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

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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Some Notes on the RISE Nashville Summit 2016

by Kevin Mowll, Executive Director of RISE. The bigger this annual event gets, the more difficult it is to summarize all the themes and nuggets of information. Perhaps the most useful place to start is with the keynote address by Senator Tom Daschle and some of the key ideas that emerged from the RISE Advisory Board meeting on Sunday, with thanks to Denise Tortora, our RISE / Healthcare Education Associates senior vice president of marketing for her notes, as well....
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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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