Risk adjustment software is a specialized tool used to analyze patient data and perform risk score calculations.
In the past, traditional healthcare systems relied on paper-based workflows to finalize quality programs. This forced health plan quality and risk teams into a cycle of “chart-chasing” to capture evidence and verify risk and quality data, yielding decreased efficiency, underwhelming performance, and stifled communication.
Cloud-based and integrated risk adjustment software acts as the solution to this problem by reinventing the paper-based workflow and reporting structure. The software enables providers to identify and document suspected diagnoses at the point of care. Furthermore, networks can increase transparency and close risk gaps. This can lead to higher reimbursement and reinvestment into better patient care.