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RISK SURVEILLANCE ANALYTICS SOFTWARE

Converged Risk Surveillance Analytics

Gain a better line of sight into your risk adjustment programs and stay audit ready as the regulatory landscape changes.

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Remain Compliant and Improve Accuracy

Get complete visibility into every step of your risk adjustment process and ensure accurate coding represents the risk burden of your members. Inovalon’s Converged Risk Surveillance Analytics™ software helps you uncover hidden gaps and over-coded conditions.

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Lower Your Audit Risk

Use clinical evidence to identify and remove over-coded conditions before they trigger compliance issues.

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Fix Over-Coding at the Source

Understand why conditions are marked as over-coded so you can resolve the issue at the root cause.

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Uncover Blind Spots With Ease

Stay audit ready with analytics trained on the industry’s largest primary source dataset.

Benefits

Better care outcomes. Accurate coding. Healthier members.

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Full Program Transparency

Unlike black-box solutions, you’ll know why something is flagged as over-coded.

Proven Expertise

Rely on software from risk score accuracy leaders with 15+ years of experience, and clinical expertise while ensuring compliance with CMS and state regulations.

Rapidly Identify High-Risk Condition Categories

Pinpoint potentially over-coded conditions by confidence level, from very high to very low.

HOW IT WORKS

Risk Surveillance Analytics Software Tailored to Your Strategic Goals

Built to enhance your experience with Inovalon’s Converged Risk™, Converged Risk Surveillance Analytics helps your health plan remove blind spots in your risk adjustment programs.

Other risk surveillance analytics software solutions operate like a black box, flagging over-coded Hierarchical Condition Categories (HCCs) without explanation. This software offers transparency into the process so that you can surface the root of the problem and fix it at its source.

With total visibility into your risk programs, you’ll ensure your coding accurately represents the risk burden of your members while validating the appropriate reimbursement.

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TESTIMONIALS

Risk Products for Your Business Needs

See what real-life users say distinguishes Inovalon’s technology from the rest.

“

Inovalon’s always looking forward, and you can just tell the amount of research and development they put into their products. It’s a differentiator. You can see by the quality of the products that it's well thought out.
Gabe MedleyVice President of Risk Adjustment, Quality, and Analytics, Blue Cross Blue Shield Michigan