Interpreta - Risk Adjustment Module
Interpreta’s Risk Adjustment module provides an HCC-based risk capability for an added dimension of insight into your patient population. Extending the key learnings of quality analytics, Interpreta’s Risk Adjustment helps both payer and provider organizations identify acute and chronic disease conditions, properly identifying patient risk and treatment gaps to improve at-risk population care.
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Details
Interpreta’s platform helps users create a central analytics perspective from a complex and challenging data ecosystem. For risk adjustment, Interpreta ingests structured data through standard claim ingestion and unstructured data through our supplemental data portal or integration with machine learning and natural language processing solutions. Our partners are able to aggregate insights from multiple data sources into a single insight engine for care management and strategic adjustment.
All patients tracked in Interpreta’s Risk Adjustment can be analyzed across an extensive set of parameters for a full picture of patient risk:
- HCC risk scoring with inference and persistence alerts
- Ability to view captured and uncaptured risk gaps
- Clear visibility into previously coded HCC diagnosis
- Evidence of claims inferring new conditions, or confirming existing conditions
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