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MedHOK's Risk Adjustment & Data Validation (RADV) Solution
Home / Solutions / Quality / Risk Adjustment & Data Validation

Risk Adjustment & Data Validation Solution

Solution Overview

MedHOK’s Risk Adjustment/RADV component offers an end-to-end risk adjustment solution aimed at accurate assessment, improvement and reporting of diagnosis-based capitation factors that drive risk score calculation systems. This facilitates efficient and effective submission of risk adjustment data and drives maximum appropriate reimbursement from Medicare and other payment agencies. Plans can conduct mock audits or prepare for CMS RADV and other audits, in addition to proactively gathering medical chart review documentation to substantiate risk score submissions.


Customers use the solution to:

  • Improvement and reporting of diagnosis-based capitation factors that drive risk score calculation
  • Effective submission of risk adjustment data
  • Conduct mock audits or prepare for CMS RADV and other audits
  • Gathering medical chart review documentation to substantiate risk score submissions.

Have You Considered ...

 

With Risk Adjustment & Data Validation, you may also want to manage related functionalities on one platform to ensure compliance, improve efficiency and productivity, and deliver better quality care. Consider adding these MedHOK solutions:

Download Product Spec Sheet

100% CMS COMPLIANT

Ensures compliance based aproach to submission of risk adjustment data

 IMPROVE QUALITY OUTCOMES

Promotes quality outcomes by identifying high-risk members with chronic conditions to meet Star requirements and Care Gap closure

 IMPROVE REVENUE REALIZATION

Comprehensive workflow drives swift remediation of any file and record to ensure acceptance and HCC credit

Request a Demo

See MedHOK's Risk Adjustment/RADV solution for yourself

Please complete the form and let us know which capabilities you would like to see.  One of our demo specialists will contact you to conduct or schedule your custom demo.

RADV Demo Request