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Services

We provide a wide range of Services

How can we help you?

Healthcare Risk Adjustment & Encounter Analytics

While Healthcare Risk Adjustment remains at our core, our services are applicable to diverse sectors. We provide an extensive array of services, including:

  • Historical Gap Identification: Leveraging historical claims data spanning multiple years, we identify evolving gaps over time. Simultaneously, we meticulously analyze current-year claims data to uncover open gaps, providing a comprehensive view of potential issues. 
  • Suspect Estimation: Employing a multifaceted methodology, we identify suspects by analyzing drug associations, LOINC code results from lab data, Health Risk Assessments, and other supplemental sources. Our approach enhances suspect accuracy and holistic gap assessment. 
  • Program Evaluation: We evaluate the effectiveness of risk adjustment programs, identifying avenues for improvement and driving superior outcomes. 
  • Risk Score Calculation and Forecasting: Our accurate risk score calculations and forecasting assist in financial planning, risk management, and strategic decision-making, regardless of the industry. 
  • Claim or Encounter Completeness Analysis: We conduct comprehensive analyses of claims or encounters, examining both diagnoses and CPT codes. This evaluation offers insights into data integrity and claim comprehensiveness. 

End-to-End Data Workflow & Analytics Solutions

Our Data Analysis and Management services lay the foundation for impactful analytics. Our suite includes:

  • Data Mapping: Our experts excel in dissecting complex datasets, identifying trends, and creating comprehensive data maps. This holistic visualization enhances your organization’s understanding of its information landscape. 
  • Data Cleaning/Scrubbing: Ensuring accurate analyses, we specialize in data cleaning and scrubbing, guaranteeing high-quality, error-free datasets that underpin precise decision-making. 
  • ETL (Extract, Transform, Load): Seamlessly integrating data from diverse sources, our ETL services ensure optimized data extraction, transformation, and loading for efficient analysis. 
  • ELT (Extract, Load, Transform): Tailored for organizations prioritizing data warehousing, our ELT services focus on transforming raw data into structured formats suitable for analysis. 
  • Reporting and Business Intelligence (BI): Our robust reporting and BI solutions convert complex data into actionable insights through interactive dashboards and real-time visualization. 
  • Data Architecture and Workflow Solutions Tailored for Your Business Need: Our expertise extends to crafting customized data architecture and workflow solutions, optimizing data flow to enhance efficiency, collaboration, and agility.

Build Machine Learning Models

From simple classifications to sophisticated neural networks, we offer end-to-end machine learning model development. Our services include:

  • Classification Models: Building straightforward classification models for predictive analytics, aiding decision-making processes. 
  • Regression Models: Developing regression models to predict numerical outcomes, helping organizations forecast trends and optimize strategies. 
  • Clustering and Segmentation: Utilizing clustering algorithms to segment data, uncover patterns, and support targeted marketing and resource allocation. 
  • Time Series Analysis: Leveraging time series models to analyze data trends over time, enabling accurate forecasting and planning. 
  • Neural Network Development: Crafting complex neural network models to tackle intricate problems, such as image recognition or natural language processing.