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Learn how CMS’s new Risk Adjustment Model V28 affects Medicare reimbursements, HCC coding, and value-based care success—plus key strategies for health plans to adapt.
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Risk Adjustment’s transition to V28 has prompted value-based care organizations to incorporate prescription data to create a comprehensive and accurate view of patient risk profiles.
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Prospective risk adjustment, streamlined retrieval and coding, and comprehensive quality assurance may be the key to preventing OIG audits.
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AI is allowing providers to conquer the biggest challenges in prospective risk adjustment – capturing a full picture of patient health and reducing provider abrasion.
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Value-based care companies are using AI to understand patient health and find undiagnosed conditions through prospective risk adjustment programs.
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AI solutions are transforming provider workflows through clinical system integration and by driving insights to the point of care.
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OIG is auditing more health plans for Medicare and Medicaid Overpayments at a time when payers are already concerned about lower reimbursements.
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Aligning risk adjustment and quality improvement requires collaboration, centralized, real-time patient data and an AI-powered platform for value-based care.
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See how AI improves efficiency and accuracy of medical coding for providers, improving value-based medicine outcomes.
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