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Advance Possibility

Risk Adjustment Micro-Strategies

red pen drawing a leading arrow on paper
April 28, 2021

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. Improve your RAF score with our RAF playbook.

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


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