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Description
Are you likely to face penalties or receive incentive payments in the next two years? It can be difficult to determine. Our innovative Value Maximizer software is designed to project your performance for up to three years ahead. However, it's not only important to find out if you might incur a penalty; you also need to identify actionable measures to either evade that penalty or, even better, enhance the financial incentives you can obtain from CMS. This software provides forecasts for performance across all three programs up to two years in advance. Within each program, you have the capability to delve into specific measures that could impact your financial outcomes, whether positively or negatively. The advanced algorithms will help calculate your optimal performance for maximizing reimbursement, but you also have the flexibility to modify the performance metrics as you see fit and observe how those adjustments influence the results. Additionally, this tool empowers you to make informed decisions that could significantly improve your financial landscape.
Description
Pareto Intelligence is an innovative platform specializing in healthcare analytics and technology aimed at enhancing the financial performance and compliance of health plans and risk-bearing provider organizations while also improving clinical communication and outcomes in value-based care. At its foundation lies a centralized healthcare data environment that assimilates, normalizes, and enriches a variety of clinical, claims, and social determinants of health data, enabling comprehensive views of patients and programs that facilitate advanced analytics and reporting. Among its offerings are tools for risk adjustment and revenue integrity that reveal undocumented risk gaps, enhance risk scores, aid in RADV audit preparedness, reconcile premiums, and guarantee complete and compliant revenue capture. Additionally, Pareto provides payment integrity solutions designed to identify both under- and overpaid claims, thereby enhancing Section 111 reporting and the coordination of benefits. By leveraging these capabilities, healthcare organizations can make informed decisions that lead to improved patient outcomes and operational efficiency.
API Access
Has API
API Access
Has API
Integrations
No details available.
Integrations
No details available.
Pricing Details
No price information available.
Free Trial
Free Version
Pricing Details
No price information available.
Free Trial
Free Version
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Deployment
Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Customer Support
Business Hours
Live Rep (24/7)
Online Support
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Types of Training
Training Docs
Webinars
Live Training (Online)
In Person
Vendor Details
Company Name
Medisolv
Founded
1999
Country
United States
Website
medisolv.com/products/rapid-analytics/
Vendor Details
Company Name
Pareto Intelligence
Country
United States
Website
paretointel.com