Risk Score Accuracy
Ensure compliance and accurate reimbursement with advanced analytics and member engagement solutions enabling efficient, precise documentation.
Powered by the Inovalon ONE® Platform
Over 15 years of risk adjustment experience and expertise empowering Medicare, Medicaid, and Commercial plans to achieve superior accuracy and performance.
Inovalon delivers a scalable, end-to-end risk score accuracy solution that can be tailored to meet your unique needs. We work with you to ensure the accuracy of your members’ risk scores to drive overall program success.
Drive risk score accuracy with machine learning-trained analytics that leverage historical data, trends, and past performance to identify member diagnoses that may be incompletely or improperly reflected within claims data and medical records.
How it Works
Ensure compliant, accurate documentation of member conditions and achieve your performance goals with a comprehensive, end-to-end solution or one tailored to supplement your current program.Request a Demo
Drive risk score accuracy with sophisticated analytics, nationwide connectivity, and effective member and provider engagement strategies
Up to half of a health plan’s reimbursement is determined by the health status of its membership. Disease documentation, coding accuracy, and compliance are key to making health plans successful. Inovalon’s risk score accuracy solution leverages advanced analytics, nationwide provider site connectivity, and a suite of proven engagement tools to improve performance.
- Identify, pursue, and document valid diagnoses via EHR interoperability or clinical data extraction, as well as traditional paper-based medical record retrieval.
- Customize target hierarchical condition categories based on unique membership characteristics and data elements.
- Predict emerging patient-specific diagnoses and drive highly targeted, patient-centric interventions.
Inovalon Converged Risk Analytics
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