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 Factor (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.

Bring greater accuracy to your risk adjustment program.