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Month
Date
Post
March 03.08.17
Yesterday, CMS shared late breaking IVA news at the 11th Annual RISE Nashville Summit. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of the items affecting IVAs in our latest Client Brief.
February 02.16.17 On February 15th, REGTAP shared updates for the upcoming Initial Validation Audit during its’ ACA HHS-Operated RADV Webinar Series. CMS also hosted a HHS-RADV IVA Entity and Coder meeting yesterday where IVA entities had the opportunity to provide pilot year feedback. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of the items affecting IVAs, along with the key discussion topics from the meeting, in our latest Client Brief
02.15.17 Cognisight is proud to be a premier sponsor and exhibitor at the 11th Annual RISE Nashville Summit. Executive Vice President Kim Browning will also be moderating the educational session, “Lessons Learned from 4 and 5 Star Plans” on March 6th. Join us and save 15% as our guest with discount code “HSM282” at https://goo.gl/Wzaays. Hope to see you there!
02.07.17 Are you an IT professional looking to join a thriving business and industry leader? If so, we’ve got the opportunity for you! Cognisight is seeking a Manager of Information Technology Operations to join our growing team. If you or someone you know might be interested, check out our website’s Careers page for more info.  
02.06.17 The Initial Validation Audit (IVA) pilot has just concluded—now it’s time to get ready for this year! So if you're an Issuer who will be participating in the audit for the first time—or weren’t happy with your 2015 pilot year experience—you won't want to miss Cognisight's IVA Pilot Highlights & 2016 Audit Year Insights webinar. In less than one hour, you'll get practical advice and specific action steps you can take to better prepare for the upcoming 2016 dates of service audit and learn about key factors critical for success. Join Kim Browning, Cognisight's Executive Vice President and pilot year Senior Official, during one of our two conveniently scheduled sessions on February 16th or February 20th. Space is limited, register now! 
02.03.17
Yesterday, CMS released the Advance Notice of Methodological Changes for CY 2018 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared summaries of the proposed items affecting risk adjustments for Medicare Advantage plans and PACE programs in our latest Client Brief.
January 01.26.17 Cognisight’s Senior Official, Kim Browning, and Chief Information Officer, Jamie Hayslip, participated in yesterday’s HHS-RADV Lessons Learned IVA Entity meeting. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, we have summarized the topics that were discussed, a few expectations, and next steps in our latest Client Brief.   
01.05.17
On December 23rd, CMS released a RFI to develop PACE pilots for new populations. Through the RFI—due on February 10, 2017—CMS is soliciting information on the design and future implementation of a broad range of PACE pilots. These pilots include, but are not limited to, helping those with physical mobility limitations, intellectual and developmental disabilities, and complex medical and functional support needs and are at risk of needing nursing home level of care. A member of the National PACE Association (NPA), Cognisight has been a long-time supporter of PACE and provides risk adjustment services to programs that make up more than 40% of all participants in the 55+ population. Cognisight, along with the NPA, appreciates the progress CMS has made towards implementing pilots for new PACE populations. Click here for more information. 
December 12.19.16
On December 16th, CMS announced final regulations for the Patient Protection and Affordable Care Act in HHS’ Notice of Benefit and Payment Parameters for 2018. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of the proposed changes affecting risk adjustments in our latest Client Brief.
November 11.17.16
Cognisight’s Executive Vice President, Kim Browning, co-presented with Health Choice’s Director of Medicare Advantage & Commercial Risk Adjustment, Jamee Hubler, at RISE’s Risk Adjustment Forum & RADV Master Class in Miami last week. In case you missed it, download the slides from Strategies for Building Effective RADV Preparation & Response Teams.
October 10.31.16 In case you missed it, Cognisight’s Executive Vice President, Kim Browning, co-presented with LIFE St. Mary’s Director of Finance, Jennifer White, at National PACE Association’s 2016 Annual Conference in San Francisco last week. Slides from their presentation, “Internal Validation Audits: Benefits, Implementation & Taking Action,” can be downloaded here.
10.19.16 Cognisight’s Executive Vice President, Kim Browning, co-presented with UCare’s Risk Adjustment Compliance Coding Manager, Jenni Monfils, at the 5th Annual Health Insurance Exchange Summit in San Antonio. In case you missed it, slides from “IVA Process Update—What Do We Know So Far?” can be downloaded here.
10.12.16 Cognisight's proud to be a premier sponsor and presenter at The Risk Adjustment Forum & RADV Master Class in Miami. Please join Cognisight’s Executive Vice President, Kim Browning, on Thursday, November 10th at 11:15 am as she co-presents “Strategies for Building Effective RADV Preparation & Response Teams?” with Health Choice’s Director of Medicare Advantage & Commercial Risk Adjustment, Jamee Hubler. Hope to see you there!
