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Risk Adjustment and Quality Platform

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Risk Adjustment and Quality Platform

Versatile and Powerful

Advantasure delivers greater plan and provider collaboration by consolidating independent functions into a comprehensive risk adjustment and quality improvement solution. We’ll help you harness the power of data with innovative modules that far exceed filter-and-search functionalities.

In addition to multiple toggle views, you can easily search at the member or provider level by accessing the physician view. Our platform includes tools for:

  • Suspect analytics
  • Enrollment reconciliation
  • Financial reconciliation

Advantasure’s self-service analytics module further fuels your operational performance. This module enables plans and providers through ad-hoc analysis, user-generated dashboards, reports and KPIs, data-driven alerts and more.

Financial Reporting

  • Monthly revenue reconciliation report
  • Financial forecast report
  • Dropped HCCs report
  • PCP risk adjustment factor report
  • Project improvement report

Clinical Reporting

  • Member profile report
  • Provider engagement and profile

Management Oversight

  • Dashboards and reports
  • KPIs and data-driven alerts
  • User activity
  • Resource management

Retrospective Operations

  • Historical and suspect gap identification and chart-chase list creation
  • Coder performance reporting
  • Status review by chart, note, or provider
  • Financial outcomes reporting

Additional Supported Solutions

  • Business Intelligence Environment
  • Medical Record Review Tool

Find Out How We Fuel Accelerated Performance

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