Applied AI Summit
Free online conference | October 14-16, 2025Preparing for RADV Audits with AI: Automating HCC Evidence Packets for Medicare Advantage
The Centers for Medicare & Medicaid Services (CMS) is expanding the scope and rigor of Risk Adjustment Data Validation (RADV) audits, creating new challenges for Medicare Advantage organizations. Every submitted HCC must now be supported by precise, auditable clinical documentation – placing significant strain on coding teams and compliance workflows
In this session, Martlet.ai Co-Founders Ritwik and Hasham will introduce a new AI-powered RADV platform that automates the end-to-end audit process: ingesting charts from disparate clinical systems at scale; linking each HCC to verifiable, date-bounded, provider-appropriate documentation; and routing work to coders/auditors through an opinionated review interface. The system enforces evidence sufficiency (MEAT/TP, provider type, signature/attestation, date range), maintains full provenance for every assertion, and produces CMS-ready export packets – while ensuring maximum privacy and scalability.
Attendees will see how this approach combines automation with human oversight to reduce audit risk, cut administrative burden, and strengthen compliance. The presentation will also share benchmark results showing that Martlet.ai’s pipeline outperforms leading frontier models in both coding accuracy and evidence retrieval – delivering a practical, enterprise-ready solution for payers and auditors preparing for CMS’s next wave of RADV audits.
About the speaker
Hasham Ul Haq
Co-Founder & CTO at Martlet.ai
Hasham Ul Haq is the Co-Founder and CTO of Martlet.ai, where he leads the development of healthcare-specific NLP pipelines and large language models for risk adjustment and audit readiness. Hasham is a Principal NLP Scientist at John Snow Labs, where he builds domain-specific AI models that set new benchmarks in Healthcare NLP. Hasham’s work focuses on designing enterprise-grade AI systems that process clinical text at scale, powering solutions for coding, abstraction, and compliance. At Martlet.ai, he is spearheading the creation of an AI-driven RADV preparation platform that automates evidence packet generation for Medicare Advantage audits.
Ritwik Jain
Co-Founder at Martlet.ai
Ritwik Jain is the Co-Founder of Martlet.ai, a spin-off from John Snow Labs focused on building enterprise-ready AI solutions for HCC coding and RADV audit preparation. He also serves as Senior Director at John Snow Labs, where he has partnered with many of the nation’s largest health plans to deploy NLP and generative AI solutions for business-critical use cases.
With a career spanning Microsoft’s Azure Go-To-Market team, early-stage AI startups and scale-ups, Ritwik bridges technical innovation with measurable business outcomes. He is a frequent speaker on the operational realities of deploying AI in healthcare and is passionate about aligning technology with the financial and clinical needs of Healthcare enterprises.