RISK BASED SOLUTIONS
Transform Your Risk-Based Strategies Into Measurable Success
Partner with seasoned experts to evaluate and optimize every aspect of your risk-based programs—quality, STAR ratings, PSIs, HCCs, and HEDIS. We’ll unify your efforts, close performance gaps, and deliver sustainable results across compliance, quality, and financial outcomes.
UASI is Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide
Expand and Integrate Your Risk-Based Capabilities
Drive organizational success with comprehensive staffing and managed services:
- Specialized Talent Across Domains: Access experts in quality, compliance, HCCs, STAR ratings, PSIs, HEDIS, and more.
- Flexible Engagement Models: From full-service outsourcing to supplemental support, we tailor our services to your operational needs.
- Holistic Oversight: Dedicated supervisors and leadership support ensure seamless integration across departments.
Develop a Unified Risk-Based Strategy
Move from siloed initiatives to coordinated programs:
- Program Design and Alignment: Create a cohesive framework that integrates inpatient and outpatient measures and aligns with your organizational goals.
- Implementation Support: Hands-on guidance to roll out programs that cover all risk-bearing metrics and compliance requirements.
- Continuous Evolution: Regular reviews and updates to ensure your strategy keeps pace with regulatory changes and market demands.
Strengthen Accuracy and Compliance Across All Risk Measures
Ensure all risk-related documentation and coding deliver optimal outcomes:
- Comprehensive Audits: Validate your processes, coding, and documentation against industry and regulatory standards across all risk-based programs.
- Compliance Reviews: Proactively identify and address gaps in adherence to CMS, HEDIS, STAR, PSI, and HCC guidelines.
- Opportunity Analysis: Highlight areas to improve both quality outcomes and financial performance.
Empower Your Team with Comprehensive Training and Support
Build a workforce prepared for the full scope of risk-based initiatives:
- Customized Training: Covering everything from HCCs and STARs to PSIs, HEDIS, and quality measures.
- Workshops and Webinars: Live and on-demand sessions led by subject-matter experts.
- Continuous Mentorship: Experienced preceptors help your staff develop confidence and skill across all areas of risk management.
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.
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™: 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...
