Dx Gap Advisor™
An analytics-driven risk adjustment review solution for payers that want a unique, compliant process to support diagnosis coding accuracy, streamline billing workflow, and close risk gaps.
Increase compliance and efficiency by helping to ensure the accuracy, completeness, and truthfulness of risk adjustment data.
Help reduce provider abrasion through collaborative approach to changing coding habits and behavior. Provider self-auditing and coding validation helps capture diagnosis gaps.
Accelerate Medicare Advantage risk-adjusted payments through concurrent capture of missing chronic diagnosis codes. Avoid the long reimbursement delays typically associated with retrospective chart review.
Create new revenue opportunity in Medicaid states that do not allow diagnosis code encounter edits from medical record reviews
Help increase transparency and reporting clarity with a data-driven audit trail of Dx Gap Advisor transactions.
Streamline provider workflow and improve collaboration by providing a tool that works within the billing workflow to support complete, accurate diagnosis coding before claims are submitted.