Parmod Garg
Chief risk Officer- SMF lead ESG
Punjab National Bank International
Imtiaz Hussain
Managing Director, Deputy Chief Auditor
BNY Mellon
Kathy Gonzales-Byrd
Chief Strategy Officer
MedReview
Kathy Gonzales is the Chief of Staff, collaborating with the CEO and other senior leaders on revenue growth, process improvement and organizational effectiveness. Kathy oversees new client implementations and operations for key strategic accounts; manages the organization’s strategic planning process; and oversees interdepartmental accountability processes to ensure operational efficiency.
Before joining MedReview’s senior leadership team, Kathy served as Vice President, Payment Recovery for Cotiviti, Inc. overseeing claim audit operations and client management for Blue Cross Blue Shield accounts. She also has a long-standing consulting career, which include leadership roles in healthcare revenue cycle and organization effectiveness with Accenture and Ernst & Young.
Kathy has a bachelor’s degree in psychology from West Chester University of Pennsylvania, and a master’s degree in business administration (MBA) and Health Care Administration and Finance from Widener University.
Join us for an insightful session with closing remarks led by industry expert Dave Cardelle. Explore the dynamic landscape of Payment Integrity (PI) and Business Intelligence (BI) trends, the strategic use of AI and technology, and the emerging concept of Price Transparency in the healthcare sector. In this engaging presentation, you'll gain valuable insights into how these elements intersect and how they can positively impact provider and payer collaborations, particularly in predicting and managing denials.
- PI & BI Trends In-Source vs. Out-Source
The session kicks off with an exploration of the evolving trends of outsourcing and insourcing within the healthcare industry and how organizations are harnessing data and new technology to optimize their operations, streamline processes, and make informed decisions using BI to drive better payment accuracy, - Leveraging AI & Technology for PI & BI
In today's healthcare landscape, the power of improved technology cannot be overstated. Discover how advanced technology-based solutions are transforming the path to payment accuracy. - New Concepts in Price Transparency for PI & BI
Price Transparency is an emerging concept that is reshaping the way healthcare services are billed and paid for. An overview of the importance of transparency in healthcare pricing and how it's becoming a game-changer for both providers and payers. - Collaborative Approach using Predictive Analytics for BI & PI
Finally, the session will conclude with a deep dive into predictive analytics as a tool for managing and mitigating Provider denials that helps both Provider and Payers manage their business more efficiently.
Payment Integrity
Revenue Integrity
Dave Cardelle
Chief Strategy Officer
AMS
Dave Cardelle, R.Ph., is on the executive team at AMS and serves as the Chief Strategy Officer. He leads a dedicated team of professionals focused on transforming the payment integrity (PI) industry. With a BS in Pharmacy from the Massachusetts College of Pharmacy in Boston, MA, Dave brings a unique blend of healthcare expertise and domain knowledge to his role.
As the CSO, Dave leverages years of experience in the PI industry, including working for both Payer and Provider organizations to help AMS grow through innovative product, sales, marketing, and client relationship strategies.
Throughout his career, Dave has consistently demonstrated a keen understanding of healthcare-related matters, a skill that proves invaluable in the context of payment integrity. His passion for advancing the industry and commitment to maintaining the highest standards of integrity have earned him a reputation as a true industry expert.
AMS Intelligent Analytics
Website: www.amspredict.com
Advanced Medical Strategies (AMS) is a leading enterprise healthcare affordability platform that unifies the industry's most comprehensive payment, pricing, clinical, financial, and operational intelligence into a single AI-powered platform. By integrating payment integrity, price transparency, decision intelligence, risk management, clinical standards of care, reimbursement policy intelligence, financial benchmarking, statistically valid analytics, proprietary implant and medical device cost intelligence, and advanced healthcare data, AMS helps healthcare organizations improve payment accuracy, reduce unnecessary spending, and strengthen financial performance.
AMS empowers organizations to prevent, identify, and recover overpayments across pre-payment and post-payment workflows while delivering transparent insights that address the root causes of payment errors, improve reimbursement strategies, strengthen policy governance, support more competitive provider contracting, enhance fiduciary oversight, and advance enterprise healthcare affordability. By transforming complex healthcare data into actionable intelligence, AMS enables clinical, financial, payment integrity, contracting, compliance, and executive leaders to make more informed decisions that improve operational performance, financial outcomes, and healthcare affordability across the healthcare ecosystem.