When CMS expanded RADV audits in 2025, Medicare Advantage plans were suddenly exposed to greater scrutiny, tighter deadlines, and the looming threat of multi-million-dollar clawbacks. Recognizing the urgency, RAAPID convened its four-part Webinar Leadership Series led by Wynda Clayton, Director of Risk Adjustment Coding & Compliance, with Chris Lally, VP of Operations, and Cat Valyi, a seasoned healthcare marketing consultant, guiding the conversations.
Their combined expertise gave the sessions both operational depth and strategic clarity. Paired with interactive features like polls, breakouts, and live Q&A, the series provided leaders and coding teams with timely insights and practical tools to strengthen compliance and protect revenue.
Featured Speaker
Wynda Clayton, MS, RHIT
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.
Moderator
Chris Lally
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.
Cat Valyi
Senior Marketing Consultant
Cat Valyi is a seasoned B2B healthcare marketing strategist with over 30 years of experience, and the creator of the 3D Strategic Marketing Approach. She’s also a speaker, podcast host, and founder of CV Strategic Marketing Solutions—helping healthcare organizations grow through clear, results-driven marketing.
Inside the Webinar Room:
Episode 1
Don’t Wait for the Notice: How to Prepare for RADV Audits Now
- Topics on the table
This session highlighted the financial risk of extrapolated clawbacks and emphasized the urgent need to prioritize RADV readiness as a leadership issue. Real-world scenarios showed how small errors can balloon into multi-million-dollar liabilities.
- What attendees gained
Geared toward C-suite leaders and compliance executives, the session provided a 48-hour action plan for assessing exposure and setting up audit-readiness programs. For many, it reframed RADV not as a compliance task but as a board-level risk.
- Engagement in action
Attendees responded to the urgency with pointed questions about financial forecasting and internal task forces. The immediacy of the topic kept executives engaged, with many leaving ready to brief their boards the same week.
Episode 2
From Chaos to Compliance: Mastering RADV Documentation
- Topics on the table
This discussion tackled the root cause of audit failures—poor documentation. The emphasis was on reconciling claims against notes, applying frameworks like MEAT consistently, and using AI-driven “pre-audits” to catch unsupported codes.
- What attendees gained
The content was tailored to risk adjustment managers, coders, and compliance officers. Each group was given role-specific tactics, from coder query practices to compliance officer spot checks, making the session highly actionable.
- Engagement in action
Audience engagement centered on implementation hurdles: training resistant physicians, determining sample sizes, and integrating AI tools. The strong back-and-forth showed documentation gaps remain a universal concern.
Episode 3
Beyond the RADV Checklist: Short-Term Survival & Long-Term Protection
- Topics on the table
This session urged leaders to move beyond basic compliance checklists. It introduced survival tactics for those already in audits—such as forming audit war rooms—and long-term strategies like embedding predictive analytics into operations.
- What attendees gained
This webinar resonated most with CEOs, CFOs, and compliance leaders. It gave executives both the immediate tools to manage active audits and a framework for sustainable revenue protection.
- Engagement in action
The interactive panel prompted scenario-driven questions about extrapolation disputes and budgeting. Attendees valued the practical toolkits and templates, underscoring demand for resources they could deploy right away.
Episode 4
From Paper to Predictive: Modernizing RADV Prep with Clinical AI
- Topics on the table
The final session showed how AI can transform RADV prep from paper-heavy reviews to predictive analytics. Key points included AI-driven MEAT detection, risk scoring, and automated training tools for coders and physicians.
- What attendees gained
Compliance officers, IT leaders, and risk adjustment executives observed how predictive tools reduce manual work, close care gaps more quickly, and safeguard revenue. The session highlighted that AI is no longer optional but essential.
- Engagement in action
The Q&A reflected growing demand for technical clarity—how to integrate AI with EHRs, what data is needed, and how ROI is measured. The appetite for concrete next steps made this webinar a natural capstone to the series
Conclusion
Across the four-part series, one message became clear: RADV readiness can’t be left to chance. The discussions underscored the need to align compliance programs with CMS timelines, give equal attention to both executive leadership and frontline teams, and adopt interactive education as a means to keep organizations engaged and accountable. Just as important, data-driven insights and AI-powered solutions emerged as the future of sustainable audit defense. RAAPID’s 2025 webinars highlighted that surviving RADV audits requires more than checklists — it demands leadership commitment, airtight documentation, and forward-looking adoption of technology. By combining education with practical tools, RAAPID is helping organizations transform compliance from a reactive scramble into a proactive strategy.
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