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.

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UASI is Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide

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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.

TAKE OUR RISK ADJUSTMENT CHECKUP!

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.


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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.
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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.


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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.



Schedule a Call

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.

Watch The Full Video

Understanding that risk adjustment is not just HCC but is underlying in everything we do in mid revenue.

Introducing:

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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. 

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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.
Download The HCC Whitepaper

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...

Let's Talk

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.


Keep your head in the clouds, but your strategy grounded with UASI!

By scheduling a consultation with UASI, you'll gain access to our team of experienced consultants who will assess your current processes, identify pain points, and propose customized solutions. We'll work closely with you to develop a roadmap for success, addressing your unique challenges and goals.


LET'S GO!

FAQs

  • How does risk adjustment impact healthcare organizations?

    Risk adjustment ensures that healthcare organizations receive appropriate reimbursement by accurately reflecting the health status and risk factors of their patient population. This process is crucial for maintaining financial stability and supporting value-based care models.

  • What sets UASI apart from other risk adjustment service providers?

    UASI stands out due to our comprehensive approach, experienced team, and commitment to client success. Our experts work closely with healthcare organizations to identify gaps, implement best practices, and provide ongoing support. We focus on delivering customized solutions that address the unique challenges and goals of each client.

  • Can UASI assist with establishing a risk adjustment program?

    Yes, UASI can help you establish a robust risk adjustment program. We provide comprehensive services, including program development, implementation support, and continuous improvement to ensure your program remains effective and compliant.

  • What are the benefits of partnering with UASI for risk adjustment services?

    Partnering with UASI offers several benefits, including access to expert consultants, improved coding accuracy, enhanced compliance, and optimized financial outcomes. Our tailored solutions help healthcare organizations achieve their risk adjustment goals efficiently and effectively.

  • What types of risk adjustment services does UASI offer?

    UASI offers a range of risk adjustment services, including:

    • Staffing and Managed Services
    • Program Design, Implementation & Optimization
    • Assessments & Audits
    • Education and Training


  • How does UASI ensure accuracy and compliance in risk adjustment?

    UASI ensures accuracy and compliance through rigorous training, regular audits, and continuous education. Our consultants stay up-to-date with the latest risk adjustment guidelines and regulatory changes, ensuring that our clients receive the best possible advice and support.

  • How does UASI support ongoing staff development and education in risk adjustment?

    UASI provides targeted training programs, workshops, and webinars designed to enhance the skills and knowledge of your staff. We offer customized educational solutions that address specific needs and challenges, helping your team stay current with best practices and regulatory requirements.


  • What is risk adjustment and why is it important?

    Risk adjustment involves evaluating and coding the health status and risk factors of a patient population to ensure accurate reimbursement. It is crucial for maintaining financial health, supporting value-based care models, and ensuring fair compensation for healthcare services provided.

  • What is the process for partnering with UASI for risk adjustment services?

    Partnering with UASI for risk adjustment services starts with an initial consultation to understand your specific needs and challenges. We then develop a tailored plan, implement the necessary solutions, and provide ongoing support to ensure continuous improvement and success. Contact us today to get started!