HF360 Compliance is a comprehensive solution that leverages the Health Fidelity platform—powered by NLP, statistical inference, and advanced analytics—to provide insights into potential compliance risk.
HF360 Compliance is designed for risk adjustment professionals (coders, managers, quality assurance, auditors) to streamline CMS/HHS submissions. It identifies diagnoses that lack sufficient evidence in clinical documentation, and presents them to reviewers to approve or create a delete based on available information.
Advanced analytics work to identify systemic areas of diagnoses identification gaps and documentation gaps across the provider network, then provide insight and actionable feedback to facilitate continuous improvement.
“As health plans with risk-adjusted lines of business are constantly being asked to do more with less, ensuring utmost compliance across all information sources—providers, vendors, coders—becomes more and more difficult. We're delivering a solution that makes this efficient and nearly effortless.”
– Health Fidelity CEO Steve Whitehurst
Contact us to set up a private demonstration of HF360 Compliance.