@ShahidNShah
Harnessing risk adjustment data to provide usable insights that help optimize care and revenue
Risk adjustment scores and quality measures are critical factors in optimizing revenue for health plans and providers. SCIO® harnesses the data that drives CMS risk-adjusted methodologies and provides useful insights to clients to maximize revenue.
Risk Adjustment: Risk adjustment analytics aligns revenue with expected costs of care and tracks HCC trends so organizations can easily create suspect lists to support retrospective and prospective collection programs. SCIO® provides actionable information to identify and manage patient populations and their related RAF scores, driving CMS revenue.
Quality Measurement: SCIO® allows plans and providers to gain efficiencies by integrating Medicare risk adjustment and HEDIS/Stars prospective activities. Working to improve RAF scores and quality scores go hand-in-hand, and when you do both, you can have an even more significant impact on the quality of care you provide and revenue you generate.
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