Past Agenda
Explore the schedule of sessions from the last edition of The RISE Bedrock of Risk Adjustment virtual seminar to get an idea of what you will learn.
Tuesday - September 16, 2025
12:00 PM
12:00 PM – 12:05 PM
Opening Remarks
Speaker
Donna Malone
Director Risk Capture, Population Health Management at Mass General Brigham
12:05 PM
12:05 PM – 12:55 PM
An Introduction to Risk Adjustment
- Analyze risk adjustment’s purpose, participants, and best practices
- Learn the essential differences in product lines within Risk Adjustment
- Uncover the importance CMS and OIG play in Risk Adjustment
- Unpack commonly used terms and acronyms associated with risk adjustment
Speaker
Susan Waterman
Director of Risk Adjustment, at Baylor Scott and White Healthcare
12:55 PM
12:55 PM – 1:05 PM
Break
1:05 PM
1:05 PM – 1:55 PM
Prospective CDI Strategies: Laying the Foundation for Accurate Risk Adjustment
- Define prospective CDI initiatives and explain how they differ from retrospective strategies in risk adjustment
- Understand how pre-visit planning and chart reviews contribute to accurate HCC capture and risk score integrity
- Identify practical tools—such as suspecting models, point-of-care prompts, and provider education—that drive effective documentation
Speaker
Ava Johnson
Associate Director, Ambulatory CDQI at Mount Sinai Hospital, NYC
1:55 PM
1:55 PM – 2:05 PM
Break
2:05 PM
2:05 PM – 2:55 PM
V28 in Practice: Lessons Learned from the Transition and Beyond
- Reflect on key lessons learned from the implementation of the V28 model across operations, coding, and care delivery
- Identify persistent pain points and successful strategies for adapting systems to the fully blended environment
- Explore opportunities for continued improvement in accuracy, documentation, and provider education under V28
Speaker
April Woolworth
Manager Quality & Risk Adjustment at Innovation Care Partners
2:55 PM
2:55 PM – 3:05 PM
Break
3:05 PM
3:05 PM – 3:55 PM
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
Speaker
Amanda Watkins
Cityblock
3:55 PM
3:55 PM – 4:00 PM
Day One Wrap Up
Speaker
Donna Malone
Director Risk Capture, Population Health Management at Mass General Brigham
Wednesday - September 17, 2025
12:00 PM
12:00 PM – 12:05 PM
Welcome Remarks
Speaker
Donna Malone
Director Risk Capture, Population Health Management at Mass General Brigham
12:05 PM
12:05 PM – 12:55 PM
Understanding Risk Scores
- Learn and practice how to calculate risk scores
- Hone in on methods and models used to adjust for patient risk
- Evaluate the factors that contribute to risk scores
Speaker
Shannon Decker
Principal at VBC One
12:55 PM
12:55 PM – 1:05 PM
Break
1:05 PM
1:05 PM – 1:55 PM
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
Speaker
Donna Malone
Director Risk Capture, Population Health Management at Mass General Brigham
1:55 PM
1:55 PM – 2:05 PM
Break
2:05 PM
2:05 PM – 2:55 PM
Demystifying Audits
- Review the basics of what RADV audits are, including the differences between commercial and Medicare
- Examine the governing changes to RADV process to gain a valuable understanding of regulatory requirements
- Assess the RADV Rule and OIG audits to understand their impact on compliance submissions
Speaker
Deborah Curry
Risk Adjustment Programs Director at Medical Mutual
2:55 PM
2:55 PM – 3:05 PM
Break
3:05 PM
3:05 PM – 3:55 PM
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
Speaker
Cale Browning
AVP – Value-Based Performance Management at Ochsner Health Network
Speaker
Eirinn Erny
VP / Medical Director – Clinical Documentation Excellence at Ochsner Health Network
3:55 PM
3:55 PM – 4:00 PM
Day Two Wrap Up
Speaker
Donna Malone
Director Risk Capture, Population Health Management at Mass General Brigham