Software

Clinical Abstraction

A medical record-driven reporting solution for payers that want to optimize management of quality-related data for HEDIS and Stars, collect and track medical records, and execute chart abstractions at various process levels.

 

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ScalableMedical Record Abstraction

  • Control costs with scalable capacity of our U.S. offices in Georgia and Kentucky, or our offshore office in Manila.

  • Achieve high accuracy rates supported by our rigorous quality control.
  • Know the status of medical records retrievals in near real-time with the self-service Alert Portal.

  • Seamlessly integrate charts with Quality Performance Advisor.

Trust, Accuracy, and Transparency to Help Improve Quality Scores

  • Trusted expertise

    • Rely on our 20 years of experience in medical records retrieval, coding, and abstraction for HEDIS and Stars.
    • Help to improve coding accuracy with our clinically trained staff and quality control.
    • Scale to suit your needs with our onshore or offshore offices.

  • Fully integrated with quality analytics solution

    • Option to retrieve medical records and perform clinical coding and abstraction in a one-stop-shop solution and integrate with our Quality Performance Advisor solution, named Best in KLAS in Payer Quality Analytics 2018.
    • Eco-scale and code medical records for risk adjustment.

  • Near Real-time transparency

    • Stay up to date on the status of retrieval and abstraction through the Alert Portal that shows the status of chart retrievals in near real time.
    • Manage the process and communicate internally using the Alert Portal that provides a dashboard, key sites, member view, pends by site, and other features.

Our outcomes

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Risk Adjustment - Frequently Asked Questions

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Risk Adjustment - Frequently Asked Questions

View our analysis that shows the importance of risk adjustment tools to help contribute to stable insurance markets.

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