 12:30 PM

Networking Break

Concurrent Sessions 3:30 PM - 4:15 PM 2:30 PM - 3:15 PM 1:30 PM - 2:15 PM 12:30 PM - 1:15 PM
Track Chairs:

3:30 PM 4:15 PM

2:30 PM 3:15 PM

1:30 PM 2:15 PM

12:30 PM 1:15 PM

Track 1: Risk Adjustment Strategies

Autonomous Coding: Enhancing Risk Adjustment Processes and Optimizing Accuracy in Health Care

  • Explore how autonomous coding systems leverage advanced algorithms, natural language processing (NLP), and machine learning to automatically assign standardized codes to medical diagnoses and procedures, reducing the need for manual intervention 

  • Outline the strategic approach to planning and implementing autonomous coding systems, focusing on key milestones, integration timelines, and the importance of aligning technology with existing healthcare workflows 

  • Discuss the significant improvements in coding accuracy brought about by autonomous coding, highlighting the reduction in errors, faster processing times, and the overall impact on the efficiency and quality of chart reviews 

Presented by GEBBs  

3:30 PM 4:15 PM

2:30 PM 3:15 PM

1:30 PM 2:15 PM

12:30 PM 1:15 PM

Track 2: Integrating Silos

Achieving Proactive Gap Closure with Emergent Technology  

  • Learn how new prospective risk adjustment solutions help health plans and providers improve coding and documentation 

  • Understand the financial and operational benefits of closing risk gaps concurrently with claims processing for Medicaid populations 

  • Gain business and actuarial insights into the available opportunities for market expansion 

Chris Lance, Chief Product Officer 
Edifecs 

3:30 PM 4:15 PM

2:30 PM 3:15 PM

1:30 PM 2:15 PM

12:30 PM 1:15 PM

Track 3: Quality and Member Experience

To Be Announced

3:30 PM 4:15 PM

2:30 PM 3:15 PM

1:30 PM 2:15 PM

12:30 PM 1:15 PM

Track 4: Payer/Provider Strategic Alignment

Laying the Groundwork for Value-Based Care: Payer-Provider Interoperability to Enhance Prospective Risk Management 

  • Share the key components and capabilities of a best-in-class risk identification, capture, and management program 

  • Discuss optimization of the provider and care team experience, workflow and technology optimization, data and analytics use, and performance management processes 

  • Share real life provider examples of the impact to performance through timely data, insight, and analytics sharing between providers and their payer partners 

Alexandra Povlishock, MHA, Vice President 
Optum 

3:30 PM 4:15 PM

2:30 PM 3:15 PM

1:30 PM 2:15 PM

12:30 PM 1:15 PM

Track 5: Technology/Data Analytics

Tech/ Data Analytics: Shaping the Future of Value Based Care – Key Trends and Advancements 

  • Trusted AI: Harness technology for better productivity with generative AI, ML, and advanced data analytics means organizations understand how to evaluate vendors to ensure transparency and compliance  

  • Unified VBC Platform: Leverage a unified platform for holistic views of patient conditions to enable better decision-making, more accurate risk stratification and meet quality benchmarks more consistently  

  • Changing Care Models: VBC models are changing fast. Understand how to adapt to new value-based care reimbursement models (V24 to V28)  

 

Paul Burke, Chief Product Officer 
Reveleer 

4:25 PM 5:25 PM

3:25 PM 4:25 PM

2:25 PM 3:25 PM

1:25 PM 2:25 PM

Opening Keynote Address: Purpose. Performance. Impact.

Sponsored by 

Justin will take you through an exploration of the power of service, the profound difference we can make in the lives of others, and the ripple effect that extends far beyond what we can imagine – including the transformation that occurs within ourselves when we choose to live purposefully and serve selflessly. He also unravels the secrets of the overcomer’s mindset, the unyielding spirit that separates the victors from the defeated. You will learn how to transform pain into fuel, setbacks into comebacks, and doubts into unwavering belief—in order to overcome obstacles and win this fight called life.  


