2010 Policy Address Health Reform Regulations Impacting MLR & Claims Operations Alyssa Fox Senior Vice President, Office of Policy & Representation Blue Cross Blue Shield Association

Responding to Increased Scrutiny Claims Cost-Cutting Strategies that Directly Impact Medical Loss Ratio Tom Everett Director, Claims Service Center ConnectiCare Inc

100% Solution-Driven Content to Maximize Resources & Minimize Waste

Conduct Clinical Editing to Maximize Identification & Recovery of Overpaid Claims Todd M Gower Director, NCO- Information Analytics and Compliance Technology- iACT National Compliance Ethics and Integrity Office Kaiser Foundation Health Plan, Inc	Reengineer Workflow to Improve Service Metrics While Reducing Administrative Costs by 15% Shawn Scott Senior Director, Claims Capital Blue Cross
Lower Claims Budget by 29% by Capitalizing on Cutting-Edge Business Process Management Tools Sherri Mikell Vice President, Claims Core Process Blue Cross Blue Shield of Florida	Achieve Timely & Accurate Claims Processing with Staff Accountability & Technology Integration Bruce Wegner Director, Claims Administration PrimeWest Health
Optimize Data Submissions with Standards for EDI Transactions Marilyn Daly Chief Information Officer Neighborhood Health Plan	Provide POS Support & Tools to Enhance Provider Relations & Reduce Administrative Costs Julian Gross Customer Financial Experience Lead CIGNA
Leverage Data Analytics & Reporting to Improve Overpayment Cycle Time, Service, & Advance Internal Efficiencies Ayanna Hart Director, Subscriber Services Division Health Care Services Corporation

Featured Session

• Panel Discussion on Latest Lessons Learned from SIUs to Prevent & Detect Fraud
• Implementation Planning for ICD-10 & 5010 Transitions

Workshops
(Free with this email if you register by September 3rd!)

• Capitalize on Claims Data to Advance Detection of Fraud & Billing Inaccuracies
• How to Achieve 95% Auto-Adjudication without Increasing Medical and Rework Expenses

Save $200 off the early bird rate!
Register by 09/03/2010 using promotional code MCA885

Pricing Information:

Register at www.worldrg.com/claims or call Customer Service at 800-647- 7600.