Retrospective Review with HCCFIND
HCCFIND
is a customizable Retrospective Review Program. When used alongside our
MLP Laptop Coding Tool, HCCFIND's robust analytics (consisting of
hundreds of clinical algorithms) can identify "High Yield" charts, minimize
False-Positives, and prioritize the review.
What makes HCCFIND different?
Accuracy: Over 65% of diagnoses in charts
selected for review match predicted HCCFIND diagnosis.
Efficiency: HCCFIND eliminates having to review
Members' charts where there is virtually no chance of identifying new HCC's.
Adaptability: By prioritizing the review, we can
fit any chart review cost constraint and fit the program to physician offices
with minimum disruption.
MARA's "finds" survive editing and filtering at high rates:
- In head to head tests with popular vendor suspect lists - over 90% of
MARA's finds survived editing and filtering, compared with less than 10% of
the other product
- The Result: A recovery rate an order of magnitude higher than the
popular vendor
CASE STUDY: One Third the Review with Twice the Results
|
Data Analytics |
Medicare
Adv Members |
Chart
Reviewed |
HCC
Found |
New
HCC |
PMPY
Net |
|
None |
10,000 |
10,000 |
1,650 |
200 |
$A |
|
|
MARA HCCFIND SOFTWARE |
10,000 |
3,500 |
610 |
570 |
9 x $A |
In a study of 20,000 members - 10,000 without analytics and 10,000 with HCCFIND,
MARA's advantage is clear.
|