Risk Adjustment Data Validation Review

The various medical documentation reviews are used to forecast future healthcare needs, while explaining current needs and expense. Risk bearing provider groups establish internal risk adjustment audit programs to help monitor the patient population, improve quality of care, to increase provider engagement, to improve accuracy and completeness of data submission, and to achieve more accurate risk adjustment factor (RAF) scores.

Codingwize has the expertise to conduct a thorough retrospective, prospective and concurrent review of your risk adjustment coding to ensure revenue optimization and compliance.