RISK BASED SOLUTIONS
Transform Your Risk-Based Strategies Into Measurable Success
Partner with seasoned experts to evaluate and optimize every aspect of your risk-based programs—quality, STAR ratings, PSIs, HCCs, and HEDIS. We’ll unify your efforts, close performance gaps, and deliver sustainable results across compliance, quality, and financial outcomes.
UASI is Trusted by 1100+ Hospital Facilities and Physician Groups Nationwide
Expand and Integrate Your Risk-Based Capabilities
Drive organizational success with comprehensive staffing and managed services:
- Specialized Talent Across Domains: Access experts in quality, compliance, HCCs, STAR ratings, PSIs, HEDIS, and more.
- Flexible Engagement Models: From full-service outsourcing to supplemental support, we tailor our services to your operational needs.
- Holistic Oversight: Dedicated supervisors and leadership support ensure seamless integration across departments.
Develop a Unified Risk-Based Strategy
Move from siloed initiatives to coordinated programs:
- Program Design and Alignment: Create a cohesive framework that integrates inpatient and outpatient measures and aligns with your organizational goals.
- Implementation Support: Hands-on guidance to roll out programs that cover all risk-bearing metrics and compliance requirements.
- Continuous Evolution: Regular reviews and updates to ensure your strategy keeps pace with regulatory changes and market demands.
Strengthen Accuracy and Compliance Across All Risk Measures
Ensure all risk-related documentation and coding deliver optimal outcomes:
- Comprehensive Audits: Validate your processes, coding, and documentation against industry and regulatory standards across all risk-based programs.
- Compliance Reviews: Proactively identify and address gaps in adherence to CMS, HEDIS, STAR, PSI, and HCC guidelines.
- Opportunity Analysis: Highlight areas to improve both quality outcomes and financial performance.
Empower Your Team with Comprehensive Training and Support
Build a workforce prepared for the full scope of risk-based initiatives:
- Customized Training: Covering everything from HCCs and STARs to PSIs, HEDIS, and quality measures.
- Workshops and Webinars: Live and on-demand sessions led by subject-matter experts.
- Continuous Mentorship: Experienced preceptors help your staff develop confidence and skill across all areas of risk management.
Ensuring Accurate Risk Adjustment for Optimal Outcomes
At UASI, our Risk Adjustment Services are designed to help healthcare organizations navigate the complexities of risk adjustment, ensuring accurate coding and optimal financial outcomes. With a focus on data analysis, assessments, program establishment, and our innovative RAF Vue™️ tool, we provide comprehensive support tailored to your needs.
Introducing:
Instant Visibility Into HCC & RAF Opportunities with No EMR Integration Required
RAF Vue™ analyzes claims data to uncover missed chronic condition and HCC capture opportunities, quantify RAF impact, and give your team a centralized patient-level view — so you can prioritize action with confidence.
Implementing advanced technology solutions, such as our proprietary software RAF Vue™️, can significantly enhance efficiency and accuracy. Instant insights into chronic code capture and recapture opportunities allow for quick identification of patients with the greatest treatment and financial impacts. With a centralized, patient-level view and automatic calculation of reported and potential RAF scores, RAF Vue™️ generates comprehensive reporting at the patient, provider, and reviewer levels. Best of all, RAF Vue™️ can achieve immediate go-live without requiring EMR integration, reducing the technological burden on your practice.
Improve Quality Performance with PSI Expertise
Accurate PSI reporting begins with accurate documentation and coding. UASI combines clinical, coding, and quality expertise to help organizations identify reporting inaccuracies, analyze root causes, strengthen documentation practices, and implement targeted improvement strategies that reduce risk and improve performance.
Inaccurate PSI Reporting Creates Unnecessary Risk
Even small documentation or coding inaccuracies can lead to PSI misclassification, affecting publicly reported quality metrics, reimbursement, and your organization's reputation.
- Inaccurate quality reporting
- Lost confidence in reported performance
- Increased regulatory and financial risk
Limited Visibility Makes Improvement Difficult
Without a clear understanding of what's driving PSI performance, organizations often struggle to identify trends, prioritize improvement efforts, and focus resources where they'll have the greatest impact.
- Hidden performance gaps
- Reactive quality initiatives
- Difficulty prioritizing opportunities
Sustainable Improvement Requires More Than Reviews
One-time assessments may identify issues, but lasting improvement requires an ongoing strategy to strengthen documentation, coding accuracy, and clinical quality across the organization.
- Recurring PSI challenges
- Inconsistent documentation practices
- Difficulty maintaining long-term performance gains
