Risk Adjustment

 

Our Risk Adjustment Platform is a cloud-based analytics solution for executing risk adjustment models, reporting, auditing and prospective insights into your risk adjustment data.

 
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risk models

Our risk adjustment models are compliant with the Centers for Medicare & Medicaid Services' (CMS) guidelines and ensure accurate reporting.

 

reports

Our automated web services generate all the required CMS reports needed for risk adjustment. From monthly capitation reports to detailed audit reports, our platform will ensure that you have access to all the reports you need on-demand.

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automated data feeds

Easily integrate your claims data through file drops, database-to-database or other connection types to automatically kick off our risk score algorithms on-demand and generate your reports on daily basis.

 

audit support

We track every diagnosis code as it flows through our models and ensure that every patient is ready for a CMS RADV audit.

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