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RAAPID at The 27th Risk Adjustment Forum

Explore RAAPID’s Risk Adjustment Solutions

RADV Audit AI Solution

radv audit

Retrospective Risk Adjustment Solution

Retrospective

Prospective Risk Adjustment Solution

Prospective

Extrapolation Is Still Paused. RADV Audits Are Not.

The extrapolation pause has not reduced pressure on Medicare Advantage plans. It has changed the math, not the volume.

CMS now audits every eligible MA contract, not the roughly 60 it used to select each year. Its published schedule runs six payment years, PY2020 through PY2025, from March 2026 to April 2027, and the order is not sequential. PY2024 audits began in August 2026, ahead of PY2023 in November and PY2022 in January 2027.

For planning, that means there is no longer a “between audits” period. One payment year opens before the last one closes.

So the real question is no longer whether you will be audited. It is whether every code you submit can defend itself.

Purpose-Built AI for RADV Audit Defense

Reduce Review Effort

Reduce Review Effort

60-80% reduction in chart review time with AI-powered coding

Strengthen Audit Defense

Strengthen Audit Defense

MEAT-backed evidence linked to every HCC for a complete audit trail

Find What Was Missed

Find What Was Missed

Surface code gaps and recapture opportunities before submission

Prove the Return

Prove the Return

10x ROI, backed by zero customer churn

RAAPID RADV AI Audit Solution

As Medicare Advantage oversight intensifies, RAAPID delivers a specialized RADV defense system built from the ground up for audit management. Our Neuro-Symbolic AI technology provides the transparency and evidence trails that matter when every code counts.

Two Ways to Deploy

Audit Management Tool

An intuitive workflow tool serving as an Integrated RADV Audit Console for real-time visibility and proactive alerts.

✓ RADV Compliant workflow

✓ Auto chase list generation

✓ Real-time dashboard

✓ Submission-ready records

AI Audit Solution

A complete solution combining our AI-Integrated workflow with the expertise of certified auditors for end-to-end Medicare Advantage support.

✓ AI-powered chart reviews and validation

✓ HCC-based ranking for submission

✓ CMS standard submission-ready records

✓ Expert oversight for defensible findings

Explore RAAPID’s Risk Adjustment Solutions

RAAPID Leadership Dinner v2

Join RAAPID for an Executive Dinner

​After a full day at the forum, step away from the conference floor and join us for an evening of fine Italian dining, welcome cocktails, wine, and good company. RAAPID is hosting a small, private dinner for leaders in risk adjustment, coding, and compliance. No presentations and no agenda, just a relaxed evening with peers.

​Seating is limited, and registration requires host approval.

When: Tuesday, October 27, 2026 | 6:30 PM

Where: Fiorenzo Italian Steakhouse, inside Hyatt Regency Orlando

Meet the RAAPID Leadership Team

christopher

Christopher O'Reilly

Senior Vice President, Sales

PIC 06

Yaw Asante

Vice President
Sales

David B. Rosenfeld

David B. Rosenfeld

Vice President
Sales

Chris ghullak

Chris Gluhak

Vice President
Sales

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