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2015 Cognisight News

Month
Date
Post
November
11.23.15 On 11/20, CMS published Proposed Improvements for the 2017 Marketplace. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of the provisions affecting risk adjustments in our latest Client Brief.
11.19.15 Cognisight was a participant yesterday in REGTAP’s first of a three part IVA training series. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has highlighted the salient items affecting risk adjustments in our latest Client Brief
11.18.15 In case you missed it, slides from our recent RISE Risk Adjustment Forum presentation, “Adapting Your Risk Adjustment Program to HCC Model V.22,” in Ft. Lauderdale can be downloaded from our Resources webpage!
11.03.15
On October 28th, CMS announced proposed changes to the CMS-HCC risk adjustment model for Payment Year 2017. 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 in our latest Client Brief. The proposed changes can be read in its entirety in the accompanying supplement.
October 10.27.15 Cognisight was a participant in REGTAP’s user group today where it was announced registration for ACA HHS-Operated Risk Adjustment Data Validation web-based trainings are tentatively scheduled to begin on November 18, 2015. While no other details were given, it was advised to be on the lookout for emails from REGTAP with registration information.
10.19.15
We’re proud to be a sponsor and presenter at Healthcare Education Associates Risk Adjustment Forum in Ft. Lauderdale. While you’re there, join us for “Adapting Your Risk Adjustment Program to HCC Model V.22” presented by Cognisight’s Executive Vice President, Kim Browning, on October 19th at 1:30 pm EST. Hope to see you there!
10.15.15
Back by popular demand, Cognisight re-presented our “Financial Impact of ICD-10: Don’t Let Risk Adjustment Be an Afterthought” webinar last week. The presentation was refreshed with updated info on how health care plans must have a thorough understanding of the financial risk adjustment ramifications for moving from ICD-9 to ICD-10 now that it’s here. How your risk adjustment efforts will be affected and risk scores are in jeopardy if you aren't acting now was also demonstrated. In case you missed it, the presentation slides can be downloaded from the Resources section of our website.
September
09.15.15
We’re proud to be a sponsor and presenter at NPA’s 2015 Annual Conference in Philadelphia October 18-21st. While you’re there, join us for “ICD-10: Don’t Let Risk Adjustment Be an Afterthought” presented by Cognisight’s Executive Vice President, Kim Browning, on October 19th at 10:00 am EST. Hope to see you there!
09.10.15
The Consumer Operated and Oriented Plans (CO-OP) program has faced tremendous challenges since its establishment under the Affordable Care Act. As CO-OP’s struggle to balance their books while remaining competitive in the exchange marketplace, a proactive approach to data-driven risk adjustment is more important than ever. Bridging the Gaps for Consumer Operated and Oriented Plans  authored by Cognisight’s Executive Vice President Kim Browning was recently published on HealthcareReformMagazine.com. In the article, she discusses overcoming operational challenges and how CO-OP’s can “weather the red” to ensure financial solvency with a recommended course of action at this stage in the game.
09.08.15
We’re proud to be a sponsor at NASHCO’s Annual Meeting 2015 September 28-29th in Denver, Colorado. The National Alliance of State Health CO-OPs (NASHCO) is the trade association for the non-profit health insurance CO-OP industry. For more info on the upcoming meeting, please click here.
August 08.04.15
We’re proud to be a sponsor and presenter at the 4th Annual Health Insurance Exchange Summit next month in Scottsdale, Arizona. Please join Cognisight’s Executive Vice President Kim Browning on Tuesday, September 1st at 3:30pm as she presents, “Financial Audits and IVA Updates.” Hope to see you there!
July 07.17.15

Yesterday afternoon HHS issued an update on Initial Validation Audits (IVAs) for 2014 dates of services and proposed a new schedule for 2015 dates of service. An FAQ was posted by REGTAP shortly thereafter. In an effort to continue our long-standing goal of sharing knowledge with clients and potential clients, Cognisight has prepared a summary of changes affecting IVAs in our latest Client Brief

May 05.28.15

Cognisight Clinical Reviewer Gail Woytek was a guest host at last week’s Elsevier webinar, CMS’ Hierarchial Conditions Categories: The Basics. The webinar drew over 700 attendees and earned participants CE certification credits. Key topics included an introduction to Medicare Part C and Medicare Advantage plans, overview of HCCs and RxHCCs, and RADV audits. Elsevier is a world-leading provider of information solutions that enhance the performance of science, health, and technology professionals, empowering them to make better decisions, deliver better care, and make groundbreaking discoveries that advance the boundaries of knowledge and human progress. A copy of the webinar slides can be downloaded here.

