Transforming Risk Adjustment Data into Actionable Intelligence
Go beyond raw data—unlock precision insights that drive RAF accuracy, compliance, and revenue performance.
From Metrics to Momentum
Health Ovations’ analytics engine turns complex risk adjustment data into clear, actionable intelligence. Our AI-powered dashboards track everything from RAF score trends to coder productivity, giving payers and providers the real-time insights needed to close gaps, optimize workflows, and prevent revenue leakage—all on one compliant, customizable platform.
With drill-down capabilities and role-specific views, we don’t just report numbers; we reveal the story behind your data and how to act on it. By applying predictive modeling and intelligent data aggregation, we surface hidden patterns in your risk adjustment data—revealing not just where gaps exist, but exactly how to close them for maximum financial and clinical impact.
Features
Predict risk score trajectories and HCC opportunities with high accuracy to prioritize interventions.
AI-Driven RAF Forecasting
Identify high-risk members and clinical suspect opportunities by care setting or PCP attribution.
Member-Level Risk Segmentation
Track chart status, coder productivity, and SLA compliance with drill-down to individual providers or clinics.
Real-Time Performance Dashboards
Build and export reports by provider, plan, HCC, or date range—all with Excel, PDF, or API options.
Customizable Reporting Hub
RADV simulations and dual-pass audit tracking minimize denials and prep for CMS reviews.
Audit-Ready Compliance Tools
HIPAA-compliant platform with encrypted data feeds and granular user permissions.
Secure, Role-Based Access
Benefits
Advanced data analysis transforms insights into action—boosting RAF accuracy, ensuring compliance, and maximizing revenue capture.
Boost RAF Accuracy and Forecasting
Pinpoint missed HCCs and documentation gaps through AI-powered recapture and validation, maximizing reimbursements.
Cut Down Coder Inefficiencies
Real-time productivity metrics and query tracking streamline workflows and reduce training blind spots.
Slash Audit Risks Proactively
Automated suspect flags and RADV readiness scores ensure compliance while reducing denial backlogs.
Request Additional Information
Start a conversation to expand coding capacity, RAF lift, or prepare for HCC changes.