Risk Adjustment Coding You Can Stand Behind
Documentation-supported ICD-10-CM and HCC coding that brings clarity, confidence, and compliance to your risk adjustment programs.
Risk adjustment is complex – and the consequences of getting it wrong are real. Virtix Health brings clarity, consistency, and confidence to risk adjustment coding for plans and providers.
Our in-house team of certified coders, abstractors, and auditors work within Virtix Health’s HITRUST-certified Linx™ platform, supported by AI-powered CARAT™, to ensure diagnoses are accurate, complete, and fully supported by the medical record – so your teams can move forward knowing your data will stand up to scrutiny.
Virtix Health supports retrospective, prospective, and concurrent workflows across Medicare Advantage, ACO, Commercial/ACA, and Medicaid managed care, helping organizations reduce administrative burden while strengthening documentation accuracy and maintaining audit-readiness performance.
Risk Adjustment to Support Health Plan Compliance
Risk adjustment carries real responsibility – and real scrutiny. Virtix Health is built to help organizations meet both with confidence.
Our teams apply consistent, clinically grounded coding practices to ensure every diagnosis is accurately captured, fully supported by the medical record, and aligned with CMS risk adjustment and RADV audit requirements.
Through structured workflows, expert oversight, and technology-enabled validation, we help health plans strengthen documentation integrity, reduce coding variability, and maintain audit-ready performance so your organization can move forward with clarity and confidence.
Risk Adjustment Support for Value-Based Care
For healthcare organizations participating in value-based care and risk-bearing arrangements, Virtix Health supports prospective and concurrent documentation workflows that help ensure conditions are captured accurately and reflected appropriately in risk adjustment and quality programs, without adding unnecessary burden to clinical teams.
By strengthening documentation completeness and coding accuracy, Virtix Health helps payers and providers operate with confidence inside risk-adjusted contracts.