RAC and RADVs Audits: Proactive Strategies for Strengthen Audits for Healthcare System



The goal of the presentation is to provide techniques and practical strategies for healthcare professionals, administrators, and organizations for inevitable RAC (Recovery Audit Contractor) and RADV (Risk Adjustment Data Validation) audits. By focusing on proactive preparation, strategic planning, and bolstering resilience, this presentation will effectively equip healthcare systems with the tools and knowledge necessary to navigate the challenges. Attendees will receive a deeper understanding of audit processes, potential vulnerabilities, and practical strategies to fortify their systems, ensuring compliance and mitigating risks. Ultimately, the goal is to empower healthcare professionals to proactively address audit challenges, optimize operational efficiency, and safeguard the financial integrity of their organizations.

Learning Outcomes:
  • Understand the complexity of audit processes
  • Implement actionable strategies and best practices to lessen denials
  • Ensure compliance with regulatory requirements and standards related to RAC and RADV audits
  • Improve operational efficiency and responsiveness to audits
  • Identify potential vulnerabilities
Areas Covered in the Session:
  • Comprehensive overview of RAC and RADV audits
  • Understand the RADV/ RAC audit process
  • Importance of proactive preparedness
  • Adhering to laws and regulations
  • Streamline healthcare audit processes
  • Safeguarding financial integrity
  • Empowering healthcare professionals
  • Live Q&A Session
Recommended participants:
  • Healthcare Executives
  • Medical Providers
  • Medical Coders
  • Medical Billers
  • Medical Auditors
  • Clinical Documentation Integrity Professionals
  • Denials Management
  • Population Health Professionals
  • Revenue Cycle Management Professionals
  • Healthcare Administrators
  • Compliance Officers
Presenter Biography:

Sandra Love, MSN, RN, CCDS, CCDS-O, CPC, is the director of solutions for Norwood in Austin, TX. She has more than 17 years of nursing experience and 11 years in CDI. Previously, Love served as a manager of outpatient clinical documentation excellence at Atrium Health Wake Forest Baptist in Winston-Salem, North Carolina, where she helped implement two pediatric CDI programs and an outpatient CDI program. A past president of North Carolina ACDIS, Love has spoken at ACDIS chapter meetings and past national ACDIS conferences. She is also a former member of the ACDIS Events Committee and ACDIS Leadership Council.

Additional Information:

After registration, You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:
  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: +1 800-757-9502
Email: cs@waymoreeducation.com