The HEALS Academy with Dr. Prince Baawuah
The HEALS Academy helps Medicare Advantage Risk Adjustment (RA) Providers, Health Plans, and Practitioners navigate the complexities of the Medicare Advantage Risk Adjustment program, ensuring they secure Fair, Accurate, Complete, and Timely (FACT) risk adjustment payments.
As a Medicare Advantage Risk Adjustment Advisor, Consultant, Educator, and Coach, I help my clients to achieve the above by mastering end-to-end Medicare Advantage Encounter Data & Risk Adjustment and adapt to its changes with ease.
I guide them to stay informed about policy updates, leverage data and technology to understand how these changes might affect them, while also helping to develop and implement solutions that mitigate any negative impacts on their organizations (e.g., providers, health plans, etc.).
Ultimately, this ensures they and their organizations can continue to serve the beneficiaries they are called and trained to support, while remaining resilient and adaptable to policy shifts.
Medicare Advantage RADV: Then and Now
RADV In MA Payment Cycle Explained
Risk Adjustment Data Validation Audits (RADV): Definitions Simplified
CCP Enrollment By The Numbers & Parent Organizations
Types of Coordinated Care Plans (CCPs) Simplified
Introduction To Coordinated Care Plans (CCPs)
What Are Medicare Advantage Plan Types: Introduced Simply!
The Virtual National Medicare Advantage Summit
The Risk Adjustment Innovations Forum
The AHIP Conference
The RISE Risk Adjustment Forum
The RISE National Conference
4 Medicare Advantage Stakeholders To Know - No. 4: OIG
4 Medicare Advantage Stakeholders To Know - No. 3: MedPAC
4 Medicare Advantage Stakeholders To Know - No. 2: BMA
4 Medicare Advantage Stakeholders To Know - No. 1: AHIP
EDPS Error Code: DOS After Beneficiary DOD
EDPS Error Code: Beneficiary Not Enrolled in MAO for DOS
EDPS Error Code: Beneficiary DOB Mismatch
EDPS Error Code: Beneficiary Not Part C Eligible For DOS
The MARx Operational Calendar
The MA/PD Operational Calendar
The MA Payment Policies Update Calendar
Mastering the CY 2025 Medicare Advantage "Standard" Model Run Calendar
Publicly Available Healthcare Datasets: Usefulness and Usability
Providers & Revenue Cycle Teams: Why Should You Care?
EDPS Edit 19005 As Applicable To Institutional EDRs
EDPS Edit 19005 As Applicable To Professional & DME EDRs
EDPS Edit 19000 “Invalid Supplemental Benefit Submission”
Supplemental Hearing Care Services Codes in Medicare Advantage EXPLAINED