10.11.16
Please join Cognisight in celebrating care managers during National Case Management Week October 9-15th. National Case Management Week helps educate payers, providers, regulators, and consumers about the tremendous value case managers bring to the successful delivery of health care. At Cognisight, we are especially proud of the work our GRIPA Care Managers do to support their patients and providers in improving quality (not just metrics, but life of patients too) while working to decrease costs.
September
09.23.16
We’re proud to be a sponsor and presenter at National PACE Association’s 2016 Annual Conference in San Francisco. Please join Cognisight’s Executive Vice President, Kim Browning, as she co-presents Internal Validation Audits: Benefits, Implementation & Taking Action with LIFE St. Mary’s Director of Finance, Jennifer White, on October 24th at 10:00 am. Hope to see you there!
09.20.16
We’re proud to be a premier sponsor and presenter at the 5th Annual Health Insurance Exchange Summit in San Antonio. Please join Cognisight’s Executive Vice President, Kim Browning, on Monday, October 17th at 10:45 am as she co-presents “IVA Updates—What Do We Know So Far About the Process?” with UCare’s Risk Adjustment Compliance Coding Manager, Jenni Monfils. Hope to see you there!
August 08.30.16 On August 29th, CMS proposed new regulations for the Patient Protection and Affordable Care Act in HHS’ Notice of Benefit and Payment Parameters for 2018. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of the proposed changes affecting risk adjustments in our latest Client Brief
08.09.16
In case you missed it, a podcast from our recent The Risky Business of Claims-Only Risk Adjustments webinar has been posted to our website. Download it now to learn why it's crucial for health plans to not only audit their retrospective chart reviews and prospective assessments but their claims too!
July 07.12.16
With over 95% of Medicare Advantage risk adjustments coming from claims, why don’t health plans routinely audit them? Without doing so comes inherent RADV risk. Join us on Thursday, July 28th at 3:30pm EST to learn why it’s crucial for health plans to not only audit their retrospective chart reviews and prospective assessments but their claims too—and gain a thorough understanding of the ramifications for failing to do so—during our free, live webinar. Register now for The Risky Business of Claims-Only Risk Adjustments to get practical advice and specific action steps you can take to easily incorporate claims-only audits into your risk adjustment program and minimize RADV risk. Space is limited. 
June 06.29.16 Cognisight’s Chief Medical Officer, Mark H. Belfer, DO, FAAFP, and Chief Information Officer, Jamie Hayslip, recently co-authored an article in the May/June 2016 issue of The Bulletin for Healthcare & Technology—The Journal of the Monroe County Medical Society. Their article highlights the technological breakthroughs in medicine over the past half-century and predicts what the future of outpatient care holds. Read The Evolution and Impact of Technology on the Practice of Medicine: The Movement From Reactive to Predictive Health Care in its’ entirety now.
06.28.16 Chief Medical Officer at Cognisight, Mark H. Belfer, DO, FAAFP, was recently interviewed for an article in the Democrat & Chronicle. In the article, Dr. Belfer talks about why men are less likely to go to the doctor and the five health-related conditions they need to be aware of. Read Top 5 Health Issues Men Need to Know now.
06.08.16
Congratulations to Cognisight’s Clinical Reviewer—Gail Woytek, RHIA, CCS, CRC—who was selected by NYHIMAs Rochester chapter for the House of Delegates at this week’s 2016 Annual Conference in Long Island. Key topics at the conference included data analytics, electronic health records, value-based payments, ICD-10, information governance, and regulatory issues. The House of Delegates convened there to review and improve NYHIMAs strategic plan and vote on any by-law changes. For more information on this year’s conference, please click here.
 May 05.26.16 In case you missed it, slides from Kim Browning’s Risk Adjustment Forum presentation, “Deconstructing the RADV: The Past, Present & Future of RADV,” in Austin, Texas this week can be downloaded from our Resources webpage!
05.03.16
Cognisight held webinars last week to help clients gain a better understanding of CMS' new Initial Validation Audit requirements and the implications affecting them (for 2015 dates of service). The webinar highlighted information presented during the April 13, 2016 REGTAP HHS-Operated RADV Training Series and included Issuer Documentation, Screen Shots, Three-Part Audit—Health Status, Demographic Enrollment & NEW Claims Validation Audit, and IVA Work Papers.  In case you missed it, a podcast can be downloaded here.
April 04.26.16 We’re proud to be a premier sponsor and presenter at The Risk Adjustment Forum May 24-25th in Cedar Creek, Texas. Please join Cognisight’s Executive Vice President, Kim Browning, on Tuesday, May 24th at 2:00 pm as she presents “Deconstructing the RADV Audit: the Past, Present, and Future of RADV.” Hope to see you there!
04.19.16
Are you a sales professional looking to join a thriving business and industry leader? We’ve got the opportunity for you! Cognisight is seeking a Vice President of Business Development to join our growing team. If you or someone you know might be interested, check out our website’s Careers page for more info.
