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Affinite Risk Adjustment

Affinite Risk Adjustment

Affinite Risk Adjustment

By Vital Data Technology, LLC

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Overview


Select which hospital or health system you work at and see a personalized match score.
About

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

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CLIENTS OVERVIEW
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EHR integration

Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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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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Use cases

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Differentiators

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Company information

Founded in 1970

Select which hospital or health system you work at and see a personalized match score.

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