Showing 11 - 20 of 47 results
Webinar

The Tech Advantage: Streamlining Prospective Risk Adjustment Through Provider Engagement

…   Accurate clinical documentation is the foundation of risk adjustment, compliance, and effective healthcare operations. … technology, provider engagement strategies, and proactive risk adjustment models can streamline documentation, reduce …
Blogs & articles

Capturing HCCs at the Point-of-Care: Why Provider Engagement Is Key

… Accurate risk adjustment has become more important than ever in the shift … provider workflow ³   These gaps lead to incomplete patient risk scores, inaccurate health plan reimbursement, and … accuracy and compliance   This approach transforms risk adjustment from a retrospective exercise into a …
Podcast

Why Retrospective Risk Is Administratively Heavy—And What To Do About It

… Managing Director of Risk Adjustment Operations … Greg is the Managing Director of Risk Adjustment Operations, leading a team of over 350 risk
Case study

Turning the Tide: A Health Plan’s Oversight Program Revitalizes Health Plan Facing Operational Challenges

… of the measurement year.   Goal 2: Realize increased risk score accuracy with In-Home Assessments in Year One and … market, the goal was to establish accurate baseline member risk scores through In-Home Assessments in year one. In Year … solutions UST HealthProof implemented a member-centric risk adjustment strategy to improve risk score accuracy. In the …
Brochure

Proven solutions for prospective and retrospective Risk Adjustment challenges

… provides robust solutions to help you manage your Risk Adjustment requirements. Choose either a comprehensive … 4 … 17 … Proven solutions for prospective and retrospective Risk Adjustment challenges … insights …
Event

Risk Adjustment Forum - Fall 2025

… on the evolving regulatory and operational landscape of risk adjustment, this forum is key for professionals optimizing … maximize performance and accuracy. … Join us at the Fall Risk Adjustment Forum … REGISTER FOR THIS EVENT … 4 … 157 … …
Webinar

The V28 Blueprint - Strategies for Adapting to Change & Mitigating Impact

… attention now than ever Watch now to mitigate your plan’s risk and remain compliant. … Director of Risk Adjustment Coding Operations … Kristi Reyes is the …
Blogs & articles

Mind the Gap: How to Close Gaps in Care—Fast

… Identifying and quickly closing member gaps is critical for risk score accuracy and optimizing member health outcomes. Comprehensive Risk Adjustment programs work to close current-year gaps …
Podcast

Risk Adjustment Across Multiple Lines of Business

… Amanda Proctor has over 13 years in risk adjustment coding and specializes in risk mitigation, coding quality and education. She holds …
Podcast

Lessons Learned From the OIG

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