Risk Adjustment 

Risk Adjustment is an important tool to have in ones’ population health management toolbox, to not only mitigate the patient’s risk but to improve the overall quality of care.


  • Risk Adjustment Data Validation (RADV)

  • Hierarchical Condition Category (HCC) Coding

  • Work with organization’s goals; including HEDIS and NCQA goals

  • Work with department leadership with strategic planning of program initiatives 


Risk Analysis Engagements

  • Medicare

  • Medicaid

  • Commerical Health Plans

  • Employer-Based Plans


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