Transforming Compliance: How RAAPID's Purpose-Built AI Technology is Revolutionizing Risk Adjustment Audit Preparation

LOUISVILLE, Ky., Feb. 28, 2025 /PRNewswire/ -- RAAPID, an AI-powered risk adjustment technology leader, will present critical insights on modernizing RADV audit preparation, sharing real-world results and the impact of AI technology in mock audit preparation at the RISE National on March 13, 2025, 11:15 am (CST). The company will demonstrate its purpose-built AI solutions at Booth #513, where attendees can meet with the RAAPID leadership team.

In a featured speaking session titled "Transforming RADV Compliance: How AI-Driven Technologies Are Revolutionizing Risk Adjustment Audit Preparation," RAAPID's panel of experts will address risk-bearing entities' growing compliance challenges. Notably in the RISE National agenda are already sessions by the OIG and DoJ. With CMS now applying extrapolation to audit years retroactively to 2018, MA plans face significant financial exposure without proper preparation.

Michael Clark, President & Chief Growth Officer at RAAPID, will moderate this timely discussion featuring industry experts Wynda Clayton, Consultant in Risk Adjustment and former RadV Auditor, and Nehal Shah, CTO at RAAPID and CEO of DataOrb. The session will explore how healthcare organizations can use AI technologies to gain relevant and important coding insights to shift from reactive to proactive compliance management.

"The updated extrapolation allowances coming in 2025 create urgent challenges for risk adjustment teams," explains Clark. "Our session will show how AI-powered tools can help organizations maintain continuous coding accuracy, dramatically reducing variance while lowering costs, increasing the audit pool, and lowering overall administrative burden."

The presentation will cover three key areas crucial for today's healthcare organizations:

1. AI-Powered Compliance Infrastructure: How purpose-built Risk Adjustment AI and DocumentAI technologies work together to maintain coding accuracy and audit preparation.
2. Year-Round Audit Readiness: Practical strategies for identifying where variance occurs and implementing proactive compliance management
3. Navigating Regulatory Changes: Current DoJ and OIG priorities and how technology-enabled preparation addresses emerging compliance requirements.

RAAPID's solutions help healthcare organizations bridge the gap between payers and providers, using Knowledge Graph-infused AI technology trained on millions of real clinical charts. The company's AI platform consistently achieves an accuracy level in the high 90s, well above the industry standard of 95% accuracy in risk adjustment coding, while delivering the appropriate capture of reimbursement.

Visitors to Booth #513 will have the opportunity to see RAAPID's solutions in action, including demonstrations of the company's Prospective Pre-Visit Solution, point-of-care and post-visit workflows, and Retrospective Review and Audit capabilities. The RAAPID leadership team will be available throughout the conference to discuss the challenges facing attendees and their organizations.

For healthcare organizations concerned about RADV compliance, expanded audit extrapolation, and maintaining accurate risk scores, RAAPID offers practical, proven solutions that work within existing clinical workflows.

About RAAPID

RAAPID is a leading provider of AI-driven risk adjustment and compliance solutions, delivering evidence-based, audit-proof coding accuracy for health plans and providers. With recent backing from M12, Microsoft's Venture Fund, RAAPID is advancing the capabilities of clinically explainable AI to help organizations confidently navigate Medicare Advantage, Managed Medicaid, and ACA risk adjustment programs.

For more details, visit www.raapidinc.com/events/rise-national-2025.

Press Contact:

Mayur Vyas
(502) 699-3044
[email protected] 
(502) 498-4018

SOURCE RAAPID