Stabilize Revenue with a Technology-Enabled Second-Pass Review

 

Ensure a comprehensive, correct, and complete filing of your 2019-2020 payment year submissions this August. With our natural language processing (NLP) engine, we automate the ingestion and analysis of administrative and clinical data to quickly uncover missed revenue and unsubstantiated claims. It’s a proven method that delivers results for organizations like yours.

Powerful Results From Second Pass Reviews*

Lumanent Retrospective Review Compliance Impact

*Consolidated client outcomes from recent second pass engagements

LIMITED TIME OFFER

Complimentary Second Pass Analysis

Contact us now to schedule a no-risk second pass analysis by May 31.

Discover exactly what your Medicare Advantage or Medicaid membership results could be with a complimentary analysis of 1,000 – 5,000 randomly selected lives (depending on overall population size). Simply provide all data to support measurement (claims, RAPS/EDPS, etc.) within designated deadlines and receive a PDF report of our NLP-derived findings.

How we do it:

First… NLP Review

We start by processing all available charts through the NLP to isolate those that contain outstanding risk conditions. Our engine uncovers coding suggestions (both additions and subtractions) derived from clinical and administrative data to enable more complete and accurate submissions.

Then… Prioritized Coding

The insights are accessible to coders (either yours or ours) via our Lumanent Retrospective Review application as a prioritized list of members to review according to coding opportunity. The software highlights the relevant sections of the chart containing the evidence (pictured at right), reducing the time required to identify additional codes to be captured.

 

Download PDF Overview

Lumanent Retrospective Review HCC Coding

Schedule a demo or request a second pass analysis with Health Fidelity today.

Let’s connect about your second pass project before May 31. 

We will show you what other risk adjustment software overlooks… the numbers will surprise you.