Medicare Risk Adjustment
Prime Solutions has the people and the technology to assist Medicare Advantage (MA) health plans with the resource-intensive Medicare Risk Adjustment process. We offer a menu of options to meet each specific health plan’s needs:
- End-to-end process solution from identifying high ROI opportunities to CMS-ready data submissions for the Risk Adjustment Processing System (RAPS).
- Certified medical coders specifically trained in HCC coding and the risk adjustment process to conduct medical retrospective audits.
- Experienced project managers assigned to each health plan to coordinate scheduling, scanning of records and
results reporting
- Physician education tools that provide qualitative and quantitative feedback for accurate CMS required coding.
- Physician and staff education on improvement strategies
- No software or hardware purchasing or costly support required
- 24/7 real-time access to web-based dashboard and customized reports
- 100% savings returned to the health plan – no hidden costs
Copyright 2008 Prime Solutions, Inc. info@primesolutionsinc.org 1-888-935-7272
