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
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.
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.
Features
Boost RAF Score Accuracy
Pinpoint missed or incorrect HCCs through data-driven
recapture and validation.
Improve Coding Team Efficiency
Monitor coder and auditor productivity in real time
and identifies training gaps.
Reduce Audit and Denial Risk
Enable proactive identification of documentation gaps
and suspect flags.
Enhances Operational Transparency
Deliver Strategic Insights
Drive Real-Time Action
Track performance by provider, clinic, or region
with custom filters.
Visualize trends across time periods and
population cohorts.
Automated alerts and dashboards help prioritize high-impact
charts.
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.