Advantmed’s Elevate^ Risk Adjustment Analytics solution uses CMS HCC risk models, HHS HCC risk models, and internally developed analytics to identify suspected opportunities and documentation gaps within a population. Through our analytics engine, our clients can identify opportunities to optimize risk adjustment scores and improve quality at the member and plan level.
Access and leverage a wealth of analytics to identify opportunities across your membership to improve the accuracy of your Risk Adjustment Factor (RAF) scores.
Reduce false positives during suspecting with clinical mapping that clearly differentiates between acute and chronic conditions at the ICD-10 level.
With robust data captured from multiple sources, you’ll be able to identify chronic conditions and implement lower-cost interventions.
Use our sophisticated and agile targeting to analyze risk scores based on specific HCCs. Our powerful analytics engine cleans, maps, and validates data before adding to client-facing reports.
Identify members with disease and care gaps based on projected RAF scores or suspected morbidities along with confidence levels.
See how your coding progress is impacting your financial performance in real time and identify care and documentation gaps.
We capture data from multiple sources for the industry’s most comprehensive, reliable, and accurate analytics.