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Justificiation Letter

Full Schedule

Full Schedule

  • Monday, June 1, 2026
  • 12:00 PM - 6:00 PM ET
    Information & Registration Desk
  • 1:00 PM - 2:30 PM ET
    Optional Pre-Conference Training: CareWebQI (Inpatient & Surgical Care and General Recovery Care)
  • 1:00 PM - 2:30 PM ET
    Optional Pre-Conference Training: Inpatient & Surgical Care and General Recovery Care (CareWeb)
  • 1:00 PM - 2:30 PM ET
    Optional Pre-Conference Training: MCG Indicia (ICM)
  • 1:00 PM - 2:30 PM ET
    Optional Pre-Conference Training: MCG Indicia Synapse (IAD)
  • 1:00 PM - 4:30 PM ET
    (Optional) Training Workshops
  • 3:00 PM - 4:30 PM ET
    Optional Pre-Conference Training: Behavioral Health Care
  • 3:00 PM - 4:30 PM ET
    Optional Pre-Conference Training: Benchmarks & Data
  • 3:00 PM - 4:30 PM ET
    Optional Pre-Conference Training: LMS & IRR Functionality and Reporting
  • 3:00 PM - 4:30 PM ET
    Optional Pre-Conference Training: Rapid Review Guidelines
  • 5:00 PM - 6:00 PM ET
    Welcome Reception
  • 6:00 PM - 8:00 PM ET
    Welcome Dinner
  • Tuesday, June 2, 2026
  • 7:30 AM - 8:20 AM ET
    Breakfast
  • 7:30 AM - 7:00 PM ET
    Information & Registration Desk
  • 8:30 AM - 9:50 AM ET
    Keynote Session & Doyle Awards
  • 9:50 AM - 10:15 AM ET
    Break in the Experience Center
  • 10:15 AM - 11:05 AM ET
    From Overuse to Optimization: Addressing High Healthcare Utilization through Strategic Care Management Interventions
  • 10:15 AM - 11:05 AM ET
    Transforming Prior Authorization Through Provider Incentives: Telligen’s Blue-Ribbon Model
  • 11:10 AM - 12:00 PM ET
    Advancing UM Product Strategy with MCG Care Guidelines and Tools: Delivering Value in a Highly Regulated Landscape
  • 11:10 AM - 12:00 PM ET
    AI and Automation meets Utilization Review: How one health system utilized technology to streamline processes and protect revenue
  • 11:10 AM - 12:00 PM ET
    AI Readiness in Case Management and Care Coordination
  • 11:10 AM - 12:00 PM ET
    Proof to Practice: Crafting Trusted, Evidence-Based Care Guidelines
  • 12:00 PM - 1:00 PM ET
    Lunch
  • 1:05 PM - 1:55 PM ET
    Driving Clinical Alignment and Reducing Observation Rate and Self-Denials Through Intelligent Decision Support with MCG Indicia Synapse
  • 1:05 PM - 1:55 PM ET
    From Red Flags to Real Value: Using MCG Care Guidelines to Detect Fraud and Improve Utilization
  • 1:05 PM - 1:55 PM ET
    Standardizing Utilization Management Approaches by Leveraging MCG Solutions Across a Large Public Health Care System for Success
  • 1:05 PM - 1:55 PM ET
    The Trusted Source of Truth in Clinical Reasoning Over Evidence-Based Guidelines
  • 1:55 PM - 2:20 PM ET
    Break in the Experience Center
  • 2:20 PM - 3:10 PM ET
    Are You Ready for AI? How Healthcare Organizations Can Prepare, Govern, and Adopt AI
  • 2:20 PM - 3:10 PM ET
    Enhancing Patient Care with AI: Smarter Status Decisions & Empowered Physician Workflows
  • 2:20 PM - 3:10 PM ET
    Leveraging MCG CareWebQI to Close the Loop: Automating Audits for Sustainable Prior Authorization Reduction
  • 2:20 PM - 3:10 PM ET
    MCG Everywhere: Our Roadmap to Deliver Outsized Value
  • 3:15 PM - 4:05 PM ET
    Beyond the Status Quo: How the New MCG Indicia Experience Reinvents Utilization Management
  • 3:15 PM - 4:05 PM ET
    Criteria That Speak: Leveraging MCG Care Guidelines for AAC Device Authorization
  • 3:15 PM - 4:05 PM ET
    Leveling the Playing Field: A Transformation Journey to a Utilization Management Center of Excellence
  • 3:15 PM - 4:05 PM ET
    MCG CareWebQI Synapse: Consistent, Intelligent, Fast - The Future of Medical Necessity Review
  • 4:10 PM - 5:00 PM ET
    Featured Demo: Payer Solutions
  • 4:10 PM - 5:00 PM ET
    Featured Demo: Population Health Solutions
  • 4:10 PM - 5:00 PM ET
