Advantmed

Risk Adjustment Solutions

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End-to-end risk adjustment solutions.

  • 90+%
    Medical Record Retrieval Rate
  • 100%
    Over-read for Every Record
  • 98+%
    Coding Accuracy Rate
  • 98+%
    Health Assessment Member Satisfaction

All of your risk adjustment needs—in one place.

Our comprehensive and integrated risk adjustment solutions give health plans complete confidence in their data, helping to close gaps and improve both clinical and financial performance.

Advanced Analytics

Comprehensive reporting to determine risk scores, suspects, and the financial impact of your member population.

Medical Record Retrieval

Streamlined record retrieval capabilities utilizing all available retrieval methods from a network of over 300,000 providers. 

 

Medical Record Coding

The industry’s most accurate and compliant risk adjustment and quality solution, driving increased RAF scores, reduced provider abrasion, and improved financial performance.



Claims & Data Validation

Our thorough claims data validation process identifies unsupported codes and allows you to reconcile incomplete, incorrect, or missing data before submission to ensure you’re getting accurate reimbursements.

Health Assessments

In-home health assessments that close care gaps, improve clinical quality, increase member engagement, and connect members with the resources they need, ultimately unlocking financial performance.

Let’s talk about your risk adjustment program today.