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:

Full visibility from start to finish audit trail
Scrubbing of data for validation
Data in-take controls to increase accuracy

Anchor 1

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.

HCC
RxHCC
Full Code Capture
HHS
CDPS

Auditing

Obtain highest quality and accuracy of medical record reviewed by using our platform.

Improve accuracy
Complete audit trail
Reduce risk & cost

Gaps in care

Reduce missed opportunities or delay in identifying diagnosis by closing gaps in care within a timely manner.

Identify open conditions
Improve documentation
Provider education to close gaps

Validation

Achieve high documentation accuracy by performing chart validations.

Capture supported diagnosis
Identify diagnosis without support
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.

Risk Adjustment

Our platform provides the most accurate and actionable insights to improve outcomes for your members.

Together we can construct a complete and accurate picture of members' health conditions.

Request additional information

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