Health plans that participate in risk adjustment understand the importance of accurate and timely data on the health status of members. However, risk adjustment involves multiple steps and challenges, such as identifying the most relevant members to target for chart review, retrieving medical records from various sources and formats, and coding the diagnoses according to complex and evolving guidelines, all while ensuring compliance with industry regulations. In a recent Cotiviti webinar, our experts shared best practices for health plans to perform these tasks efficiently and accurately, while utilizing the right technologies and partners to support them throughout the risk adjustment cycle. Here, we discuss how health plans can achieve better risk adjustment results by partnering with experts in three key areas, including medical record retrieval, interoperability, and coding.

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