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Risk Adjustment Retrospective Chart Retrieval and Review

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Risk Adjustment Retrospective Chart Retrieval and Review

Retrospective Chart Retrieval and Review can help you achieve coding and documentation goals that factor into your risk score accuracy.

Medical Record Retrieval

To minimize provider disruption, we use several methods to retrieve requested medical records, from fax and mail to remote EMR and onsite collection. Our online portal allows you to monitor retrieval rates and provider issues throughout the entire process.

Medical Record Review

We bring an exclusively on-shore team of AHIMA and AAPC-certified medical coders to review records to capture any risk adjustment medical conditions that were not previously reported for the measurement year.

This review and coding application is web-based, which fuels efficient and high-quality review, coding and quality assurance. To ensure reputable results, we use internal quality assurance measures and a third-party auditor, who performs two yearly audits.

Retrospective Gap Identification

Additionally, we provide retrospective gap identification and chart chase list creation services using proprietary data-driven algorithms and health plan data to identify both historical and suspected medical conditions not reported during the previous measurement year. Click here for more information.

Benefits

  • Improved member risk scores
  • Comprehensive documentation
  • Demonstrated strong returns with an average of 5-7:1 ROI
  • Greater than 95% accuracy rate of code reviews by AHIMA and AAPC-certified medical coders

Supported Solutions

  • RADV Audit Support
  • Two-Way Review and Claims Validation

Find Out How We Fuel Accelerated Performance

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