Symposium for 

Artificial Intelligence in Payment Integrity

Hosted by the AI for PI Community  

Monday, November 6

8:30 – 11:30 am CST

Hyatt Regency Dallas 

Meeting Room: Bryan Beeman (2nd floor) 

Held prior to the start of the NHCAA ATC 2023  

The Symposium for Healthcare Artificial Intelligence in Payment Integrity is a forum for payment integrity professionals. Businesses are increasingly looking to adopt Artificial Intelligence (AI) technology to increase savings and boost productivity and efficiency within their organization. AI can provide a number of benefits, including data-driven insights, automation of manual processes, and real-time analysis of large datasets. Companies that plan to adopt AI must carefully consider the technology's strategic implications and develop an implementation strategy that can help them reach their objectives.

During this forum, attendees will see how AI is transforming outcomes across the payment spectrum, learn how payers are approaching their AI strategies, and hear how executives can create a roadmap to adopting AI that will create exponential savings and improved outcomes immediately, and over time.

AGENDA 

Subject to change

8:30 am 

Breakfast

9:00 am

Welcome & Kick Off

Musheer Ahmed, PhD, CEO, Codoxo

9:15 am

AI Driven Journey to Zero-Touch Payment Integrity

Jesse Montgomery, VP of Analytics, Codoxo 

Given the varying levels of AI maturity across healthcare organizations, there is no one-size-fits-all approach. Whether AI is utilized selectively or implemented organization-wide, the strategic progression of AI in the payment integrity business requires taking incremental steps for advancement to ensure progress and desired outcomes. 

9:45 am

Harness the Power of Large Language Models to Enhance Payment Integrity 

Akshay Sharma, Chief AI Officer, Lyric 

Over the decades, large language models (LLM) have undergone transformative advancements. The latest models excel at processing and analyzing massive volumes of transactional data, swiftly identifying inconsistencies and anomalies. Their real-time interaction capabilities enhance the user experience, providing prompt responses to payment-related inquiries and seamlessly guiding users through intricate procedures. LLMs are a powerful tool to harness for enhanced payment integrity outcomes.

10:15 am 

Break

10:30 am

Panel Discussion: AI Adoption Strategies & Strategic Initiatives

Kurt Spear, VP, Financial Investigation and Provider Review, Highmark Blue Cross Blue Shield 

Jim Brady, Staff VP Payment Integrity Commercialization, Carelon 

Jesse Montgomery, VP of Analytics, Codoxo (former head of Payment Integrity at Cambia)

Moderator: Patrick Stamm, Advisor, Investor and Former UnitedHealthCare Executive

In this panel session, we will explore the strategic plans that health plans have made to maximize the potential of AI in their payment integrity programs. Our panelists, who are industry leaders in healthcare and technology, will share their insights and experiences in implementing AI solutions for payment integrity and share outcomes realized through their AI investments. 

11:15 am

Closing

AI for PI Community    

This symposium is hosted by the 'AI for PI Community', a new community of healthcare payment integrity professionals interested in the application and value of artificial intelligence. You do not need to be a member of this community to attend. 

If you are interested in gaining early access to the AI for PI Community, visit our Slack channel to save your spot. More will be made available in the coming months.  

Registration

Symposium for AI in Payment Integrity  

Space is limited, register now to reserve your seat! 

We look forward to seeing you there!

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