SCIOClarity™ Risk Adjustment & Quality Analytics · Risk Adjustment & Quality Analytics The Risk...

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Transcript of SCIOClarity™ Risk Adjustment & Quality Analytics · Risk Adjustment & Quality Analytics The Risk...

Page 1: SCIOClarity™ Risk Adjustment & Quality Analytics · Risk Adjustment & Quality Analytics The Risk Adjustment Software Solution sco health analytics Once We Understand; Change Results.

SCIO’s clients see increases to their Risk Adjustment Factor using Risk Adjustment & Quality Analytics

SCIOClarity™ Risk Adjustment & Quality Analytics

Risk Adjustment & Quality AnalyticsDelivers Full Circle

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The HHS-HCC Risk Adjustment Model for Individual … HHS-HCC Risk Adjustment Model for ... The risk adjustment model uses an individual’s ... an important consideration in

The HHS-HCC Risk Adjustment Model for Individual … HHS-HCC Risk Adjustment Model for ... The risk adjustment model uses an individual’s ... an important consideration in

Take the Risk Out of Risk Adjustment

Take the Risk Out of Risk Adjustment

Accenture Risk Analytics Network Credit Risk Analytics

Accenture Risk Analytics Network Credit Risk Analytics

Risk Adjustment (including Risk Adjustment Default … · HIOS IDs for a single ... having a link for the Risk Adjustment (including Risk Adjustment Default ... Enter the CEO Designate

Risk Adjustment (including Risk Adjustment Default … · HIOS IDs for a single ... having a link for the Risk Adjustment (including Risk Adjustment Default ... Enter the CEO Designate

2003 REGIONAL RISK ADJUSTMENT TRAINING FOR …...1 2003 REGIONAL RISK ADJUSTMENT TRAINING FOR MEDICARE+CHOICE ORGANIZATION QUESTIONS & ANSWERS MODULE 1- RISK ADJUSTMENT & CMS-HCC MODEL

2003 REGIONAL RISK ADJUSTMENT TRAINING FOR …...1 2003 REGIONAL RISK ADJUSTMENT TRAINING FOR MEDICARE+CHOICE ORGANIZATION QUESTIONS & ANSWERS MODULE 1- RISK ADJUSTMENT & CMS-HCC MODEL

Medicare Risk Adjustment Models: DxCG vs. CMS-HCCblogs.bu.edu/...Medicare-Risk-Adjustment-Models... · Page2 Medicare Risk Adjustment Models: DxCG vs. CMS-HCC Background: The Center

Medicare Risk Adjustment Models: DxCG vs. CMS-HCCblogs.bu.edu/...Medicare-Risk-Adjustment-Models... · Page2 Medicare Risk Adjustment Models: DxCG vs. CMS-HCC Background: The Center

Uncertainty in Risk Adjustment Sponsored by Society of ...€¦ · Risk adjustment moves money around. As such, of the many functions that actuaries perform, risk adjustment is expected

Uncertainty in Risk Adjustment Sponsored by Society of ...€¦ · Risk adjustment moves money around. As such, of the many functions that actuaries perform, risk adjustment is expected

Coding for Care: Using Data Analytics for Risk Adjustment · data analytics to effectively improve risk adjustment, including more accurately capturing diagnosis codes and optimizing

Coding for Care: Using Data Analytics for Risk Adjustment · data analytics to effectively improve risk adjustment, including more accurately capturing diagnosis codes and optimizing

Risk Adjustment User Group

Risk Adjustment User Group

RISK ADJUSTMENT · 2018-05-24 · HEALTHCARE ANALYTICS & RISK ADJUSTMENT SOLUTIONS . Implementing cross -functional risk adjustment programs for medical trend management and quality

RISK ADJUSTMENT · 2018-05-24 · HEALTHCARE ANALYTICS & RISK ADJUSTMENT SOLUTIONS . Implementing cross -functional risk adjustment programs for medical trend management and quality

Risk Adjustment RA Risk Score...Risk Adjustment Risk Score Calculation Workbook . ... CMS uses the risk adjustment models to calculate a risk score for each beneficiary. Calculation

Risk Adjustment RA Risk Score...Risk Adjustment Risk Score Calculation Workbook . ... CMS uses the risk adjustment models to calculate a risk score for each beneficiary. Calculation

Risk Adjustment: Determining Risk Determines Reward

Risk Adjustment: Determining Risk Determines Reward

Tech and Risk Adjustment Using Data Analytics and Machine ...

Tech and Risk Adjustment Using Data Analytics and Machine ...

Risk Adjustment Compliance: Can You Afford the Risk?€¦ · CMS Guidance in Risk Adjustment • 2008 “Participant Guide” and Medicare Managed Care Manual, Chapter 7: Risk Adjustment

Risk Adjustment Compliance: Can You Afford the Risk?€¦ · CMS Guidance in Risk Adjustment • 2008 “Participant Guide” and Medicare Managed Care Manual, Chapter 7: Risk Adjustment

The Role of Predictive Analytics · 2019-10-25 · Competing on Analytics 30 . Paid Liability Risk Adjustment Risk Assessment Actuarial Pricing For Illustrative Purpose Only. Margin

The Role of Predictive Analytics · 2019-10-25 · Competing on Analytics 30 . Paid Liability Risk Adjustment Risk Assessment Actuarial Pricing For Illustrative Purpose Only. Margin

Risk Selection and Risk Adjustment - BU Blogsblogs.bu.edu/ellisrp/files/2013/04/EllisLaytonEncyclopediaOfHealth... · After briefly defining risk selection and risk adjustment, ...

Risk Selection and Risk Adjustment - BU Blogsblogs.bu.edu/ellisrp/files/2013/04/EllisLaytonEncyclopediaOfHealth... · After briefly defining risk selection and risk adjustment, ...

Medicare Risk Adjustment - Arizona Health … · the Medicare Risk Adjustment process Provide medical record documentation ...

Medicare Risk Adjustment - Arizona Health … · the Medicare Risk Adjustment process Provide medical record documentation ...

Value Based P4P: Risk Adjustment Methodology · Value Based P4P: Risk Adjustment Methodology ... • DCG developed and licensed from Verisk Healthcare. ... • Risk adjustment is

Value Based P4P: Risk Adjustment Methodology · Value Based P4P: Risk Adjustment Methodology ... • DCG developed and licensed from Verisk Healthcare. ... • Risk adjustment is

Accenture Risk Analytics Network Credit Risk Analytics/media/accenture/... · Accenture Risk Analytics Network Credit Risk Analytics. 1 Accenture, as a leader in risk analytics, ...

Accenture Risk Analytics Network Credit Risk Analytics/media/accenture/... · Accenture Risk Analytics Network Credit Risk Analytics. 1 Accenture, as a leader in risk analytics, ...

Evaluating ACO Efficiency: Risk Adjustment within Episodes · Within these episode types, industry-standard concurrent risk adjustment methods were used to develop separate risk adjustment

Evaluating ACO Efficiency: Risk Adjustment within Episodes · Within these episode types, industry-standard concurrent risk adjustment methods were used to develop separate risk adjustment