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Session 1: Understanding RADV Audits – Fundamentals and Implications – June 20th, 2025
Start with the basics in this foundational session, designed to demystify the CMS Risk Adjustment Data Validation (RADV) audit process. We’ll explore the purpose and structure of the RADV program, key CMS rulings, and the strategy behind the recent audit expansion. Learn how to identify high-risk diagnosis categories and assess the downstream impact that RADV findings can have on your organization.
Session 2: RADV Audit Readiness – Clinical Documentation Best Practices – June 27th, 2025
This session focuses on what matters most in audit defense: documentation. We’ll break down CMS’s documentation standards, highlighting what meets compliance expectations and what doesn’t. Participants will learn to recognize documentation pitfalls, align their practices with ICD-10-CM guidelines, and apply CMS medical record requirements to real-world examples. Perfect for providers and clinical teams seeking practical ways to improve audit readiness.
Session 3: Risk Adjustment Coding & Workflow Optimization for RADV – July 11th, 2025
In the final session, we turn our attention to coding and operational workflow. Learn how to correctly capture HCC diagnoses, leverage certified coding expertise, and integrate documentation criteria into compliant and reportable diagnoses. We’ll also showcase proven strategies and insights from payer-supported risk recapture initiatives to help you design workflows that improve accuracy, reduce audit exposure, and support sustainable revenue integrity.
