Risk Adjustment Optimization

We thoroughly analyze clinical documentation, EHR systems, HCC codes, and intensity of nursing care needed by patients for efficient healthcare service and to identify the severity of a patient's medical condition. We offer real-time insights to you to effectively negotiate your contract with the payers and garner improved patient interaction. It can also highlight missed revenue opportunities, irregularities in clinical documentation, and efficient risk management.

Our risk adjustment optimization services :


  • Educate physicians with insightful analytics and live examples.
  • Deliver accurate risk scoring and meaningful population health data.
  • Map clinical documentation gaps.
  • Clinical Documentation Improvement (CDI).
  • Risk DNA reporting.
  • Utilize Robotic Process Automation (RPA) to capture missed opportunities
Discover how we can assist you

Risk adjustment optimization benefits

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Clinical documentation analysis

A thorough exploration of HCC codes, clinical documentation and EHR systems for efficient healthcare services to patients
by physicians.

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Real-time insights

Get real-time insights for better encountering and negotiating the contract with payers for effective patient interaction. Easy mapping of clinical documents with no loopholes.

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Identify missed opportunities

Gaining information about lost revenue and missed opportunities is easy now. Target irregularities in documentation and efficiently manage other risks.

Why VLMS Healthcare

VLMS Global Healthcare is your partner in tech-driven billing and coding solutions.

Putting clients as paramount to develop a relationship that lasts forever.

Streamlining your RCM, clinical and administrative tasks at the same time is complex and we understand this. When it comes to the next-generation healthcare system, VLMS Global Healthcare is a prominent name. We have handled several complex business situations and took them to the next level.

We value business relationships

We understand that relationships we nurture and forge are more than just to enable organizational success or patient experience. The base of any relationship is trust and we ensure seamless medical coding and billing services along with streamlined revenue cycle management. Our RCM solutions redefine your revenue cycle that minimizes denials and maximizes your claims and reimbursements.

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Frequently asked questions

You’ve got questions and
we’ve got answers

Our Risk Adjustment Optimization service involves a thorough analysis of clinical documentation, EHR systems, HCC codes, and the intensity of nursing care required by patients. We aim to optimize healthcare services by providing real-time insights, accurate risk scoring, and meaningful population health data.
Physicians are educated through insightful analytics and live examples to enhance their understanding of risk adjustment. This education helps in delivering accurate risk scoring and meaningful population health data, ensuring efficient healthcare service delivery.
Our Risk Adjustment Optimization service offers a comprehensive exploration of HCC codes, clinical documentation, and EHR systems. This thorough analysis ensures efficient healthcare services to patients by physicians, highlighting and addressing any gaps in clinical documentation.
We leverage Robotic Process Automation (RPA) to capture missed opportunities. This technology aids in identifying and addressing irregularities in clinical documentation, ensuring accurate risk scoring, and efficiently managing other risks for optimal healthcare service delivery.
VLMS Global Healthcare is a trusted partner in providing tech-driven billing and coding solutions. With a focus on client relationships, seamless medical coding and billing services, and streamlined revenue cycle management, we ensure our solutions redefine the revenue cycle, minimizing denials, and maximizing claims and reimbursements.

Compliance First: Your Assurance of Trust