Justin Wren
 
Elite UFC/MMA Fighter turned Global Humanitarian and Founder of Fight for The Forgotten 

Learn More 

5:30 PM 7:30 PM

4:30 PM 6:30 PM

3:30 PM 5:30 PM

2:30 PM 4:30 PM

Exhibit Hall Open

5:30 PM 7:30 PM

4:30 PM 6:30 PM

3:30 PM 5:30 PM

2:30 PM 4:30 PM

Welcome Cocktail Reception in the Exhibit Hall

Let's kick off the mega Medicare Advantage event of the year in style! All attendees are invited to join us in the exhibit hall for drinks, hors d'oeuvres, and some lively networking. Come mingle, connect, and enjoy a fun evening with fellow attendees!

Thursday - March 13

9:00 AM 7:00 PM

8:00 AM 6:00 PM

7:00 AM 5:00 PM

6:00 AM 4:00 PM

Registration Desk Open

9:00 AM 7:00 PM

8:00 AM 6:00 PM

7:00 AM 5:00 PM

6:00 AM 4:00 PM

Exhibit Hall Open

9:00 AM 10:00 AM

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

Networking Breakfast in Exhibit Hall

10:00 AM 10:10 AM

9:00 AM 9:10 AM

8:00 AM 8:10 AM

7:00 AM 7:10 AM

Opening Remarks

Ellen Wofford, Founder & CEO
RISE 

Conference Chairs: 

Liz Haynes MSN, RN, CCM, DVP, Risk Adjustment & Stars Government Programs 
Blue Cross and Blue Shield of Kansas City 

10:10 AM 11:00 AM

9:10 AM 10:00 AM

8:10 AM 9:00 AM

7:10 AM 8:00 AM

General Session

Ann Maxwell Deputy  
Inspector General for Evaluation and Inspections Office of Evaluation and Inspections 
Department of Health and Human Services 
Office of Inspector General (OIG) 

Ann Maxwell, the Deputy Inspector General for Evaluation and Inspections in the Department of Health and Human Services (HHS) Office of Inspector General (OIG), will share her vision for cultivating trust in Medicare Advantage. The Deputy Inspector General will demonstrate the OIG’s commitment to ensuring that the Medicare Advantage program delivers cost-effective, high-quality care for the millions of enrollees who rely on it by focusing on the future of the Medicare Advantage program and what steps plans can take now to ensure managed care lives up to its potential.  The Deputy Inspector General will emphasize how plans and others can build trust and elevate integrity through compliance, including how plans can use OIG’s oversight and program integrity tools to focus on key gaps where managed care has tremendous opportunities to earn trust and reduce risk.

11:00 AM 11:45 AM

10:00 AM 10:45 AM

9:00 AM 9:45 AM

8:00 AM 8:45 AM

General Session

11:45 AM 12:15 PM

10:45 AM 11:15 AM

9:45 AM 10:15 AM

8:45 AM 9:15 AM

Networking Break in Exhibit Hall

Concurrent Sessions 12:15 PM - 1:00 PM 11:15 AM - 12:00 PM 10:15 AM - 11:00 AM 9:15 AM - 10:00 AM
Track Chairs:

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

Track 1: Risk Adjustment Strategies

Enhancing Payer-Provider Collaboration Through Prospective Risk Adjustment

  • Evaluate and close diagnosis gaps collaboratively across structured and unstructured data 
  • Access complete patient health profiles together to identify diagnosis gaps 
  • Integrate clinical insights directly into EHR workflows to improve care coordination 

  • Streamline workflows to ensure accurate diagnosis capture and documentation before claims submission 

Presented by Apixio  

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

Track 2: Integrating Silos

To Be Announced

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

Track 3: Quality and Member Experience

Relentless Pursuit of Excellence: Transforming the Member Experience to Achieve the Triple Aim 

