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Retrospective Review with HCCFIND

HCC FindHCCFIND 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.


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