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*FREE* - Enhance the flavors of your products: Apply your dental network experience to vision products (Recording)Contains 1 Component(s) Recorded On: 06/10/2015
Free - sponsored by The Ignition Group
When: Wednesday, June 10 @ 1:00 pm CT
Speaker: Aaron Groffman, The Ignition Group
Dental and vision benefits complement each other like wine and cheese. Each one is delicious on its own and when you put the right ones together, they taste even better. As dental benefits experts, you already know the ins and outs of dental plans. Join Aaron Groffman from The Ignition Group to explore the similarities in dental and vision networks and learn how to apply your dental network experience to the vision products your company is selling. We'll look at Dental and vision plans are owned and operated, The Affordable Care Act factors into network decisions, Network trends play out in dental and vision.
President of The Ignition Group
Aaron Groffman started the Ignition Group, the healthcare consulting company that powers NetMinder, in 2004. Aaron is an industry veteran, educated at Wharton and the University of Miami, who ran marketing and competitive intelligence functions and built networks for divisions of Cigna and UnitedHealthGroup. He understands the needs of health plans, sales professionals, and network recruiters for accurate, accessible and cost-effective competitive knowledge. Aaron built NetMinder to meet these needs, and continues to improve it each year based on industry insights from users.
*FREE* Who is Committing Fraud, Waste, and Abuse? FraudLens Knows (recording)Contains 1 Component(s) Recorded On: 07/08/2015
Free to all
Fraud, waste, and abuse (FWA) in healthcare continues to grow and incremental improvements to the current 'pay and chase' approach are inadequate to deal with the problem.Recently, a more proactive approach, 'detect and prevent', has been advocated. However, the promise of this is a new approach has not yet been realized because previous attempts have applied old ways of thinking to the new approach. FraudLens is a new software solution that was developed specifically to enable detect and prevent.In this webinar, Dr. Franklin Din, CMIO of FraudLens will discuss the development of FraudLens and present the results on the effectiveness of the FraudLens approach.
Dr. Franklin Din
Chief Medical Information Officer, FraudLens, Inc
Dr. Franklin Din is Chief Medical Information Officer for FraudLens, Inc. and is responsible for developing advanced healthcare data analytic and business intelligence solutions. He brings experience, expertise, and knowledge in clinical care, healthcare policy, forensics, and biomedical Informatics, to lead a team of software engineers, HIT experts, visualization and user interface developers to provide a unique approach to data analytic solutions. Prior to joining FraudLens, Inc., Frank worked for HP Enterprise Service as Executive Director of the Medical Informatics Center of Excellence (MICOE) and as the Medical Informaticist for the Global eHealth Strategy team.
Post-Supreme Court: ACA Issues and Medicaid Changes on the Horizon (recording)Contains 1 Component(s) Recorded On: 07/14/2015
Member - Free | non member - $99
With the monumental Supreme Court decision on King v. Burwell in the rear view mirror, attention now turns to impending HHS rules and legal issues impacting doing business in Medicaid and Exchange markets in the future. While King v. Burwell received most of the media attention for the last few months, other cases addressing issues such as provider networks and fees charged on non-exchange plans continue to make their way through the courts. Joanne Zimolzak, partner in the insurance practice at Dentons, will provide an in-depth look at the legal landscape impacting exchanges and the individual/small group markets.While not all dental plans participate in public programs, the impact will still be felt as regulatory changes could increase dental plan reporting responsibilities, require participation in quality improvement projects, and step-up scrutiny on plan progress in improving access and outcomes. Leading this discussion is Mr. Dennis Smith, Principal at Dentons, who was previously the longest serving Director of Medicaid at CMS in U.S. history.
Real Time Claim Processing / Continuous Claims Processing (recording)Contains 1 Component(s) Recorded On: 09/01/2015
Member - Free | Non member - $99
In today's healthcare environment, much of the work of processing dental claims and authorizations remains mired in manual tasks. Even if data is submitted electronically, the actual processing often requires human intervention – which can cause errors and significant delays when staff is suddenly inundated with claims. In this webinar, we will discuss the challenges, trends and best practices related to continuous claims processing and how some leading organizations are attacking this issue, resulting in more accurate and on-time payment to providers, accelerated cycle times, increasing automation and ultimately reducing the cost of benefit delivery.
Dental Pricing, It's All in the Details (recording)Contains 1 Component(s) Recorded On: 10/27/2015
Member - Free | Non member - $99
This session will review the various components that affect pricing with a primary focus on plan design, utilization management and cost management strategies that can lower overall premium levels. The discussion will highlight some of the complexities and nuances involved in dental pricing and comparing plans on an apples to apples basis. The webinar is intended for actuaries and non-actuaries.
Vice President in the Payer Consulting practice of OptumInsight
Herschel Reich is a Vice President in the Payer Consulting practice of OptumInsight. He joined the company in 2005 and has helped significantly grow the New York and Northeastern markets as the Office Manager. He has worked in the actuarial health care and managed care arena for more than 25 years with experience in specialization in commercial and Medicare strategy assessments, performance improvement, pricing, underwriting, reserving, product development, alliance development and vendor management for health and ancillary products.
