We help health plans and risk-bearing providers improve outcomes across their risk adjustment and quality programs.
Advantmed offers both retrospective and prospective HEDIS abstraction and review, ensuring health plans have the tools to proactively close gaps and accurately report performance.
Ensure accurate and compliant reporting with a rigorous two-stage review process and 100% over-read, delivering high-accuracy abstraction for final submissions.
Enable year-round gap identification and closure, leveraging advanced text mining and clinical abstraction to improve quality scores ahead of the next reporting season.
Trust your medical record abstraction projects with our AHIMA/AAPC/CPC-certified clinical HEDIS abstractors and nurses who bring a minimum of two years clinical abstraction and coding experience. Our coders also go through rigorous training to maintain high performance standards.
Our rigorous two-stage process for record abstraction includes 100% over-read and inter-rater reliability testing with comprehensive reporting of all medical records — going above and beyond industry standards.
In addition to an over-read, we perform an additional 20% Inter-Rater Reliability (IRR) audit on both positive and negative outcomes, as well as 100% of exclusions.
Your clinical team has the ability to quickly assess the review process and provide feedback to our team so that we can make adjustments and ensure audit-ready accuracy.
