Health plans are increasingly testing new approaches and technologies to improve their risk adjustment programs and prepare for risk adjustment data validation (RADV) and Office of Inspector General (OIG) audits. To avoid penalties and rebuild trust with regulatory agencies, providers, and members, plans are looking to focus on key priority areas such as interoperability and data accuracy.

Read our checklist and discover how health plans can gain better risk adjustment results using external solutions to:

• Improve retrieval results
• Advance interoperability
• Drive coding accuracy