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Submitted URL: https://info1.exlservice.com/e3t/Ctc/ZO+113/c2Rw-04/VV_4P168pC4ZW5C-GhQ33z8_SW52hptB550HPMN6klYXC2-ZVTW95jsWP6lZ3q7W5tRPD46K-...
Effective URL: https://www.risehealth.org/event-center/rise-webinars/revolutionizing-radv-readiness-and-second-level-chart-review-with-ai-...
Submission: On October 24 via api from US — Scanned from DE
Effective URL: https://www.risehealth.org/event-center/rise-webinars/revolutionizing-radv-readiness-and-second-level-chart-review-with-ai-...
Submission: On October 24 via api from US — Scanned from DE
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<div style="text-align: center;"><span style="font-family: arial, helvetica, sans-serif; font-size: 14px; color: #000000;">Please sign up below to attend this RISE webinar.</span></div>
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<option value="FJ">Fiji</option>
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<option value="FR">France</option>
<option value="GF">French Guiana</option>
<option value="PF">French Polynesia</option>
<option value="TF">French Southern Territories</option>
<option value="GA">Gabon</option>
<option value="GM">Gambia</option>
<option value="GE">Georgia</option>
<option value="DE">Germany</option>
<option value="GH">Ghana</option>
<option value="GI">Gibraltar</option>
<option value="GR">Greece</option>
<option value="GL">Greenland</option>
<option value="GD">Grenada</option>
<option value="GP">Guadeloupe</option>
<option value="GT">Guatemala</option>
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<option value="GN">Guinea</option>
<option value="GW">Guinea-Bissau</option>
<option value="GY">Guyana</option>
<option value="HT">Haiti</option>
<option value="HM">Heard Island and McDonald Islands</option>
<option value="VA">Holy See (Vatican City State)</option>
<option value="HN">Honduras</option>
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<option value="IS">Iceland</option>
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<option value="ID">Indonesia</option>
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<option value="IQ">Iraq</option>
<option value="IE">Ireland</option>
<option value="IM">Isle of Man</option>
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<option value="IT">Italy</option>
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<option value="KI">Kiribati</option>
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<option value="KW">Kuwait</option>
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<option value="LI">Liechtenstein</option>
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<option value="MK">Macedonia, the former Yugoslav Republic of</option>
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<option value="MD">Moldova, Republic of</option>
<option value="MC">Monaco</option>
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<option value="ME">Montenegro</option>
<option value="MS">Montserrat</option>
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<option value="MM">Myanmar</option>
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<option value="NR">Nauru</option>
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<option value="NC">New Caledonia</option>
<option value="NZ">New Zealand</option>
<option value="NI">Nicaragua</option>
<option value="NE">Niger</option>
<option value="NG">Nigeria</option>
<option value="NU">Niue</option>
<option value="NF">Norfolk Island</option>
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<option value="PS">Palestine</option>
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<option value="PY">Paraguay</option>
<option value="PE">Peru</option>
<option value="PH">Philippines</option>
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<option value="PL">Poland</option>
<option value="PT">Portugal</option>
<option value="QA">Qatar</option>
<option value="RE">Reunion</option>
<option value="RO">Romania</option>
<option value="RU">Russian Federation</option>
<option value="RW">Rwanda</option>
<option value="BL">Saint Barthélemy</option>
<option value="SH">Saint Helena, Ascension and Tristan da Cunha</option>
<option value="KN">Saint Kitts and Nevis</option>
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<option value="MF">Saint Martin (French part)</option>
<option value="PM">Saint Pierre and Miquelon</option>
<option value="VC">Saint Vincent and the Grenadines</option>
<option value="WS">Samoa</option>
<option value="SM">San Marino</option>
<option value="ST">Sao Tome and Principe</option>
<option value="SA">Saudi Arabia</option>
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<option value="RS">Serbia</option>
<option value="SC">Seychelles</option>
<option value="SL">Sierra Leone</option>
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<option value="SX">Sint Maarten (Dutch part)</option>
<option value="SK">Slovakia</option>
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<option value="SB">Solomon Islands</option>
<option value="SO">Somalia</option>
<option value="ZA">South Africa</option>
<option value="GS">South Georgia and the South Sandwich Islands</option>
<option value="SS">South Sudan</option>
<option value="ES">Spain</option>
<option value="LK">Sri Lanka</option>
<option value="SD">Sudan</option>
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<option value="SJ">Svalbard and Jan Mayen</option>
<option value="SZ">Swaziland</option>
<option value="SE">Sweden</option>
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<option value="TL">Timor-Leste</option>
<option value="TG">Togo</option>
<option value="TK">Tokelau</option>
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<option value="TT">Trinidad and Tobago</option>
<option value="TN">Tunisia</option>
