Risk Adjustment
Using Technology to Reduce the Risk of RADV Audit
The use of analytics for the proactive review of and oversight into coding and submission processes has become more critical than ever.
Improve your RAF score with our RAF playbook.
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