Our solution identifies 6 missed codes each year for every 10 patients on average. This can be the difference between earning shared savings and not due to the sensitivity of financial results with risk score.
We have a unique algorithm for finding coding discrepancies and integrating with your electronic medical record.
Some of our differentiators appear below:
Comprehensive: We scan the entire healthcare system for missed coding opportunities by using claims data. Many solutions only use data from the medical chart.
Unique and Complementary to other Solutions: Our search algorithm goes beyond looking for discontinuities year over year or suggested risk codes by medication list.
Automation: Coding opportunities are identified automatically to improve capacity of staff resolving the coding discrepancies
Frequent Refresh: We refresh the automatic identification algorithm on a monthy basis
EMR Integration: We automatically populate a workqueue for staff to triage, prioritize and document missed opportunities. Managers can run productivity reports.
Transparency: A note with the root cause for the discrepancy is attached to the data feed so that staff know why the algorithm identified a missed opportunity.
Intuitive Online Dashboard: Our analytics dashboard provides statistics and reporting by the cause of risk score discrepancy.
Customizability: We are able to tailor the rules engine by payer contract and handle custom risk adjustment algorithms used by private payers.
Empowering Healthcare Providers Participating in Risk Contracts
Validate Health, LLC
222 W Merchandise Mart Plz
Chicago, IL 60654
Phone: (888) 507-3870