NAIRO Board and Membership Meeting
NAIRO Members in good standing are invited to attend
Continental Breakfast served for attending members

Welcome Session
Val Aiello, NAIRO President & Eric Hatfield NAIRO Vice President and Symposium Chair

A View from the Capitol - What the new administration means for health care in 2025 and beyond
Presented by Shawn Griffin, MD - URAC

Bronze Lunch Sponsor Presentation

The Age of AI enabled Agentic Bots in the business of Review Services
Presented by Madhu Reddiboina, MS - RediMinds

Madhu will be covering some practical scenarios that are in play and on the horizon for the efficiency and optimization of review services.

Emerging Review Markets
Presented by Tom Naughton, JD, LLM - Capitol Bridge

Overview for Good Medical Review
Presented by Jacqueline Cain, MD - Maximus, and Mary Pascucci, MD - EmpowerAI

Back for an encore performance with a new segment of “Ask the Medical Directors.” Join Medical Directors Drs. Cain and Pascucci in an interactive panel discussion of what makes and breaks complex medical record review as seen through the medical directors’ lens. They explore the application of regulations across all claim types: what holds, what doesn’t, and best preparation for appeals. Also, up for discussion will be common errors made in medical documentation, other factors that cause denial of payment, as well as the latest and greatest items in the DME world to “pay, or not to pay.” Bring your questions along as this will be a lively interactive session!

Keys to Identifying, Tracking, and Responding to Opportunities
Presented by Michael Haldas - Capture Strategies

A presentation on the critical actions and common mistakes pertaining to the capture management and proposal development phases of winning business with the Federal and State government.

The State of Cybersecurity: 2024 Trends and the Darkweb
Presented by Herb Williams, MS - Arctic Wolf

In the past year, IT and security leaders faced off with digital sprawl and the profound impact of emerging technologies like generative AI. The growth of attack surfaces has left organizations with more potential exposures from vulnerabilities and misconfigurations rife for exploitation in the evolving threat environment. Join me as we explore insights uncovered in The State of Cybersecurity: 2024 Trends Report, where you’ll gain lessons to put into practice, confirmation that others face the same decisions and risks as you, and — most importantly — a reminder that cybersecurity is not all doom and gloom.

Federal Independent Dispute Review Process Update
Presented by Leslie Wagstaffe, JD, MPP - Centers for Medicare & Medicaid Services

This session will focus on providing an update on IDR operations from the Departments and will also provide an outlook for the remainder of 2025.

The Future of Artificial Intelligence in Utilization Management and Medical Review
Presented by Katie Bakewell, MS - NLP Logix, and Mark Hiatt, MD, MBA, MS - Hiatt Advisory Services

In this fireside chat, Mark and Katie will discuss how artificial intelligence (AI) is being used (and can be used) in utilization management. They will address such common questions and concerns as how does an organization begin to use AI and avoid bias and lack of “human” oversight in doing so.

An Inside Look at Claims and Appeals at the Department of Veterans Affairs
Presented by the Honorable Cheryl Mason, JD - Catalyst Leadership Management

Join The Honorable Cheryl Mason, JD, for an engaging and insightful dive into the claims and appeals process at the Department of Veterans Affairs (VA). We’ll explore the impact of case law, regulations, and guidance on these processes, and tackle the challenges posed by medical disability exams and other crucial evidence. Discover the ripple effects on veterans and the VA and learn how quality assurance is (or isn’t) measured. Think of it as the Wild West of VA Claims and Appeals! Plus, get informed about the upcoming changes for independent reviews in the federal agency arena. Don’t miss this chance to be part of a critical conversation!