… solutions for Core Administration and clinical operations, Risk Adjustment, Quality Improvement and Stars – all developed … portfolio and expertise in Core Administration, Risk Adjustment, Quality and Care Management solutions       …

… Director of Coding Quality and Risk Mitigation … Amanda Proctor is the Director of Coding Quality and Risk Mitigation and has over 14 years’ experience in Risk adjustment and holds multiple certifications in Coding, …

… help payers reform their core administrative functions and risk adjustment operations. … Plans need ways to improve … consists of healthcare professionals across Core Admin, Risk Adjustment, Quality and other areas with deep knowledge …

… and CMS regulatory rules to align with the organization’s Risk Adjustment strategy.   Let’s review the process from start … of a member’s chart to pre-identify which charts contain risk-adjustable HCC diagnosis codes. This lays the …

… solutions for Core Administration and clinical operations, Risk Adjustment, Quality Improvement and Stars to cover all your … of Core Administration capabilities, deep expertise in Risk Adjustment, Quality Improvement and Stars management, …

… health plans, which need to acquire and report their own risk-adjustment data, the increased reporting burden for providers created an immediate need to cut across risk-adjustment and quality processes and foster greater …

… … Risk Mitigation, Coding Quality and Education Specialist … Amanda Proctor has over 14 years of experience in Risk Adjustment Coding and Specializes in risk mitigation, …

… is proud to announce its achievement of the HITRUST Risk-based, 2-year (i1) Certification for 2025. Widely … claims processing, billing, encounter data processing/risk adjustment processing (EDPS/RAPS), and medical records …

… 4:05 - 5:05 PM With Elaine Taverna, Senior VP of Quality & Risk Adjustment Powering Health Outcomes Through Provider & Payer … performance measures for revenue management and accurate risk scores Boosting quality Stars through comprehensive …

… customer service, member acquisition, Care Management, Risk Adjustment, and Quality Products. In this eBook, we’ll …