IRIS is the first real-time risk adjustment system harnessing Natural Language Processing (NLP), built for PACE to empower proactive and compliant workflows
Leverage data-driven insights to identify and address risk areas through targeted audits. Provider education supports continuous performance improvement, while additional services, such as retrospective reviews and mock RADV audits, ensure enhanced compliance and preparedness
Providers are prepped prior to all encounters
Ongoing provider education to improve notes for coding accuracy
Real-time analytics identifying missed opportunites for HCC capture
Pre-encounter preparation ensures that providers address all relevant conditions during each encounter
Timely coding and submission ensures that revenue is accurate in each payment period
Real-time analytics allows finance teams to address payment inaccuracies each month
ENHANCED REIMBURSEMENT ACCURACY
With a focus on accurate coding and documentation, IRIS optimizes revenue capture by ensuring compliance with reimbursement requirements.
ENHANCED REIMBURSEMENT ACCURACY
With a focus on accurate coding and documentation, IRIS optimizes revenue capture by ensuring compliance with reimbursement requirements.
Pre-encounter preparation ensures that providers address all relevant conditions during each encounter
Timely coding and submission ensures that revenue is accurate in each payment period
Real-time analytics allows finance teams to address payment inaccuracies each month
CONTINUOUS PERFORMANCE MONITORING
IRIS offers robust revenue analytics to provide visibility and automation. By flagging re-coding opportunities and inaccuracies in real time.
Real-time analytics
Breakdown and summarize all payment details on your MMR
Summarize your HCC capture for each CMS reporting period