Clinical Data Retrieval & Risk Adjustment
Supporting health plans and provider organizations with the clinical data, coding expertise, and technology required to perform confidently across risk-based and value-based care programs.
Virtix Health is Partnering with CMS on a Pilot Program in the State of Washington
Healthcare reimbursement is complex, but capturing the complete, compliant clinical story doesn’t have to be. Virtix Health partners with health plans and provider organizations to support risk adjustment and value-based care programs through accurate clinical data acquisition, expert coding, and purpose-built technology. Our solutions ensure diagnoses are fully supported by the medical record, enabling organizations to strengthen risk adjustment accuracy, support quality performance, and operate with confidence in an increasingly audited, outcomes-driven healthcare system.
Solutions & Technology
Clinical Data Acquisition
Efficient. Transparent. Centralized medical record retrieval workflows provide clear visibility from request to delivery, reducing administrative burden while ensuring complete and timely access to the clinical documentation required for risk adjustment and quality programs.
Risk Adjustment Coding
Defensible ICD-10 and HCC coding services ensure diagnoses are accurate, complete, and supported by the medical record, delivering a clear and compliant view of member risk profiles while supporting RAF accuracy and audit readiness. [Learn More]
Ready to bring clarity and confidence to risk adjustment and quality programs?
Learn how Virtix Health helps organizations improve operational efficiency, ensure documentation accuracy, and support confident performance across risk-based and value-based environments.
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Medicare Advantage Risk Adjustment
Accelerating Retrieval Performance Under PressureA Case Study in Medicare Advantage Risk Adjustment Executive Summary In late 2024, Virtix Health partnered with a leading national health plan to execute a critical rescue operation for their Medicare Advantage risk...
How Virtix Health Is Helping Value-Based Care Take Off
How Virtix Health Is Helping Value-Based Care Take OffThe transition to value-based care is no longer a slow experiment. Federal regulators have set ambitious goals, and the financial incentives for providers and payers are becoming impossible to ignore. The Centers...