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CMS-HCC Analyzer

CMS-HCC Analyzer


CMS-HCC Analyzer can parse data from EDI billing files automatically and convert to an Excel spreadsheet. It can analyze up to 10 million claims in one day and generate an analysis that can help auditors/managers concentrate auditing efforts on the most at-risk patients. It also identifies missing encounters for the current year to assist in identifying patients that need to be seen by a provider.

CMS-HCC analyzer can be used for facilities, physician offices and any care provider facility that deals with HCC risk adjustment.

CMS-HCC Analyzer will integrate seemingly with ReviewMate CMS-HCC Auditing Module in which you can convert potential HCC issues to an actual deep dive audit managed by an HCC auditor.

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