Revenue Management

Successfully documenting risk burden while complying with rapidly changing government regulations often necessitates new processes and technologies to help you uncover and report accurate member data.

Integrated with the Johns Hopkins ACG® System, our proprietary analytics solutions help you identify risk-score discrepancies and substantiate undocumented diagnoses and conditions for comprehensive retrospective reviews.

Additional features include:

  • Powerful algorithms from the Johns Hopkins ACG System and other proprietary sources.
  • Flexible, automated workflows providing smooth transitions through key processes.
  • Comprehensive chart reviews and coding to substantiate medical conditions, diagnoses, and hierarchical condition categories.

Featured Insights
  • Six Best Practices in Risk Adjustment
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  • Whitepaper: A Foundation of Analytics for Revenue & Quality Management
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  • Podcast: Integrating Risk Adjustment and Quality Performance
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  • Webinar: Using Analytics for a Member-Centric Risk & Quality Strategy
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