Advantasure’s comprehensive risk adjustment program can help you achieve accurate, complete and compliant risk score accuracy.
A key aspect to assuring success is to assure proper payment for the population you are managing. The proven path to achieve proper payment includes strategies that ensure complete and compliant CMS submissions, robust suspecting and reporting analytics, targeted member chase lists, comprehensive and consistent provider engagement and education, medical record retrieval and retrospective coding and member engagement strategies focused on getting members the care they need from qualified health care providers. Without the right strategy and programs in place, health payers and risk sharing providers could experience liability associated with non-compliance, lost or missed revenue, increased expenses, member and/or provider abrasion. Creating an integrated, end-to-end risk adjustment program can seem like a monumental task, but with the right expertise, a seamless implementation is within reach.
That’s where Advantasure comes in. Piece by piece, our team of industry experts eliminates the guesswork surrounding risk adjustment and provides a clear path forward to a tailored program designed to meet your unique goals. We dig deep into member profiles and provider performance to conduct condition-specific analysis and create accurate, effective outcomes. Then, we combine our innovative platforms with expertise and proven strategies to accelerate these results:
For optimal efficiency across plan operations, you can bundle our risk adjustment program with our quality, administrative and care management solutions to further enhance your ability to leverage our capabilities.
Working hand-in-hand with our clients, Advantasure partners with you to develop the winning risk adjustment program. Our expertise, combined with our cutting edge technology, products and services will provide you the advantage in your market place. The strategies that we’ve created, and the new innovations we are rolling out each year, have given us a risk adjustment platform that is second to none.
