Risk Adjustment

iQuartic – a fresh new approach to risk adjustment, leveraging machine learning and natural language processing to simplify, standardize and optimize the completion of administrative work required to operationalize value-based managed care agreements.  Our smartSuite of products address all aspects of the risk adjustment and STARs management journey – from member enrollment to HRA dissemination and collection of member responses, annual wellness visit (AWV) preparation and physician documentation support, customized disease prevalence benchmarking to support optimal coding and compliant documentation and physician CDI training.  We can support both existing workflows (i.e., prior year diagnosis code re-validation and recapture) as well as help organizations become more efficient and effective, resulting in happier physicians and members (due to reduced burden), less stressed CMOs and more relaxed CFOs.

Quality Management

Imersis- A cloud-based, quality data tool and quality measures engine, currently deployed to help state Medicaid agencies prepare Transformed Medicaid Statistical Information System (T-MSIS) data for advanced analytics and to meet Federal quality data reporting requirements. Deep dive into data quality measures to identify specific issues, root out the sources of bad data, and remediate low scores.

Social Determinants of Health

Saffron (Social Architecture for FHIR-based Referral and Open Standards Networks) presents DiverCity, a cloud-based platform designed to create a closed-loop, social services delivery ecosystem to support person-centered care, reducing the silos that currently exist that prevents healthcare providers and plans from leveraging community-based social services delivery organizations that are available to address SDoH barriers to care.

Medical record (EHR) clinical data extraction and claims ingestion engine

FHIR Connectivity engine – Accelerate your clinical data acquisition strategy with the Onyx Clinical Acquisition Platform (OnyxCAP), the leading open-standards clinical data acquisition solution.  Securely collect clinical data from thousands of hospital and physician EMRs as well as claims data from insurance companies. Implement common, repeatable, open standards-based data acquisition processes and reduce provider office burden.

Ready to automate your chart validation?