  • Implementing Proven Best Practices: Leveraging effective approaches to manage costs while advancing population health, early detection, and preventative care 
  • Proactive Engagement: Engaging members in their preferred modality with personalized interventions to enhance member experience and address Social Determinants of Health 
  • Risk Adjustment Integration: Aligning risk adjustment with quality improvement and SDoH gap closure efforts 

 

John Criswell, Founder, CEO, Chairman  
Porter  

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

Track 4: Hot Topics

To Be Announced

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

Track 5: Future of Health Care

Autonomous Risk-Adjustment Coding: The Next Frontier for Completeness, Accuracy, & Speed

  • Understand the latest developments in risk-adjustment coding technology, from yesterday's NLP to today's deep-learning AI 
  • Assess opportunities to increase completeness, specificity, and accuracy to find missing HCCs and advance coding integrity 
  • Measure the operational impact of deep-learning AI for RA coding, based on real case studies 

Andrew Lockhart, CEO 
Fathom Health 

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

RISE Innovation Theater

Research Findings: A Study of the Interactions Between Clinicians and Patients Since the Pandemic

This phenomenological study gets at the essence of our motivations.  You will walk away with a better understanding how to engage with key stakeholders, particularly those that have experienced COVID and in the wake of all these regulatory changes.   

Leave with insights and strategies to yield better engagement and better performance in light of "cuts" imposed by greater restrictions on risk, quality, and other key areas 

Dr. Shannon Decker, Principal    
VBC One   

12:15 PM 1:00 PM

11:15 AM 12:00 PM

10:15 AM 11:00 AM

9:15 AM 10:00 AM

RISE Regulatory Compliance Theater

Anatomy of a Whistleblower Case: Examining a Successful False Claims Act

from initial sealed whistleblower complaint alleging risk adjustment fraud to DOJ investigation, intervention and ultimate settlement  

Many of the biggest Medicare Advantage insurers face False Claims Act lawsuits accusing them of risk adjustment fraud. Most of those lawsuits were initiated by whistleblowers who were current or former employees of the plans.  

Follow along with whistleblower Teresa Ross, a former Director of Risk Adjustment at Group Health Cooperative (GHC) and her whistleblower counsel as they take you through the story of Ross’s successful whistleblower lawsuit against health insurers GHC and Independent Health for alleged risk adjustment fraud.  

Learn about the risks posed to GHC and Independent Health by their use of the same risk adjustment coding vendor.  Hear about the types of evidence uncovered in the whistleblower’s and DOJ’s joint investigation that led to successful settlements with both insurers.     

Attendees will leave this session with:   

  • An understanding of the mechanics of a False Claims Act case launched by a whistleblower including the dynamics between the whistleblower and DOJ in jointly investigating and prosecuting cases of alleged risk adjustment fraud.  
  • An appreciation for the different types of practices DOJ has found to constitute risk adjustment fraud when engaged in by health plans and their vendors.    
  • An understanding of how to create an environment in which whistleblowers feel safe to raise their concerns internally and have them remedied in a way that eliminates the need for a whistleblower to go external and raise concerns with the Government by filing a False Claims Act complaint in federal court.   

Teresa Ross 
Whistleblower 

Mary A. Inman, Partner 
Whistleblower Partners LLP 

Max Voldman, Partner 
Whistleblower Partners LLP 

1:00 PM 1:55 PM

12:00 PM 12:55 PM

11:00 AM 11:55 AM

10:00 AM 10:55 AM

Networking Lunch in Exhibit Hall

Concurrent Sessions 2:00 PM - 2:45 PM 1:00 PM - 1:45 PM 12:00 PM - 12:45 PM 11:00 AM - 11:45 AM
Track Chairs:

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

Track 1: Risk Adjustment Strategies

Unlocking Better Access to Care: How Prospective Risk Adjustment Can Make a Difference

  • Learn how HCC suspecting and targeting analytics inherently identifies and prioritizes at-risk members facing access challenges 
  • Hear how in-home assessments and telehealth programs can support members without consistent access to care to determine the current state of their conditions and to promote continuity of care 
  • See how prospective risk adjustment can both fund the collection of SDOH data and establish connections with community-based organizations, while simultaneously generating additional revenue for your organization 

