Provider organizations have to overcome a variety of operational, regulatory, and financial challenges to thrive in value-based care. Thanks to clinical and administrative staffing shortages, clinicians are seeing more patients and handling their own coding.
Without the right education and resources for providers, however, that can lead to lower RAF scores, missed shared savings opportunities, and even regulatory scrutiny and penalties. Fortunately, there are ways provider organizations can support complete, accurate, and compliant documentation and coding.
In a recent panel discussion, we shared the keys to overcoming those challenges. Summerpal Kahlon (Chief Medical Officer & VP of Product Management) and Sabrina Mercedes (Director of Product Management) were joined by two industry experts with a wealth of experience in clinical and coding operations: Carol Ann Hudson (Quality Assurance/Improvement Officer at AdvantageHealth) and Dr. Adele Towers (Director of Risk Adjustment at UPMC).
Together, they discussed:
- The barriers to optimizing risk adjustment programs
- Why a multifaceted approach is essential to improving documentation and coding
- How our panelists’ organizations have improved RAF scores and shared savings
- The steps forward-looking organizations should take to ensure continued success
Want to learn how Edifecs can support more effective and accurate documentation and coding at your organization? Get in touch with our team today!