Revolutionizing RADV Readiness and Second Level Chart Review with AI Enabled Solutions

Aired: October 31, 2023

Sponsored by EXL Health

EXL Health discusses Medicare Advantage plans are facing stricter regulations to determine overpayments within risk adjustment data validation (RADV) and improper payment audits, causing increased risk exposure and revenue concerns. The refined audit standards substantially impact MA plans and at-risk providers and require transformative approaches to increase focus on RADV readiness, second level chart review (2LR), and understanding of the impacts to the financial bottom line, accountability in risk-sharing arrangements, and the ability to sustain and enhance high-quality care provided to members.

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