- Understand how new healthcare regulations impact payment integrity operations and compliance efforts.
- Learn about key legislative changes, such as the No Surprise Act, and their implications for coding, billing, and claims processing.
- Explore strategies for staying compliant with evolving regulatory requirements and adapting payment integrity programs accordingly.
- Learn the importance of data sharing between payers and providers to improve payment integrity, and general claims processes.
- Listen to both payers and providers voice concerns and issues they have faced around data sharing, and provider education efforts.
- Gain insights into overcoming challenges and building partnerships to bridge the payer-provider gap in data sharing.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/vlads_headshot.jpg?itok=j11T7ycc&c=abb23075c8abfa27caa25cda2dd502c3)
Vladimir-Ducarmel Joseph
Vladimir-Ducarmel Joseph is one of the Clinical Documentation Integrity Program Directors at Beth Israel Lahey Health, where he spearheads a dedicated team of CDI professional experts to optimize clinical documentation best practices. With almost a decade in CDI leadership across diverse healthcare environments, Vladimir-Ducarmel holds a Master of Health Administration from George Washington University and his expertise encompasses physician leadership, team dynamics, CDI provider education, and program management. A fervent advocate for healthcare excellence, Vladimir-Ducarmel is adept at bridging the gap between clinical and administrative roles. He is proficient in various healthcare-oriented analytical and business tools, leveraging them to drive impactful CDI outcomes.
- Engage in an interactive discussion on the benefits of value-based care for both payers and providers.
- Explore strategies for improving relationships and creating incentives to encourage participation in value-based care arrangements.
- Learn practical tips for maximizing the benefits of value-based care contracts and enhancing patient outcomes.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/fshipp_headshot5_0.jpg?itok=woNyi8Ry&c=009d6171802c52c0cd6d04423283d103)
Frank Shipp
Frank E. Shipp currently serves as Executive Director of the Johns Hopkins Clinical Alliance, the clinically integrated network of Johns Hopkins Medicine. The network includes over 3,000 providers, consisting of both employed and independent practices.
Frank transitioned to value-based care after 25 years of hospital-based operations experience in both community and academic health systems. During the past nine years, Frank has held executive positions in a Payor-Provider Organization in NYC and has built a highly successful CIN over a five-year period in Northern New Jersey. Frank speaks regular at national healthcare conferences regarding value-based care strategies and tactics.
Frank completed his MBA at Fairleigh Dickinson University, is a certified Fellow of the American College of Healthcare Executives and a trained Black Belt in Lean Six Sigma from Villanova University.
- Discover strategies to enhance collaboration between hospitals and health plans with a focus on financial responsibility divisions and the impact of emerging technologies on reinsurance.
- Prioritize patient-centered collaboration to improve outcomes and reduce readmissions.
- Learn to modernize appeal processes and strengthen payer-provider relationships through improved communication and clearly established contract terms and individual preferences.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/dr_seavers_picture_4.jpg?itok=afnZMRK5&c=21e716e55a833b23912d271ede456dbf)
Dr Michael Seavers
Dr. Michael Seavers is the Vice-Chair of the Harrisburg University Faculty, Department Chair and Program Lead, and Assistant Professor of Healthcare Informatics at Harrisburg University. Dr. Seavers has a varied background in IT, business, and healthcare spanning many decades. Dr. Seavers began as a programmer analyst at Shared Medical Systems and later at General Electric in their Aerospace Division. Dr. Seavers then worked in IT management in the pick-pack-and-ship industry being employed at companies like Book-of-the-Month Club (Time Warner) and Hanover Direct during the .COM expansion.
As the .COM industry went bust, Dr. Seavers moved to the healthcare industry. Dr. Seavers worked at Capital BlueCross for nearly two decades. The first decade was as a Senior Manager in the IT department and the second decade as the Senior Director of Claims and later the Senior Director of Enrollment and Billing. Dr. Seavers focus was automation of labor utilizing software robotics for healthcare.
After a varied career background and various formal degrees, Dr. Seavers is very pleased to be teaching at Harrisburg University.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/corella_headshot.jpg?itok=ECeHjtxP&c=509a0a094949035c75001f39b9817c00)
Corella Lumpkins
Corella Lumpkins is the Manager of Coding, Compliance & Provider Education at Loudoun Medical Group (LMG) - one of the largest and most diverse physician-owned, multi-specialty Accountable Care Organizations in Northern Virginia/DC suburbs. As a subject matter expert, Corella has over 35 years of experience working in every area of the healthcare revenue cycle. Corella holds a bachelor’s degree and eleven certifications with an extensive background in auditing, billing, coding, implementing corporate compliance programs, CDI, education, denial and practice management. Prior to joining LMG, Corella has held leadership roles at Lifebridge, Medstar, Johns Hopkins and the University of Maryland health systems.
