RISE Institute

The RISE Association introduces the RISE Institute, a training, and education program developed for health plan industry professionals on targeted subjects. The RISE Institute currently offers two intensive, collaborative risk adjustment workshops for CMS & HHS risk adjustment. With content that dives into the role of risk adjustment, HCC coding, and management tools needed, these workshops are your comprehensive education into Medicare risk adjustment. Each workshop is offered throughout the country, to allow you to choose the date and location that is most convenient to your schedule. (Formerly known as the RISE Academy.)


Workshops

 

CMS & HHS Risk Adjustment 101 and HCC Coding Accuracy

April 23-24, 2018 | Courtyard Boston Downtown | Boston, MA

Designed as an introduction or refresher that covers all the bases when working with Medicare Advantage or on commercial health insurance exchanges lines of business. This workshop program is a holistic orientation to the risk adjustment panorama and deep dive into HCC coding for accuracy. With a mix of health plan and provider audiences, a powerful environment for interaction and collaboration is built over two days.

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Leading and Implementing HCC Coding & Documentation Programs

April 23-24, 2018 | Courtyard Boston Downtown | Boston, MA

An in-depth managerial level workshop that lays out best practices for an end-to-end method of aligning chart documentation, HCC code capture and audit-readiness at both the provider and health plan levels. There is finally an industry standard through the RISE Institute and Risk Adjustment Workshops With instructor led presentations and multiple small group exercise activities, this rich learning environment, will help you implement improved HCC coding and documentation implementation across your organization!

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Workshop vs. Conference - Which do I choose?

In short, it depends on what you are looking for.  If you already have the foundation knowledge of risk adjustment and coding, the conference will keep you current on issues.  On the other hand, if you are not yet fully prepared for risk adjustment and coding, you would not get as much out of the conference without the preparation provided by the workshop. 

Workshop Benefits

  • Free standing workshop with standardized material to provide a consistent, through education on risk adjustment and HCC Coding
  • Intended to be a comprehensive course for, primarily to ensure that pros in the field know and are familiar with the whole scope, filling in gaps in knowledge or as an intro for new professionals
  • Small faculty to teach, train, and prepare people for their role in risk adjustment
  • 25-30 people seated at round tables for collegiality, networking, and a more intimate learning atmosphere

RISE Conference Benefits

  • Structured to offer multiple speakers on multiple topics of interest each from their own perspective
  • Wider range of topics other than risk adjustment
  • Not designed to be comprehensive, but is timely subjects and topics
  • Attracts a much larger audience with a more diverse background of job titles and roles
  • Vendors with their exhibits to learn about new technologies and shop for services, if you desire 

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Latest Posts

Find More, Spend Less, Take Control: Leveraging Technology to Improve the ROI on Risk Adjustment

Due to changing market dynamics, there is increasing pressure for risk-bearing organizations to improve the effectiveness of their risk adjustment programs. Several trends present pervasive challenges—for example, increasing number of risk-adjusted lives, rising coding intensity factor, and heightened focus on compliance. Risk adjustment departments are constantly being asked to do more with less. Organizations that can leverage risk adjustment as a strategic asset and effectively utilize technology will be best positioned to achieve accurate risk and revenue capture while simultaneously decreasing costs. Streamlining Risk Adjustment with Technology As organizations seek to modernize their risk adjustment operations, there are several high value technology initiatives they can explore. Rather than blindly reviewing charts across the entire membership, organizations can use natural language processing (NLP) technology on medical records to help identify risk adjustment gaps, both for additional HCC capture and for potential deletes. Health Fidelity has been able to consistently demonstrate with our clients that NLP-assisted coding delivers superior results as compared to human-only reviews, both when our clients are conducting the coding and when our coders provide the coding capacity....
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Boomerquake

Medicare products are expected to be the fastest growing insurance sector over the next 10-years. At the same time, Boomers are transforming care delivery, from aging-at-home services to convenience-driven alternate sites of care such as retail clinics, telemedicine and wearables to anti-aging nutraceuticals. Opportunity abounds. What’s clear is the need to understand Boomers – what’s important to them, what truly matters to them, and why they do what they do – has never been more important. For marketers this means a shift in orientation from brand promotion to individual inspiration, from features and functions to emotional appeals that move people to act and engage. It’s about connecting with Boomers around personal, relevant motivations and deep, sometimes even unconscious desires, like freedom, happiness, renewed goals, or simply the ability to enjoy life. A quick snapshot of 75+ million Boomers ages 51 to 69: ...
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Upcoming Conference

 

RISE Risk Adjustment Academy: CMS & HHS Risk Adjustment 101 and HCC Coding Accuracy

Designed as an introduction or refresher that covers all the bases when working with Medicare Advantage or on commercial health insurance exchanges lines of business. The workshop program is a holistic orientation to the risk adjustment panorama and deep dive into HCC coding for accuracy. With a mix of health plan and provider audiences, a powerful environment for interaction and collaboration is built over two-days. You will gain insight, tips, and best practices to build upon your knowledge of risk adjustment, coding, and documentation.

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Upcoming Webinar

Protecting Risk Adjusted Revenue in Small and Mid-Tier Health Plans

If you’ve ever heard the phrase “working without a net” then you’ve heard a phrase that accurately describes the status of risk-adjusted revenue for small and mid-tier health plans. And when you’re working without that net, you’ve got to secure every dollar possible. Easier said than done given the inherent complexity of the encounter management lifecycle and the constant changes and updates that continue to vex managed care plans of all types. What’s required is a simple, best practice approach to encounter data management that is built to serve the needs of health plans regardless of their size. Implementing a best practice approach for small and mid-tier managed care health plans to protect and grow risk-adjusted revenue begins by joining Edifecs for this impactful, actionable webinar.

 

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