Precise Health Risk Compass™ Retro360
Retro360, part of the Precise Health Risk Compass™ suite, is a risk data analytics platform that enables payers to assess population-level risk, plan and execute retrospective audits for risk adjustment, and drive targeted corrective actions using risk data-driven insights.
By assessing population-level risk periodically, prioritizing members for targeted chart retrieval high-risk members, and uncovering documentation gaps, Retro360 transforms retrospective reviews from reactive processes into proactive, risk data-driven operations.
With Retro360, your organization can optimize financial performance, improve documentation integrity, and drive better audit outcomes through continuous corrective strategies.
Key Features
Medicare Risk Stratification
Identify high-risk Medicare Advantage members and prioritize them on chase lists for chart retrieval and retrospective audits
Member-Level Risk Insights
Uncover care and documentation gaps. Focus on high-risk conditions to guide targeted document retrieval and retrospective audits.
Population-Level Risk Analytics
Analyze risk insights across the Top 100 ICDs, Top 10 HCCs. Compare actual vs. projected risk score across clinics, specialties, and providers.
Care Gap Risk Stratification
Stratify members based on cumulative care gap risk scores to ensure timely retrospective audit and submission.
Non-Audited Member Stratification
Identifies members pending audit for the current year and prioritizes those with high-value risk to proactively uncover missed documentation for additional chart retrieval.
Clinical Documentation Gap Insights
Provides insights into high-value CDI gaps to drive focused provider education and improve prospective risk capture and coding accuracy for the upcoming year.
Empowering Retrospective Risk Review with Real-Time, Member-Level Risks Insights
Precise Health Risk Compass™ Retro360 empowers payers to transform retrospective audits into proactive, strategic operations with real-time, member-level risk insights.
Key Benefits
Minimize Audit Risk
Proactively uncover documentation gaps and correct issues before audits occur, reducing the chance of audit findings and penalties.
Improve Clinical Documentation Integrity
Focus provider education efforts on the most impactful CDI gaps to strengthen prospective documentation practices and coding accuracy.
Enhance Financial Forecasting
Monitor cumulative actuals versus projected risk and track performance to support better financial planning and continuous corrective strategies.
Get Started with Precise Health Risk Compass™ Retro360
Unlock the full potential of your retrospective risk adjustment strategy with Retro360.Empower your audit and risk teams with actionable, real-time insights that drive revenue integrity, improve audit outcomes, and enhance CMS compliance.
