MAO & Risk Adjustment
Accurate HCC coding, risk score optimization, and audit-ready workflows for Medicare Advantage and managed plans.
1. Risk Score Trend (12 months)
Risk-adjusted score by month — predicted vs realized
2. HCC Coding Accuracy
Auto-coded vs chart-validated accuracy and false positives
3. Audit Readiness & Findings
Open audit items, pass rate and time to close
4. Coding Gap Heatmap (Long list)
Providers vs missing HCC groups — prioritization heatmap
5. Top HCCs & Impact
Most frequent HCCs, count and avg score impact
6. Recent Audits (Long list)
Latest audit jobs and quick actions
| Audit ID | Provider | Status | Findings | Impact |
|---|