In this fireside chat, the Chief of Healthcare Delivery at L.A. Care and the Director of Payment Integrity at Providence Health Plan will explain how their organizations are aligning functions across the payment integrity continuum. Critical elements including data systems integration, AI use for anomaly detection, and clinical context will be addressed to demonstrate how they are driving more effective pre-pay cost avoidance.
- Case study: Lessons learned from connecting UM to PI to Network Strategy
- Integrating data systems, clinical context, and AI for efficient pre-payment insights
- Ensuring services including hospice, skin substitutes, and lab testing are rendered correctly
David Kagan
Jonique Dietzen
With over 18 years of experience in healthcare billing and finance, I am a certified professional coder dedicated to ensuring accurate claims and proper reimbursement for providers. Having worked extensively on the provider side in finance and revenue cycle, I bring wealth of knowledge to the table, particularly in processing and payment integrity.
Throughout my career, I have gained a comprehensive understanding of billing challenges from both perspectives. This unique insight drives my commitment to improving billing practices and advocating for provider education. I continue to leverage my expertise to enhance billing processes and support providers in navigating the complexities of healthcare finance.