Risk Adjustment

with FRG’s Revenue Audit and Monitoring Program (RAMP™)

Maximize Financial Performance for Health Plans and Providers

Unlock Revenue Potential

Are unseen risks in revenue alignment causing financial strain on your healthcare organization? FRG’s RAMP™ reports and dashboards highlight opportunities to recapture historically documented chronic revenue to ensure revenue alignment in active payment years. Our conservative and quantitatively rich approach to analysis and reporting delivers actionable findings to help you plan member outreach, close coding gaps and match medical expense budgets to real panel acuity.

Revenue Audit and Monitoring Program (RAMP™) service provides analytics down to the member level, to identify and improve revenue alignment and support chart audit initiatives.

Experience and Expertise You Can Trust

With two decades of service, FRG empowers health plans and physician groups with robust, data-driven insights. Each month our HiTrust CSF® Certified AccuReports® service processes data for over 14 million lives nationwide, solidifying our expertise in managing risk and enhancing financial sustainability.

A Customized Approach to Revenue Opportunities

RAMP™, our tailored monthly subscription service, provides a bottom-up analysis focusing on chronic condition recapture and premium accruals. Our detailed monthly audit reports, coupled with member-specific coding worksheets, ensure meticulous evaluation and timely opportunity recognition.

Sustainable Results, Demonstrated Impact

Our clients have unlocked substantial value through targeted chart audits and precision analytics. Leveraging member-level details, RAMP™ enables informed decisions, driving sustainable revenue growth and empowering plans with financial foresight.

Member Care Gap Report

RAMP™ – Care Gap Overview

Care Gap Reports are part of the RAMP suite that allows users to easily and concisely pull member report cards for their panel, which outlines key information, to assist in the closure of risk gaps.

Report cards include:

  • Member Demographics
  • Provider Demographics

  • Outstanding HCC’s by Sweeps period

  • Acute and Chronic HCC’s w/ descriptions and RAF weight

These report cards can be run individually or in bulk and can be used internally by your coding team to identify potential gaps in care or can be used by your network relations team to help their providers identify risk gaps for their individual panels.

RAMP™ provides clarity into risk adjusted revenue dynamics:

  • FRG builds revenue forecast from bid, Stars, county and diagnosis specifics
  • Finance teams document revenue recaptured for accruals at member level and summarize at the PCP, Group, and Plan level
  • Analytics teams parse and summarize member level data: diagnosis codes, HCCs, MRA and premium changes
  • Providers and coding teams identify and act on prioritized members charts

Every month, FRG’s audit package makes it easy to track progress, spot new opportunities and revise accruals for risk adjusted revenue restatement events.

Case Study

  • Small Carrier, Rural Population, Independent Physicians
  • 40 patient audit (<1% of the panel) found opportunities
  • Mix of dropped chronic and acute conditions
  • Value of chart audit opportunity worth $3,000,000

What will an audit of your coding data unlock? Let’s work together and find out!

Partner with FRG

Ready to align your financial strategies with industry best practices?

Start with FRG’s transparent, cost-effective solutions. For a scalable fee, our comprehensive RAMP™ service can set your organization on a path to improved financial health and enduring success. Let’s begin your journey to a more robust financial future today.

Call 888-466-1025 for more information or fill out form.

Reports delivered within 30 days of data package.

Let’s get started!

Request a demo to explore how FRG’s RAMP™ can revolutionize your revenue cycle management.