Read more about the article RISE Health Association โ€“ Risk Adjustment Strategies Between Payers and Providers: Real Life Tactical Examples from Industry Leaders

RISE Health Association โ€“ Risk Adjustment Strategies Between Payers and Providers: Real Life Tactical Examples from Industry Leaders

In this Panel Webinar, industry leaders from both sides will present the audience with specific risk strategies between payers and providers. Real life tactical examples will be discussed, and the…

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Read more about the article Internal Data & Audit Platform: 30% increase in productivity & 50% reduction in technology spend

Internal Data & Audit Platform: 30% increase in productivity & 50% reduction in technology spend

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…

Continue ReadingInternal Data & Audit Platform: 30% increase in productivity & 50% reduction in technology spend
Read more about the article Risk Adjustment โ€“ Second Level Review: 20% more risk factors added across 1M+ Medicare Advantage members

Risk Adjustment โ€“ Second Level Review: 20% more risk factors added across 1M+ Medicare Advantage members

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…

Continue ReadingRisk Adjustment โ€“ Second Level Review: 20% more risk factors added across 1M+ Medicare Advantage members