The MedInsight Risk Adjustment Suite of tools is a game-changer in accurately capturing and managing risk for healthcare organizations. With unparalleled precision, these tools empower organizations to navigate the complexities of risk adjustment with confidence and efficiency. Unlocking the true potential of risk adjustment, the MedInsight suite offers advanced algorithms and predictive modeling capabilities that optimize coding accuracy, identify documentation gaps, and ensure appropriate reimbursement.
The MedInsight Risk Adjustment Suite goes beyond mere coding assistance. It provides comprehensive insights and actionable intelligence, enabling organizations to proactively manage risk, improve financial performance, and enhance patient care. From identifying potential coding opportunities to delivering real-time analytics and reporting, these tools empower organizations to make informed decisions and drive impactful outcomes.
By leveraging the MedInsight Risk Adjustment Suite, healthcare organizations gain a competitive edge in the ever-evolving landscape of risk management. With precision, efficiency, and data-driven insights, they can achieve accurate risk adjustment, optimize revenue, and deliver exceptional care to their patient population. The MedInsight Risk Adjustment Suite is the catalyst that transforms risk management from a challenge to a strategic advantage.
Predictive risk modeling
Milliman Advanced Risk Adjusters
Offers a new approach to population health risk assessment with models that perform better, deliver more intelligent scoring, and offer greater clinical transparency.
Claims and service categorization model
Health Cost Guidelines Grouper
Enables you to process your own claims experience through a Health Cost Guidelines (HCGs)-based methodology so that you can evaluate cost and utilization and better price your products.
Risk score accuracy
Conditions to Consider
Leverages collaborative filtering to identify missing or inaccurate diagnoses and provide better understanding of their impact on risk-based contracts as well as a more accurate risk adjustment.