RAAPID's Executive RADV Audit Webinar Now Available On-Demand for Medicare Advantage Plans

Whats Happening:

RAAPID, a risk adjustment technology company backed by Microsoft's M12 venture fund, has concluded its executive webinar on RADV audit preparation. The webinar, featuring industry expert Wynda Clayton, addressed CMS's shift to universal RADV audits and the significant financial implications for Medicare Advantage organizations. The session is now available for on-demand viewing on RAAPID's website.

Key Moves:

• CMS shifts to universal RADV audits for all eligible Medicare Advantage organizations

• RAAPID hosts webinar on RADV audit preparation featuring industry expert Wynda Clayton

• Webinar now available for on-demand viewing on RAAPID's website

By The Numbers:

• CMS estimates $4.7 billion in additional recoveries from insurers due to RADV audit findings from 2023-2032

• 69% of HCC payments were found unsupported by documentation in recent OIG audits

• Medicare Advantage plans may be overbilling by $17-43 billion annually

Key Quotes:

• "RADV audits aren't just a compliance issue – they're a leadership priority that directly affects financial stability and organizational performance," - Wynda Clayton

• "For 2019, they have definitely cut the audit time by half – you only have, for the most part, 90 days to complete this audit," - Wynda Clayton

• "If you end up with 200 enrollees that you're going to have to audit, that's going to be a lot to get done in three months versus six months." - Wynda Clayton

Bottom Line:

RAAPID's webinar highlights the critical importance of RADV audit preparation for Medicare Advantage organizations. With CMS's shift to universal audits and significant financial implications, executives must prioritize audit readiness across departments to ensure compliance and financial stability.

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