Provider enterprises are swiftly transitioning to risk-based reimbursement models, with Medicare Advantage emerging as the most rapidly expanding segment of the payer market. Concurrently, alternative payment models are gaining traction across both commercial and federal payers. The exponential growth of Medicare Advantage and other alternative payment models underscores the importance of precise and prompt diagnosis in effective care delivery. Research indicates that early detection can substantially decrease the overall cost of care while enhancing quality of life for patients.

INFOMEDEX's Clinical Chart Review solution plays a pivotal role in optimizing your Medicare risk adjustment program by facilitating the early capture of diagnoses and improving quality of care outcomes. Trained diagnosticians meticulously review each longitudinal patient record, identifying inferred and suspected diagnoses supported by clinical evidence. These findings are then presented to providers at the point of care, simplifying decision-making processes. Detailed analytics, coupled with bi-directional feedback, render this program robust and compliant, effectively empowering proactive care delivery.