Intelligent Risk Adjustment for Better Outcomes

CareSpace® arms you with unrivaled analytics, risk stratification, and clinical infrastructure to find opportunities that directly impact your benchmark, improve care and reduce costs in the complexity of the risk-adjustment process.

  • Achieve HCC Risk Adjustment Pass rate of 100%
  • Reduce provider workloads by up to 50%
  • Integrate Teleheath into the Risk Adjustment process

    A Complete Risk Adjustment Solution

    CareSpace® delivers an end-to-end Risk Adjustment solution supporting the needs of ACA, Medicare Advantage, Medicaid ACOs and CMS Direct Contracting

    Built around our AI engine with automated coding support, clinical and administrative alerts and integrated face to face and virtual workflows, CareSpace® is a full-service platform that significantly reduces workloads and improves performance with a unique blend of data aggregation, analytics and clinical tools.


    Welcome to the world of AI-Assisted Risk Adjustment

    CareSpace® intelligent Risk Adjustment technique provides accurate and thorough documentation and coding to give you the best chance of earning shared savings and helping you become more successful in managing your patient population.

    AI supported Health Risk Assessments (HRAs)

    Sophisticated AI reduces HRA workload

    Intuitive HCC Coding

    Optimizes HCC Coding and Auditing Performance , improve coding accuracy. Taking care of dropped codes, other provider codes, incorrectly coded data and unstructured data

    Multi-layered Risk Stratification

    Clinical, Claims, SDOH and AI/NLP

    AI-powered EHR integration

    delivers appropriate HCC codes, Care Gaps, Risk Scores etc. to provider in real time

    Bringing NLP and Machine Learning to the Risk Adjustment Process

    Our AI engine uses NLP and Machine Learning to take the complexity out of incorrectly coded data, clinical inference, health risk assessments and unstructured data.

    NLP | Building Longitudinal Patient Record

    NLP allows the Persivia Platform to capture the wide variation of medical terminology
    Unstructured clinical notes are “read” by our NLP engine, which extracts the chart information, transforms it into a coded data element that becomes part of the longitudinal medical record

    1

    Machine Learning | New coding Opportunity

    Machine learning (ML) algorithms locate evidence of potential HCCs in patient records
    It points to specific areas in the patient chart that support the net new HCC codes.

    2

    Clinical Inference | Improved Clinical Decision

    Clinical Inference algorithms discern disease patterns, highlights gaps in care, generates follow-up questions

    3

    CareTrak™

    A new dimension to Risk
    Adjustment and HCC Coding

    Our EHR companion- CareTrak integrates the appropriate data into the client's EHR and Synchronously delivers appropriate HCC codes, Care Gaps, Risk Scores etc. to providers at the point of care in real time


    Trusted by the Leaders in the Industry

    Don’t just take our word for it,
    read what our clients have to say!

    With the advent and growth of downside risk we knew that we had outgrown our legacy solution, which only provided cost analytics. To manage our multiple at-risk programs, we needed a true integrated platform that brings quality and cost analytics together with Al enabled care management workflows. After an extensive search we came to the conclusion that CareSpace is the only platform in the industry that delivers this very powerful mix of capabilities.

    SARAH KEENAN, CHIEF CLINICAL OFFICER

    Bluestone Physician Services