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Clinical Assessment Solutions

Helps Medicare Advantage organizations optimize revenues, ensure regulatory compliance, and provide the highest quality care to members.

Our unique approach to Medicare risk adjustment provides Medicare Advantage plans the tools, analysis, prospective clinical programs, ongoing assessment and consultative expertise to engage providers to:

  • Deliver a more comprehensive patient evaluation
  • More quickly identify members at risk for chronic conditions
  • Improve patient care to enhance longevity and quality of life
  • Ensure regulatory compliance
  • Make certain that reimbursements are accurate and appropriate

Solutions:


Ingenix Risk Adjustment Validation Services
Our risk adjustment validation services prepare Medicare Advantage health plans to confidently and effectively respond to a CMS risk adjustment audit.
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Medicare Clinical Assessment Solutions
Ingenix Clinical Assessment Solutions helps Medicare Advantage organizations optimize revenues, ensure regulatory compliance, and help providers deliver the highest quality of care to members.
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