Taming the E-mail Beast (Recording)Contains 1 Component(s) Recorded On: 04/19/2016
Member - Free | Non member - $991 of 3 - 2016 Mini Webinar Series (can not be purchased individually)
Every day, managers and professionals are getting buried under a continuing stream of both useful and useless e-mail. Without a system for getting "control of the beast", professionals spend much of their work (and personal) time spinning wheels and feeling highly unsatisfied. If you would like to get control of your e-mail "beast", you should attend this program. Learn a proven system for taming your e-mail account, with strategies for keeping your inbox efficient and under control by building and administering a personal "e-mail infrastructure". Reduce the mess in your inbox by having "natural" places for your e-mails to go. Learn how to get rid of all those "quick little" e-mails once and for all, as well as how to mitigate or even eliminate much of that annoying junk and spam. Learn several key technical tips for better managing your e-mail using market-leading software like MS Outlook and/or Gmail. Finally feel on top of your e-mail and related activities, rather than feeling it is on top of you.
*FREE* Paper Dental Claim Processing: Best Practices in Action (Recording)Contains 1 Component(s) Recorded On: 08/25/2016
FREE - sponsored by Information Capture Solutions
In the last educational webinar, Information Capture Solutions (ICS) discussed the best practices associated with the labor-intensive task of processing paper dental claims. From the mail room, OCR technology, scanning equipment, to finding the right outsource partner there are many avenues you can pursue to improve your paper to EDI process. ICS continues the series by putting these best practices into action and taking a look at the real-world results and benefits that these new implementations can bring to your organization. By taking a look at your internal paper process and understanding where improvements can be made, you can save you and your employees countless hours of time, as well as saving your organization valuable dollars that are not wasted by an outdated and labor dependent process.
President, CEO & Co-Owner
Brant Poore, Co-Owner and Chief Executive Officer of ICS has been in the Content Management, Data Capture, and Document Imaging business for two decades, since beginning his career in 1994 with a document scanning service bureau that was later acquired by a national BPO organization. During that time Brant served in all aspects of software application development, including:
- Project Analysis
- Technical Design
- Application Development
- Staff Management
- System Support
Today Brant oversees all aspects of technical design, future planning, and customer support for ICS. Brant has served as a founding member of the EMC Captiva Users Advisory Council to help provide ICS customers with the best product on the market. Brant is a certified EMC Proven Professional using the Captiva line of products, helping some of the largest companies and state agencies in U.S. implement document imaging and workflow automation solutions.
VP, Chief of Business Operations & Co-Owner
Ray Shears, Co-Owner and Chief of Business Operations for ICS has been in the Content Management, Data Capture and Document Imaging business since 1997. Ray served as an Account Executive to state and local government as well as private organizations while working for a national BPO organization. During that time Ray was responsible for all aspects of Account Management duties including:
- New Customer Relations
- Business Needs Evaluation
- System Configuration
- Resource Analysis
- Solution Pricing
- Continued Customer Service
Today Ray continues his responsibilities as Account Manager of ICS's existing customers but also adds the responsibilities of a business owner, leading ICS efforts in:
- Future Growth Planning
- Market Planning & Research
- Contract Negotiations
- Financial Management
Senior Project Manager
Brian Tuttle, Senior Project Manager for ICS has been in the Content Management, Data Capture and Document Imaging business since 1997. Brian has served as a project manager on multiple state and local government jobs focused around document and claims capture. Brian has also served as lead project manager on 6 dental claims processing accounts. Brian's duties and responsibilities consist of:
- Specifications and requirements gathering
- System design
- System implementation
- Project schedule creation
Brian is certified EMC Proven Professional for content management. Brian's knowledge and skill set allow him to effectively manage and control the build out of a claims capture process all the way from specifications gathering, to testing, to implementation. Brian insures the client's needs are met and that the system performs as expected.
2016 Dental Benefits Report: EnrollmentContains 1 Component(s)
Full Voting Member: FREE | Non-Voting Member: $395.00 | Full Price: $895.00
To provide current information about the prevalence of dental benefits in the population of the United States, the National Association of Dental Plans conducts an annual survey of its membership and other dental benefit providers. The NADP has been collecting this information since 1994 and the findings in this report draw on this history. This report contains specific information on Dental HMO, Dental PPO, dental Indemnity, and Discount Dental enrollment at the national and state level and Direct Reimbursement and publicly funded benefits at the national level.
While national and state information is provided in this report, no company specific data is reported. Company specific information along with states of operation can be found in NADP's Member Directory.
