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Accurate diagnosis capture and value-based reimbursement are important components of successful risk adjustment programs. Read Prepare your organization to manage the growth in value-based reimbursement models to learn more about the people, processes and technology you need in place to manage risk adjustment coding across your organization, including the need for:

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Medicare Advantage enrollment is on the rise. More than 26 million people were enrolled in Medicare Advantage plans in 2021 alone. Preparing your organization to help manage this growth is critical to delivering ongoing high quality care to your patients and receiving accurate reimbursement.

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Prepare your organization to manage the growth in value-based reimbursement models

PwC SMART

A patient-centric approach

Our SMART inpatient tool has helped many of our clients in the market for 30 years. Supported  by PwC’s deep experience in coding and regulatory compliance, SMART can help your organization streamline your billing and help improve overall patient experiences. 

Specialized, certified coding talent

Workflow processes, procedures, enterprise reporting and controls

An integrated solution that accurately and compliantly captures hierarchical condition category (HCC) codes