Enhancing Provider Engagement: 9 Best Practices for Optimizing In-Office Assessments for Risk Adjustment

Enhancing Provider Engagement: 9 Best Practices for Optimizing In-Office Assessments for Risk Adjustment

by Jon Rogers, Sr. Consultant, Risk Adjustment As the fourth quarter approaches, managed care organizations (MCOs) should focus on optimizing their risk adjustment in-office assessment (IOA) processes to ensure accurate patient assessments, which are crucial for both appropriate revenue realization and quality care management. The following comprehensive

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Webinar Replay | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

Webinar Replay | Value-based Care is a Team Sport: How Providers Can Operationalize Risk Adjustment Initiatives

An insightful webinar exploring the power of collaboration between providers and health plans to achieve accurate risk-adjusted compensation. While providers and health plans may have different perspectives, there are numerous synergies and opportunities to use data analytics and drive value for patients. We delve into how providers

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Breaking Barriers, Bridging Gaps: Collaborative Solutions for Improving Behavioral Health Access and Documentation

Breaking Barriers, Bridging Gaps: Collaborative Solutions for Improving Behavioral Health Access and Documentation

by Lynn Kryfke, MSN, RN, Sr. Consultant, Risk Adjustment | Jon Rogers, Sr. Consultant, Risk Adjustment  CMS recently announced its Innovation in Behavioral Health Model, intended to “improve quality of care, access, and outcomes for people with mental health conditions and substance use disorders in Medicaid and Medicare.”

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Harnessing the Power of Data: Integrating HEDIS, Risk Adjustment and Social Determinants of Health for Effective Population Health

Harnessing the Power of Data: Integrating HEDIS, Risk Adjustment and Social Determinants of Health for Effective Population Health

– by Lynn Kryfke, MSN, RN, Sr. Consultant, Risk Adjustment | Jon Rogers, Sr. Consultant, Risk Adjustment  Leading healthcare organizations are developing strategies to align their programs and streamline the process of gathering crucial data to better serve beneficiaries. With the goal of achieving population health, managed

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