See real-world examples of how the right medical record review solutions can help your health plan stand up to RADV audit scrutiny.
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With RADV audits resuming at scale after a multi-year pause, health plans face renewed scrutiny of their risk adjustment data – particularly around unsupported conditions.
This discussion offers a practical roadmap for navigating the new RADV landscape, from integrating technologies to support surveillance analytics through medical record management and review. Plus, learn how to make the most of your existing data across multiple use cases and what special considerations must be made when using AI for medical record reviews.
Get a recap of recent regulatory updates and their implications for risk adjustment going forward.
Keep up with the latest tools to identify and eliminate potentially over-coded conditions, while harnessing AI to fast-track validation.
From missing documentation to invalid document sources, see our experts identify common errors and unsupported conditions within medical record charts.
*Benefit 4 Desc
With RADV audits resuming at scale after a multi-year pause, health plans face renewed scrutiny of their risk adjustment data – particularly around unsupported conditions.
This discussion offers a practical roadmap for navigating the new RADV landscape, from integrating technologies to support surveillance analytics through medical record management and review. Plus, learn how to make the most of your existing data across multiple use cases and what special considerations must be made when using AI for medical record reviews.
Get a recap of recent regulatory updates and their implications for risk adjustment going forward.
Keep up with the latest tools to identify and eliminate potentially over-coded conditions, while harnessing AI to fast-track validation.
From missing documentation to invalid document sources, see our experts identify common errors and unsupported conditions within medical record charts.
The ScriptMed Cloud software solution is an industry leader, serving six of the top ten specialty pharmacies, and 35% of specialty pharmacy patients nationally
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Presenter wrap-up call to action
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
Revenue Cycle Expert
Kem is an Innovative Healthcare Leader with a passion for practice transformation through best practices, technology & education. She is the founder and president of Medical Revenue Cycle Specialists, a boutique medical revenue cycle consulting firm, which improves workflow and practice revenues for small to mid-size physician practices, allowing them to focus on patient care.
Over her career of over 20 years, Kem has earned a reputation as a transformational healthcare leader. She is currently also serving as the President of the Hyattsville/Prince George’s County Chapter of the American Academy of Professional Coders (AAPC). In this interview, Kem talks to me about overcoming challenges during the COVID pandemic and her experience as an author
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Chief Medical Officer, Inovalon
Dr. Kilian is responsible for the oversight of the medical directors of Inovalon, the clinical content and design of the company’s software and analytics, and the clinical training, quality, policies, oversight, and compliance of associated operations.
VP, Risk Adjustment, Blue Cross Blue Shield of Michigan
Gabe has over 24 years of progressive healthcare experience, leading diverse multidisciplinary teams in government programs to successful outcomes. His current role includes oversight of a combination of population health-related teams, including risk adjustment, cost of care, and quality.
VP, Data Analytics, Inovalon
Lalith is a seasoned executive with over 20 years of experience in healthcare technology. He is responsible for overseeing the product management and analytics of risk adjustment solutions for Medicare, Medicaid, and commercial risk adjustment products.
Sr. Director, Product Management, Inovalon
Sravani supports Inovalon's Payer solutions, helping drive innovation and value for health plans.
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Medical Software Specialist
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Medical Software Specialist