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Verbotics Risk Integrity improves patient risk scores and significantly lowers the cost of the Risk Adjustment process for plans with Medicare Advantage populations.
Revenue Validation is a first-of-its-kind RCM tool that validates billing codes against physician narratives in real time. Automatically generate physician queries and improve clinical documentation.
Verbotics Quality Metrics Abstractor automates quality metrics data abstraction and capture for reporting quality metrics, maintaining disease registries and certification requirements.
The Verbotics CliniNorm fully proprietary approach normalizes patient data for real time semantic querying and analysis of patient records, regardless of format or structure.
Verbotics automates the clinical review process and reduces by 50% the manual effort in estimating a Workers Compensation Medicare Set Aside determination.
Verbotics hDiscovery™ automates the patient record discovery process with real time tools to enable immediate discovery of all structured and unstructured medical records.
Verbotics enables deeper population health analytics with 360 degree patient understanding from automated chart processing that improves risk coding, RAF scores, and capitation payments. Verbotics proprietary auditing technology discovers gaps and inaccuracies in coding. This capability improves revenue and reduces errors and liability.
hDiscovery is Verbotics health information discovery. In malpractice, insurance defense, medical fraud and related areas, hDiscovery uncovers contextual information heretofore unobtainable in historical perspective to provide evidentiary foundation for communications or documents surfaced in the traditional discovery process.
Verbotics automates chart reviews to find real time inaccuracies in medical codes and claims. Verbotics AI finds payer specified medical necessity constraints in patient records – this allows payers to reduce over-payments and processing time. It also improves determination of risk assessment range and patient outcomes and reduces re-admissions.