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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.

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Virtix Health is Partnering with CMS on a Pilot Program in the State of Washington

Learn About WISeR

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.

HEDIS & Quality Abstraction

Reliable HEDIS and quality abstraction services support precise reporting, regulatory compliance, and audit preparedness, helping organizations accurately reflect quality performance as quality reporting continues to evolve toward more digital and standardized approached.

Technology

Virtix Health’s HITRUST-certified Linx™ platform, combined with AI-powered CARAT™, brings accuracy and visibility across clinical data acquisition, risk adjustment coding, and quality abstraction reducing manual effort while enabling teams to work smarter within their existing workflows.

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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How Virtix Health Is Helping Value-Based Care Take Off

How Virtix Health Is Helping Value-Based Care Take Off

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