Our Services

At RiskWise Practice Solutions LLC, we provide risk adjustment, documentation improvement, and billing workflow oversight designed specifically for Primary Care practices. Our services strengthen accuracy, compliance, and revenue integrity—without replacing your existing billing team.

Three‑tier Service Model

what we do

Tier 1 - RA Essentials + Biller Oversight

This tier provides foundational risk adjustment support and monthly oversight to ensure your biller captures accurate, complete diagnoses.

INCLUDES:

Monthly risk adjustment chart reviews
Monthly supplemental diagnosis submissions
Monthly biller QA (claims review, missed codes, feedback)
Monthly provider documentation feedback
Quarterly education refreshers
Monthly RA performance reporting
Email support for billers and providers

Price Range: $3,000–$5,000/month

Ideal For

Small to medium practices
Practices missing chronic condition recapture
Practices with inconsistent coding quality

We protect your revenue without replacing your biller.

Tier 2 - RA + Documentation Improvement Program

This tier expands your support with deeper documentation improvement, provider‑specific education, and enhanced reporting.

INCLUDES:

Everything in Tier 1, plus:

Comprehensive documentation audit (monthly or quarterly)
Provider‑specific education sessions
Documentation templates and quick‑reference guides
Coding accuracy monitoring
Annual recapture planning
Monthly workflow optimization sessions
Enhanced reporting (RAF trends, provider scorecards)

Price Range: $5,000–$8,000/month

Ideal For

Practices with multiple providers
Groups with chronic documentation gaps
Practices in value‑based contracts

We improve both coding accuracy and provider behavior.

Tier 3 - Full RA + Documentation + Billing Workflow Optimization

Our most comprehensive tier delivers end‑to‑end alignment between risk adjustment, documentation, and billing operations.

INCLUDES:

Everything in Tier 2, plus:

Full billing workflow evaluation
SOP creation and implementation
Biller training program
Monthly billing workflow audits
Denial pattern analysis
End‑to‑end RA + billing alignment
Quarterly strategic performance reviews with leadership

Ideal For

Larger practices
Practices with chronic operational issues
Groups transitioning to value‑based care

We serve as your dedicated RA and billing quality partner, strengthening accuracy and compliance without taking over billing.

Custom Pricing

Pricing may vary based on provider count, visit volume, payor mix, and operational complexity. Custom quotes are available upon request.

How our service works?

process

1. Initial Assessment

We carefully review your current RA, documentation, and billing workflows to identify gaps and baseline performance.

2. Customized Tier Selection

You select the tier that fits your provider count, visit volume, and operational needs.

3. RA & Documentation Support

We begin monthly RA reviews, supplemental submissions, documentation feedback, and biller QA based on your tier.

4. Provider & Biller Education

Providers and billers receive ongoing training—quarterly, monthly, or advanced depending on the tier.

5. Workflow Optimization

We refine workflows, create SOPs, train billers, and analyze denial patterns for continuous improvement.

6. Reporting & Performance

You receive clear monthly reporting: RA performance, RAF trends, scorecards, and coding accuracy.

7. Strategy & Review

Tier 3 includes quarterly leadership reviews to align strategy, performance, and long‑term goals.

8. Continuous Support

Throughout the engagement, your providers and billers have ongoing email access to our team for questions, clarifications, and real‑time guidance.

Partner with experts who understand primary care—schedule your consultation today.

Clarity, accuracy, and financial confidence.

Contact Info:

Email: info@riskwiseps.com

Phone: (602) 999-2749

Phoenix, AZ

Socials:

Facebook

Youtube