CEUs | Medicare Advantage Member Accounting and Reconciliation Summit

Rise

CEUs

 National Association of State Boards of Accountancy (NASBA)

RISE is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

Program Level: Basic
Anticipated CPE Credits: 9.5 credits
Recommended Field(s) Of Study: Accounting
Prerequisites: None
Advance Preparation: None
Instructional Delivery Method: Group Internet-Based
Attendance Requirements: In order to be awarded the full credit hours, you must be logged in during the live event and must respond to at least three of the polling questions asked during each session.
Learning Objectives: Upon completing the course, participants will:

  • Understand how emerging policies could shift reimbursement models and member care strategies
  • Highlight proactive strategies for MA plans to adapt to regulatory uncertainty
  • Identify strategies to resolve discrepancies between interim and final settlements
  • Understand the implications of inaccurate cost reporting on compliance and revenue
  • Define the complexities of reconciling direct subsidy, reinsurance, and risk-sharing payments
  • Discuss common findings in RADV audits and their impact on financial performance
  • Review the role of value-based contracts in shaping future Medicare payments
  • Highlight solutions for managing large-scale data corrections in risk adjustment and claims
  • Outline common misalignments between provider contracts, fee schedules, and actual claim reimbursements
  • Examine common reconciliation challenges, including misclassified dual-eligible status, LIS payment discrepancies, and incorrect subsidy applications

For more information regarding complaints, concerns, or cancellation policies, please visit our website, or contact us at confirm@risehealth.org.