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 healthcare professionals meeting the challenges of accountable 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

HCC Coder Survey: Profile of the Community

Early in 2016, RISE was approached by one of the association sponsors, Apixio, about conducting a survey of the HCC coder community. They wanted a better picture of the way the coders work and the tools they use in their jobs. As a technology company, of course, Apixio was keen to understand to what extent the community is comfortable with and uses technology in their daily jobs. RISE felt that this would be a useful survey as a mirror back to the HCC coding community about themselves and how their peers work. RISE supplied a mailing list of known HCC coding members for the purpose of inviting them to participant in this study. No marketing was permitted, just the profiling survey. Here are the results, which we promised we would share with you. We hope you find it of interest. Please let us know if you have questions and we will facilitate getting answers for you. ...
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RISE to Publish RAPS to EDPS Findings: Get the Scoop!

Those of us who participated in the call with CMS on Thursday morning heard that there are problems rolling out this transition from RAPS to EDPS and that CMS is closely focused on the issue. However, the healthplans included in the RISE RAPS to EDPS transition data collaboration are already way ahead on this topic. I am very pleased to announce that RISE will be publishing the results of our study shortly...
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Upcoming Conference

 

The 6th Annual RISE West Summit

Featuring solution-driven sessions and leading industry speakers, the 6th Annual RISE West Summit is designed to help you and your team move beyond mere planning and into action! Elevate your organization’s performance with discussions geared toward refining your risk adjustment, quality, predictive modeling, and member outreach initiatives. Also, enjoy the opportunity to kick-start your conference experience by selecting one of two essential pre-conference workshops and track sessions covering Medicare Advantage and Commercial risk adjustment, Star Ratings, HEDIS, coding accuracy, gap closures, physician education, Marketplace updates, RADV prep and the list goes on!

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Upcoming Webinar

RAPS / EDPS Reconciliation

Government-regulated health plans are concerned about the impact to risk scores and revenue due to CMS requiring Medicare Advantage plans to dual submit encounters to CMS using both RAPS and EDPS. While RAPS has been used for some time and the amount of data CMS requires is nominal, EDPS is much more complicated and the submissions contain extensive data on each encounter. The risk of revenues being impacted by this dual submission requirement is high. 
 
This webinar on RAPS to EDPS Reconciliation is designed to help health plans navigate dual CMS submission complexities by identifying issues and helping plans address them.
 

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