Risk Adjustment Services
Our full suite of risk adjustment services helps health plans and PACE programs ensure data accuracy and compliance, improve clinical outcomes, and optimize risk-adjusted revenue. We transform complex, resource-intensive risk adjustment processes into operational efficiencies and improved clinical and financial outcomes.
Chart audits
Certified chart audit teams that ensure documentation is accurate and complete
Data analytics
Historical and comparative data analysis and risk score trend assessment
Monitoring
HCC Opportunity reports and routine client assessments
Provider-to-provider education
Comprehensive training that educates on risk adjustment methodology and coding accuracy
- Improve clinical outcomes through analytics and insights designed to identify opportunities to close risk and care gaps.
- Optimize revenue with accurate risk scores and holistic member data that can inform strategic opportunities to reduce costs of care.
- Streamline processes through comprehensive training and support that enables providers to optimize their documentation and risk adjustment practices.
- Ensure data accuracy and compliance with experienced chart auditors who utilize a variety of best-in-class tools and techniques to ensure documentation is complete and accurate.
“[TRHC Risk Adjustment] has helped us achieve accurate and specific documentation through excellent on-the-ground training, provider coaching, chart reviews, condition-specific guidance–and the list could go on. They are a valued partner.”
–Drew Crenshaw, Senior Vice President, Population Health, Oak Street Health