Modernize and streamline data exchange
Ensure ongoing compliance and deliver a better member experience with our award-winning interoperability platform.
Concurrent Risk Adjustment
Understand. Adapt. Simplify.
Value-based programs take a variety of forms, but they all have one thing in common: their success depends on effective and efficient risk adjustment. Health plans need to maximize revenues, identify risk-adjustable opportunities, and minimize coding errors, all while remaining compliant with changing regulatory guidelines.
With the Risk Adjustment Coding Suite, your organization can achieve each of these objectives—and you can do it at scale with a single, unified solution. Our AI-powered, SaaS-based suite is designed to cover all areas of your risk adjustment operations, from retrospective and pre-submission coding to compliance, submissions, and even audit support.
Coding Suite Products
Retrospective Review
NLP Suspecting