qHealth

Aggregates multiple data sources, including EHR, lab, pharmacy, and claims data, to form a comprehensive medical profile for each member.
Organizes population and member-level data into action items at the point of care, enabling efficient and effective HCC capture for all members.
Identifies missing HCCs and captures all available HCCs for each member.
Identifies previously captured HCCs, preventing duplicated work.
Highlights patient needs and automatically creates patient summaries for providers.
Illuminates RAF score trends, providing actionable details for you to optimize reimbursement through built-in prospective and retrospective reports.
Uses workflows to facilitate the complete capture of each member’s HCCs year after year, for a three-year, look-back period.
Facilitates identification of any undocumented diagnoses for each member, which then can be addressed at their next provider visit.

Provides a deeper understanding of your patients’ current and historical medical conditions.
Enables health systems to perform accurate and complete coding of HCCs across all lines of business, utilizing both the CMS-HCC and HHS-HCC algorithms.
Improves HCC-related documentation, tracking encounters from the point of service through claims submissions.
Reports real-time RAF scores at the member and population levels, enabling continuous monitoring of your progress in capturing HCCs.
Helps providers deliver comprehensive member care and achieve better medical and quality outcomes.

Provides a deeper understanding of your patients’ current and historical medical conditions.
Enables health systems to perform accurate and complete coding of HCCs across all lines of business, utilizing both the CMS-HCC and HHS-HCC algorithms.
Improves HCC-related documentation, tracking encounters from the point of service through claims submissions.
Reports real-time RAF scores at the member and population levels, enabling continuous monitoring of your progress in capturing HCCs.
Helps providers deliver comprehensive member care and achieve better medical and quality outcomes.