Smart Risk Adjustment with AI-Powered Precision
AI-enabled platform connects the patient and the care team in an intuitive manner to optimize patient engagement that is critical for improving patient outcomes and lowering costs for value-based care.
One Product, Many Solutions
Drive measurable results in value-based care with AI-powered insights and intelligent automation.
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return on investment
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%
increase in productivity
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decrease in clinician burden
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reduction in admin expense
Transform Risk Adjustment and Clinical Documentation
Optimize Value-based Care Margins
- Decrease Medical Loss Ratio with advanced risk strategies
- Increase RAF score recapture & optimize revenue
- Increase patient outcomes, decrease re-admission claims
Risk Adjustment & Population Health
- Population Risk Monitoring & HEDIS alignment
- End-to-end unified workflow for HCC gap recapture
- Risk Stratification with Clinical AI predictive modeling
Predictive Analytics & Audit Ready
- AI-Driven Risk Analytics for HCC RAF reconciliation
- Claims data reconciliation, RADV readiness & compliance
- FHIR Interoperability & Real-Time Data Access
Smart Risk Adjustment for Value-Based Care
Comprehensive
Risk
Adjustment
Achieve accuracy in risk adjustment with real-time insights and automated workflows.
- Detects undercoding and overcoding for precise RAF scores.
- Automates compliant queries for accurate HCC recapture.
- Real-time HCC validation to minimize RADV audit risk
- Categorizes codes with intelligent mapping and flags anomalies for review.
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%
improvement in quality measure recapture rate
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%
HCC recapture completion rate (within same year)
Provider Engagement Reporting & Point-of-Care Support
Bridge the gap between care gaps and HCC capture through point-of-care provider engagement.
- Connects care gap insights with HCC capture during patient encounters.
- Supports better clinical outcomes and optimized risk scores.
- Leverages data-driven insights for targeted provider and member engagement.
- EMR Integration & Mobile App for the Clinical team
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%
Decrease in Retrospective Chart Retrieval & Coding
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%
Improvement in Quality Measure Recapture Rate
Intelligent Analytics & Insights
Unlock deeper insights and mitigate risk with advanced analytics that highlight patterns and coding gaps across clinical documentation.
- Identifies and prioritizes outliers and potential coding issues.
- Pinpoints gaps across clinical notes, labs, and imaging.
- Supports efficient CDI processes for accurate HCC capture.
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%
Decrease in spend for Retrospective Chart Retrieval & Coding
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%
Reduction in Medical Loss Ratio* & Revenue leakage
*Based on case studies
Performance Tracking & Compliance Tools
Ensure compliance while monitoring and enhancing program performance with intuitive tools and data-driven insights.
- Enhances care quality to drive higher Star ratings and program recognition.
- Dynamic Reporting Tools: Generate detailed, customizable reports effortlessly.
Human and Artificial Intelligence
By harnessing the power of data analytics, automation, and AI, we enable healthcare organizations to operate at peak performance, reduce costs, and deliver high-quality care.
AI-Powered Precision
Comprehensive Solution
Continuous Innovation
Compliance-first approach
How quickly can RAQ+ be implemented?
Our team ensures a smooth, rapid onboarding tailored to your organization’s needs.
Is my data secure?
Absolutely. We employ high-grade security protocols and full HIPAA compliance.
Can RAQ+ integrate with our current systems?
Yes, RAQ+ is designed for flexible integration with most healthcare IT infrastructures.
What kind of ROI can we expect?
Clients typically see a 11x return on investment within few years.
Ready to Transform Value-Based Care Operations? ?
Discover how RAQ+ can revolutionize
your risk adjustment and clinical documentation processes.
Simplifying Healthcare Operations
Company
3480 Preston Ridge Road, Suite 500
Alpharetta, GA 30005
Contact Info:
(404) 952-3145 | (678) 338-1688
Products
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