The Value of Claims Data Validation for Risk Adjustment

Claims Data Validation — the art and science of comparing diagnostic information from within the medical record to existing diagnoses received from providers on claims — is an essential part of any organization’s Risk Adjustment efforts.

Listen to our experts as they hold a lively discussion about Claims Data Validation, and how it provides invaluable information regarding your providers and their coding and documentation: are they submitting what they’ve documented, and documenting what they’ve submitted?

Analytics, future interventions, and provider education all hinge on the data made available through this finalization of the chart review process. It’s the difference between doing basic arithmetic with your risk scores, or doing calculus!

In this on-demand webinar, our presenters discuss:

  • Why every organization should do Claims Data Validation
  • Meeting the CMS requirements for “looking both ways”
  • Next steps based on CDV data


Don’t Miss Our Presentation on Surfacing Non-Compliant Codes at RISE West