A Data-Driven Approach to Fair and Accurate Reimbursement: Maximizing Healthcare Revenue with Retrospective Risk Adjustment

In healthcare, accurate compensation is a primary goal for both providers and payers. Retrospective Risk Adjustment is an important process for achieving this goal. This strategy enables healthcare organizations to analyze past patient history, detect documentation gaps, and guarantee that risk scores appropriately reflect the patient’s health state. By strengthening risk adjustment strategies, clinicians can increase revenue integrity while improving …

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