Risk Adjustment & Audit
Submit accurate data, improve revenue and quality of care
Altegra Health’s Risk Adjustment solutions combine technology with ongoing analysis and expertise to optimize risk adjustment and encounter reporting through several proprietary services. These services enable healthcare organizations to submit accurate and timely data, improve revenue and the quality of care in an efficient, proactive, and compliant manner.
Our Risk Adjustment solutions provide efficient data submission to regulatory entities, continuous monitoring of risk scores, and identification of score gaps. A full spectrum of prospective and retrospective interventions to close score gaps ensure members are appropriately risk-adjusted and, in turn, qualify for calibrated premiums.
Altegra Health partners with clients to identify gaps in care and payments for a variety of outreach programs. In addition, Altegra Health assists ACA-Commercial, Medicare, and Managed Medicaid health plans with encounter reporting solutions that can easily be implemented and provide a comprehensive solution for encounter reporting.
Risk Adjustment & Audit Solutions
For more information on Altegra Health, please click below to download a PDF overview document.