Precise Health Risk Compass™ (PHRC) Score
Leverage risk insights to analyze and monitor population risks within your revenue cycle processes to drive efficiency.
Key Features
A Comprehensive Suite of Advanced Revenue Impact Analysis Tools to Optimize Risk Adjustment.
The Precise Health Risk Compass™ Score, specifically designed for value-based care, integrates seamlessly within your existing revenue cycle management (RCM) workflows and it offers the tools you need to calculate, analyze, and leverage risk scores to improve care quality and financial outcomes.
Optimize Revenue Opportunities with PHRC RAF Score Tools
Our risk score tools are designed as pluggable solutions to address key use cases within risk adjustment and CDI workflows in value-based care:
RAF REST API
This allows you to seamlessly incorporate risk score calculations into your RCM workflows.
RAF Batch Processing
This assists healthcare organization in building their own risk insights for risk adjustment and CDI.
HCC RAF Score Analysis Tool
A user-friendly, web-based interface that enables risk score analysis for individual patients.
Why HCC RAF Score Matters in Value-Based Care
Reimbursement for patients under Medicare Advantage plans and other risk-bearing organizations is based on the HCC RAF score. Proactively assessing patient risk through RCM workflows optimizes care and financial outcomes. Here are the Key use cases:
Use Case: 1
Optimizing Clinical Document Improvement
Healthcare organizations can prioritize high-risk diagnosis codes for Clinical Document Improvement (CDI) to reduce burnout, increase engagement and optimize financial outcomes.
Use Case: 2
Identifying High-Value Charts
Leveraging risk score allows healthcare organizations to identify high-value charts for prospective reviews or retrospective audits to enhance care outcomes and prevent revenue loss.
Use Case: 3
Enhancing Provider Engagement
Incorporating revenue-impact data and highlighting high-risk diagnosis codes in provider education report improves provider engagement, enhancing documentation accuracy and financial outcomes.
Use Case: 4
Chart Retrieval Efficiency
Streamlining chart retrieval efforts through risk-driven analysis prioritizes impactful charts for retrospective audits, focusing on high-risk opportunities, ensuring precise submission of codes and enhancing financial outcomes.
Use Case: 5
Proactive Care Coordination
By enabling precise risk stratification, healthcare organizations can identify high-risk population and prioritize targeted interventions to improve care outcomes and optimize resource allocation.
Use Case: 6
Clinical Trials – Streamlining Enrollment
Efficiently identifying patient groups with specific risk profiles transforms clinical trial enrollment processes. This targeted approach accelerates research timelines, improves trial designs, and drives better treatment outcomes.
Start Optimizing Your RAF Scores Today
By integrating Precise Health Risk Compass™ Score into your RCM processes, you can unlock the full potential of key use cases immediately and enhance patient care and optimize financial outcomes.
