… and other government healthcare businesses … Strong Risk Adjustment drives success for health plans, but developing a … miss opportunities to improve care and outcomes and drive risk score accuracy when they don’t employ a strategic …

… Improve retrospective Risk Adjustment from gap and chase analytics to coding and audit … and industry expertise for an end-to-end retrospective Risk Adjustment program – and unbundled solutions – to meet …

… Summary Join the webinar, Enhancing Compliance and Risk Adjustment Coding to explore ways to avoid common compliance challenges in Risk Adjustment coding and implement new tactics for …

… Risk adjustment across multiple lines of business presents an … all aim to accurately predict healthcare costs through risk adjustment, the methods, models, and populations involved …

… Build a complete prospective Risk Adjustment program or a targeted approach with options for … into the hands of providers at the point of care to close Risk Adjustment and Stars gaps … Our end-to-end prospective …

… Director of Risk Adjustment Coding Operations … Kristi Reyes is the Director of Risk Adjustment Coding Operations. She leads a team of 250 …

… box to check—it’s a cornerstone of effective healthcare and risk adjustment. Providers and health plans both play vital roles … the context needed to ensure compliance with coding and risk adjustment standards.   Health plans rely on accurate …

… Explore how modern health plans can optimize risk adjustment programs to balance financial stability with … in today's complex regulatory environment. "Getting Risk Adjustment Right: A Guide for Modern Healthcare Plans" …

… Effective risk adjustment is crucial for health plans and risk sharing providers to position themselves to compete by …

… of Noncompliance: What Whistleblower Lawsuits Reveal About Risk Adjustment Failures The recent wave of whistleblower … is no longer a back-office issue, it’s a strategic risk. These cases, some of which are ongoing and others …