Retrospective Gap Identification

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Retrospective Gap Identification

Putting Retrospective Gap Identification to Work

Our Retrospective Gap Identification platform leverages your existing data to identify gaps in member’s risk scores, enabling you to better direct your efforts.

Improve Risk Score Accuracy

Impacting risk adjustment with gap identification is critical. Retrospective reviews and analysis both play important roles, and together provide a more complete picture of gaps in process, services or data that could represent a major issue for your business. This analysis provides critical insight and allows providers to close gaps in member evaluation, care and documentation of conditions.

Finding and Correcting Gaps Made Simpler

Advantasure’s retrospective gap identification is a technology solution that identifies missing or suspect codes to update risk adjustment documentation. Retrospective gap identification focuses on risk score and reimbursement accuracy based on review of previous year data and the creation of a medical record chase list.

  • Chase logic, targeting the medical records with the highest probability of capture
  • Increased efficiencies

Managing Retrospective Gap Identification

Reducing the burden of effective risk adjustment management is an ongoing challenge – and sometimes overlooked by plans. Our experienced team has a deep understanding of health plan needs and the potential for gaps. We know the benefits you can achieve from a strong technology platform that delivers complete management of retrospective gap identification.

If you worry about the gaps in your plan, let’s talk about how we can help.

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