CONSULTING

Many organizations have struggled with getting all their data to pass through the numerous edits imposed by CMS, and this has corresponded to a greater risk of missed reimbursement.

We have an intimate understanding of the CMS rules, guidelines and FAQs. Let our knowledge be your knowledge. 

SERVICES:

  • Prospective HCC Modelling

  • RADV Audit data insight

  • RAF score Analysis

  • Error and Rejection analysis and management

  • HCC Reconciliation and discrepancy management

  • Data quality metrics

BENEFITS:

  • Increase transparency in your members RAF score data

  • Reduce errors and increase accuracy and compliance

  • Reduce administrative time and resources involved with CMS submissions

  • Eliminate the need to manage and staff dual processes during the transition period

  • Increase automation and efficiency