Optimize Care Prior to the Date of Care
Prospective Risk Review
Prospective clinical reviews take place before the actual time of care. Our highly skilled clinical review teams, including clinicians and clinical coders, evaluate diagnostics, health history, medication lists, treatment plans, imaging reports, and other clinical documentation to identify diagnoses that may not be immediately apparent to the treating physician. By using an AI-driven approach, we provide valuable insights into the patient-provider interaction, delivering qualified conditions with supporting logic to physicians before the date of service. Our proprietary integration process enables us to push prospective diagnoses directly into any EMR.
Our Prospective Risk Review Services:
- Identify opportunities for comprehensive diagnoses
- Full EMR integration
- Text cleaning in NLP (NLP scrubbing)
- Improve specificity to ensure accurate risk scores
- Provider education
- Diagnostic inference from supplementary documentation