Medical record retrieval is a necessary evil for most payers and risk-bearing entities. It is governed by archaic processes that have been unchanged for nearly four decades. However, certain watershed events over the past few years have impacted retrievals and may start to improve the front intake of medical records.
While the risk adjustment (RA) process is slowly catching up to become more efficient, there are a number of ways that payers can improve their workflows and provider relationships. These improvements not only result in better outcomes for payers but they help improve patient care.
This whitepaper will delve into the issues surrounding compliant risk adjustment workflows and ways payers and risk-bearing entities can improve their data retrieval.
Executive Summary Hospitals work hard to secure every dollar theyโre owed. But what if some of that money is quietly slipping away? It happens
