Explore strategies for fostering stronger partnerships and enhancing cooperation between payers and providers to achieve mutual goals.
Learn how successful collaboration can lead to better patient outcomes, more accurate reimbursements, and improved financial performance for both payers and providers.
Cynthia Johnson
Catherine Pesek Bird
Dr Priscilla Alfaro, MD, FAAP, CPC, CPMA, COC, CIC, CFE
Dr. Priscilla Alfaro is a seasoned healthcare professional with extensive experience in executive medical management, fraud prevention, and healthcare analytics. A certified medical coder, fraud examiner, and auditor, she has a proven track record of improving healthcare efficiency and preventing fraud, waste, and abuse across various roles and affiliations, including the Texas HHS and Anthem.
Vanessa Moldovan, CRCR, CPC, CPB, CPMA, CPPM, CPC-I
Vanessa Moldovan, CEO and founder of For the Love of Revenue Cycle (FTLORC), is a trusted expert in healthcare revenue cycle management with over 20 years of experience. Specializing in denial management, accounts receivable, and strategic optimization, she helps organizations prevent revenue leakage and achieve sustainable growth. Vanessa also advises healthcare SaaS companies, enhancing product-market fit, sales, and operational excellence.
As the creator of the For the Love of Revenue Cycle podcast and leader of a thriving Facebook community, Vanessa is dedicated to transforming the revenue cycle through education and standardization.
Monique Pierce
Monique started her Payment Integrity career in COB at Oxford HealthPlans. After the merger with UnitedHealthcare, she led multiple teams and was responsible for creating innovative programs. Monique joined SCIO Health Analytics in 2014 and was responsible for system and process improvements before being promoted to VP of client engagement and business optimization In 2020, Monique joined start-up Devoted Health and created a full suite of programs from the ground up. Based on a passion for metrics and measuring performance, she centralized and standardized all programs reducing implementation time and maximizing savings. Today, Monique is driving opportunities to improve claim payment by designing and developing new prior auth and claim reconciliation products at Cohere Health.