Risk Adjustment Coding

Providing a comprehensive clinical review

Service Overview

We utilize experienced and certified coders. We strive for a minimum of 97% coding accuracy, which assists in reducing compliance and audit risk for our clients.

97% Coding Accuracy

Experienced and Certified Coders/ No Subtractors

2-stage Process/100% over-read

Client Specific Guidelines

Real-time Variance Reporting

Documentation Improvement Feedback

ICD-10 and HCC Hyperlink

Other Services

TeleGence Assessments

HEDIS and Star Gap measures to optimize reimbursement and value based payment potential.

In-Home Visits

Designed to optimize chronic condition recapture rate and quality gap closure, leading to submission.

Embedded Providers

Our AWV includes care-based questions that offer dedicated time to focus on emotional health, mental.

Enhanced Clinical Services

Our provider team is trained to provide enhanced clinical services.

Risk Adjustment Coding

We utilize experienced and certified coders with 97% coding accuracy.

Medigence Promise

We are driven to bring transparency to our clients, simplicity to members, and efficiency to our providers.

COVID-19 (CORONAVIRUS)

We are actively monitoring the evolving COVID-19 (coronavirus) situation and are coordinating with our health plan and health system clients, as well as local, state and federal public health authorities to ensure the safety of our providers and members across the country. Please see the latest updates for Medigence Providers and Health Plan Members.