Best Practices for Risk Adjustment Leaders in a Post-Compliance Era
As regulatory scrutiny intensifies and RADV audits become more frequent and financially consequential, health plans must move beyond reactive strategies to proactive audit readiness. This roundtable, hosted by Invent Health, brings together payer leaders and audit experts to share practical strategies that strengthen compliance, improve provider alignment, and turn RADV from a looming risk into an operational advantage.
Featuring insights from health plan leaders and Invent Health’s analytics team, this session focuses on the real-world challenges of navigating CMS and OIG expectations — and how to address them with the right mix of policy, process, and technology.
What You’ll Learn
Why internal alignment—not just CMS readiness—is the biggest RADV challenge
How to prioritize resources across MA, ACA, and Medicaid audits
Practical strategies for improving documentation, coding accuracy, and chart retrieval
Common pitfalls like overcoding, under-documentation, and EHR submission gaps
How AI and NLP can reduce coder burden and identify audit risks early
The role of mock audits, dashboard visibility, and cross-functional workflows
Why provider engagement and contract design are core to audit success
Who Should Watch
Medicare Advantage, ACA & Managed Medicaid Plan Leaders
Risk Adjustment and Compliance Executives
Medical Economics and Clinical Coding Managers
Provider Engagement, Quality, and Audit Teams
Our Speakers
Marty Reza
Healthcare Compliance & RA Leader
Siva Tunga
Chief Product Officer, Invent Health
Rohit Bhardwaj
Founder & CEO, Invent Health
Rich Delperdang
SVP, Sales, Invent Health
