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Risk Adjustment

We are expertise in different types of risk adjustment models that are used to risk-adjust healthcare data such as HCC, HHS, CDPS & FCC.

Bright Tech Solutions uses best practices to the process error-free as feasible, which results in creating accurate risk scores, the corresponding premium payment, while increasing patient care. These include correctly identifying code gaps, establishing experienced and knowledgeable staffing, performing deep and rigorous quality audits, and implementing the advanced process.

For Medicare Advantage, ACA, and Medicaid plans, accurate risk adjustment plays a critical role in the overall success of a health plan. Without a risk score that reflects actual member diagnoses, you will most likely miss out on reimbursements and may not be providing the best patient care that you can and Bright Tech’s team are experienced to handle this.

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