RISK ADJUSTMENT ANALYTICS AND WORKFLOW SOFTWARE
  • Be in the driver’s seat, hold the reins of the risk adjustment analytics to spot convertible HCC opportunities, and be ahead of the competition with our cutting-edge software.
  • Segregate your member data for superior forethought and groundwork of risk adjustment targets.
  • Keep tabs on computed risk tally and ROI per program through HCC analytics.
  • Dominate interruptions proficiently and faster the HCC gaps in a jiffy.
  • Authenticate the veracity and probity of data for your whole population.
  • Automatize with just a few clicks customized provider attestation, letter initiation, & collection. This is going to make your life easier.
RISK ADJUSTMENT FEATURES
  1. Secernate Populace: You’re in luck because we have created a system that will give all sorts of information about any RAF group, including their eligibility requirement as well. Whether you are looking for a specific RAF opportunity or maybe trying to find providers who participate in the RAF program. Either way, you’ve come to the right place. Our search tool lets you filter through all the RAF opportunities that are currently available. Run analytics in minutes and RAF campaigns in seconds.
  2. Risk adjustment & HCC dashboard: Attain seeable opportunities and areas of improvement with your RAF score before diving into HCC gap analysis.
  3. Member Index: The automated data warrior drill down will allow you to capture the nitty-gritty of each member, including their demographics, providers, encounters, RAF details, HCCs captured, and their HCC reconciliation.
  4. Campaigns: In-depth identification of your population and data visibility into member-level reporting as well as campaign performance so no stone is left unturned when looking for a one-stop shop for winning campaigns - S2M
  5. Innovate your way to success for every plan:

    Medicare Advantage (MA) plans

    Medicaid plans

    ACA plans

Ask Yourself!

Does your current Medicare risk adjustment software have?

  • Artificial Intelligence with natural language processing that reads unstructured data (PDFs) of hospital discharge summaries, PCP notes, consults, lab reports, and radiology reports.
  • Intelligent Recapture alerts for codes used in the prior year that don’t have the proper documentation in the current year.
  • EHR Integrations that present risk adjustment suspects conveniently on your EHR screen at the point of care along with HCC coding recommendations.
  • Hyperlinks to original documentation.
BENEFITS
  1. Instantaneously single out windows of opportunity for RAF furtherance inside the range of your population with our intuitive HCC dashboard.
  2. Use the campaign-building features to grow your business and transform opportunities into patients and close those pesky gaps in care.
  3. Recognise providers with massive risk adjustment opportunities and start the ball rolling for the programs to seize them and shrink the coverage gaps.
  4. The HCC Analytics team has created a helpful guide to show the ROI of different schemes with their respective weights towards success and delivering exceptional results day after day.
  5. Further develop and advance chronicling and partnering with the HCC dashboard to see and back up all germane member, provider & program statistics.
  6. Completely robotize the game plan and the standard operating procedure to produce, deliver and acquire substantiations, pruning management oncosts.
  7. Simplify attestation tracking functionality with barcodes.