Solutions for Risk Adjustment and Fraud
For example:
HCC claims: For Medicare Advantage plans, the Anvita Insight engine can discover new, missing, inferred or expired Hierarchical Condition Categories (HCC) codes for more accurate claims reimbursement.
Detecting fraud: The Anvita Insight engine can also analyze codes to detect and generate reports on fraud or abuse.
Health risk adjustment: The Anvita Insight engine can add new dimensions to population management by analyzing codes for proper identification of health risks, and offer suggestions for health risk adjustments.
Custom rules authoring: For more focused analyses, Anvita Health supplies an interactive interface for the creation, management, and implementation of custom rules.
Detecting fraud: The Anvita Insight engine can also analyze codes to detect and generate reports on fraud or abuse.
Health risk adjustment: The Anvita Insight engine can add new dimensions to population management by analyzing codes for proper identification of health risks, and offer suggestions for health risk adjustments.
Custom rules authoring: For more focused analyses, Anvita Health supplies an interactive interface for the creation, management, and implementation of custom rules.
