Advantmed

Risk Adjustment

Risk adjustment accuracy for improved financial performance.

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

End to end Risk Adjustment Solutions.

Make no mistake, the success of your risk adjustment program relies on error-free data to ensure that your patient’s risk score accurately reflects their underlying health conditions. Trust our integrated, end-to-end risk adjustment solutions to capture complete data with unrivaled accuracy, and help you interpret it to close gaps, and improve patient outcomes.

Easy-to-Understand Analytics

There’s always room for improvement in your Risk Adjustment Factor (RAF) scores. We’ll help you find and act on it. Our analytics platform serves up understandable, actionable insight to close documentation gaps and make better use of prevention and predictive modeling.

Medical Record Retrieval

Our trained nationwide team and on-staff medical record retrieval specialists maintain an industry-leading 90+% retrieval rate. We’ll drive the efficiency, speed, and accuracy of your retrieval process so you can focus on improving patient care.

Medical Record Coding

Leave medical record coding to our expert coders. Our industry-leading 98+% coding accuracy stems from our rigorous quality-control process that includes 100% over-reading for every record.

Claims & Data Validation

Make sure your claims are accurate before you submit them. Our meticulously detailed team catches incorrect, incomplete, and missing data while ensuring documentation meets requirements.

Health Assessments

Conducted in the comfort of your patient’s home or virtually, our collaborative Health Assessments capture a more complete and accurate picture of your patients’ health.
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.