Risk Adjustment Solution for Medicare Advantage Plan Providers

 

Improve your RAF Scores

Ensure your RAF scores accurately represent the health of your members as documented in the patient medical records. Analyze 100% of your MA patient member charts and more accurately identify any previously unreported HCC conditions with the HCC Optimizer. Our clients routinely report finding an additional $80-$150 per member per analysis with the HCC Optimizer after internal or other vendor audit processes have been completed.

Eliminate manual chart extraction costs

Eliminate costly extraction fees and avoid wasting valuable clinic time with the HCC Optimizer's automated chart extraction, retrieval and analysis of clinical documentation directly from the EHR source.

Capture all properly documented diagnoses in your member's medical records 

Don't only rely on diagnosis codes reported through the claim stream but go directly to the source of clinical documentation. The HCC Optimizer analyzes each and every member’s medical record and only presents for coder validation qualified face-to-face encounter notes for relevant Dates-of-Service. The outcome of which is faster, more accurate coding of 100% of your MA patient population.

Attain RADV audit confidence 

Easily retrieve the supporting encounter note for every coder approved HCC condition with the HCC Optimizer solution.

                                                                                                                                                                              Learn more about the HCC Optimizer 

 
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