Welcome to RISE

Resource Initiative and Society for Education

Welcome to the home of the Resource Initiative and Society for Education (RISE). RISE is the first national association totally dedicated to enabling healthcare professionals to meet the challenges of managed healthcare. We strive to serve our members on four fronts: Networking, Education, Jobs and Industry Intelligence. Please explore our website and the resources it provides. Those wanting to join the association are invited to complete and submit an application. Take a look at the benefits and services of membership. 

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Latest Posts

News Flash: Booking Hotel Space for New Orleans Risk Adjustment Forum

Due to the popularity of the Risk Adjustment Forum for Health Plans the Roosevelt New Orleans has sold out, thus an overflow room block been established. Do not delay book your room today as the overflow block will sell out rapidly. The overflow hotel is located just blocks from the Roosevelt. ...
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Another Resource for Preparing for the AAPC CRC Exam

RISE fully supports the new AAPC certificate program for risk adjustment, the CRC credential. Of course, AAPC provides study and preparation tools. We also want you to know that there is a program offered by Medical Audit Resource Services, Inc. (MARSI), a leader in HCC coding, auditing and consulting services. They provide a very thorough and comprehensive online certification course in HCC coding and auditing. This course will also prepare students for the CRC exam. The curriculum contains approximately 40 hours of instruction, training materials, worksheets, quizzes and tests....
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Upcoming Conference

 

The Risk Adjustment Forum

Risk adjustment is the keystone to long-term solvency in the post-ACA healthcare market. Carriers with mastery over risk adjustment will thrive in this new environment, while those with poor risk adjustment programs will fall behind. With the zero-sum model in place, commercial & exchange plans face serious challenges to their bottom lines. 

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Upcoming Webinar

CMS RADV Preparation Best Practices

In order to maintain payment integrity for the CMS HCC model, CMS performs national RADV to study the payment error rates. CMS also performs contract level RADVs for health plans with high risk score variation from year-to-year to recover overpayments.

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