Showing 11 - 20 of 21 results
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. … Kristi Reyes is the Director of Risk Adjustment Coding Operations. She leads a team of 250 …

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Who we help

… 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       …
Blogs & articles

Unburdening Clinical Coding With NLP

… 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 …

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Home Page

… 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, …
Blogs & articles

Overcoming the Value-Based Reimbursement Challenge

… 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 …
E-book

A Guide for Mid-Size Health Plans

… customer service, member acquisition, care management, risk adjustment, and quality products. In this eBook, we’ll …

Services

Core Administration

… own or in conjunction with existing claims administration, Risk Adjustment, member management, and care management solutions …

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BPaaS

… solutions that empower your plan’s Core administration, Risk Adjustment and Quality operations. Built to deliver an …

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Site map

… Plus™ … Workflow Plus™ … Insitz Plus … Retrospective Risk Adjustment Solutions … Prospective Risk Adjustment Solutions … News … Events … Press release … …
Event

RISE West

… together forward-thinkers in the managed care space. From risk adjustment and quality performance to documentation and HCC …