Advantmed

Risk Adjustment

End to End Risk Adjustment Solutions.

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

Accurate risk profiles for superior results.

When it comes to risk adjustment, there’s simply no room for error. With Advantmed’s comprehensive and integrated risk adjustment solutions, you’ll have complete confidence in your data to close gaps and partner more effectively with providers.

Advanced Analytics

Identify and seize opportunities to improve your Risk Adjustment Fact (RAF) scores and close care and documentation gaps.

Medical Record Retrieval

With our 90+% retrieval rate, we lead the market in accurate and timely completion. Trust our highly trained nationwide team of retrieval specialists to streamline the process for you as well as for providers.

Medical Record Coding

Our rigorous process for coding ensures accuracy and quality. With 100% over-read for every record and Advantmed-employed coders nationwide, we can quickly scale to meet high-volume demand while maintaining high-quality results.

Claims & Data Validation

Our thorough validation process identifies unsupported codes, allowing you to reconcile incomplete, incorrect, or missing data prior to submission.

Health Assessments

More accurate data means better health outcomes for your members. Close risk adjustment disease and comorbidity gaps and improve RAF score accuracy with our convenient in-home and virtual Health Assessments.
Stress-Free Submissions

Know your submissions are complete, compliant, accurate, and on time with our integrated RAPS/EDS and EDGE Data Submissions solution and deep subject-matter expertise.

Compatible with government submission systems, our solution integrates powerful analytics, retrospective and prospective interventions, data validation, and submission workflows and systems to improve efficiencies while ensuring data integrity.

Achieve More with Elevate^
Our risk adjustment solutions are powered by our integrated Elevate^ platform. Elevate^ delivers the real-time, actionable insight you need to capture risk adjustment opportunities, close care gaps, conduct retrospective and concurrent medical record reviews, and streamline submissions.

Bring greater accuracy to your risk adjustment program.