Results for Risk Adjustment

Client Background and Context Client with 20+ risk-bearing locations & various data input sources wanted to: Partner with a platform to audit codes received from multiple sourcesImprove productivity of each of their locations & divisionsIncrease data quality of codes added by internal & external partnersEnhance operating margins through cost optimization Solution ...Read More

Client Background and Context National Health Plan with 6M+ members of which 1M+ MA. The client found gaps in their coding & claims data collection/submission process. The client wanted to: Overcome issues in collecting the correct data and documentationFix the incomplete HCC risk scoreEnsure correct addition/deletion data is sent to CMSMitigate ...Read More