Using advanced analytics, our experts design risk adjustment programs, resolve data issues, and improve provider documentation.
Through innovative and efficient approaches, KIRSHA empowers MAPD plans to achieve sustainable growth, enhance performance, and deliver exceptional care to their members.
We rebuild risk scores from your claims and CMS’s own reports.
Our strategies align with CMS requirements, minimizing compliance risks and helping to avoid potential penalties.
We compare your claims to your MAO-004 files. That shows diagnoses CMS never accepted, and diagnoses it accepted that your claims don’t show.
Learn more about the services that are right for you and uncover tailored solutions designed to position your organization for long-term success.
Advice on risk adjustment programs and the CMS rules behind them.
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