Risk Adjustment

Managing risk adjustment coding requirements can be a great challenge that could have a huge impact on the revenue of health plans and medical groups. CDAS offers the expertise and experience coupled with cutting-edge technology and well-trained human resources to accurately and significantly increase the risk scores of the members, resulting in higher revenues but at the same time protect plans from CMS RADV audits. offers both retrospective and prospective risk adjustment chart review services.

Our coders use clinical cues/suspects from lab reports, medication prescriptions, etc., to identify the risk-adjusted diagnoses in the progress notes. This way, our coders are able to mine additional risk-adjusted diagnoses from progress notes and in turn, results in higher risk scores for members.