Chase lists produced with old methods don’t deliver the best outcomes, are inefficient, error prone and results in provider abrasion. See the alternative.

An HCC is a category of chronic medical conditions that share similar cost patterns. Learn more. Read more HCC FAQs here.

Risk adjustment is used to appropriately compensate health plans for the costs associated with taking on members with chronic health conditions. See more.

Risk adjustment programs under the Affordable Care Act, Medicare, Medicaid, and Medicare Advantage evaluate patients’ risk scores based on a combination of condition and demographics data. Using claims,…

In this white paper, we will explore the challenges and progress of EHR interoperability and how to leverage AI capabilities to improve operational, clinical, and financial outcomes.

MAOs have six additional months to ensure a complete and accurate data submission. See how to optimize your additional PY2020 Reconciliation Run.

Major submission deadlines for Medicare Advantage (MA) and Affordable Care Act (ACA) risk adjustment programs are in the rearview mirror. We’re now entering a critical point in the…

Risk adjustment is a complex but vital competency accountable care organizations (ACOs) must develop in order to succeed in CMS’s Medicare Shared Savings Program (MSSP). Without capturing a…