Right Coding
Adaptive, learning Extract-Transfer-Load (ETL) process to scout EMR, claims, billing, pharmacy, lab results, ADT, Mental Health, HRA files to create a 360-degree longitudinal view of the member record
Disease specific predictive modeling platform to capture any emerging complications with chronic disease progression
Multi-dimensional OLAP model to propagate chronic condition diagnosis from a 3-year history
Proprietary prioritization algorithms rank order members based on the number of unidentified, undercoded diagnosis codes, type of codes, HCC & MLR changes, and revenue impact for chart reviews by the HCC coding analysts to maximize coding accuracy with minimum member chart reviews