ELEVATE! RISK ADJUSTMENT INSIGHTS
ELEVATE! Risk Adjustment Insights clinically-derived analytics combines advanced suspecting and targeting, probability trend analysis and coding gap intervention to provide health plans and provider groups with a comprehensive risk adjustment solution.
Comprehensive and Accurate Suspecting
Clinical mapping reduces false positives during suspecting due to the mapping of acute versus chronic conditions at the ICD-10 level. Data is captured from multiple sources to identify chronic conditions that require intervention.
Data sources include:
Intelligent and Agile Targeting
Sophisticated targeting allows clients to analyze risk scores based on specific Hierarchical Condition Categories (HCCs). A proprietary analytic engine cleans, maps and validates data for importing into the Advantmed warehouse.
Real-Time Access and Visibility
Provides real-time access and visibility to the underlying drivers of medical and financial risk to improve payment accuracy, address population health necessities and rationalize the cost of care provided.
Summary of the ELEVATE! Risk Adjustment Insights End-to-End Solution
Advantmed incorporates ELEVATE! Risk Adjustment Insights into our ELEVATE! Platform, providing ongoing insights to understand the drivers of medical and financial risk.
Download our ELEVATE! Risk Adjustment Insights brochure