A Single Enterprise Solution for  Risk Adjustment and Quality Initiatives 

GeBBS’ iCode Risk Adjustment platform helps payers perform risk adjustment and HEDIS initiatives with a self-service tool. With real-time dynamic reporting, actionable data, and full transparency, our risk adjustment technology streamlines the workflow, improves productivity and quality for government payers and risk-bearing providers.

ICRA

Did You Know?

Our iCRA platform helps both government payers and risk-bearing providers improve their risk adjustment workflow. 

This solution has a direct impact on productivity and quality. Our technology addresses critical payer pain points with our intuitive chart retrieval feature, concurrent review capabilities, and real-time troubleshooting for irretrievable charts. 

ICRA

50%

Reduction in house technology cost

30%

Increase in productivity from streamlined workflows

20%

Higher risks factor identified

10%

Increase in conditions from 1st level review

GeBBS’ iCRA-enabled
Risk Adjustment Services

GeBBS’ iCRA chart acquisition platform combines proprietary iCode workflow solutions with provider-sensitive processes, making process compliance convenient and flexible for your providers. Our HIPAA-compliant and secure provider portals have thoughtful functionalities like drag and drop capability, EMR integration, and EMR CCD data exchange, along with onsite retrieval, fax, and mail. The iCRA platform allows real-time monitoring of parameters such as chart retrieval status and exception distribution, which allows you complete autonomy of your projects.

Benefits

Performance

40%

Use of provider portal in upload

98%

Data captured on first pass

30%

Reduction in chart retrieval costs

GeBBS’ real-time risk adjustment detail dashboard provides consolidated RAF score reporting by plan, group, or individual members. The dashboard, which is part of our iCRA solutions, shows how the addition or deletion of different diagnoses affects the RAF score in real-time, empowering better decision-making.

Benefits

Performance

25%+

Additional RA codes added

0.75+

Average increase in RAF scores

20%

Increase in reimbursements based on RAF calculations

GeBBS’ iCRA-powered HEDIS abstraction solutions provide both real-time and retrospective data that helps payers improve care quality and delivery — improving all stakeholders’ experience. The GeBBS web-based data management platform provides unprecedented transparency while maintaining cost-effectiveness. Our integrated analytics platform can help you capture over 60 quality metrics that are used to calculate the CMS star ratings.

Benefits

Performance

95%+

Record retrieval for abstraction

60+

Metrics used to calculate STAR ratings captured and analyzed

98%

Abstraction quality

GeBBS’ risk adjustment payer analytics are backed by powerful technology-driven solutions integrating natural language processing (NLP) and robust data validation and QA initiatives. This NLP-powered workflow empowers efficient coding by presenting our coders with real-time targeted diagnoses and actionable datasets. Our completely customizable solutions can be tailored for second and third-level reviews, blinded coding, claims data validation, and QA scrutiny.

Benefits

Performance

30-40%

Cost savings as lesser need for review

98%

Data captured on first pass

25%

Additional RA codes added

Our customizable provider education dashboard uses iCRA to help providers benchmark their performance against other healthcare plans, groups, and their peers. This information is delivered to the payer in actionable reports with education/training suggestions.

Benefits

Performance

20%

Higher risk factors identified

30+

Increase in productivity from streamlined workflows

10%

Increase in conditions from first-level review of reviewed member population

Tackling Risk Adjustment Successfully:
The GeBBS Advantage

Insights

Our technology at your finger tips

Learn about iCode Risk Adjustment at a glance