Improving HCC risk accuracy with EHR data
Arcadia Healthcare Solutions
11/11/2017
EHR data can help healthcare systems close the gaps, supporting better patient care while protecting against the financial risks of inaccurate risk-adjusted payments. For a Medicare Advantage plan, this can mean $100-200 PMPY in retrospective revenue and $1,000-2,000 PMPY in prospective revenue. And, EHR data can also help a system protect against audits and penalties associated with excessive documentation or “overcoding”.
Arcadia uses aggregated EHR and claims data to identify 5 actionable risk gaps that can be closed retrospectively for a prior service year, closed within the service year, and/or addressed prospectively. To learn more about finding and closing the gaps that can impact patient care and premium accuracy, download our whitepaper Improving HCC Risk Accuracy with EHR Data: An Action Plan for More Accurate Capitation Under Medicare Advantage. A link to download the whitepaper will be emailed to you immediately.