National RA/HCC Audit Project Case Study

When a large agency sought to determine the performance and validity of risk adjustment and HCC coding across the nation, they contracted with a renowned global leader in healthcare auditing. Over the last five years, Intellis proudly worked with this respected federal contractor to undertake a large HCC audit project. The multifaceted engagement consisted of two pilot years followed by three years of second-level validation. The endgame: Delivering audit quality, accuracy, efficiency, and proper guidance on audit protocols and recommendations.