Risk Adjustment Micro-Strategies Webinar
Risk Adjustment Micro-Strategies Webinar
Presented by Sujata Bajaj, Episource & Jason McDaniel, Healthcare Partners Nevada
In this presentation they discuss practical, hands-on solutions to address the issues associated with maximizing RAF capture. Topics range from building an in-house risk adjustment team to best practices for incorporating updates to payment models.
What Listeners Will Learn:
- Staple Risk Adjustment programs of Chart Review and Prospective Assessments will yield RAF up to 7% lower
- New techniques will allow plans to capture codes that would otherwise fall through the cracks of traditional RA programs
- 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.)
- Plans and provider groups can work together to improve the accuracy of risk scores through commitments to share risk and actively collaborate
- 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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