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Featured Case Studies

MA Plan 94% Catch Rate

RADV Audit Preparation

How a Medicare Advantage plan achieved a 94% pre-submission catch rate through automated diagnosis code validation and RADV scrubbing workflows.

RADV Scrubber ICD-10 API
94% Pre-Submission Catch
Reduced Audit Exposure
Automated Code Validation
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Provider Organization 78% Query Response

CDI Program Impact

How a provider organization achieved a 78% CDI query response rate through targeted clinician education and EHR-integrated documentation workflows.

CDI Platform Prospect360
78% Query Response Rate
3:1 CDI Program ROI
Improved HCC Capture
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Health Plan 85% Faster Scoring

RAF Score API Implementation

How a health plan replaced manual RAF calculations with real-time API-powered scoring, enabling 100K+ member batch processing and EHR-integrated clinical workflows.

RAF Score API RAF Batch API
85% Faster Scoring
100K+ Members Scored
Real-Time EHR Integration
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Primary Care Practice 40% Lower PR Costs

Medicare Patient Risk Stratification

How a 22-provider primary care practice analyzed 10,500 Medicare patients using Precise Health Risk Compass™ for RAO to dramatically improve prospective review efficiency.

Risk Compass RAO
40% Lower PR Costs
18%+ ROI Improvement
30% Less Documentation
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Key Results Across Our Implementations

$12.4M Revenue Recovered
94% Pre-Submission Catch Rate
85% Faster RAF Scoring
78% CDI Query Response Rate
40% Lower Prospective Review Costs
31% More Accurate Stratification

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