Risk Adjustment Micro-strategies

Download the slides from Episource’s presentation at the RISE National conference. . In this presentation, our risk adjustment experts discuss practical, hands-on solutions to address the issues associated with maximizing RAF capture. 

Key Takeaways:

• Staple risk adjustment programs of chart review and prospective assessments will yield RAF up to 7% lower
• Best practices will be to employ a well-timed comprehensive list of retrospective and prospective campaigns, as well as the established and emerging technologies that will support programs (i.e. analytics programs, EDS-specialized submissions, NLP, etc.)
• Risk adjustment departments need to implement a range of micro-strategies for capturing codes, including provider query, second-level review coding audits, and year-round analytics