Rise

Welcome Remarks

Strategies for Partnering with Vendors

• Discover effective methods to vet and select vendors  
• Evaluate your business needs and determine where a vendor may fit  
• Gain clarity of methods to manage vendors to create lasting partnerships 

The Provider’s Role in Risk Adjustment

• Understand the role of the provider on a successful risk adjustment program  
• Investigate techniques for effectively building lasting provider trust  
• Assess provider engagement strategies that will impact your risk adjustment initiatives    

Eirinn Erny, M.D.
VP / Medical Director – Clinical Documentation Excellence
Ochsner Health Network

Cale Browning
Director – CDE Performance Management
Ochsner Health Network 

Demystifying Audits

• Review the basics what RADV audits are including the differences between commercial and Medicare  
• Examine the changes to RADV extrapolation to gain a valuable understanding of the process    
• Assess the RADV Rule and recent OIG audits and their effect on Compliance Submissions 

Deb Curry, MBA, RHIA, CCS-P, CRC, RAP, AHCCA, Risk Adjustment Programs Director
Medical Mutual

RADV Audit Preparation for Success

• Discuss the initial steps for preparing for a RADV audit  
• Identify essential stakeholders for successful RADV audit preparation  
• Analyze key factors to monitor in advance of an audit 

Donna Malone, CPC, CRC, AAPC Approved Instructor, AHCCA, RAP
Director Risk Capture, Population Health Management
Mass General Brigham

Day Two Wrap Up