RISK BASED SERVICES
Are you fully optimizing your Risk Adjustment for accuracy, compliance, and financial success?
Our Risk Adjustment Experts assess your practices, identify gaps, and develop targeted solutions. We’ll craft a success roadmap that aligns with your organization’s culture and goals.
UASI is Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide
Ensuring Accurate Risk Adjustment for Optimal Outcomes
At UASI, our Risk Adjustment Services are designed to help healthcare organizations navigate the complexities of risk adjustment, ensuring accurate coding and optimal financial outcomes. With a focus on data analysis, assessments, program establishment, and our innovative RAF Vue™️ tool, we provide comprehensive support tailored to your needs.
Risk Adjustment Staffing and Managed Services
Maximize your risk adjustment capabilities with our expert staffing and managed services:
- Experienced Professionals: Access skilled coders and analysts specialized in risk adjustment to meet your coverage needs.
- Flexible Solutions: Whether you need full outsourcing or additional support for your existing team, our services are designed to adapt to your requirements.
- Continuous Support: Benefit from dedicated supervisors and leadership support to ensure seamless integration and performance.
Risk Adjustment Program Design, Implementation & Optimization
Create and maintain a successful risk adjustment program with our expert guidance:
- Program Development: Design a risk adjustment program tailored to your organization’s specific needs and goals.
- Implementation Support: Receive hands-on assistance to establish and execute your risk adjustment program, ensuring all processes are correctly set up.
- Continuous Improvement: Ongoing support and regular reviews to keep your program effective and compliant with evolving industry standards.
Risk Adjustment Assessments & Audits
Ensure the accuracy and compliance of your risk adjustment coding with our comprehensive assessments and audits:
- Coding Accuracy Audits: Conduct detailed audits of your coding practices to ensure they meet industry standards and regulatory requirements.
- Compliance Reviews: Assess your processes for adherence to risk adjustment guidelines and identify areas for improvement.
- Opportunity Identification: Highlight potential areas for enhanced coding accuracy and better risk adjustment outcomes.
Risk Adjustment Education and Training
Empower your team with the knowledge and skills needed for effective risk adjustment:
- Customized Training Programs: Access educational solutions designed to meet the specific needs of your staff, from basic to advanced levels.
- Workshops and Webinars: Participate in targeted training sessions led by industry experts, covering best practices, regulatory updates, and practical strategies for improvement.
- Ongoing Support: Benefit from the guidance of experienced risk adjustment preceptors who work alongside your team to develop new skills and provide continuous education.
Risk adjustment means different things to coders and clinical documentation specialists. It’s like they speak a separate language. We’ll discuss the difference in the thinking and perspective to help bridge the gap between the two functions to ensure health systems are prepared at a foundational level to take on this great challenge.
Understanding that risk adjustment is not just HCC but is underlying in everything we do in mid revenue.
Introducing:
Boost Efficiency and Accuracy Instantly with RAF Vue™️
No EMR Integration Needed
Implementing advanced technology solutions, such as our proprietary software RAF Vue™️, can significantly enhance efficiency and accuracy. Instant insights into chronic code capture and recapture opportunities allow for quick identification of patients with the greatest treatment and financial impacts. With a centralized, patient-level view and automatic calculation of reported and potential RAF scores, RAF Vue™️ generates comprehensive reporting at the patient, provider, and reviewer levels. Best of all, RAF Vue™️ can achieve immediate go-live without requiring EMR integration, reducing the technological burden on your practice.
RAF Vue™
RAF Vue™ At-A-Glance
- Instant Insights: Quick identification of chronic code capture and recapture opportunities.
- Centralized Patient-Level View: Highlight patients with the greatest treatment and financial impacts.
- Automated Calculations: Reported and potential RAF scores.
- Immediate Action: Enabled immediate action to capture upside opportunities.
RAF Vue™: Transforming Chronic Condition Documentation
In today’s healthcare landscape, ensuring chronic health conditions are documented annually is crucial for accurate reimbursement. However, the lack of advanced tools and the reliance on manual processes make this task challenging. RAF Vue™ steps in to address this gap by automatically analyzing patient claims, identifying at-risk populations, generating accurate RAF scores, and streamlining workflows to capture relevant chronic conditions. With RAF Vue, transparency among departments and key stakeholders becomes a reality.
Optimize Your Workflow and Improve RAF Scores with RAF Vue™
RAF Vue™ provides instant insights into chronic code capture and recapture opportunities. It enables healthcare providers to quickly identify patients with the greatest treatment and financial impacts through a centralized, patient-level view. The platform also automatically calculates reported and potential RAF scores, ensuring you are always aware of the financial implications. With no need for EMR integration, RAF Vue offers immediate go-live capabilities, allowing for rapid implementation and results.
Real-World Impact: RAF Vue™ in Action
The financial impact of RAF Vue™ is substantial. In a recent client implementation, the tool imported 48,000 records and identified a risk-adjusted population of approximately 3,500 patients. The results were eye-opening:
- An HCC recapture rate of only 39%, well below the industry goal of 85%, highlighted a significant area for improvement.
- Over $24 million in financial opportunity was identified simply from not recapturing chronic codes.
- The tool identified 1,200 patients who were lost from the previous year and over 500 patients who had not had an annual wellness visit this year.
Get Visibility, Take Action, and Maximize Revenue
RAF Vue™ empowers healthcare systems to achieve significant revenue gains by improving RAF scores. Every 0.1 increase in RAF score can generate $1M in revenue per 1,000 patients. By using RAF Vue™, healthcare providers can achieve these results quickly and effectively, ensuring that chronic conditions are documented accurately and consistently.
Results from one of our clients...
48,000
records analyzed
$24mm +
Over $24 million dollars in financial opportunity
3,500
patients identified in the risk-adjusted population
500+
patients without an annual wellness visit this year identified
You can't afford not to reach out...
Why Choose UASI?
Let UASI help you navigate the complexities of risk adjustment and achieve your financial and clinical goals. Contact us today to learn more about how our Risk Adjustment Services can benefit your organization.
Our Risk Adjustment Services are designed to help you achieve accurate and compliant coding, optimize financial outcomes, and support overall organizational success.
With UASI, you can expect:
- Expert Consultants: Work with a team of seasoned professionals dedicated to your success.
- Customized Solutions: Tailored services to meet your unique needs and challenges.
- Continuous Support: Ongoing assistance to ensure your risk adjustment processes remain effective and compliant.
