solution

HCC Risk Recapture

Detect potential high-value Hierarchical Condition Category (HCC) risk coding gaps, send real-time insights to the point-of-care for remediation, seamlessly transition between v24 and v28 scoring versions, and enable efficient clinician engagement with pre-visit planning to ensure delivery of preventative services.

Key Insights & Value Drivers

Risk Coding Analysis

Detect potentially missing and emerging HCC risk coding gaps within your attributed population to identify targeted cohorts for prioritized outreach campaigns.

Real-Time HCC Projection

Access up-to-date projections of potentially emerging and captured HCCs within your attributed population for more informed decision-making.

Version Transitioning

Seamlessly transition between v24 and v28 normalized risk scores to stay current with the latest CMS risk coding requirements.

HCC Fallout Investigation

Investigate potential HCC fallout and identify certain diagnosis codes which, when paired with other circumstances, area at high risk for being miscoded.

Beneficiary Gap Identification

Identify beneficiaries with risk coding gaps, thus enabling targeted intervention by PCPs through Annual Wellness Visits (AWV) and other preventive services.

Pre-Visit Planning

Provide pre-visit beneficiary insights to enable clinicians at the point-of-care to rapidly identify missing preventative services and risk coding gaps prior to a patient visit.

Vertedge’s Health of the Healthcare Network Insights

Ready to Illuminate Your Data with Vertedge

Contact Us

Subscribe to Vertedge

Be the first to know about Vertedge events, news & updates.