Unify your risk adjustment operations
Maximize your resources to find more risk-adjustable opportunities faster and ensure ongoing compliance.
Value-based programs take a variety of forms, but they all have one thing in common: their success depends on effective and efficient risk adjustment. Health plans need to maximize revenues, identify risk-adjustable opportunities, and minimize coding errors, all while remaining compliant with changing regulatory guidelines.
With the Risk Adjustment Coding Suite, your organization can achieve each of these objectives—and you can do it at scale with a single, unified solution. Our AI-powered, SaaS-based suite is designed to cover all areas of your risk adjustment operations, from retrospective and pre-submission coding to compliance, submissions, and even audit support.
Maximize your resources to find more risk-adjustable opportunities faster and ensure ongoing compliance.
Ensuring complete and accurate payments is the key to succeeding in value-based care.
Edifecs’ Risk Adjustment Coding Suite helps make a big job more manageable.
Risk adjustment is a big job, and health plans have to do it right if they want to succeed in value-based care. That means taking advantage of every opportunity to maximize revenues and ensuring complete and accurate payments. But it’s hard to do that when coding teams are struggling to keep up with the mountains of clinical data coming their way. The AI-powered Risk Adjustment Coding Suite from Edifecs helps health plans find and close diagnosis gaps, identify more suspected conditions, and cut down on coding errors. With the Coding Suite, health plans can spend less time on administrative tasks—and more time working to achieve their operational, compliance, and financial goals.