The CenseoHealth Service Suite
Transform your HCC Management function into what Risk Adjustment is supposed to be: Compliant, Efficient, and Focused on Better Care for Your MembersTaken together, the CenseoHealth service suite offers your plan a reimagined risk adjustment program that is compliant, efficient and outcomes-based.
For plans looking to ensure complete and accurate coding of their members, our CareConsult service will field a team of physicians in your service area in a matter of weeks to perform intensive health assessments of your qualifying population. Both the evaluation itself and the resulting data have great implications for quality and member satisfaction.
For plans desiring a more sophisticated and risk-mitigating HCC program, we offer CareCurrent. This ongoing service screens your HCC submissions through our confidence algorithms to determine their possible risk of failure in a RADV audit. Those deemed high risk result in a prompt for chart review or further evaluation.
For plans seeking to further integrate HCC and Stars activities, we offer CareConnect. This service ensures follow through on any gaps of care notes in the evaluation, further ensuring patient compliance with HEDIS standards.
Whether you’re seeking to outsource HCC Management or execute the program in-house, CenseoHealth solutions will put your plan on the leading edge of revenue management. Coupled with our team of experts, this suite will transform your prospective program into what risk adjustment is supposed to be: compliant, efficient, and focused on better care for your members.