If your organization lacks the necessary expertise and experience in risk adjustment (RA) methodologies, coding, and documentation, outsourcing can be a viable option.
By partnering with a specialized risk adjustment technology solution company, you can leverage their domain knowledge and benefit from their experience in handling risk adjustment projects.
Healthcare RA vendors are benefiting from healthcare technology solution companies in several ways:
1. Access to modern technology:
Healthcare tech solution company often has access to modern technology to easily and accurately review vast amounts of unstructured clinical data, including medical records, and claims data. By partnering with a healthcare technology solution company, RA vendors gain access to rich tech, enabling them to perform accurate risk assessments and optimize their revenue cycle management.
2. Improved coding and documentation:
A good healthcare technology company will offer advanced diagnosis coding and analysis solutions that help capture and document patient diagnoses more accurately. By leveraging these solutions, risk adjustment vendors can enhance coding specificity and completeness, leading to improved risk scores and accurate reimbursement for end-clients i.e. health plans and providers.
Source: HCC CAPTURE
3. Advanced analytics capabilities:
Healthcare solution providers employ sophisticated technology and techniques to analyze large volumes of clinical data. By collaborating with a reliable healthcare technology solution provider, RA vendors can leverage these analytics capabilities to identify and prioritize high-risk populations, detect coding gaps, and optimize risk adjustment strategies.
4. Integration with existing systems:
Healthcare solution providers often have established integration capabilities with various healthcare systems, including electronic health records (EHRs), claims management systems, and practice management software. Therefore, apart from ensuring a seamless integration, risk adjustment vendors improve clinical data accuracy, and enhance the overall efficiency of the risk adjustment HCC coding processes.
5. Compliance and regulatory expertise:
An ideal healthcare technology company will have medical HCC coders who stay abreast of evolving compliance and regulatory requirements in the healthcare industry. By partnering with the best health tech company, RA vendors can benefit from their expertise and ensure their solutions align with the latest guidelines and regulations, reducing compliance risks for end clients i.e. health plans and providers.
6. Enhanced client satisfaction:
By partnering with a health technology solution company, RA vendors can provide their clients, such as health plans and providers, with improved ROI and patient care analytics.
In summary, collaboration between healthcare risk adjustment vendors and healthcare tech solution company brings mutual benefits, including improved clinical data access, enhanced coding and documentation, advanced analytics capabilities, seamless system integration, regulatory compliance, and increased customer satisfaction.
If you are looking to connect with someone who could help you ensure accurate healthcare risk adjustment coding within tight deadlines, contact us.