Risk Adjustment Solutions

RCM’s Risk Adjustment Coding, RADV and Quality Improvement solutions utilize HCC and HEDIS navigation software to receive up to one million charts at a time for turn-around and QA. Submissions are exported into RAPS and EDS files. Our highly trained team of risk adjustment experts are US based, who only work from secure RCM machines. Our solutions are available on a per-chart or hourly bill rate basis.

We stand by our guarantee for productivity and accuracy. RCM RA Solutions include but are not limited to:

  • Commercial & Medical Risk Adjustment Coding
    • MRA/HHS/CDPS Risk Models
    • Retrospective and Prospective
  • RADV
  • HEDIS Quality Measure Review
    • PQRS for group/ACO Submission under
    • Medicare Part B (MIPS Beginning in 2017)
  • Medical Record Data Abstraction
  • Provider Education
  • Chart Retrieval