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Affinite Risk Adjustment

Affinite Risk Adjustment

Affinite Risk Adjustment

By Vital Data Technology, LLC

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End to end solution for improving risk adjustment score performance for payers and providers.
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Overview



Verify your employment with a hospital or health system and see a personalized match score.
Description

The VDT Affinitē Risk Adjustment module includes: • Multi-user access to the stand-alone Risk Adjustment Module of the Affinitē platform for CMS HCC Risk Adjustment. With Affinitē Risk, HEALTH PLAN NAME will receive the following: o Implementation o Data Integration and Analytics, Warehousing and Daily Processing o Dashboard high-level insights including the status of HCC capture, the performance of providers and provider groups, and HCC opportunities o Reporting o Estimated RAF scores at the member, provider, and provider group level based on claims data o Estimated member level RAF score build-up incorporating demographics, acute and chronic HCCs, disease interactions, and HCC payment count o Identification of HCCs obtained from claims data and chart review o Visibility into detailed claim data, highlighting HCCs that impact the RAF score o Visibility into detailed pharmacy data including refill status and ordering provider o Comparison of estimated RAF scores for current and prior year(s) o Identification of Missing HCCs (year-over-year gaps) for all open years at the member level o Member level identification of possible suspect HCCs based on claims and supplemental data for all open years. o Preparation of RAPS claim submission files in CMS required format o Preparation of RAPS supplemental submission files from chart review in CMS required format o Ability to monitor providers and provider group related to HCC capture, HCC gaps and average RAF score o Train-the-trainer training and support on the VDT Affinitē solution
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Reviewer’s Rating
5
0%
4
0%
3
0%
2
0%
1
0%

Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

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