Risk Adjustment Solution Edifecs

Risk Adjustment
Point-of-Care Advisor

With Edifecs Pre-Visit Prep, our AI and proprietary NLP engine analyze structured and unstructured clinical data to highlight clinical indicators and flag risk-adjustable opportunities. Being aware of these opportunities is essential—but acting on them is even more important.

Once the CDI team reviews the clinical insights gleaned from Pre-Visit Prep, our SaaS-based Point-of-Care Advisor solution puts those insights where they can do the most good: in front of providers during the patient visit.

Get More Information, Faster.

Edifecs helps harness and deliver the clinical data providers need to care for their patients.

Risk Adjustment Solution 1
  • Reduce time spent reviewing historical chart data
  • Take action on more risk-adjustable opportunities
  • Improve care management and planning and patient outreach

Get the information that matters

Focus on active conditions impacting patient care and treatment.

HCC Risk Adjustment 2
  • Minimize provider distractions during visits
  • Track and manage provider performance against KPIs
  • Validate identified opportunities brought forward from Pre-Visit Prep

Do more for patients

Deliver a more patient-centered experience

Risk Adjustment in Healthcare 3
  • Determine the appropriate level of care for patients’ conditions
  • Reduce charting time with pre-populated ICD-10 codes
  • Ensure accurate and complete care funding and reduce rejected claims

Put insights to good use

Focus on the conditions with the biggest impact on patient health.

News & Insights

Risk Adjustment Overview Data Sheet
A comprehensive risk adjustment strategy: Scalable solutions and services designed to ensure revenue integrity and CMS/State compliance for managed care plans.
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Risk Adjustment for Providers Guide
Complete and accurate risk capture is essential to success in value-based contract performance. This guide examines the four points of opportunity where provider organizations can identify and address gaps to achieve greater financial results, ensure regulatory compliance, and enhance care quality.
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Natural Language Processing in Healthcare: The Clinical and Financial Opportunity of Suspecting
In part 2 of this two-part eBook series, we examine what suspecting is, the types of suspecting maturity, review clinical suspect examples, and cover best practices for provider suspect deployment before and during a patient encounter.
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