Risk & Risk Adjustment

Risk adjustment programs are complicated, and their successful administration necessitates comprehensive compliance while also ensuring that your health plan's risk burden is properly documented in medical records and encounter filings. Knowing which risk adjustment strategies to employ and when to employ them is crucial to ensure timely and consistent revenue payments.

Vytal Health Solutions offers comprehensive, end-to-end prospective and retrospective risk adjustment services and support to health plans, combining technology, artificial intelligence (AI), analytics, and deep subject-matter expertise to optimize risk-associated revenue while maintaining appropriate compliance.

We give complete transparency at every point, so you always know where your risk management program stands.