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risk-adjustment-factor-raf-optimization

Risk Adjustment Optimization for Improved Results

Risk Adjustment Factor (RAF) Optimization

  • Chart reviews for coding education and documentation improvement
  • Gap analysis (documentation vs. coding)
  • Remedial help (coder/physician education, including template modification)
  • Average RAF scores improved from 0.5 to 1 - 1.25 (Medicaid)