    Featured Demo: Provider Solutions
  • 6:00 PM - 7:00 PM ET
    Complimentary Professional Headshots
  • 6:00 PM - 7:00 PM ET
    Networking Reception in the Experience Center
  • 7:00 PM - 9:00 PM ET
    Dinner
  • Wednesday, June 3, 2026
  • 7:30 AM - 8:20 AM ET
    Breakfast
  • 7:30 AM - 4:00 PM ET
    Information & Registration Desk
  • 8:25 AM - 9:15 AM ET
    Bridging Guidelines and Practice: Using MCG Behavioral Health Care Guidelines and Utilization Data to Reduce Variation and Strengthen Payer‑Provider Alignment in ABA Access and Drive Payer-Provider Collaboration
  • 8:25 AM - 9:15 AM ET
    From Alerts to Action: How SRS’s Remote Monitoring Program Transformed Care Delivery and Outcomes
  • 8:25 AM - 9:15 AM ET
    Preparing for CMS-0057-F Compliance: The Importance of Internal Payer Strategic Alignment & Vendor Collaboration
  • 8:25 AM - 9:15 AM ET
    Social Determinants of Health - The Hidden Obstacles Impacting our Health
  • 9:20 AM - 10:10 AM ET
    Aligning Payers and Providers in Behavioral Health: Regulations, Guidelines, and AI Innovations
  • 9:20 AM - 10:10 AM ET
    Customizing for Compliance: Leveraging MCG to Optimize Medicaid Utilization Management
  • 9:20 AM - 10:10 AM ET
    Linking Technology and Clinical Insight: How Premier Health Improved Efficiency and Outcomes Amid the Two-Midnight Rule Expansion
  • 9:20 AM - 10:10 AM ET
    Transforming Rural Healthcare: Leveraging AI for Quality, Efficiency, and Financial Success
  • 10:10 AM - 10:35 AM ET
    Break in the Experience Center
  • 10:35 AM - 11:25 AM ET
    From Compliance to Competitive Advantage: Building an Enterprise Strategy for CMS Alignment and Interoperability
  • 10:35 AM - 11:25 AM ET
    Leveraging MCG Care Guidelines and Staffing Initiatives in the Emergency Room to Enhance Bed Status Determination and Physician Alignment
  • 10:35 AM - 11:25 AM ET
    New Era of Utilization Management: Strategies to Reduce the Administrative Burden and Mitigate Payer Denials
  • 10:35 AM - 11:25 AM ET
    Strategic Partnership: Scaling Utilization and a Review of Excellence with MCG
  • 11:30 AM - 12:20 PM ET
    Data-Driven Initiatives to Reduce Medical Necessity Denials Through Utilization Review
  • 11:30 AM - 12:20 PM ET
    End-to-End Care Guidance: Admission Support, Discharge Readiness, and Appeals Simplified
  • 11:30 AM - 12:20 PM ET
    Hallmarks of Successful Change Management: Optimizing Concurrent Review and Length of Stay
  • 11:30 AM - 12:20 PM ET
    Inpatient vs. Observation Care: Case Study Examples Employing MCG Synapse
  • 12:20 PM - 1:15 PM ET
    Complimentary Professional Headshots
  • 12:20 PM - 1:15 PM ET
    Lunch
  • 1:15 PM - 2:05 PM ET
    Building Success in the ED: Implementing an Effective Case Management Program
  • 1:15 PM - 2:05 PM ET
    MCG Medicare Compliance and Setting the Standard for Clinical Reviews
  • 1:15 PM - 2:05 PM ET
    System-Wide Pre-Procedural and Pre-Surgical Review by a Utilization Management Nurse: a Hospital Initiative to Improve Clinical, Financial, and Operational Outcomes
  • 1:15 PM - 2:05 PM ET
    The Human Side of AI: Transforming Mental Health and Substance Use Care
  • 2:10 PM - 3:00 PM ET
    Decision to Destination: A Practical Framework for High-Quality Transitions – A TEAM Model Approach
  • 2:10 PM - 3:00 PM ET
    OU Health Utilization Review Strategies to Improve MCG Care Guideline Usage
  • 2:10 PM - 3:00 PM ET
    Transforming Hospital Coding with AI: Smarter, Faster, and More Accurate Medicare Payment Processing
  • 2:10 PM - 3:00 PM ET
    Utilization Management: Today, Tomorrow, and the Future
  • 3:00 PM - 4:15 PM ET
    Keynote Sessions
  • 4:20 PM - 5:10 PM ET
    Featured Demo: Payer Solutions
  • 4:20 PM - 5:10 PM ET
    Featured Demo: Population Health Solutions
  • 4:20 PM - 5:10 PM ET
    Featured Demo: Provider Solutions
  • 6:30 PM - 10:00 PM ET
    Farewell Party