As health reform continues to define the way health plans conduct business, risk-adjusted payment models have become increasingly relevant. While understanding the complete risk-adjusted profile of your member population can impact significant variations in revenue, it also requires more detail than claims data alone can provide.

Verscend’s Medicare Risk Adjustment solution offers users an integrated set of tools to perform all stages of a Medicare risk adjustment program. From suspect targeting and data validation to encounter data submission and audit support, our data and analytics offer an accurate view of your plan’s population.

We’ve created a simpler approach to Medicare risk adjustment. Over the last two decades, we have helped our clients succeed despite changes across their various programs. Review our Medicare Risk Adjustment solution overview to learn how Verscend can empower you to
succeed with:

  • Extensive analytics
  • Powerful, efficient technology
  • Expert risk adjustment services
  • And more

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