RAQ +
Smart Risk Adjustment
with AI-Powered Precision
AI-enabled platform connects the patient and the care team in an intuitive manner to optimize patient engagement that is critical for improving patient outcomes and lowering costs for value-based care.
One Product, many solutions
Drive measurable results in value-based care with AI-powered insights and intelligent automation.
BENEFITS
Transform Risk
Adjustment and
Clinical Documentation
Optimize Value-based Care Margins
- Decrease Medical Loss Ratio with advanced risk strategies
- Increase RAF score recapture & optimize revenue
- Increase patient outcomes, decrease re-admission claims
Risk Adjustment & Population Health
- Population Risk Monitoring & HEDIS alignment
- End-to-end unified workflow for HCC gap recapture
- Risk Stratification with Clinical AI predictive modeling
Predictive Analytics & Audit Ready
- AI-Driven Risk Analytics for HCC RAF reconciliation
- Claims data reconciliation, RADV readiness & compliance
- FHIR Interoperability & Real-Time Data Access
Key features
Smart Risk Adjustment for Value-Based Care
Comprehensive Risk
Adjustment
Achieve accuracy in risk adjustment with real-time insights and automated workflows.
- Detects undercoding and overcoding for precise RAF scores.
- Automates compliant queries for accurate HCC recapture.
- Real-time HCC validation to minimize RADV audit risk
- Categorizes codes with intelligent mapping and flags anomalies for review.
measure recapture rate
rate (within same year)
Provider Engagement
& Point-of-Care Support
Bridge the gap between care gaps and HCC capture through point-of-care provider engagement.
- Connects care gap insights with HCC capture during patient encounters.
- Supports better clinical outcomes and optimized risk scores.
- Leverages data-driven insights for targeted provider and member engagement.
- EMR Integration & Mobile App for the Clinical team
Intelligent Analytics
& Insights
Unlock deeper insights and mitigate risk with advanced analytics that highlight patterns and coding gaps across clinical documentation.
- Identifies and prioritizes outliers and potential coding issues.
- Pinpoints gaps across clinical notes, labs, and imaging.
- Supports efficient CDI processes for accurate HCC capture.
for Retrospective Chart
Retrieval & Coding
*Based on case studies
Performance Tracking
& Compliance Tools
Ensure compliance while monitoring and enhancing program performance with intuitive tools and data-driven insights.
- Enhances care quality to drive higher Star ratings and program recognition.
- Dynamic Reporting Tools: Generate detailed, customizable reports effortlessly.
Why RAQ +
Human and Artificial Intelligence
By harnessing the power of data analytics, automation, and AI, we enable healthcare organizations to operate at peak performance, reduce costs, and deliver high-quality care.
AI-Powered Precision
Comprehensive Solution
Continuous Innovation
Compliance-first approach
Question & Answers
Frequently Asked Questions
Explore this section to learn more about our products.
Our team ensures a smooth, rapid onboarding tailored to your organization's needs.
Absolutely. We employ high-grade security protocols and full HIPAA compliance.
Yes, RAQ+ is designed for flexible integration with most healthcare IT infrastructures.
Clients typically see a 11x return on investment within few years.
Ready to Transform Your
Value-Based Care Operations?
Discover how RAQ+ can revolutionize
your risk adjustment and clinical documentation processes.
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