Provider services

Medical Risk Adjustment

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Medical Risk Adjustment

Medical Risk Adjustment (MRA) ensures accurate documentation of patient conditions to reflect true disease burden, improve care quality, and support fair reimbursement under value-based care models.

  • HCC coding accuracy & validation
  • Improved RAF score capture
  • Prospective & retrospective reviews
  • CMS & payer compliance assurance
Who We Serve
  • ACO
  • MSO / IPA’s
  • Urgent Care Centers
  • SNF
  • Health Plans
  • Specialty Clinics

Our Services

MRA Services
01
HCC Coding Validation

Ensure precise documentation aligned with CMS HCC guidelines.

02
Prospective & Retrospective Reviews

Identify undocumented conditions before and after encounters.

03
Risk Score Optimization

Accurately capture RAF scores to reflect patient complexity.

04
Quality & Compliance Audits

Reduce audit risk and maintain regulatory adherence.

Scope of Our Services

Collecting medical records

Reviewing medical records

Identifying additional diagnoses

Ensuring accurate coding

Provider communication

Reporting & analytics

Why Choose Us

99.9% Coding Accuracy

Our certified coders deliver exceptional accuracy across all specialties, ensuring clean claims and optimal reimbursement.

Certified & Experienced Coders

Highly trained professionals with deep clinical knowledge and up-to-date regulatory expertise.

Compliance & Security

Strict adherence to HIPAA and CMS guidelines with enterprise-grade data protection.

Reduced Denials & Faster Payments

Clean coding minimizes denials, accelerates reimbursements, and improves revenue flow.

At Aventis Health, we help healthcare organizations maximize risk score accuracy while improving documentation quality and patient outcomes. Our expert reviewers ensure confidence in every assessment.

Conclusion