04.18.16 Cognisight participated in REGTAP’s “Health Insurance Marketplace Program Training Series” last Wednesday, April 13th where new requirements and implications for the ACA HHS-Operated RADV were presented. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has provided a summary of the items affecting Initial Validation Audits in our latest Client Brief.
04.05.16 CMS released the Final Notice of Methodological Changes for CY 2017 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies on April 4, 2016. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared summaries of the salient items affecting risk adjustments for Medicare Advantage and PACE programs in our latest Client Briefs.
04.04.16 Executive Vice President, Kim Browning, recently attended a Medicare Advantage health plan focus group at the 2016 RISE Nashville Summit led by Morepace. In an effort to share knowledge with clients and potential clients, Cognisight has prepared a session summary review. Highlights include feedback on closing and enrolling, getting care, filling prescriptions, and health plan and provider communications. Please click here to download it now. 
04.03.16 Join Cognisight and the American Health Information Management Association (AHIMA) in celebrating health information professionals during the 27th Annual Health Information Professionals Week April 3-9th. It’s a showcase of the 1000’s of health information management professionals who perform their duties masterfully throughout the year. It’s an allied health profession that’s responsible for ensuring the availability, accuracy, and protection of the clinical information needed to provide healthcare-related decisions. We are proud to support AHIMA―whose theme this year―“Accurate Information, Quality Care,” reiterates its belief in the necessity of building quality healthcare through quality information.
04.01.16
Cognisight attended CMS’ HHS-Operated Risk Adjustment Methodology meeting yesterday in Baltimore, Maryland. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, items germane to Cognisight services have been summarized in our latest Client Brief.
March 03.17.16 Please join Chief Medical Officer Mark H. Belfer, DO, FAAFP at the ACO & Payer Leadership Summit in Dallas, Texas where he’ll present “Physician Leadership in a Value-Based World: Actionable Reporting to Drive Behavior Change.” Hope to see you there!
03.07.16 In case you missed it, a podcast from our recent Cognisight 101 | Commercial RADV IVA Service webinar has been posted on our website. Download it now to learn how we can help with your audit and why you should choose Cognisight, the best in class Initial Validation Audit partner!
03.02.16 On April 1st, Cognisight's Chief Medical Officer, Mark H. Belfer, DO, FAAFP, will be presenting "Patient Engagement and Care Management: A Successful Model" at the NYSOMS Regional Osteopathic Convention in Hauppauge, New York. For more event info, please click here.
03.01.16
Final regulations for the Patient Protection and Affordable Care Act were announced on February 29, 2016 in HHS’ Notice of Benefit and Payment Parameters for 2017. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of the final changes affecting risk adjustments in our latest Client Brief.
February
02.22.16 On 2/19, CMS released the Advance Notice of Methodological Changes for CY 2017 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared summaries of the proposed items affecting risk adjustments for Medicare Advantage and PACE plans in our latest Client Brief.
02.22.16 Cognisight is proud to be a premier sponsor and exhibitor at the 10th Annual RISE Nashville Summit. Executive Vice President Kim Browning will also be moderating the educational session, “Early Insights Into Medicaid Expansion: What We’ve Learned To-Date” on March 22nd. If you plan to attend, stop by our booth to learn how Cognisight can help with your risk adjustment efforts and for your chance to win an Apple Watch. Hope to see you there!
02.18.16 Cognisight participated in REGTAP’s “Health Insurance Marketplace Program Training Series” yesterday where updates on the ACA HHS-Operated RADV were discussed. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has highlighted the items affecting Initial Validation Audits—including exemptions in 2016, sample selection, and timeline updates—in our latest Client Brief
January 01.29.16 Are you a sales professional looking to join a thriving business and industry leader? We’ve got the opportunity for you! Cognisight has immediate openings for a Vice President of Business Development and Sales Support Specialist/Proposal Writer to join our growing team. If you or someone you know might be interested, check out the Careers page for more info.
01.28.16  On January 27th, CMS released a statement informing Medicare Advantage plans and PACE programs that the February 1, 2016 submission deadline has been extended. Due to an issue stemming from the implementation of diagnosis cluster 410 error code changes at the beginning of the year, CMS has granted a three week extension period. Plans now have until February 22, 2016 to submit 2014 dates of service. In an effort to continue Cognisight’s long-standing goal of sharing knowledge with clients and potential clients, we are pleased to provide you with this information. To read the official statement in its entirety, please click here
01.26.16
The 2016 Commercial RADV IVA vendor selection deadline is fast approaching—NOW is the time to select your Initial Validation Audit vendor! In less than 30 minutes, gain a thorough understanding of how Cognisight can help with your health plan’s audit and why you should choose us—the best in class IVA partner. Join us on Thursday, February 18th at 3:30pm EST/12:30pm PST for a free, live webinar. Learn how our IVA service can fulfill your CMS/HHS 2016 RADV IVA requirement—with unparalleled quality—in a quick and commitment-free way. Register now, space is limited.
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