Phil Bicknell
Director
CIEL
Phil is an agricultural economics graduate from the University of Reading and his career includes a range of agri-food roles. Prior to joining CIEL, Phil led the 50 strong market intelligence team at the Agricultural and Horticultural Development Board, equipping farmers and processors with the insight to manage market volatility, profitability and policy change. He was also chief economist at the National Farmers Union, spearheading the evidence to support a range of lobbying activity. Phil’s other roles include specialising in agri-trade issues at the US Department of Agriculture and advising a range of agribusiness clients with Bidwells.
James McHale
Global Value-Based Partnership Manager
Mölnlycke
James McHale
Global Value-Based Partnership Manager
Mölnlycke
Track 1: Payment Integrity
Dave Cardelle
Chief Strategy Officer
AMS
AMS Intelligent Analytics
Website: http://www.amspredict.com/
Advanced Medical Strategies (AMS) is the premier provider of payment integrity, risk management, and business intelligence solutions to identify and address excessive claims, prevent and recoup overpayments, and effectively manage the risks associated with high-cost claimants and group health underwriting.
Leveraging data analytics and advanced investigative tools to uncover potential FWA
Demonstrating the value of predictive modelling in targeting suspicious providers and claims
Track 1: Payment Integrity
Coordinating the efforts of credentialing/enrollment, audits, investigations (SIUs), provider sanctions, and policy
Very few insurance payers have all those groups working together in a coordinated effort to reduce fraud, increase revenue, and render excellent customer service to enrolled health care providers.
Track 1: Payment Integrity
Josh Miller
Director, Payment Integrity
Prominence
Importance of accurate and complete clinical documentation
Addressing common coding challenges and complexities faced by providers,
Driving revenue integrity with a robust CDI program
Track 2: Revenue Cycle Management & Revenue Integrity
Tami Gomez
Director of Coding and CDI Programs
UC Davis Health
Tami Gomez
Director of Coding and CDI Programs
UC Davis Health