
RAAPID, the leading AI-powered risk adjustment solutions provider, announced a webinar designed to help Medicare Advantage plans master documentation standards ahead of expanded CMS audits.
The webinar, titled "From Chaos to Compliance: Mastering RADV Documentation Before CMS Comes Knocking," will take place on July 23, 2025, from 11:00-11:40 AM ET as part of RAAPID's RADV Audit Series.
The timing is critical. The Centers for Medicare & Medicaid Services recently expanded Risk Adjustment Data Validation (RADV) audits from 60 to all 550 Medicare Advantage plans annually, significantly increasing compliance pressure across the industry.
"We're seeing health plans lose millions in claw-backs due to documentation gaps that could have been prevented," said Wynda Clayton, MS, RHIT, Director of Risk Adjustment Coding & Compliance at RAAPID. "The cost of poor documentation has never been higher, and plans can't afford to wait for an audit letter to fix these issues."
Clayton, who brings over 20 years of RADV audit experience, will lead attendees through real chart examples during the interactive session, demonstrating the exact evidence standards CMS auditors expect versus documentation that triggers penalties.
What Attendees Will Learn:
- Live chart reviews showing compliant vs. non-compliant evidence
- 30-minute daily routine that prevents documentation chaos
- Step-by-step framework to identify and fix gaps before they cost millions
- Executive talking points for securing C-suite buy-in on compliance initiatives
"This isn't theoretical training – it's battle-tested strategy from two decades of keeping MA plans audit-ready," Clayton added. "We'll show attendees exactly what passes CMS scrutiny and what doesn't, using real examples from actual audits."
Cat Valyi, Senior Marketing Consultant at RAAPID, will moderate the session. Valyi brings 30+ years of healthcare marketing experience and specializes in translating complex regulatory requirements into actionable business strategies.
The webinar targets CEOs, CFOs, Chief Compliance Officers, VP Risk Adjustment, and Coding Directors at Medicare Advantage plans, ACA health plans, ACOs, and value-based care organizations.
Growing Industry Demand
The RADV Audit Series has attracted over 100 MA plan leaders since launching, reflecting widespread industry concern about compliance readiness. With CMS implementing AI-driven audit tools and intensifying scrutiny on unsupported diagnoses, MA health plans are seeking practical frameworks to protect revenue and maintain compliance.
Register Here to Learn Actionable Strategies.
"Every clinical oversight today could trigger a major claw-back tomorrow," Clayton emphasized. "The goal is to help plans get ahead of the audit cycle with documentation that stands up to the toughest scrutiny."
RAAPID develops AI-powered risk adjustment solutions for healthcare payers, providers, and supporting organizations. The company's HITRUST-certified platform uses neuro-symbolic AI to identify chronic conditions, determine HCC codes, calculate risk scores, and analyze population health trends. Following a Series A investment from M12 (Microsoft's venture fund), RAAPID serves organizations participating in Medicare Advantage, ACA, Medicare ACO, and Medicaid programs. Founded by healthcare technology veterans with over 20 years of experience, RAAPID is headquartered in Louisville, Kentucky.
Learn more at www.raapidinc.com.