Jimmy Liu, VP, Analytics and MRR Solutions  
Advantmed  

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

Track 2: Integrating Silos

To Be Announced

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

Track 3: Quality and Member Experience

From Data Mining to Decision-Making: Utilizing Member Data to Uncover Risks and Enhance Health Outcomes

  • Learn how member data can be leveraged as a powerful predictive tool for critical health outcomes 
  • Discuss the current gaps between data collection and actionable insights for physical and behavioral health outcomes 
  • Explore emerging technologies and methodologies for enhancing data analysis 

Cory Busse, VP, Strategy & Sales Enablement 
Icario  

Robert Garnett, Vice President, Government Analytics and Health Benefits Cost of Care 
Elevance Health 

Barb Nelson, Director of Clinical Services Optimization 
Medica Health Plans

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

Track 4: Hot Topics

To Be Announced

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

Track 5: Technology/Data Analytics

AI-Driven AgeTech: Transforming Health Care for Independent Aging

  • Discover the latest AgeTech innovations that enable older adults to live independently and thrive in their golden years 
  • Explore cutting-edge advancements in digital health management and AI-driven care that are redefining the health care landscape 
  • Understand how AI technologies like GenAI and Retrieval-Augmented Generation (RAG) can enhance member engagement, reduce costs, and optimize health care operations 
  • Gain insights into AI-powered solutions, such as contact centers and smart chatbots, that are reshaping the aging experience and empowering older adults to live independently 

Presented by Duos 

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

RISE Innovation Theater

Lessons in Building a Compliant Risk Adjustment Program

In order to take advantage of Shared Savings opportunities, AdventHealth needed to undergo a practice transformation from a Fee for Service to Model to providing value-based care.   

Part of this transformation included educating clinicians on proper Coding Documentation Integrity.     

  • Hear about one Health System’s transformational journey in building a compliant Risk Adjustment team, with learnings on internal buy in, provider education and operational processes   
  • Gain insights into overcoming barriers and coming out on the other side of success, with focus on good people, strong policies and procedures, and technology          
  • Discuss what’s worked in provider education and engagement, including incentives, relationship building and tapping into provider mentors    

Michael Zeli, Executive Director of Clinical Documentation Integrity PHSO
AdventHealth

2:00 PM 2:45 PM

1:00 PM 1:45 PM

12:00 PM 12:45 PM

11:00 AM 11:45 AM

RISE Regulatory Compliance Theater

To Be Announced

2:45 PM 3:15 PM

1:45 PM 2:15 PM

12:45 PM 1:15 PM

11:45 AM 12:15 PM

Networking Break in Exhibit Hall

Concurrent Sessions 3:15 PM - 4:00 PM 2:15 PM - 3:00 PM 1:15 PM - 2:00 PM 12:15 PM - 1:00 PM
Track Chairs:

3:15 PM 4:00 PM

2:15 PM 3:00 PM

1:15 PM 2:00 PM

12:15 PM 1:00 PM

RISE Innovation Theater

Integrating AI with ERM to Optimize Risk

Building an Enterprise Risk Management model can be difficult; building one that effectively integrates AI is even more so. Designing an ERM risk taxonomy that identifies and defines the larger AI risk profile enables strong governance to have line of sight into potential risks. Risk leaders that optimize ERM design principles create clear classification models for tracking AI risks, resulting in high leadership/board engagement and strong mission alignment. In a world of increasing vulnerability to cyber and operational risk emerging from AI, effective ERM practices can eliminate excessive complexity and nuance, and instead, provides purposeful direction and improved comprehension to assist building out an organization's AI risk profile. This session will examine effective strategies on how to optimize building AI into an ERM model to enhance risk identification, monitoring, and mitigation efforts. 

