Our Retrospective Gap Identification platform leverages your existing data to identify gaps in member’s risk scores, enabling you to better direct your efforts.
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.
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.
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.
In the spring of 2018, Tessellate integrated with a sister company to form a stronger, more competitive organization, with the ability to leverage complimentary products and services and deep industry expertise. Recently, the company unveiled its new brand, Advantasure, with the tagline: Fueling Accelerated Performance.
The new name and tagline accurately reflect the company’s unique suite of technology products and business process services that improve the performance of health plans and provider organizations in the delivery of government healthcare programs.