NADP's mission is to promote and advance the dental benefits industry to improve consumer access to affordable, quality dental care. For more information regarding this report please contact Jerry Berggren, Director of Research and Information, by calling 972.458.6998 x 113
*FREE* One and Done: Bringing Dental Provider Credentialing Into the 21st Century (Recording)Contains 1 Component(s) Recorded On: 09/27/2016
FREE - sponsored by SKYGEN USA
If there's one way to make a complex, difficult, and time-consuming task worse, it's to ask someone to repeat that task multiple times. Yet that's exactly what happens to dentists when individual payers request credentialing information to build their dental networks. Dentists or their office managers invest days or even weeks of their time answering all the questions and providing information rather than focusing on patients. Then when it's finally done, here comes another request for the exact same information. It's no wonder payers often have to chase providers repeatedly to complete the application. This presentation will discuss the need for the dental industry to replace the current, repetitive, one-off model with a “one-and-done" centralized credentialing solution that will save time, save money and improve accuracy on both sides. Dentists will only have to provide their credentialing information once; the information will then be available instantly and on-demand to all payers, eliminating repetitive data entry. They will also receive email reminders when certain credentials are set to expire, such as dental licenses, insurance and DEA certificates, to ensure the information remains current.Payers will no longer have to send credentialing applications to each dentist and follow-up multiple times to get the information back; they will simply access the database and request information on the dentists they want for their networks. It's a streamlined, 21st century solution that benefits everyone involved.
Director of Credentialing Services
As Director of Credentialing Services, Mike Lessila is responsible for all of SKYGEN USA's credentialing operations. This includes leading the internal credentialing function, working on growth strategies to increase the Credentialing Services provided to clients and managing SKYGEN USA's strategic relationship with the American Dental Association, supporting the ADA Credentialing Portal and its rapid growth in the industry.
Mr. Lessila formerly was the Director of Business Development for SKYGEN USA, working with senior leadership to develop and execute strategies creating significant growth for the SKYGEN USA family of companies.Mike brings more than 20 years of experience in selecting, selling, designing and implementing new management systems, primarily in the insurance industry, to his role. He holds a Bachelor's Degree in Accounting and Business from Concordia University Wisconsin. He is a Certified Public Accountant.
Mr. Lessila is on the Board of Directors for Grace Lutheran Church & School in Menomonee Falls, WI and is a volunteer coach for middle school boys and girls basketball.
Chief Innovation & Growth Officer
As Chief Innovation & Growth Officer, John Schaak is responsible for driving profitable growth through the acquisition of new customers and sales of new products and services. John leads company efforts to solve industry problems by identifying new opportunities and markets, as well as innovative new products and services. With his strong commitment to exemplary client service and collaborative approach to both internal and external relationships, he has a demonstrated ability to help players in the healthcare continuum grow their businesses while reducing costs, improving operations, and serving their members more effectively.
John brings extensive leadership experience to his position. He was previously the president of Scion Dental and SKYGEN USA’s chief operating officer. Before that, John was a partner with the national law firm Quarles & Brady.
John has been listed on the Wisconsin Super Lawyers, Rising Stars list multiple times. He holds a Juris Doctorate from Marquette University Law School. He earned a Bachelor of Science Degree in Political Science and Criminal Justice with a minor in Sociology from the University of Wisconsin Oshkosh.
Manager, Administrative & Credentialing Services, American Dental Association
Annie Driscoll has been with the ADA for five years and is currently heading up the business development of the new ADA Credentialing Service. She has led this project since its inception in late 2014 and has brought together a cross-divisional team of ADA staff dedicated to its success.
Dental in ACO's (Recording)Contains 1 Component(s) Recorded On: 10/18/2016
Member - Free | Non member - $99
Julie Bluhm will be presenting on how Hennepin Health, an Accountable Care Organization, has incorporated dental into their integrated health care delivery program for adults in Hennepin County, Minnesota. The program takes a holistic view of health, focusing on each member's medical, dental, mental health, and social needs. Services include housing and social services navigation, employment counseling, intensive case management, and access to clinics designed to meet members' complex needs.
Gretchen Hageman will discuss how The Iowa Dental Wellness Plan (DWP) is an innovative, earned-benefits program that provides dental benefits for Iowa's Medicaid expansion plan. DWP is a public- private relationship designed to process and better understand health outcomes using dental science to assess the oral health of DWP members. Additionally, members will receive targeted education to improve their dental and overall health based on their personal dental risk assessment.
Hennepin Health Clinical Program Manager at Hennepin County
Julie is the Clinical Manager for Hennepin Health, Hennepin county's health care reform project. She manages the care model, ensuring consistent implementation across sites and work to better integrate social services into the medical home. Julie is always seeking new collaborative opportunities and ways to improve the delivery of services.
Delta Dental of Iowa
Gretchen Hageman is the Government Programs Director at Delta Dental of Iowa (DDIA).She has been with DDIA for 18 months. Gretchen serves as the director for Iowa's Medicaid Expansion adult benefit and Iowa's State Health Insurance Plan- hawk-i benefit plan.Prior to DDIA, Gretchen worked as a Bureau Chief and Title V Director at the Iowa Department of Public Health for 15 years.Gretchen served for three years on the Association of Maternal and Child Health Programs as a board member and other various child health board and advisory councils in Iowa.