What Makes Us Different
Makes You Better.
Our Approach
What We Do
Always Elevating
Financial and Clinical Outcomes
Advantmed empowers health plans and providers to optimize risk adjustment, quality improvement, and health assessment programs, driving measurable clinical results and stronger financial outcomes.
How Health Plans Improve Performance.
Take your risk adjustment and quality programs to the next level with better member insights, increased data accuracy, elevated financial performance and improved member outcomes.
How Providers
Improve Patient
Outcomes.
Deliver better care and improve financial performance with our suite of flexible risk adjustment and quality improvement solutions proven to help you succeed in a risk-based environment.
See How
Every 1 %
Matters
Every 1% improvement across these KPIs means better financial and clinical performance for you.
- Medical Record Retrieval
93+% Medical Record RetrievalProvider-centric transparent, and easy-to-manage record retrieval program that combines traditional and digital methods to deliver the highest possible retrieval rates.
- Coding Accuracy
98+% Coding AccuracyEvery chart is independently reviewed for the highest levels of accuracy, compliance, and defensibility — giving health plans complete confidence in their data and outcomes.
- Abstraction Accuracy Rate
99+% Abstraction Accuracy RateOur clinically led abstraction teams leverage standardized workflows and rigorous QA protocols to ensure near-perfect accuracy, driving reliable quality measure performance and stronger reporting outcomes.
- IHA Completion
30% IHA CompletionWith thorough pre-visit preparation, our nurse practitioners arrive fully equipped — our reviews pinpoint gaps, eliminate false positives, and provide actionable insights for more efficient and meaningful assessments.
- HCC Recapture
81% HCC RecaptureOur coding workflows ensure critical conditions are accurately identified and validated, improving documentation completeness and driving stronger risk score integrity.
- Member Satisfaction
97+% Member SatisfactionOur compassionate, member-first approach fosters trust, comfort, and engagement — resulting in consistently high satisfaction scores and a more positive healthcare experience.
Provider-centric transparent, and easy-to-manage record retrieval program that combines traditional and digital methods to deliver the highest possible retrieval rates.
Every chart is independently reviewed for the highest levels of accuracy, compliance, and defensibility — giving health plans complete confidence in their data and outcomes.
Our clinically led abstraction teams leverage standardized workflows and rigorous QA protocols to ensure near-perfect accuracy, driving reliable quality measure performance and stronger reporting outcomes.
With thorough pre-visit preparation, our nurse practitioners arrive fully equipped — our reviews pinpoint gaps, eliminate false positives, and provide actionable insights for more efficient and meaningful assessments.
Our coding workflows ensure critical conditions are accurately identified and validated, improving documentation completeness and driving stronger risk score integrity.
Our compassionate, member-first approach fosters trust, comfort, and engagement — resulting in consistently high satisfaction scores and a more positive healthcare experience.
The difference isn’t
just in the data.
Meet the engine behind it all
Our industry-leading technology platform, Elevate^, gives you real-time data visibility and actionable insights to support your risk adjustment initiatives.
Elevate^ your
performance.
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-
20+ Years
Proven Expertise -
3,500+ Employees
Global Workforce -
30+ Health Plan Clients
Trusted Partners -
3 of the Top Health Plans
Leading Collaborators
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6 Global Offices
Global Operations -
1MM+ Provider Relationships
Connected Network -
3+ Provider Group Clients
Strategic Partnerships -
3 of the Top 5 Provider Groups
Preferred Choice -
Highlights
- Blog
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