About Us

Vision / Mission Statement

RISE is the first national association totally dedicated to enabling healthcare professionals to meet the challenges of risk adjustment. We strive to serve our members on three fronts: Networking, Education, and Industry Intelligence.

Networking: RISE members make valuable connections with other healthcare professionals from across the nation, from every section of the industry. Through meaningful networking opportunities and roundtables, RISE brings together multiple perspectives and facilitates highly interactive discussion between professionals. Members hear the best (and worst) practices directly from your peers, and gain valuable insight into market trends.

Education: Through cutting edge conferences, webcast presentations, and industry-driven library resources, RISE provides our members with the crucial information you need to stay ahead of the risk adjustment curve. We also actively apply to industry credentialing organizations, to ensure coding professionals optimize every opportunity our programs offer to earn CEUs.

Industry Intelligence: From a comprehensive vendor directory to interviews with industry leaders, regulators and policy makers, RISE brings the marketplace to your fingertips in a brand new way. Our continually evolving resource database provides members tools you can use in your daily efforts.

Our 2010-2011 Board of Directors

Kenneth Persaud, Chief Executive Officer, PRECISION HEALTHCARE SYSTEMS

Kenneth Persaud is CEO of Precision Healthcare Systems, a full risk IPA located in Central Florida. In his role at Precision, Kenneth leads the strategic development of network expansion initiatives, innovative integrated case management and clinical documentation improvement programs. Precision Healthcare’s hallmark is a patient centric model of care which employs innovative provider engagement strategies, yielding long lasting improved health outcomes. Prior to working with Precision Healthcare, Kenneth served as a Director at Physicians United Plan, a Medicare advantage HMO with over 18,000 enrollees in Florida, where his focus included network development, Medicare risk adjustment, managed care clinical programs development, as well as regulatory accreditation oversight. Before joining Physicians United Plan, Kenneth served as the VP of Health Services at one of the largest full risk managed care IPA’s in South Florida, serving a patient population of approximately 17,000; where his oversight included serving as the primary architect of the UM program, case management program, HCC activities, as well as development of provider education programs. Kenneth has held executive positions and served as a consultant for the last decade with managed care IPAs, large hospital systems and MA plans. Kenneth began his career as a primary care physician, serving a managed Medicare population in a full risk IPA setting. Kenneth holds a B.S. in Biology & Molecular Biology from the Rochester Institute of Technology and completed his post graduate studies at the National Autonomous University of Mexico, School of Medicine.

Kimberly D. Stone, Director of Medicare Revenue Management, PRESBYTERIAN HEALTH PLAN

Kimberly Stone has 20+ years of healthcare experience and 13 years of Management experience in Health Plan Operations including Claims, Customer Service, Provider Relations and Risk Adjustment for various organizations including PacifiCare Health Systems (now owned by United), Kaiser Permanente of Southern California, Inland Health Organization (owned by CHW hospitals), Arcadian Health Plan and Management Services and Lovelace Health Plan of Albuquerque New Mexico. Kimberly has led and/or created departments within the health plan operations for more than 10 years with oversight of as many as 175 union and non-union employees. During her time at Arcadian Health plan Kimberly established a risk adjustment team, increasing overall revenue for Arcadian Health Plan through the development of processes, programs and team collaborative efforts. Kimberly created an internal HCC program from the ground up and led the 2007 Risk Adjustment Data Validation (RADV) Pilot Audit for Lovelace Health Plan. As the Director of Medicare Revenue Management, Kimberly is now responsible for the risk adjustment program for Presbyterian Health Plan. Kimberly is also on the boards of RISE (Risk adjustment Initiative and Society for Education) and PBW (Professional Business Women) of Albuquerque.

Lesley Weir, Director of Risk Adjustment, VIVA HEALTH, INC

Lesley is the Director of Risk Adjustment for VIVA Health based in Birmingham, Alabama. Lesley has over 16 years experience in Medicare Managed Care with the last 5 of those years being solely dedicated to risk adjustment operations. Prior to overseeing the Risk Adjustment department, she was the Director of Medicare Operations for VIVA Health where she managed the Medicare Enrollment, Claims and Member Services staff. She has extensive experience with RADV audits and has been responsible for successfully leading VIVA Health through 5 of them.

Lesley has also provided consulting services to health plans seeking to implement a Medicare Advantage product as well as plans needing to prepare for CMS operational audits. She has helped several managed care organizations file their application with CMS and implement the operational processes necessary to manage the product.

Ann U. Greenberg, CHP, CCEP, President, AG Compliance Group, LLC

Ms. Greenberg leads AG Compliance Group in its mission to provide excellence in compliance consulting services to health care organizations. AG Compliance Group specializes in health plan and privacy compliance. Ms. Greenberg provides consulting services in commercial healthcare insurance, Medicare and Medicaid regulatory compliance, privacy laws and their implementation, regulatory auditing, and management consulting. Ms. Greenberg has provided compliance consulting services to national healthcare firms in the areas of state and federal regulatory compliance, Medicare and Medicaid compliance and auditing, policy development and implementation, and fraud and abuse auditing and integrity program development. Ms. Greenberg is providing consulting and policy development services in the creation of the statewide Health Information Exchange (HIE) in New Mexico. The HIE will provide practitioners electronic access to patient information throughout the state.

Ms. Greenberg has certification from The George Washington University Healthcare Corporate Compliance Certification program and holds certifications from the Society of Corporate Compliance and Ethics, and HIPAA Privacy and Security certifications from the HIPAA Academy. Ms. Greenberg earned her MA in Mathematics and BS in Psychology from the University of New Mexico.

If you are interested in join the board or leading a committee, please contact Kristin Rodriguez at 831-465-2298 or krodriguez@rasociety.org

Who Should Join

RISE was designed to bring together healthcare professionals from all industry segments whose job functions are directly impacted by the continuing evolution of risk adjustment. Members include professionals from:

  • Healthplans
  • Medical Groups
  • MSOs
  • IPAs
  • Physician Groups
  • Hospitals
  • Chronic Care Facilities
  • Medical homes & ACOs
With responsibilities for:
  • Quality assurance
  • Medical management
  • Coding & billing
  • Risk adjustment
  • Medical informatics
  • Network management
  • Data analysis
  • Physician education & engagement

Benefits of Membership

RISE is the first national association totally dedicated to enabling healthcare professionals to meet the challenges of risk adjustment. We strive to serve our members on three fronts: Networking, Education, and Industry Intelligence.

Healthcare professionals are eligible for Standard Membership with RISE, which grants access to:

  • RISE-exclusive webcasts and educational webinars throughout the year
  • Rising to the Challenge! — Our quarterly newsletter
  • A resource library generated by RISE members
  • A continually growing Marketplace directory, with links to your available vendor solutions – all in one place
Join RISE today!