Let us help tailor a risk adjustment program that fits your needs with our comprehensive suite of risk adjustment solutions:
Medical Record Retrieval: With a 90%+ success rate and strong relationships with over 250,000 providers, we streamline the medical record retrieval process with maximum transparency and minimum provider abrasion.
Coding: With 98%+ accuracy, 100% over-read for every record, and flexibility in timelines and staffing, we can quickly scale to meet high-volume demand while maintaining high-quality results.
Claims & Data Validation: Incomplete, incorrect, or missing claims data can lead to less-than-ideal reimbursements. Trust our proven 4-step process and detail-oriented experts for claims and data validation.
Advanced Analytics: Combining CMS Hierarchical Condition Categories (HCC) risk models, HHS HCC risk models, and internally developed models powered by our Elevate^ platform, our advanced end-to-end analytics drive the efficiency, effectiveness, and accuracy of your risk adjustment programs
Health Assessments: Through personalized conversations with a credentialed clinician, our in-home and telehealth health assessments capture extensive health information that might otherwise be missed and address social determinants of health, such as potential urgent issues in the home.