The commercial risk adjustment program and
uncertainty surrounding the individual market
continues to challenge payers as they seek
financial and operational stability in the
post-ACA environment. Adding to this ongoing
challenge, health plans are now faced with
complying with the requirements of the
HHS-Risk Adjustment Data Validation (RADV)
process. This Audit tests the data integrity
of payers’ EDGE Server submissions, and has
the potential to impact the risk adjustment
transfer. We invite you to
join us as we explore an informed
approach to the RADV Audit results, the most
effective period for action, and potential
mitigation activities to consider in order to
avoid additional burden on risk adjustment as
the audit process moves out of its pilot year
and takes full effect.
DATE: Thursday, November 9, 2016 TIME:
1:00pm EST
In this webinar, you will learn:
- Learn about the challenges and financial implications associated with
RADV Audit findings
- How to approach and seek to mitigate the financial risk of adverse
audit findings
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