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<option value="TC">Turks and Caicos Islands</option>
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<div class="mktoAsterix">*</div>State:
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<option value="">Select...</option>
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RISE Back to events Please sign up below to attend this RISE webinar. * First Name: * Last Name: * Email Address: * Phone Number: * Company Name: * Company Type: Select...ACA IssuerAcademiaAccountable Care OrganizationAdvocacy GroupAuditorCommercial Health PlanCommunity-Based OrganizationConsultantEmployer GroupGovernment AgencyIPA Management or MSO CompanyIntegrated Delivery NetworkHealth Care FoundationHospitalMedicaid Health Plan or MCOMedicare Advantage Health PlanMulti-Line Health PlanNot-for-Profit OrganizationPharmacy Benefit ManagerPharmaceutical ManufacturerPhysician Practice / Medical GroupPrescription Drug PlanService Provider / VendorOther * Job Title: * Job Function: Select...Account ManagementActuarial ServiceAdministrationAdvisory & ConsultingBroker ManagementCare & Case ManagementClient Relations & ExperienceClinicalCommunity Outreach & EngagementComplex PopulationsCompliance / RegulatoryContractingC-SuiteData & AnalyticsFinanceHCC CodingHealth ServicesHuman ResourcesImplementationInformation TechnologyLegalManaged CareMarketing & CommunicationsMember EngagementMember ExperienceNetwork ManagementOperationsPharmacyPolicy & Government RelationsPopulation HealthProduct DevelopmentProduct ManagementProvider Engagement & RelationsQuality ImprovementRisk AdjustmentSales & Business DevelopmentStrategy & InnovationUtilization ManagementValue-Based CareOther * Country: AfghanistanAland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia, Plurinational State ofBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo, the Democratic Republic of theCongoCook IslandsCosta RicaCote d’IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly See (Vatican City State)HondurasHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People’s Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People’s Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMartiniqueMauritaniaMauritiusMayotteMexicoMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorwayOmanPakistanPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuela, Bolivarian Republic ofVietnamVirgin Islands, BritishWallis and FutunaWestern SaharaYemenZambiaZimbabwe * State: Select...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Submit Menu * Speakers * Sponsor * Register Now OCTOBER 31, 2023 | 1:30 EST | 1 HOUR A RISE WEBINAR IN PARTNERSHIP WITH EXL HEALTH Register for Webinar Learn More About the Sponsor Join Us for Revolutionizing RADV Readiness and Second Level Chart Review With AI Enabled Solutions Medicare Advantage plans are facing stricter regulations to determine overpayments within risk adjustment data validation (RADV) and improper payment audits, causing increased risk exposure and revenue concerns. The refined audit standards substantially impact MA plans and at-risk providers and require transformative approaches to increase focus on RADV readiness, second level chart review (2LR), and understanding of the impacts to the financial bottom line, accountability in risk-sharing arrangements, and the ability to sustain and enhance high-quality care provided to members. Given the complexities in risk adjustment, and resource and time constraints the healthcare industry is rapidly turning to artificial intelligence (AI) enabled solutions for effective and innovative processes. By implementing mock RADVs and 2LR guided by AI, plans and at-risk providers determine a more accurate, and timely picture of members’ active health status and coordinate better care while ensuring accuracy in risk scores and payment. In addition, partnerships with deep domain industry experts leading with these AI solutions bring value to ensure health plans and at-risk providers are best positioned for success in current and future model changes, RADV requirements, and supported in implementation of necessary policies and processes to address program accuracy. Topics at a Glance: * The latest CMS and OIG regulatory changes impacting the risk adjustment industry * Incorporation of emerging technologies and AI enabled solutions to support coding, documentation, and revenue accuracy * The value and benefits of mock RADV and improper payment audits * The value and benefits of including second level chart reviews in risk adjustment Sign Up For This Webinar This webinar is designed to specifically benefit those with responsibilities in the following areas: * Director/VP/Manager * Risk Adjustment * Finance * Claims * Quality * HEDIS/Stars * Data * Analytics * Understand how tech can improve coding accuracy * Include tech and evolving AI solutions in healthcare * Prepare for CMS model updates and the progression of the RADV audit process * Incorporate mock audits and second level chart review THIS WEBINAR BROUGHT TO YOU BY -------------------------------------------------------------------------------- EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid. Leveraging Human Ingenuity, EXL Health partners with payers, providers, pharmacy benefit managers and life sciences companies to make sense of data to drive their business forward. At EXL, our goal is simple, to help customers deliver the very best healthcare outcomes. It’s the fuel that powers our human ingenuity and determination to improve population health, optimize healthcare spend, and strengthen the patient and provider experience. With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem. We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. Close Contact Us © 2023 Wilmington FRA ;