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A Single Enterprise Solution for Risk Adjustment and Quality Initiatives
GeBBS’ iCode Risk Adjustment coding software 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.
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.
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
- Chart Acquisition
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, 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.
Impact
Benefits
- Reduce provider abrasion
- Integrated secure provider portal
- Reduce retrieval costs
- Real-time project reporting, tracking, analysis
- Onsite Visit Scheduling
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
- NLP and AI-enabled platform to improve RAF score reporting
- Improves code capture for accurate RAF to increase ROI
- Real-time dashboard for insights on RAF score
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.
Impact
Benefits
- Identify gaps in your data to improve quality through a searchable chart repository
- Real-time compliance reporting for each HEDIS measure
- Built-in workflow for external overreads and MRRV
- Transparency using GeBBS web-based management platform
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
- Layered solutions to ensure completeness and accuracy of coding data
- Complete client transparency and access to all data and analytics
- Automated code scanning for enhanced accuracy
- Secure platform access to minimize provider abrasion and retrieval costs
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
- Retrospective reviews leveraging an end-to-end integrated platform
- Improved documentation at point-of-care, reducing payer review costs
- Increased coding efficiency to improve documentation upon first review
- Improve RAF scores through provider education
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
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Learn about iCode Risk Adjustment at a glance
QUALIPALOOZA
RISE Quality Leadership Summit
June 28-29, 2022
Booth #109
Caesars Palace, Las Vegas, NV