April 04.29.15  On Monday, April 27th CMS issued a statement informing issuer’s that a grace period for the April 30, 2015 deadline to submit EDGE server data for benefit year 2014 financial transfers has been granted until May 15, 2015. Click here to read the official statement in its entirety.
04.28.15 We'd like to congratulate Rochester Regional Health System (RRHS) for making Forbes' list of “America’s Best Employers 2015.” Cognisight is proud to be an affiliate of Rochester General Hospital, a part of RRHS. RRHS is ranked 120 out of 500 in the nation and shares company with the likes of Google, Apple, and Disney. The list is based on surveys of more than 20,000 workers at big companies, non-profit institutions, and government agencies. To see the complete list of “America’s Best Employers 2015,” please click here.
04.27.15 Cognisight is seeking a new Vice President of Business Development to join our team. In conjunction with corporate goals and objectives, this individual will be responsible for delivering the organization’s new business development annual revenue target through the development and execution of various sales strategies. This individual will also be responsible for overseeing the Sales & Marketing Department. Minimum requirements include 5-7 years of demonstrated revenue generation, delivering sales objectives, and management experience with a background in healthcare. For more information, please click here.
04.13.15 We’re proud to be a premier sponsor and presenter at The Risk Adjustment Forum for Health Plans May 12-14th in New Orleans. Please join Cognisight’s Executive Vice President, Kim Browning, on Wednesday, May 13th at 4:30pm as she presents “Commercial RADV Audit Survival Guide.” Hope to see you there!
04.07.15
CMS released the Final Notice of Methodological Changes for CY 2016 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies on April 6, 2015. 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 plans in our latest Client Brief.
March 03.24.15 Please join President & CEO Joseph S. Vasile, MD, MBA at VHA’s COO/CFO Joint Affinity Group Meeting in New Orleans, Louisiana. He will be presenting “Physicians Succeeding in Value Based Care, a Provider’s Successful Approach” on Thursday, April 23rd at 2:30pm. VHA Inc. is a national network of not-for-profit health care organizations working together to improve performance and efficiency in clinical, financial, and operational management. The meeting will provide CFO’s and COO’s with actionable takeaways to bring back to their own organizations. Hope to see you there!
03.23.15 Join Cognisight and the American Health Information Management Association (AHIMA) in celebrating health information professionals during the 26th annual Health Information Professionals Week March 22-28. 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, “Reliable Information, Responsible Care,” reiterates its belief in the necessity of building quality healthcare through quality information.  
03.20.15 Cognisight’s Chief Operating & Financial Officer Bill Pelino will be a presenter and panelist at the Rochester Regional Chapter of Healthcare Financial Management Association’s Current Events 2015. Please join him next Friday, March 27th at the Monroe Golf Club in Pittsford, New York for a day dedicated to current events impacting the health care industry in our community. Download the brochure for more event info. 
03.18.15 Please join President & CEO Joseph S. Vasile, MD, MBA and Chief Medical Officer Mark H. Belfer, DO, FAAFP at the American Association for Physician Leadership 2015 Annual Meeting in Las Vegas on Saturday, April 18th. Dr. Vasile will be presenting “Creating A System ACO: Lessons Learned” and Dr. Belfer will present “Influencing Prescribing Patterns of Physicians for Success in an ACO.” Hope to see you there!
03.12.15 Please join Chief Medical Officer Mark H. Belfer, DO, FAAFP at the HIMMS 15 Annual Conference & Exhibition in Chicago, Illinois. He will be an expert panelist at “Understanding the Payment/Incentive Models that Exist in today’s Market” on April 12th at 12:45pm. Hope to see you there!
03.10.15 We’re pleased to announce we’ll be a sponsor at this year’s North Carolina PACE Association Annual Conference April 10-11th in Durham. Cognisight has been a longtime supporter of PACE (Programs of the All-inclusive Care of the Elderly), allowing individuals 55 years and older who qualify for nursing facility level of care to remain in the community with their friends and family.
February 02.26.15 Congratulations to Rochester General Hospital (RGH) for being named one of the 100 SafeCare Hospitals for 2014-15 in the “Over 400 Beds” category. RGH is ranked 22nd in the nation and 2nd in New York, excelling in processes, outcomes, and efficiency of care in 2014. RGH is part of the Rochester Regional Health System and Cognisight is affiliated with Rochester General Hospital. For more information on the 100 SafeCare Hospitals in Healthcare Quality, please click here.
02.25.15 We are proud to be a premier sponsor and presenter at this year’s 9th Annual RISE Nashville Summit. Please join Cognisight’s Executive Vice President Kim Browning on March 26th at 2:20pm as she co-presents “Predictive Modeling for Improved Outcomes & Quality Performance.” Hope to see you there!
02.24.15 Final regulations for the Patient Protection and Affordable Care Act were announced on February 20, 2015 in HHS’ Notice of Benefit and Payment Parameters for 2016. 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.
02.23.15 CMS released the Advance Notice of Methodological Changes for CY 2016 for Medicare Advantage Capitation Rates, Part C and Part D Payment Policies on February 20, 2015. 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.
02.03.15
Please join President & CEO Joseph S. Vasile, MD, MBA at the 2015 Senior Living 100 Leadership & Strategy Conference in Key Biscayne, Florida. He will be presenting “Stop Living in Silos: Understanding the Business Models of Physicians & Hospitals” on Tuesday, March 3rd at 10:30am. Hope to see you there!
January 01.08.15
Cognisight is seeking a full-time Compliance Program & Health Insurance Exchange Initial Validation Audit Manager. This person will be responsible for overseeing the corporate compliance program in conjunction with the GRIPA and Cognisight leadership, as well as participation and coordination of compliance related projects. Bachelor’s degree with a minimum of 5 years’ experience in a healthcare organization, including demonstrated leadership and interaction with external compliance staff and executives, familiarity with operational, financial, quality assurance, and human resource procedures and regulations required; Master’s degree and/or CISA certification preferred. For more information, please click here.