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Risk Adjustment Solution

Getting risk scoring right while remaining compliant is critical to optimizing revenue under value-based reimbursement systems like Medicare Advantage.

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Overview

Getting risk scoring right while remaining compliant is critical to optimizing revenue under value-based reimbursement systems like Medicare Advantage. However, cross-functional care teams and coding professionals need high-performance risk adjustment solutions to understand when changes to patient risk status occur and how to appropriately document them.

Risk Adjustment Tools

The Jiva Risk Adjustment Navigator includes a comprehensive set of tools and solutions for maximizing risk-adjustment revenue while remaining compliant, so your organization can:

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Analyze

Keep patient risk scores accurate and up to date.

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Identify

Identify opportunities for Hierarchical Condition Category (HCC) re-capture as patient diagnoses become more acute year over year.

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Organize

Organize cross-functional teams around up-to-date data to keep Risk Adjustment Factor (RAF) scores accurate and compliant.

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Educate

Educate providers on the importance of accurate and complete documentation and risk scoring for appropriate revenue collection under Medicare Advantage and other value-based programs.

ZeOmega is #1 Best in KLAS for Payer Management Solutions 2022, 2023, and 2024

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