RAAPID Launches AI-Powered RADV Audit Solution for Health Plans
Well being Plans Can Entry Full RADV Audit Answer In the present day – Stay Demo at RISE West
RAAPID, a number one supplier of AI-driven threat adjustment and compliance options, at the moment introduced the launch of its complete RAAPID RADV Audit Answer. This providing is particularly designed to equip well being plans with the instruments and experience wanted to confidently tackle the Facilities for Medicare & Medicaid Providers’ (CMS) intensified Threat Adjustment Knowledge Validation (RADV) audits.
Stay Demonstration at RISE West: See the Answer in Motion
Convention attendees will expertise firsthand how RAAPID’s resolution transforms RADV audit preparation and protection. The demonstration will showcase:
- Actual-time Audit Workflow Administration: Watch how the platform eliminates spreadsheet chaos by centralizing all audit actions in a single clever console, full with automated alerts and progress monitoring.
- AI-Powered Chart Overview in Motion: See RAAPID’s Neuro-Symbolic AI immediately analyze medical charts, establish HCC codes, and supply explainable proof trails that stand as much as CMS scrutiny.
- Mock Audit Simulation: Expertise a compressed timeline of an precise RADV audit cycle, from preliminary notification via remaining response submission.
At RISE West, we’re not simply speaking about AI – we’re exhibiting precisely the way it solves healthcare’s costliest compliance problem,” stated Chetan Parikh, CEO of RAAPID. “Attendees will see our platform course of precise de-identified charts, validate HCC codes, and generate audit-ready documentation in minutes, not months.”
Assembly Healthcare’s Most Pressing Compliance Problem
With CMS projecting $4.7 billion in RADV recoveries and implementing common annual audits, well being plans face unprecedented monetary threat. The brand new audit framework calls for good documentation and nil coding errors – a normal inconceivable to realize via handbook processes alone.
A Twin-Powered Method for Finish-to-Finish RADV Audit Administration
RAAPID’s strategy combines expertise and experience via:
- Audit Administration Instrument: An clever workflow platform that serves as a administration console for RADV audits. Well being plans achieve full visibility into audit standing, automated process task, and proactive threat alerts. Non-obligatory AI capabilities may be activated to supercharge inside workflows.
- AI Audit Answer: The total-service resolution pairs RAAPID’s medical AI expertise with licensed RADV auditors who carry direct CMS audit expertise. This mixture automates chart evaluations, validates HCC codes, generates complete audit reviews, and manages rebuttals.
Versatile Deployment for Each Audit Situation
The platform addresses two essential use circumstances that can be demonstrated at RISE West:
- RAAPID Audit Protection: For plans at present underneath CMS audit, the answer offers speedy assist to construct defensible responses and reduce recoupments. Convention attendees will see how the platform analyzes charts and claims to create bulletproof audit documentation.
- RAAPID Audit Readiness: For proactive organizations, the platform conducts mock audits to establish vulnerabilities earlier than CMS comes knocking. The RISE West demo will present how plans can assess their audit threat and shut documentation gaps prematurely.
“What makes our resolution distinctive is the proper stability of AI pace and human experience,” explains Wynda Clayton, Director of Threat Adjustment at RAAPID and former CMS RADV Auditor. “At RISE West, we’ll exhibit how our licensed auditors use explainable AI to make sure each code is clinically correct and absolutely defensible. This isn’t black-box expertise – it’s clear, traceable, and reliable.”
Instantly Out there
The RAAPID RADV Audit Answer is accessible beginning at the moment, August 26, 2025. Early adopters will obtain precedence implementation assist, custom-made coaching, and direct entry to RAAPID’s RADV specialists to organize for the upcoming audit season.
The platform meets all enterprise safety necessities with HIPAA, SOC2 Sort II, and HITRUST certifications, guaranteeing full knowledge safety all through the audit course of.
Go to RAAPID at RISE West
Cease by the RAAPID sales space #313 at RISE West to schedule a personalised demonstration and find out how your group can remodel RADV audit preparation. The RAAPID crew can be accessible all through the convention to debate particular audit challenges and exhibit related resolution capabilities.
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