Risk Identification and Capture
Our holistic approach is designed to make it easy for clinicians to accurately document chronic conditions at the point of care.
The value of complete hierarchical condition categories (HCC) documentation
Under most emerging risk-adjusted payment models, capturing the clinical complexity of an attributed patient population is essential. It helps secure appropriate reimbursement and effectively manage the cost and quality of patient care.
We partner with organizations to:
- Design a risk strategy that organizes people, process and technology solutions to understand their patient population
- Engage their patients in the care continuum
- Empower clinicians to accurately and appropriately document diagnoses
What makes us different
Comprehensive NLP-enhanced retrospective review
Improved speed and accuracy of coding while identifying often missed risk factors
Accurate documentation at the point of care
EHR-enabled provider guidance is embedded within clinical workflow
Systematic team engagement
Dedicated clinical and change management training and support
Continuous improvement cycle
Ongoing optimization and support
How and why to scale HCC risk capture
Defining, documenting and managing population complexity is more critical than ever. Most providers have invested in infrastructure for complete and accurate documentation. Yet realizing care and financial goals requires consistent performance improvement year over year.
Latest from risk ID and capture
The role and benefits of NLP in risk adjustment programs
Leading organizations use natural language processing (NLP) to surface and identify previously missed or miscoded conditions.
The next step in risk adjustment strategy
Successful organizations must continue to refine and improve their risk identification and capture programs.
Rebalancing your risk adjustment strategy
Health systems need a combination of expertise, time and capital for a successful risk adjustment strategy.
John Kontor, MD
Senior Vice President, Provider Technology Services
Alexandra Povlishock
Vice President, Provider Technology Services