Don’t Wait for the Notice:
How to Prepare for RADV Audits Now
 

Live Webinar

Protect Your Health Plan’s Financial Future from Million-Dollar RADV Clawbacks and Board-Level Crisis

Panelists

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Wynda Clayton, MS, RHIT – Lead Presenter

Director of Risk Adjustment Coding & Compliance

Wynda is a recognized leader with over 20 years of experience in risk adjustment, coding, and compliance. A seasoned RADV auditor and educator, she focuses on maximizing coding accuracy and maintaining regulatory standards. At RAAPID, Wynda spearheads AI-driven initiatives to enhance value-based care delivery and reimbursement accuracy.

Christopher Lally

Chris Lally – Moderator

VP - Operations, RAAPID

RAAPID, Chris brings over 30 years of healthcare operations expertise, including extensive experience in risk adjustment, revenue cycle management, and AI-powered coding solutions across multiple industry-leading organizations. As Vice President of Operations at RAAPID, he spearheads the implementation of advanced AI technology platforms that help healthcare organizations capture complete patient risk profiles and optimize financial performance.

Why Attend This Session?

CMS’s historic RADV expansion puts every Medicare Advantage plan at immediate financial risk. With audits increasing 800% and potential clawbacks reaching tens of millions, unprepared organizations face existential threats. This executive briefing delivers the strategic framework to protect your revenue and regulatory standing.

  • Immediate Risk Assessment
    Understand your organization’s audit vulnerability today
  • Financial Protection
    Learn strategies that have saved health plans millions in penalties
  • Executive Accountability
    Get the leadership checklist for RADV audit readiness
  • Competitive Advantage
    Transform compliance burden into strategic differentiator
  • Crisis Prevention
    Build audit-proof infrastructure before notices arrive

Strategic Takeaways

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The Multi-Million Dollars at Stake

Real extrapolation scenarios showing how single audit findings can trigger millions in clawback

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Board-Level Crisis Prevention

Executive framework to identify audit vulnerabilities and prevent compliance failures

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Proven Defense Playbook

Strategic approaches that have protected health plans from penalties and maintained regulatory standing

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Leadership Action Plan

Your immediate responsibilities and the critical questions to ask your teams now

Countdown
to Webinar

Days

Who Should Attend

At organizations including Medicare Advantage plans, ACA health plans, ACOs, value-based provider groups, and third-party administrators