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Ensure Accurate Capture of Patient Health Risks
Quippe helps improve coding accuracy for compliance with risk-based programs, while increasing physician efficiency and driving better clinical outcomes.
VALUE-BASED CARE WITH QUIPPE
Integrated Scoring and
Documentation Review
Improve Risk Adjustment Accuracy for HCC
Payment for Medicare Advantage and other value-based care programs depends on accurate, complete documentation. Quippe automatically evaluates the chart for appropriate reimbursement.
- Calculate Hierarchical Condition Category (HCC) Risk Adjustment Factor (RAF) scores based on the patient and their problem list.
- Verify HCC documentation is adequate and complete.
- Analyze the chart and any free text to identify additional conditions.
Close Care Gaps in Real Time
Improve care planning while optimizing reimbursements. Quippe analyzes patient data and code mappings to identify gaps in care and HCC-eligible codes. If an active problem has not been documented in the current period, clinicians can provide timely interventions that prevent complications and improve health outcomes.
Verify Complete Documentation
To get credit for an HCC diagnosis, it must be fully and accurately documented. Quippe’s Documentation Scoring verifies in real-time that each problem has been adequately documented, including a treatment plan to support reimbursement. For any given diagnosis, clinicians can filter connected clinical concepts to support monitoring, evaluation, assessment, and treatment, and to address coding gaps during the patient visit.
