… 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 …

… solutions that empower your plan’s Core Administration, Risk Adjustment and Quality operations. Built to deliver an … correlates health outcomes and payments based on member risk scores and quality initiatives … We configure and …

… complex functions like claims adjudication, enrollment, risk adjustment, and quality reporting. By embedding compliance … of the BPaaS solutions offered.   How does BPaaS reduce risk for commercial enterprises and health plans? A BPaaS …

… on … Pay Now or Pay Later: Whistleblower Lawsuits and Risk Adjustment … podcasts landing page … Listen now … page …

… health, and specialty care management. Elaine Taverna VP of Risk Adjustment and Quality will engage with attendees on driving …