Unlock Missed Opportunities with Retrospective Chart Review
Our Comprehensive Retrospective Chart Review Services to ensure that all clinically documented chronic conditions are accurately captured, validated, and submitted—maximizing revenue and compliance.
Ensure Complete and Compliant Documentation
In today’s value-based care environment, precise retrospective review is essential for accurate risk adjustment, proper reimbursement, and proactive compliance. Our scalable solutions empower health plans and providers to close documentation gaps, improve RAF accuracy, and drive financial performance—without disrupting workflows.
Healthcare organizations often miss revenue opportunities due to uncaptured chronic conditions, incomplete documentation, or coding inaccuracies. Health Ovations’ Retrospective Chart Review leverages expert clinical validation and advanced analytics to uncover hidden gaps, recover revenue, and align with CMS standards—all while enhancing data integrity and audit readiness.
Features
Maximize RAF Accuracy
Ensures all clinically documented chronic conditions are captured and coded correctly to optimize risk adjustment scores.
Close Documentation Gaps
Identifies and rectifies missing or insufficient documentation of chronic conditions for complete patient records.
Regulatory Readiness
Validates coding practices to align with CMS guidelines, reducing audit exposure.
Revenue Recovery
Scalable Operations
CMS Alignment
Recaptures missed or under-reported conditions to enhance reimbursement and financial performance.
Supports high-volume chart reviews for both large health plans and smaller regional organizations.
Maintains strict adherence to CMS regulations to ensure compliance and minimize compliance risks.
Benefits
Retrospective chart review ensures payers and providers are fairly compensated for the true complexity of their patient populations.
Coding
Our AAPC/AHIMA-certified coders validate clinical notes to capture all documented conditions, improving HCC accuracy.
Auditing
Reduce compliance risks with thorough reviews, a transparent audit trail, and adherence to regulatory standards.
Validation
Ensure documentation accuracy by verifying supported diagnoses and flagging unsupported claims.
Request Additional Information
Start a conversation to expand coding capacity, RAF lift, or prepare for HCC changes.