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As we shift to value-based care, accurate and timely risk adjustment is critical. Effectively tackling risk adjustment starts with improving coder productivity and accuracy.
Anderson Regional Health System is reaping the benefits of a renewed focus on their revenue cycle process with improved revenue and cash flow, process efficiencies, and increased productivity. An important component of Anderson’s success was their migration from MEDITECH’s MAGIC plaform to the 6.1 solution, which includes advanced revenue cycle functionality and a more intuitive user workflow. By using real‐time financial data to actively monitor key performance indicators, Anderson is identifying and reacting quickly to reverse negative trends.
The CAQH white paper summarizes major challenges with creating and maintaining high-quality data, and proposes areas to make demonstrable progress towards addressing this critical issue.