Identify opportunities to close gaps in patient care.
The application shows—at the system, practice, PCP, and individual level—potential care gaps by identifying patients who had high risk scores last year but currently do This allows you to identify patients who have not yet been in for appointments in the calendar year, provide necessary preventive or chronic condition care, and review and document ongoing risks.
Track coding trends to support improved precision, consistency, and completeness.
The application identifies providers who use a generic code for a condition where precise codes may be more accurate. It allows you to compare providers to others in the system, and to system average, to identify providers who are overusing a generic code and may need education. The application helps identify missed documentation as well. For example, because chronic conditions are sometimes not the primary reason for a visit, they may not show up on a patient’s billing history; to address this, the application lets you pick up on persistent conditions (such as amputations) that impact a patient and their needed level of care every year—and thus identify when these codes may be necessary to improve coding accuracy.