Risk Adjustment
Risk Adjustment programs require maintaining complete compliance with government rules and regulations. Health Ovations can be your partner in navigating the complex healthcare ecosystem.
We provide Retrospective and Prospective Risk Adjustment services. Our SaaS based platform provides coding, auditing, real-time data tracking and analytics to optimize revenue.
Additional features our platform provides:
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Full visibility from start to finish audit trail
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Scrubbing of data for validation
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Data in-take controls to increase accuracy
Our platform provides the most accurate and actionable insights to improve outcomes for your members.
Coding
Analyze clinical notes to ensure that all valid documented conditions are captured. In addition, our coders are AAPC and AHIMA certified with significant experience in the industry to deliver high quality results.
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HCC
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RxHCC
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Full Code Capture
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HHS
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CDPS
Auditing
Obtain highest quality and accuracy of medical record reviewed by using our platform.
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Improve accuracy
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Complete audit trail
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Reduce risk & cost
Gaps in care
Reduce missed opportunities or delay in identifying diagnosis by closing gaps in care within a timely manner.
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Identify open conditions
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Improve documentation
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Provider education to close gaps
Validation
Achieve high documentation accuracy by performing chart validations.
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Capture supported diagnosis
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Identify diagnosis without support
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Improve compliance
Together we can construct a complete and accurate picture of members' health conditions.
Request additional information
Upon request you will receive a use case about our coding platform.