RISK ADJUSTMENT ANALYTICSAND WORKFLOW SOFTWARE
Risk AdjustmentSoftware Features
Stratify members and providers by applying multiple filters that include specific RAF opportunities, eligibility, and provider type.
RISK ADJUSTMENT FACTOR & HIERARCHICAL CONDITION CATEGORY CODING (HCC)DASHBOARD
Obtain visibility into the current and projected risk adjustment factor (RAF) score of your population before obtaining detail of hierarchical condition category (HCC) gaps.
Drill into each member to get detailed information, including demographics, providers, encounters, RAF details, HCCs captured, and their HCC reconciliation
Identify your population, determine the best intervention, and launch it with our risk adjustment analytics platform. Gain visibility into member and provider level reporting, campaign performance, and ROI.
INNOVATIONS FOR ALL AUDIENCES
- Medicare Advantage (MA) plans
- Medicaid plans
- ACA plans