Risk adjustment data is complex, our team is here to help you navigate through all details of the processes to ensure that members are receiving maximum benefits and that the health plan and providers are receiving proper reimbursement for their population’s risk level. Helping you see increased efficiency, reduced operating expenses and a fully compliant risk adjustment program is our primary objective.

Some of the services we provide include:

• Revenue reconciliation
• Financial projections
• RAPS / EDPS reconciliation
• EDPS data submission
• HCC analytics
• CMS RADV
• HHS RADV
• Gap identification pertinent to health plan success

Let us put our experience and expertise in identifying opportunities to work for you today!