Stop Chasing Charts for Risk Adjustment

Health plans now request a chart pull for more than 60% of Medicare Advantage members each year to document diagnoses needed for risk adjustment. That process is cumbersome, costly and a source of provider abrasion. Given the growing volumes of clinical data that plans receive, it is also increasingly unnecessary. In fact, what plans receive today in response to a chart request is commonly an electronic document — containing clinical data that already resides elsewhere in one of their systems.

This webinar will examine how leading health plans are moving away from chasing charts while improving risk adjustment accuracy by adopting a clinical data-first approach. Attendees will learn:

• Where chasing charts falls short and why incremental improvements are no longer sufficient
• How real-time data sources, such as CCD feeds, can be used to document diagnoses for RAF scoring and RADV audits
• Recommended strategies for leveraging clinical data feeds to streamline existing risk adjustment workflows

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SPEAKERS
Steven Berkow
Head of Value-Base Care Market Strategy
InterSystems

Julie Smith, MSHI, NI-BC, CEN
Head of Healthcare Global Market Strategy
InterSystems