 

Amir St. Clair, Vice President, Enterprise Risk Management 
Advocate Health 

3:15 PM 4:00 PM

2:15 PM 3:00 PM

1:15 PM 2:00 PM

12:15 PM 1:00 PM

RISE Regulatory Compliance Theater

Ensuring Payment Integrity in Your Risk Adjustment Program

Risk adjustment has changed.  In today’s landscape it is crucial to protect your organization from over coding and regulatory audits.  Join us for this interactive session as we discuss ensuring payment integrity from various angles including: 

  • EMRs  
  • Vendor solutions 
  • Vigorous education and audit programs  

Colleen Gianatasio, Director, Clinical Documentation Integrity and Coding Compliance 
CDPHP   

Concurrent Sessions 4:10 PM - 4:55 PM 3:10 PM - 3:55 PM 2:10 PM - 2:55 PM 1:10 PM - 1:55 PM
Track Chairs:

4:10 PM 4:55 PM

3:10 PM 3:55 PM

2:10 PM 2:55 PM

1:10 PM 1:55 PM

RISE Innovation Theater

Coding Accuracy at Its Highest Level

Let's take a deep dive into coding practices to ensure accuracy of data to avoid CMS fines. We will discuss:  

  • Coding specificity   
  • How to avoid common coding errors and/or omissions  
  • Effective documentation guidelines 

Deb Curry, MBA, RHIA, CCS-P, CRC, Risk Adjustment Programs Director 
Medical Mutual 

5:05 PM 6:05 PM

4:05 PM 5:05 PM

3:05 PM 4:05 PM

2:05 PM 3:05 PM

Interactive Roundtables in the Exhibit Hall

Grab a seat and get ready for a unique opportunity to engage in three dynamic, speed-networking-style presentations. Each session will feature cutting-edge technologies and solutions designed to enhance your plan’s risk, quality, and data management efforts. Throughout this special 60-minute session, a bell will ring three times, signaling the transition to the next roundtable of your choice. Don’t miss out on this fast-paced, interactive experience!

Participate in 4 roundtables between Thursday and Friday’s roundtable sessions and be entered into a drawing; 100 participants will receive complimentary Maui Jim sunglasses!

6:05 PM 7:00 PM

5:05 PM 6:00 PM

4:05 PM 5:00 PM

3:05 PM 4:00 PM

Networking Cocktail Reception in the Exhibit Hall

All attendees are invited to join us in the exhibit hall for drinks, hors d'oeuvres, and some lively networking. Come mingle, connect, and enjoy a fun evening with fellow attendees!

Friday - March 14

8:30 AM 12:30 PM

7:30 AM 11:30 AM

6:30 AM 10:30 AM

5:30 AM 9:30 AM

Registration Desk Open

8:30 AM 11:50 AM

7:30 AM 10:50 AM

6:30 AM 9:50 AM

5:30 AM 8:50 AM

Exhibit Hall Open

8:30 AM 10:00 AM

7:30 AM 9:00 AM

6:30 AM 8:00 AM

5:30 AM 7:00 AM

Networking Breakfast in Exhibit Hall

9:00 AM 10:00 AM

8:00 AM 9:00 AM

7:00 AM 8:00 AM

6:00 AM 7:00 AM

Interactive Roundtables

Grab a seat and get ready for a unique opportunity to engage in three dynamic, speed-networking-style presentations. Each session will feature cutting-edge technologies and solutions designed to enhance your plan’s risk, quality, and data management efforts. Throughout this special 60-minute session, a bell will ring three times, signaling the transition to the next roundtable of your choice. Don’t miss out on this fast-paced, interactive experience!

Participate in 4 roundtables between Thursday and Friday’s roundtable sessions and be entered into a drawing; 100 participants will receive complimentary Maui Jim sunglasses!

