Maximize Financial Performance
for Health Plans & Providers
Risk Adjustment
with FRG’s Revenue Audit
and Monitoring Program
(RAMP)
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.
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Data Processed for
16,000,00+
lives nationwide monthly
Data Processed for
16,000,00+
lives nationwide monthly
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 16 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.
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.
Every month, FRG’s audit package makes it easy to track progress, spot new opportunities and revise accruals for risk adjusted revenue restatement events.
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
Outstanding HCC’s by Sweeps period
Acute and Chronic HCC’s w/ descriptions and RAF weight
What will an audit of your coding data unlock?
Let’s work together and find out!
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
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.