Advantmed offers integrated solutions to help healthcare organizations improve performance.
Risk adjustment analytics you can act on.
Improve clinical performance with in-depth analytics.
Combining CMS HCC risk models, HHS HCC risk models, and internally developed models powered by our Elevate^ platform, our advanced end-to-end analytics drive the efficiency, effectiveness, and accuracy of your risk adjustment programs — leading to better clinical performance, patient outcomes, and reimbursements.
Comprehensive analytics in a comprehendible format.
Improve RAF Scores
Access and leverage a wealth of analytics to identify opportunities across your patient population for improved Risk Adjustment Factor (RAF) scores.
Superior Suspecting
Reduce false positives during suspecting with clinical mapping that clearly differentiates between acute and chronic conditions at the ICD-10 level.
Multiple Data Sources
With robust data captured from multiple sources, you’ll be able to identify chronic conditions and implement lower-cost interventions.
Intelligent Targeting
Use our sophisticated and agile targeting to analyze risk scores based on specific HCCs. Our powerful analytics engine cleans, maps, and validates data before importing it into our warehouse.
Probability Trend Analysis
Identify potentially high-risk patients based on projected RAF scores or suspected morbidities.
Coding Gap Intervention
See how your coding progress impacts your financial and clinical performance in real-time, and identify care and documentation gaps so you can close them.
No data left uncaptured.
We capture data from multiple sources for the industry’s most comprehensive, reliable, and accurate analytics.
Screenings
Physician Record Reviews
Claims
Pharmacy
Laboratory
Member Data
Provider Data
Claims Files Supplemental Data
Member Records/EMR
See our advanced risk adjustment analytics in action.