Navigating Risk Adjustment Data Validation (RADV) Audits with Confidence, and the Costs of Unsupported Diagnoses

In this episode, Lynn Ansley, Vice President of Revenue Cycle Management at Moffitt Cancer Center, joins the podcast to discuss how her team is leveraging automation, process optimization, and Epic implementation to transform revenue cycle operations.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand

In this episode, Dave DeHommel, Senior Vice President and General Manager of Payer Solutions at Reveleer, discusses how Medicare Advantage plans can reduce RADV audit exposure through stronger clinical data infrastructure, prospective risk adjustment strategies, and year-round documentation readiness. Visit reveleer.com/beckers-radv to learn more.

Arsenial Runion, Chief Executive Officer at the East Liberty Family Health Care Center (ELFHCC) in Pittsburgh, PA, joins the podcast to discuss leading a successful turnaround at a struggling federally qualified health center and expanding access to care through innovation and technology.

This episode recorded live at the Becker’s 16th Annual Meeting features Trevor Walker, Senior Vice President, Talent, Learning and Capabilities, CommonSpirit Health. He discusses preparing the healthcare workforce for rapid transformation, building adaptability and leadership capabilities at scale, and helping teams embrace AI and change while staying grounded in human connection and organizational culture.In collaboration with Insight Global.

In this episode,. Alan Condon, Editor-in-Chief at Becker's Healthcare, breaks down the latest financial performance and strategic shifts among major nonprofit health systems including CommonSpirit, Ascension, and Trinity Health. He also discusses the growing focus on ambulatory surgery centers, Providence’s decision to wind down its health plan business, and the mounting pressures facing provider-sponsored insurance plans.

In this episode, Patrick Velliky, Chief External Affairs Officer at HaloMD, discusses insurer participation challenges in the IDR process, the impact of outlier arbitration awards, and how providers can better navigate the No Surprises Act landscape.This episode is sponsored by HaloMD.

In this episode, Laura Dyrda, Vice President, Editor-in-Chief, Becker's Healthcare, discusses major healthcare trends shaping the industry, including Providence’s decision to wind down its insurance business, evolving hospital financial performance, and how health systems are approaching AI adoption and governance.

This episode recorded live at the Becker’s 16th Annual Meeting features Chris Bjornberg, Chief Executive Officer, Imperial Valley Healthcare District. He discusses leading a long anticipated hospital merger, aligning teams through uncertainty, and expanding access to care across Imperial County through collaboration, innovation, and strategic service line growth.In collaboration with Insight Global.

In this episode, Dr. Charles Liu, Director of the USC Neurorestoration Center, and Dr. Iftach Dolev, CEO of QuantalX Neuroscience, discuss the future of functional brain assessment, the importance of measurable neurofunctional data, and how scalable technologies could transform neurological care, aging management, and long term patient monitoring.This episode is sponsored by QuantalX Neuroscience.

In this episode, Paul Chausse, Jr., SVP Revenue Cycle and Chief Revenue Cycle Officer, Tampa General Hospital, discusses how AI agents are reshaping revenue cycle operations, the challenges of the fee for service model, and the leadership skills needed for the next generation of RCM leaders.Learn more about relentlessly raising RCM yield here: https://med-metrix.com/?utm_source=beckers&utm_medium=podcast&utm_campaign=brand