Precise Health Risk Compass™ (PHRC) for CDI
Deliver Risk Insights on High-Value CDI Gaps, No-Visit Patients, High-risk Care Gaps Patients, and Monthly and Cumulative Risk at both Patient and Population Levels.
Key Features
Identify High-Value Clinical Documentation Discrepancies and Assist Enhancing Documentation Accuracy and Completeness.
Advanced risk insights platform designed to assist improving clinical documentation accuracy and completeness, improve physician workflows, and boost care outcomes and optimize financial outcomes.
Prioritize High-Risk Clinical Documentation Discrepancies
The platform builds comprehensive risk insights from the audited data and uncovers high value missed or incorrect opportunities for documentation improvement. Its features include:
Real-Time ICD Code Analysis
Identifies high-value documentation discrepancies impacting RAF scores.
Gap Risk Score Analysis
Monthly reviews to find and prioritize high-risk documentation gaps.
Post-Audit Analysis
Reviews top codes and RAF contributors, prioritizing clinical document discrepancies.
CDI Improvement Insights
Pinpoints high-risk incorrect documentation opportunities.
Provider Education
Delivers actionable recommendations based on risk scores.
Risk Score Insights
Analyzes RAF score changes to identify and guide Clinical Document Improvement efforts.
High-Risk Patient Prioritization
Prioritize high-risk patients for accurate, complete documentation.
HCC Code Optimization
Identifies key HCC codes to close documentation gaps and improve RAF.
Tailored and Targeted CDI Education for Clinician
Customizing Clinical Document Improvement education for each clinician is critical. Precise Health Risk Compass™ for CDI provides risk insights to CDI team to train clinicians based on specific needs, considering:
Provider-Specific CDI
Align with each physician’s patient population and high-risk diagnoses.
High-Value HCCs
Training prioritized for HCC that significantly affect care and financial outcomes.
Focused CDI Initiatives
Minimize unnecessary clinician training while improving care outcomes and optimizing risk adjustment.
Monitor Cumulative Risk Score Changes at Patient and Population Levels
The platform delivers year-round cumulative risk insights, supporting recapture efforts by tracking risk potential, captured risk, un-captured risk, and projected risk at patient and population levels.
Captured and Uncaptured Risk Insights
Gain clinic, specialty, provider and patient-level risk insights
Uncaptured Risk Insights by ICD & HCC
Delivers captured vs. uncaptured risk in Top-100 ICDs and Top-10 HCCs.
Risk Recapture Feasibility & Timing
• Provides what is 100% risk potential and if/when it is achievable.
Key Benefits of PHRC for Clinical Document Improvement
With its emphasis on Clinical Document Integrity, this platform provides right risk insights to ensure that healthcare providers can capture care accurately and efficiently.
Enhanced CDI Improvement
Achieve up to 80% improvements in documentation quality within 4–6 months by focusing on high-value opportunities and actionable insights.
Streamlined CDI Clinical Documentation
Prioritize high-risk conditions, reducing documentation time by up to 30%, and save physicians up to 80% of time spent on redundant ICD10.
Improved Clinical Document Integrity
Ensure all care provided is accurately captured, maintaining compliance with risk adjustment standards while enhancing patient care quality.
Elevate Provider Confidence in CDI
Provide accurate recommendation for Clinical Documentation based on risk scores and reimbursement impact.
Avoid RADV Penalties Proactively
Delivers continuous feedback for documentation improvement.
Optimize Risk Adjustment Factor Score
By identifying high-value diagnosis conditions and improving documentation practices.