10:00 AM 10:05 AM

9:00 AM 9:05 AM

8:00 AM 8:05 AM

7:00 AM 7:05 AM

Day Two Welcome Remarks and Day One Takeaways

Conference Chairs: 

Liz Haynes MSN, RN, CCM, DVP, Risk Adjustment & Stars Government Programs 
Blue Cross and Blue Shield of Kansas City 

10:05 AM 10:20 AM

9:05 AM 9:20 AM

8:05 AM 8:20 AM

7:05 AM 7:20 AM

The Dr. Martin L. Block Award Presentation

In the spirit of the RISE mission to encourage continuous improvement in the health care system, The Dr. Martin L. Block Award for Innovation & Excellence is presented to an esteemed nominee each year at RISE National. This prestigious accolade acknowledges an individual’s effort to enhance the lives of America’s seniors through clinical leadership, policy vision and by superior example. Nominate a colleague here.

10:20 AM 11:20 AM

9:20 AM 10:20 AM

8:20 AM 9:20 AM

7:20 AM 8:20 AM

How AI Will Revolutionize Elder Care: Addressing the Aging Population's Unique Challenges with Artificial Intelligence and Compassion

As the global population ages, healthcare systems are facing unprecedented challenges in providing quality care to older adults. In particular, the rapid growth of artificial intelligence, the need for data-driven and cost-controlled care, and the need for personalized medicine all make Elder Care particularly unique.  

Dr. Sikka will explore how artificial intelligence is transforming elder care, enhancing diagnosis, treatment, and personalized care through predictive analytics, remote monitoring, and smart technology integration, and can meet patients halfway. By addressing issues such as chronic disease management, mobility, and cognitive decline, AI can empower healthcare professionals to offer more efficient, accessible, and patient-centered care to the aging population. This talk will highlight the latest innovations, real-world applications, and future trends in AI-driven solutions for senior health.  

Robby Sikka, MD 

  • Former Associate Director of Data Analytics, Mayo Clinic 
  • Current Physician for NBA Teams 
  • Sr Consultant at Tonal, Oura Ring, Pacaso, & other tech unicorns 
  • Oversees public health task of all pro sports leagues, Apple, Amazon, United Health, the WH, & WHO 

11:20 AM 11:50 AM

10:20 AM 10:50 AM

9:20 AM 9:50 AM

8:20 AM 8:50 AM

Networking Break in the Exhibit Hall

Concurrent Sessions 11:50 AM - 12:35 PM 10:50 AM - 11:35 AM 9:50 AM - 10:35 AM 8:50 AM - 9:35 AM
Track Chairs:

11:50 AM 12:35 PM

10:50 AM 11:35 AM

9:50 AM 10:35 AM

8:50 AM 9:35 AM

Track 2: Integrating Silos

A Documentation Journey

This session walks through the foundation of value-based care and the importance of accurate documentation, including: 

  • Impact on patient complexity 
  • Impact on quality metrics 
  • Impact on appropriate resources and programs 
  • Impact on the patient  
  • Utilization and cost trends  

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP   
Director Risk Capture – Population Health 
Mass General Brigham   

11:50 AM 12:35 PM

10:50 AM 11:35 AM

9:50 AM 10:35 AM

8:50 AM 9:35 AM

Track 3: Hot Topics

The Changing Landscape of The Pharmacy Under IRA, From a Health Plan Perspective

  • Describe the final rules and how this will impact the overall pharmacy    
  • How to implement the programs and anticipate the impact of the changes     
  • How to anticipate and continue identifying opportunities for growth and cost savings 

Helen Liu, Pharm.D.
Health Plan Leader/ Senior Consultant

12:40 PM 1:25 PM

11:40 AM 12:25 PM

10:40 AM 11:25 AM

9:40 AM 10:25 AM

Keynote Address

1:25 PM 1:30 PM

12:25 PM 12:30 PM

11:25 AM 11:30 AM

10:25 AM 10:30 AM

Closing Remarks & Goodbyes

This year, we’re wrapping up before lunch to give you ample time to travel home and start your weekend. Parting is such sweet sorrow!

Conference Chairs: 

Liz Haynes MSN, RN, CCM, DVP, Risk Adjustment & Stars Government Programs 
Blue Cross and Blue Shield of Kansas City 

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