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Every risk-adjusted revenue dollar counts when you are a small or mid-sized managed care plan. However, when encounter data accuracy, completeness and timeliness challenges exist, risk-adjusted revenue integrity suffers. Overcoming these challenges requires a tailored approach built for the small and mid-sized (SMB) managed care plan. Overcoming these challenges requires a solution designed to:

  • Improve first-pass encounter submission acceptance rates
  • Reduce IT TCO and complexity
  • Enhance risk-adjusted revenue integrity
Please join Edifecs for a complimentary webinar entitled, “Enhancing Revenue Integrity for Small and Mid-sized Health Plans” on Tuesday, May 8 from 1-2 PM ET. We will explore how small and mid-sized health plans can improve risk-adjusted revenue integrity by improving all aspects of encounter data management.

Register for the Webinar!

Meet the Presenters
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Aaron Fulner, Sr. Director, Product Marketing, Edifecs
Aaron Fulner is a Senior Director of Product Marketing at Edifecs. A passionate, seasoned product marketing leader, Aaron has spent many years directing the go-to-market strategies behind cutting edge, enterprise-level software solutions for health insurers. His focus spans insurers involved in commercial, managed Medicaid, Medicare Advantage and Dual Eligible programs. His expertise also spans insurers of all sizes and types ranging from small, regional plans, large, national plans and Blue Cross/Blue Shield organizations.
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Hitesh Kurani, Director, Solution Consulting, Edifecs
Hitesh Kurani is a Director of Solution Consulting at Edifecs. His career in healthcare spans 12+ years, which most recently includes advising solutions to health plans that will support their revenue integrity and growth, with a focus on encounter management and risk adjustment solutions for Medicare Advantage, Medicaid and Commercial health plans. Prior to that, his experience spans from providing consulting in healthcare business support services, building solutions to support health plan operations, and managing the implementations of enterprise software.

Edifecs Inc. is a global healthcare software company committed to improving outcomes, reducing costs, and elevating the value of healthcare for everyone. Edifecs delivers the industry’s premier IT partnership platform to providers, insurers, pharmacy benefit management companies, and other trading partners. By mobilizing its leading solutions at the front end of the healthcare information pipeline, Edifecs provides a unified platform for partners to flexibly pilot and scale new initiatives using their existing enterprise systems. Since 1996, hundreds of healthcare customers have relied on Edifecs partnership solutions to future-proof their leading initiatives in the midst of a dynamic healthcare landscape. Edifecs is based in Bellevue, WA, with operations internationally. Learn more about us at edifecs.com.

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