Corella is an author, adjunct faculty member and national speaker currently serving on both the AAPC National Advisory Board and Association of Clinical Documentation Integrity Specialists (ACDIS) Leadership Council. Corella works closely with providers in navigating patient-centric value-based care.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/dave_cardelle.jpg?itok=ibVffzo4&c=6dba7b88948980fbbbcf03bfaa1af0ab)
Dave Cardelle
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/vlads_headshot.jpg?itok=j11T7ycc&c=abb23075c8abfa27caa25cda2dd502c3)
Vladimir-Ducarmel Joseph
Vladimir-Ducarmel Joseph is one of the Clinical Documentation Integrity Program Directors at Beth Israel Lahey Health, where he spearheads a dedicated team of CDI professional experts to optimize clinical documentation best practices. With almost a decade in CDI leadership across diverse healthcare environments, Vladimir-Ducarmel holds a Master of Health Administration from George Washington University and his expertise encompasses physician leadership, team dynamics, CDI provider education, and program management. A fervent advocate for healthcare excellence, Vladimir-Ducarmel is adept at bridging the gap between clinical and administrative roles. He is proficient in various healthcare-oriented analytical and business tools, leveraging them to drive impactful CDI outcomes.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/cathy_newman.jpg?itok=FI7yeUdR&c=f38caa2683e475090fee27277a95ceab)
Cathy Newman
Cathy Newman is the Managing Director of Value-Based strategy for Blue Cross Blue Shield of Rhode Island. Her experience in the healthcare industry spans over twenty years working for both large integrated providers, small IPAs, and health plans. In her ten years with Blue Cross, she has worked to advance value-based opportunities from pay for performance to full-risk global capitation models. She is passionate about her work and has been able to develop more collaborative and meaningful relationships with providers throughout the state of Rhode Island.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/mike_barrett.jpg?itok=AyM2Sfok&c=6cda6821868bbeac646f1933043f3727)
Mike Barrett
Health Plans and Hospitals are looking to leverage Price Transparency Data to improve contracting, drive business intelligence and build Payment Integrity use cases. This session lays out a 2024 road map choosing the right data set and the right partner while also exploring specific use cases for your plan or hospital.
*Understand 5 Key Questions you should be asking any Price Transparency vendor
*Identify specific use cases for Price Transparency Data that will be valuable to your organization
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/john_michael.jpg?itok=xgPGnXPK&c=3b10a0f27cdac30bc8779271ee195563)
John-Michael Loke
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.
- Learn strategies for identifying areas of overpayment in healthcare claims processing.
- Understand how technology and AI can be leveraged to predict and prevent high-cost overpayments.
- Explore best practices for reducing high-cost overpayments, to improve cost containment efforts.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/image_3.jpg?itok=7KYqAjuW&c=d52f1f545f9a3cae326271e7c1855bf9)
Thomas Everett
- Evaluate the pros and cons of pre-pay and pay-and-chase approaches in payment integrity operations.
- Understand the circumstances under which each approach is most effective and how to choose the right strategy for your organization.
![](https://kisacoresearch.com/sites/default/files/styles/panopoly_image_square/public/speakers/dr_seavers_picture_4.jpg?itok=afnZMRK5&c=21e716e55a833b23912d271ede456dbf)
Dr Michael Seavers
Dr. Michael Seavers is the Vice-Chair of the Harrisburg University Faculty, Department Chair and Program Lead, and Assistant Professor of Healthcare Informatics at Harrisburg University. Dr. Seavers has a varied background in IT, business, and healthcare spanning many decades. Dr. Seavers began as a programmer analyst at Shared Medical Systems and later at General Electric in their Aerospace Division. Dr. Seavers then worked in IT management in the pick-pack-and-ship industry being employed at companies like Book-of-the-Month Club (Time Warner) and Hanover Direct during the .COM expansion.
As the .COM industry went bust, Dr. Seavers moved to the healthcare industry. Dr. Seavers worked at Capital BlueCross for nearly two decades. The first decade was as a Senior Manager in the IT department and the second decade as the Senior Director of Claims and later the Senior Director of Enrollment and Billing. Dr. Seavers focus was automation of labor utilizing software robotics for healthcare.
After a varied career background and various formal degrees, Dr. Seavers is very pleased to be teaching at Harrisburg University.