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 IDProviderStatusFindingsImpact
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