Risk Adjustment Solution
Getting risk scoring right while remaining compliant is critical to optimizing revenue under value-based reimbursement systems like Medicare Advantage.
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:
Analyze
Keep patient risk scores accurate and up to date.
Identify
Identify opportunities for Hierarchical Condition Category (HCC) re-capture as patient diagnoses become more acute year over year.
Organize
Organize cross-functional teams around up-to-date data to keep Risk Adjustment Factor (RAF) scores accurate and compliant.
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.
Who We Serve
